Quality of antenatal care services in the Birim North District of Ghana: contribution of the community-based health planning and services program.
Identifieur interne : 000708 ( Main/Exploration ); précédent : 000707; suivant : 000709Quality of antenatal care services in the Birim North District of Ghana: contribution of the community-based health planning and services program.
Auteurs : Sharon Naariyong [Japon] ; Krishna C. Poudel ; Mosuir Rahman ; Junko Yasuoka ; Keiko Otsuka ; Masamine JimbaSource :
- Maternal and child health journal [ 1573-6628 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Analyse multivariée, Antipaludiques (administration et posologie), Complications de la grossesse (), Complications de la grossesse (diagnostic), Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Facteurs de risque, Facteurs socioéconomiques, Femelle, Ghana, Grossesse, Humains, Infections à VIH (), Infections à VIH (diagnostic), Jeune adulte, Modèles logistiques, Nourrisson, Nouveau-né, Paludisme (), Planification de la santé communautaire (organisation et administration), Prise en charge prénatale (), Prise en charge prénatale (normes), Prise en charge prénatale (utilisation), Qualité des soins de santé, Études transversales.
- MESH :
- administration et posologie : Antipaludiques.
- diagnostic : Complications de la grossesse, Infections à VIH.
- normes : Prise en charge prénatale.
- organisation et administration : Planification de la santé communautaire.
- utilisation : Prise en charge prénatale.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse multivariée, Complications de la grossesse, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Facteurs de risque, Facteurs socioéconomiques, Femelle, Ghana, Grossesse, Humains, Infections à VIH, Jeune adulte, Modèles logistiques, Nourrisson, Nouveau-né, Paludisme, Prise en charge prénatale, Qualité des soins de santé, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adolescent, Adult, Antimalarials (administration & dosage), Community Health Planning (organization & administration), Cross-Sectional Studies, Female, Ghana, HIV Infections (diagnosis), HIV Infections (prevention & control), Health Knowledge, Attitudes, Practice, Humans, Infant, Infant, Newborn, Logistic Models, Malaria (prevention & control), Middle Aged, Multivariate Analysis, Pregnancy, Pregnancy Complications (diagnosis), Pregnancy Complications (prevention & control), Prenatal Care (standards), Prenatal Care (statistics & numerical data), Prenatal Care (utilization), Quality of Health Care, Risk Factors, Socioeconomic Factors, Surveys and Questionnaires, Young Adult.
- MESH :
- chemical , administration & dosage : Antimalarials.
- geographic : Ghana.
- diagnosis : HIV Infections, Pregnancy Complications.
- organization & administration : Community Health Planning.
- prevention & control : HIV Infections, Malaria, Pregnancy Complications.
- standards : Prenatal Care.
- statistics & numerical data : Prenatal Care.
- utilization : Prenatal Care.
- Adolescent, Adult, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Infant, Infant, Newborn, Logistic Models, Middle Aged, Multivariate Analysis, Pregnancy, Quality of Health Care, Risk Factors, Socioeconomic Factors, Surveys and Questionnaires, Young Adult.
Abstract
To compare the quality of antenatal care (ANC) between Community-based Health Planning and Services (CHPS) and non-CHPS areas in the Birim North District of Ghana. A cross-sectional study was conducted in May, 2010. We collected data from 600 women (300 from CHPS areas and 300 from non-CHPS areas) recruited from six CHPS and six non-CHPS areas, using a structured questionnaire. Participants were aged 15-49 years, had at least one child within 18 months old, and resided in the district for at least 2 years before data collection. Outcomes included: (1) index of ANC utilization (dichotomized as full and partial), (2) receipt of anti-malarial drugs, (3) testing for HIV infection, and (4) index of knowledge about pregnancy danger signs (expressed in tertiles). Descriptive statistics and multivariate logistic regression methods were employed in the analysis. Multivariate analysis revealed that participants in the CHPS areas were 2.7 times (95% CI: 1.66-4.35) more likely to have full utilization score, 4.5 times (95% CI: 2.37-8.51) more likely to receive HIV testing, and 3.7 times (95% CI: 1.72-7.94) more likely to receive anti-malarial prophylaxis during the ANC period. However, scoring high on the index of knowledge was not significantly associated with the CHPS exposure (OR: 1.2; 95% CI: 0.69-2.00). The CHPS intervention might be useful to improve the quality of ANC. Therefore, increasing the CHPS intervention coverage in non-CHPS areas might serve as a basis for improving the quality of ANC in the Birim North and other rural districts of Ghana.
DOI: 10.1007/s10995-011-0880-z
PubMed: 21915678
Affiliations:
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Le document en format XML
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multivariée</term><term>Antipaludiques (administration et posologie)</term><term>Complications de la grossesse ()</term><term>Complications de la grossesse (diagnostic)</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Ghana</term><term>Grossesse</term><term>Humains</term><term>Infections à VIH ()</term><term>Infections à VIH (diagnostic)</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Nourrisson</term><term>Nouveau-né</term><term>Paludisme ()</term><term>Planification de la santé communautaire (organisation et administration)</term><term>Prise en charge prénatale ()</term><term>Prise en charge prénatale (normes)</term><term>Prise en charge prénatale (utilisation)</term><term>Qualité des soins de santé</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & 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Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse multivariée</term><term>Complications de la grossesse</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Ghana</term><term>Grossesse</term><term>Humains</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Nourrisson</term><term>Nouveau-né</term><term>Paludisme</term><term>Prise en charge prénatale</term><term>Qualité des soins de santé</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To compare the quality of antenatal care (ANC) between Community-based Health Planning and Services (CHPS) and non-CHPS areas in the Birim North District of Ghana. A cross-sectional study was conducted in May, 2010. We collected data from 600 women (300 from CHPS areas and 300 from non-CHPS areas) recruited from six CHPS and six non-CHPS areas, using a structured questionnaire. Participants were aged 15-49 years, had at least one child within 18 months old, and resided in the district for at least 2 years before data collection. Outcomes included: (1) index of ANC utilization (dichotomized as full and partial), (2) receipt of anti-malarial drugs, (3) testing for HIV infection, and (4) index of knowledge about pregnancy danger signs (expressed in tertiles). Descriptive statistics and multivariate logistic regression methods were employed in the analysis. Multivariate analysis revealed that participants in the CHPS areas were 2.7 times (95% CI: 1.66-4.35) more likely to have full utilization score, 4.5 times (95% CI: 2.37-8.51) more likely to receive HIV testing, and 3.7 times (95% CI: 1.72-7.94) more likely to receive anti-malarial prophylaxis during the ANC period. However, scoring high on the index of knowledge was not significantly associated with the CHPS exposure (OR: 1.2; 95% CI: 0.69-2.00). The CHPS intervention might be useful to improve the quality of ANC. Therefore, increasing the CHPS intervention coverage in non-CHPS areas might serve as a basis for improving the quality of ANC in the Birim North and other rural districts of Ghana.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Jimba, Masamine" sort="Jimba, Masamine" uniqKey="Jimba M" first="Masamine" last="Jimba">Masamine Jimba</name><name sortKey="Otsuka, Keiko" sort="Otsuka, Keiko" uniqKey="Otsuka K" first="Keiko" last="Otsuka">Keiko Otsuka</name><name sortKey="Poudel, Krishna C" sort="Poudel, Krishna C" uniqKey="Poudel K" first="Krishna C" last="Poudel">Krishna C. Poudel</name><name sortKey="Rahman, Mosuir" sort="Rahman, Mosuir" uniqKey="Rahman M" first="Mosuir" last="Rahman">Mosuir Rahman</name><name sortKey="Yasuoka, Junko" sort="Yasuoka, Junko" uniqKey="Yasuoka J" first="Junko" last="Yasuoka">Junko Yasuoka</name></noCountry><country name="Japon"><noRegion><name sortKey="Naariyong, Sharon" sort="Naariyong, Sharon" uniqKey="Naariyong S" first="Sharon" last="Naariyong">Sharon Naariyong</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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