Assessment on the Knowledge and Reported Practices of Women on Maternal and Child Health in Rural Sierra Leone: A Cross-Sectional Survey
Identifieur interne : 002B23 ( Pmc/Curation ); précédent : 002B22; suivant : 002B24Assessment on the Knowledge and Reported Practices of Women on Maternal and Child Health in Rural Sierra Leone: A Cross-Sectional Survey
Auteurs : Joseph Sam Kanu ; Yuan Tang ; Yawen LiuSource :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Globally, Sierra Leone is ranked among the countries with the worst maternal and child health indicators. The mortality of women and children is significantly higher compared with other developing countries. The death of women and children can be prevented by simple cost-effective community-based interventions. The aim of this present study was to learn the knowledge levels of women on maternal and child health, and treatment-seeking and preventive behaviours in rural Sierra Leone and provide appropriate suggestions for policy makers. Moreover, the study also aimed to evaluate the effect of a husband’s involvement on health knowledge and practices of women in rural Sierra Leone.
Women with at least a child of five years or below were interviewed in their households through a structured questionnaire. Characteristics of the households and of the respondents were collected and the number of correct answers given to the health knowledge and practice questions and their percentage distributions were tabulated and an overall health knowledge score was calculated.
The mean score of the derived overall health-related knowledge was 61.6% (maximum of 91% and a minimum of 18%) with a standard deviation of 14.7% and a median of 63.3%. Multivariable regression analyses showed education and number of pregnancies are associated with knowledge score, with significantly improved health knowledge scores amongst those who accessed higher education. There were some inappropriate practices in hygiene and sanitation. However, vaccination coverage was high with almost 100% coverage for BCG.
Based on the findings of this study, women’s knowledge on maternal and child health care are inadequate in rural Sierra Leone. Health promotion activities focusing on prevention of diarrhoea, malaria and pneumonia, improvement in health-related knowledge on pregnancy, delivery, neonatal care and environmental sanitation would be invaluable.
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DOI: 10.1371/journal.pone.0105936
PubMed: 25166504
PubMed Central: 4148396
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Assessment on the Knowledge and Reported Practices of Women on Maternal and Child Health in Rural Sierra Leone: A Cross-Sectional Survey</title><author><name sortKey="Kanu, Joseph Sam" sort="Kanu, Joseph Sam" uniqKey="Kanu J" first="Joseph Sam" last="Kanu">Joseph Sam Kanu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Tang, Yuan" sort="Tang, Yuan" uniqKey="Tang Y" first="Yuan" last="Tang">Yuan Tang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Liu, Yawen" sort="Liu, Yawen" uniqKey="Liu Y" first="Yawen" last="Liu">Yawen Liu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25166504</idno><idno type="pmc">4148396</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4148396</idno><idno type="RBID">PMC:4148396</idno><idno type="doi">10.1371/journal.pone.0105936</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002B24</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002B24</idno><idno type="wicri:Area/Pmc/Curation">002B23</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002B23</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Assessment on the Knowledge and Reported Practices of Women on Maternal and Child Health in Rural Sierra Leone: A Cross-Sectional Survey</title><author><name sortKey="Kanu, Joseph Sam" sort="Kanu, Joseph Sam" uniqKey="Kanu J" first="Joseph Sam" last="Kanu">Joseph Sam Kanu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Tang, Yuan" sort="Tang, Yuan" uniqKey="Tang Y" first="Yuan" last="Tang">Yuan Tang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Liu, Yawen" sort="Liu, Yawen" uniqKey="Liu Y" first="Yawen" last="Liu">Yawen Liu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Globally, Sierra Leone is ranked among the countries with the worst maternal and child health indicators. The mortality of women and children is significantly higher compared with other developing countries. The death of women and children can be prevented by simple cost-effective community-based interventions. The aim of this present study was to learn the knowledge levels of women on maternal and child health, and treatment-seeking and preventive behaviours in rural Sierra Leone and provide appropriate suggestions for policy makers. Moreover, the study also aimed to evaluate the effect of a husband’s involvement on health knowledge and practices of women in rural Sierra Leone.</p></sec><sec><title>Methods</title><p>Women with at least a child of five years or below were interviewed in their households through a structured questionnaire. Characteristics of the households and of the respondents were collected and the number of correct answers given to the health knowledge and practice questions and their percentage distributions were tabulated and an overall health knowledge score was calculated.</p></sec><sec><title>Results</title><p>The mean score of the derived overall health-related knowledge was 61.6% (maximum of 91% and a minimum of 18%) with a standard deviation of 14.7% and a median of 63.3%. Multivariable regression analyses showed education and number of pregnancies are associated with knowledge score, with significantly improved health knowledge scores amongst those who accessed higher education. There were some inappropriate practices in hygiene and sanitation. However, vaccination coverage was high with almost 100% coverage for BCG.</p></sec><sec><title>Conclusions</title><p>Based on the findings of this study, women’s knowledge on maternal and child health care are inadequate in rural Sierra Leone. Health promotion activities focusing on prevention of diarrhoea, malaria and pneumonia, improvement in health-related knowledge on pregnancy, delivery, neonatal care and environmental sanitation would be invaluable.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Khan, Ks" uniqKey="Khan K">KS Khan</name></author><author><name sortKey="Wojdyla, D" uniqKey="Wojdyla D">D Wojdyla</name></author><author><name sortKey="Say, L" uniqKey="Say L">L Say</name></author><author><name sortKey="Gulmezoglu, Am" uniqKey="Gulmezoglu A">AM Gülmezoglu</name></author><author><name sortKey="Van Look, Pfa" uniqKey="Van Look P">PFA Van Look</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Duley, L" uniqKey="Duley L">L 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Krycia</name></author><author><name sortKey="Rafael, L" uniqKey="Rafael L">L Rafael</name></author><author><name sortKey="Christopher, Jlm" uniqKey="Christopher J">JLM Christopher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cleland, Jg" uniqKey="Cleland J">JG Cleland</name></author><author><name sortKey="Van Ginneken, Jk" uniqKey="Van Ginneken J">JK van Ginneken</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hobcraft, J" uniqKey="Hobcraft J">J Hobcraft</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chou, Sy" uniqKey="Chou S">SY Chou</name></author><author><name sortKey="Liu, Jt" uniqKey="Liu J">JT Liu</name></author><author><name sortKey="Grossman, M" uniqKey="Grossman M">M Grossman</name></author><author><name sortKey="Joyce, T" uniqKey="Joyce T">T Joyce</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lynch, Sm" uniqKey="Lynch S">SM 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Singh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abdulsalam, A" uniqKey="Abdulsalam A">A Abdulsalam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Andrzejewski, Cs" uniqKey="Andrzejewski C">CS Andrzejewski</name></author><author><name sortKey="Reed, He" uniqKey="Reed H">HE Reed</name></author><author><name sortKey="White, Mj" uniqKey="White M">MJ White</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Senarath, U" uniqKey="Senarath U">U Senarath</name></author><author><name sortKey="Fernando, Dn" uniqKey="Fernando D">DN Fernando</name></author><author><name sortKey="Vimpani, G" uniqKey="Vimpani G">G Vimpani</name></author><author><name sortKey="Rodrigo, I" uniqKey="Rodrigo I">I Rodrigo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hadi, A" uniqKey="Hadi A">A Hadi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25166504</article-id><article-id pub-id-type="pmc">4148396</article-id><article-id pub-id-type="publisher-id">PONE-D-13-11347</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0105936</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biology and Life Sciences</subject><subj-group><subject>Population Biology</subject></subj-group></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine and Health Sciences</subject><subj-group><subject>Epidemiology</subject></subj-group><subj-group><subject>Health Care</subject><subj-group><subject>Health Care Policy</subject><subject>Health Education and Awareness</subject><subject>Primary Care</subject><subject>Socioeconomic Aspects of Health</subject></subj-group></subj-group><subj-group><subject>Infectious Diseases</subject></subj-group><subj-group><subject>Public and Occupational Health</subject><subj-group><subject>Global Health</subject></subj-group></subj-group><subj-group><subject>Women's Health</subject></subj-group></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Research and Analysis Methods</subject><subj-group><subject>Research Design</subject><subj-group><subject>Survey Research</subject><subj-group><subject>Survey Methods</subject></subj-group></subj-group><subj-group><subject>Clinical Research Design</subject></subj-group></subj-group></subj-group></article-categories><title-group><article-title>Assessment on the Knowledge and Reported Practices of Women on Maternal and Child Health in Rural Sierra Leone: A Cross-Sectional Survey</article-title><alt-title alt-title-type="running-head">Knowledge and Practices of Women in Sierra Leone</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kanu</surname><given-names>Joseph Sam</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Tang</surname><given-names>Yuan</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Liu</surname><given-names>Yawen</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Department of Epidemiology & Biostatistics, School of Public Health, Jilin University, Changchun City, Jilin Province, P. R. China</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Vallely</surname><given-names>Andrew</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>University of New South Wales, Australia</addr-line></aff><author-notes><corresp id="cor1">* E-mail: <email>ywliu@jlu.edu.cn</email></corresp><fn fn-type="conflict"><p><bold>Competing Interests: </bold>The authors have declared that no competing interests exist.</p></fn><fn fn-type="con"><p>Conceived and designed the experiments: JSK YL. Performed the experiments: JSK. Analyzed the data: JSK YT YL. Contributed reagents/materials/analysis tools: YL. Wrote the paper: JSK YL.</p></fn></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>28</day><month>8</month><year>2014</year></pub-date><volume>9</volume><issue>8</issue><elocation-id>e105936</elocation-id><history><date date-type="received"><day>17</day><month>3</month><year>2013</year></date><date date-type="accepted"><day>30</day><month>7</month><year>2014</year></date></history><permissions><copyright-year>2014</copyright-year><copyright-holder>Kanu et al</copyright-holder><license><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract><sec><title>Background</title><p>Globally, Sierra Leone is ranked among the countries with the worst maternal and child health indicators. The mortality of women and children is significantly higher compared with other developing countries. The death of women and children can be prevented by simple cost-effective community-based interventions. The aim of this present study was to learn the knowledge levels of women on maternal and child health, and treatment-seeking and preventive behaviours in rural Sierra Leone and provide appropriate suggestions for policy makers. Moreover, the study also aimed to evaluate the effect of a husband’s involvement on health knowledge and practices of women in rural Sierra Leone.</p></sec><sec><title>Methods</title><p>Women with at least a child of five years or below were interviewed in their households through a structured questionnaire. Characteristics of the households and of the respondents were collected and the number of correct answers given to the health knowledge and practice questions and their percentage distributions were tabulated and an overall health knowledge score was calculated.</p></sec><sec><title>Results</title><p>The mean score of the derived overall health-related knowledge was 61.6% (maximum of 91% and a minimum of 18%) with a standard deviation of 14.7% and a median of 63.3%. Multivariable regression analyses showed education and number of pregnancies are associated with knowledge score, with significantly improved health knowledge scores amongst those who accessed higher education. There were some inappropriate practices in hygiene and sanitation. However, vaccination coverage was high with almost 100% coverage for BCG.</p></sec><sec><title>Conclusions</title><p>Based on the findings of this study, women’s knowledge on maternal and child health care are inadequate in rural Sierra Leone. Health promotion activities focusing on prevention of diarrhoea, malaria and pneumonia, improvement in health-related knowledge on pregnancy, delivery, neonatal care and environmental sanitation would be invaluable.</p></sec></abstract><funding-group><funding-statement>This study was supported by grants from the National Natural Science Foundation of China (30870952) and Science and Technology Department of Jilin Province (200905185, 20080735). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement></funding-group><counts><page-count count="13"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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