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ANTENATAL CARE IN ERBIL CITY-IRAQ: ASSESSMENT OF INFORMATION, EDUCATION AND COMMUNICATION STRATEGY
مراكز الرعاية الامومة و الطفولة في مدينة اربيل - جمع المعلومات , التثقف الصي و تثفيف الصحي و ثقافة الاتصال

Authors: TARIQ S. AL-HADITHI طارق الحديثي --- AWRING M. RAOOF, مروان روؤف
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2011 Volume: 5 Issue: 1 Pages: 31-40
Publisher: University of Dohuk جامعة دهوك

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Abstract

Background and objectives Information education and communication strategy is included in the antenatal care to inform and educate pregnant women on topics related to pregnancy and care of newborn. The aim of this study was to assess women's awareness of danger signs of obstetric complications and their experiences at health care facilities.Methods A sample of 1839 pregnant women attending primary health care centers from 1st of Jan through 30th of Apr 2009 was selected. At each primary health care center between 39 and 221 women were interviewed. Requested data included women's information on advicegiven on place of birth, family planning, benefit of birth in a health facility and other topics.Information on women's awareness of danger signs and their experiences at primary health care centers was also collected.Results Family planning and nutrition were the most commonly discussed topics, 44.6% and 46.7%, respectively. Heavy bleeding, hypertension, anemia and bad obstetrical history were recognized by 67% 60%, 58% and 45% of clients as danger signs, respectively. Only 11% recognized prolonged labour as danger signs, with variations in the experiences of women at the primary health care centers; 61% reported spending three minutes and less with the health care provider, 53% were told about progress of pregnancy, 55% had the chance to ask questions and 65% were asked to return for another visit.Conclusion Health education provided at antenatal clinic level in Erbil city seems to be relatively poor.

خلفية واهداف البحث: است ا رتيجية جمع المعلومات وثقافة الاتصال والمقابلة@في م ا ركز الرعاية للأمومة والطفولة لغرض تعليم وتثقيف الحامل حول مجموعة من الموضوعات المتعلقة والمرتبطة بالحمل ورعاية المولود. كان الهدف من الرسالة تقييم وعي الم أ رة حول العلامات الخطرة لعملية الولادة وخب ا رتهم وتجاربهم حول نوعية التسهيلات التي تقدّم في الم ا ركز الصحية.طرق البحث: تم مقابلة 1839 حامل اللواتي زرن الم ا ركز الصحية الأولية من 1 كانون الثاني إلى 30 نيسان سنة .221- 2009 . كان عدد المقابلات في كل مركز تت ا روح بين 39 كانت المعلومات المطلوبة شملت معرفة الحامل بنصائح والارشادات المقدمة لها حول مكان الولادة، تنظيم الأسرة،والتسهيلات الموجودة في الم ا ركز والمؤسسات الصحية وموضوعات أخرى. وتم جمع المعلومات حول وعي الم أ رة بشكل عام حول معرفة العلامات الخطرة وخب ا رتهم وتجاربهم في الم ا ركز الصحية الأولية.،% النتائج: تنظيم الأسرة/ تباعد الولادات، الغذاء/ التغذية كانت من أهم الموضوعات التي تم مناقشتها، كانت النسبة 45 %47 على التوالي. تم كشف العلامات الخطرة كالنزف الشديد، ارتفاع ضغط الدم، فقر الدم، سوء خلفية فترة الحمل، 45 % على التوالي. نسبة 11 % من النساء تعتبر اطالة فترة الحمل من ،%58 ،%60 ،% وكانت النسب كالآتي: 67 % العلامات الخطرة، وهناك مفارقات كبيرة بين وجهة نظرهن حول خبرتهن بالتسهيلات في الم ا ركز الصحية الأولية، 61 منهن قد قضين 3 دقائق من الوقت مع المشرفات في الرعاية وقت الزيارة، 53 % قد تلقين معلومات حول سير عملية الحمل، 55 % منهن كانت لها فرصة المناقشة مع المشرفات، 65 % قد أخذن موعد لزيارة لاحقة.الاستنتاج: التثقيف الصحي في م ا ركز الرعاية في مدينة أربيل كانت غير جيدة وتحت المستوى المطلوب.


Article
Knowledge and Health‑Seeking Practices of Mothers Attending Primary Health‑Care Centers in Baghdad Al‑Karkh Sector about Danger Signs in Newborns

Authors: Hiba Naji Abdulrida --- Reem Jameel Hassan --- Mary Mohammed Sabri
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2018 Volume: 17 Issue: 1 Pages: 29-35
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: High‑risk neonate defines as one who requires more than the standard monitoring and care offered to a healthy term newborninfant; therefore, early detection of neonatal illness is an important step toward improving newborn survival. Objectives: The objective of this study is to assess the knowledge and health‑seeking practices of mothers attending primary health‑care centers about WHO recognized danger signs in newborns. Subjects and Methods: A cross‑sectional study was carried out in primary health‑care centers selected conveniently inBaghdad‑Alkarkh district. Participants were 275 mothers of child‑bearing age group selected conveniently; the data were collected during theperiod from March 1 to June 30, 2017. A general questionnaire used for the data collection. Results: About 81% of mothers in study samplelisted three or more of the who recognized danger signs. About 71.7% of mothers tend to seek advice or treatment for the illness outsidethe home. The proportion of good knowledge and health‑seeking practices was higher in (Educated, employee, mothers who had a historyof antenatal care attendance with higher number of visits). There was no relationship between number of children and family support withseeking care outside the home. Mothers who had good knowledge of danger signs of their babies tend to seek care from health facilities morefrequently 75%, and this relation was statistically significant, 61.2% of mothers who perceive illness in newborns delayed seeking advice ortreatment outside the home, 66% not taking newborn to the health facilities because they expect self‑resolution of the illness. There is good knowledge and perception of mothers toward some danger signs such as fever, poor feeding, and jaundice while fair toward others such ascold body, chest indrawing, and signs of local infections. Conclusion: There are good knowledge and perception of mothers about the WHOrecognized danger signs in newborns; however, there is a gap between mothers’ knowledge and their health‑seeking behavior for sick newbornand explored their deep perceptions, constraints, and various treatments.

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