Antenatal Care Strengthening in Jimma, Ethiopia: A Mixed-Method Needs Assessment
Identifieur interne : 002B87 ( Ncbi/Curation ); précédent : 002B86; suivant : 002B88Antenatal Care Strengthening in Jimma, Ethiopia: A Mixed-Method Needs Assessment
Auteurs : Sarah Fredsted Villadsen [Danemark] ; Britt Pinkowski Tersb L [Danemark] ; Dereje Negussie [Éthiopie] ; Abebe Gebremariam [Éthiopie] ; Abebech Tilahun [Éthiopie] ; Henrik Friis [Danemark] ; Vibeke Rasch [Danemark]Source :
- Journal of Environmental and Public Health [ 1687-9805 ] ; 2014.
Abstract
Url:
DOI: 10.1155/2014/945164
PubMed: 25258631
PubMed Central: 4166433
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Antenatal Care Strengthening in Jimma, Ethiopia: A Mixed-Method Needs Assessment</title><author><name sortKey="Villadsen, Sarah Fredsted" sort="Villadsen, Sarah Fredsted" uniqKey="Villadsen S" first="Sarah Fredsted" last="Villadsen">Sarah Fredsted Villadsen</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 25, 1958 Frederiksberg C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 25, 1958 Frederiksberg C</wicri:regionArea><wicri:noRegion>1958 Frederiksberg C</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Oester Farimagsgade 5, P.O. Box 2099, 1014 Copenhagen K, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Oester Farimagsgade 5, P.O. Box 2099, 1014 Copenhagen K</wicri:regionArea><wicri:noRegion>1014 Copenhagen K</wicri:noRegion></affiliation></author><author><name sortKey="Tersb L, Britt Pinkowski" sort="Tersb L, Britt Pinkowski" uniqKey="Tersb L B" first="Britt Pinkowski" last="Tersb L">Britt Pinkowski Tersb L</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of International Health, Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of International Health, Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N</wicri:regionArea><wicri:noRegion>2200 Copenhagen N</wicri:noRegion></affiliation></author><author><name sortKey="Negussie, Dereje" sort="Negussie, Dereje" uniqKey="Negussie D" first="Dereje" last="Negussie">Dereje Negussie</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Obstetrics and Gynaecology, College of Public Health and Medical Sciences, Jimma University, P.O. Box 378, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Obstetrics and Gynaecology, College of Public Health and Medical Sciences, Jimma University, P.O. Box 378, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Gebremariam, Abebe" sort="Gebremariam, Abebe" uniqKey="Gebremariam A" first="Abebe" last="Gebremariam">Abebe Gebremariam</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Population and Family Health, Jimma University, P.O. Box 378, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Population and Family Health, Jimma University, P.O. Box 378, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Tilahun, Abebech" sort="Tilahun, Abebech" uniqKey="Tilahun A" first="Abebech" last="Tilahun">Abebech Tilahun</name><affiliation wicri:level="1"><nlm:aff id="I6">JUCAN Research Collaboration, Jimma University, P.O. Box 378, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>JUCAN Research Collaboration, Jimma University, P.O. Box 378, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Friis, Henrik" sort="Friis, Henrik" uniqKey="Friis H" first="Henrik" last="Friis">Henrik Friis</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 25, 1958 Frederiksberg C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 25, 1958 Frederiksberg C</wicri:regionArea><wicri:noRegion>1958 Frederiksberg C</wicri:noRegion></affiliation></author><author><name sortKey="Rasch, Vibeke" sort="Rasch, Vibeke" uniqKey="Rasch V" first="Vibeke" last="Rasch">Vibeke Rasch</name><affiliation wicri:level="1"><nlm:aff id="I7">Department of Obstetrics and Gynaecology, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Obstetrics and Gynaecology, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C</wicri:regionArea><wicri:noRegion>5000 Odense C</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25258631</idno><idno type="pmc">4166433</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166433</idno><idno type="RBID">PMC:4166433</idno><idno type="doi">10.1155/2014/945164</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002620</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002620</idno><idno type="wicri:Area/Pmc/Curation">002619</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002619</idno><idno type="wicri:Area/Pmc/Checkpoint">001552</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001552</idno><idno type="wicri:Area/Ncbi/Merge">002B87</idno><idno type="wicri:Area/Ncbi/Curation">002B87</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Antenatal Care Strengthening in Jimma, Ethiopia: A Mixed-Method Needs Assessment</title><author><name sortKey="Villadsen, Sarah Fredsted" sort="Villadsen, Sarah Fredsted" uniqKey="Villadsen S" first="Sarah Fredsted" last="Villadsen">Sarah Fredsted Villadsen</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 25, 1958 Frederiksberg C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 25, 1958 Frederiksberg C</wicri:regionArea><wicri:noRegion>1958 Frederiksberg C</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Oester Farimagsgade 5, P.O. Box 2099, 1014 Copenhagen K, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Oester Farimagsgade 5, P.O. Box 2099, 1014 Copenhagen K</wicri:regionArea><wicri:noRegion>1014 Copenhagen K</wicri:noRegion></affiliation></author><author><name sortKey="Tersb L, Britt Pinkowski" sort="Tersb L, Britt Pinkowski" uniqKey="Tersb L B" first="Britt Pinkowski" last="Tersb L">Britt Pinkowski Tersb L</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of International Health, Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of International Health, Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N</wicri:regionArea><wicri:noRegion>2200 Copenhagen N</wicri:noRegion></affiliation></author><author><name sortKey="Negussie, Dereje" sort="Negussie, Dereje" uniqKey="Negussie D" first="Dereje" last="Negussie">Dereje Negussie</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Obstetrics and Gynaecology, College of Public Health and Medical Sciences, Jimma University, P.O. Box 378, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Obstetrics and Gynaecology, College of Public Health and Medical Sciences, Jimma University, P.O. Box 378, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Gebremariam, Abebe" sort="Gebremariam, Abebe" uniqKey="Gebremariam A" first="Abebe" last="Gebremariam">Abebe Gebremariam</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Population and Family Health, Jimma University, P.O. Box 378, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Population and Family Health, Jimma University, P.O. Box 378, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Tilahun, Abebech" sort="Tilahun, Abebech" uniqKey="Tilahun A" first="Abebech" last="Tilahun">Abebech Tilahun</name><affiliation wicri:level="1"><nlm:aff id="I6">JUCAN Research Collaboration, Jimma University, P.O. Box 378, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>JUCAN Research Collaboration, Jimma University, P.O. Box 378, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Friis, Henrik" sort="Friis, Henrik" uniqKey="Friis H" first="Henrik" last="Friis">Henrik Friis</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 25, 1958 Frederiksberg C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 25, 1958 Frederiksberg C</wicri:regionArea><wicri:noRegion>1958 Frederiksberg C</wicri:noRegion></affiliation></author><author><name sortKey="Rasch, Vibeke" sort="Rasch, Vibeke" uniqKey="Rasch V" first="Vibeke" last="Rasch">Vibeke Rasch</name><affiliation wicri:level="1"><nlm:aff id="I7">Department of Obstetrics and Gynaecology, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Obstetrics and Gynaecology, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C</wicri:regionArea><wicri:noRegion>5000 Odense C</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Environmental and Public Health</title><idno type="ISSN">1687-9805</idno><idno type="eISSN">1687-9813</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objective.</italic> We assessed how health system priorities matched user expectations and what the needs for antenatal care (ANC) strengthening were for improved maternal health in Jimma, Ethiopia. <italic>Methods.</italic> A questionnaire survey among all recent mothers in the study area was conducted to study the content of ANC and to identify the predictors of low ANC satisfaction. Further, a qualitative approach was applied to understand perceptions, practices, and policies of ANC. <italic>Results.</italic> There were no national guidelines for ANC in Ethiopia. Within the health system, the teaching of health professional students was given high priority, and that contributed to a lack of continuity and privacy. To the women, poor user-provider interaction was a serious concern hindering the trust in the health care providers. Further, the care provision was compromised by the inadequate laboratory facilities, unstructured health education, and lack of training of health professionals. <italic>Conclusions.</italic> Health system trials are needed to study the feasibility of ANC strengthening in the study area. Nationally and internationally, the leadership needs to be strengthened with supportive supervision geared towards building trust and mutual respect to protect maternal and infant health.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Villar, J" uniqKey="Villar J">J Villar</name></author><author><name sortKey="Ba Aqeel, H" uniqKey="Ba Aqeel H">H Ba'aqeel</name></author><author><name sortKey="Piaggio, G" uniqKey="Piaggio G">G Piaggio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Campbell, Om" uniqKey="Campbell O">OM Campbell</name></author><author><name sortKey="Graham, Wj" uniqKey="Graham W">WJ Graham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Horton, R" uniqKey="Horton R">R Horton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Starrs, Am" uniqKey="Starrs A">AM 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Tanner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sarker, M" uniqKey="Sarker M">M Sarker</name></author><author><name sortKey="Schmid, G" uniqKey="Schmid G">G Schmid</name></author><author><name sortKey="Larsson, E" uniqKey="Larsson E">E Larsson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Gross, K" uniqKey="Gross K">K Gross</name></author><author><name sortKey="Alba, S" uniqKey="Alba S">S Alba</name></author><author><name sortKey="Schellenberg, J" uniqKey="Schellenberg J">J Schellenberg</name></author><author><name sortKey="Kessy, F" uniqKey="Kessy F">F Kessy</name></author><author><name sortKey="Mayumana, I" uniqKey="Mayumana I">I Mayumana</name></author><author><name sortKey="Obrist, B" uniqKey="Obrist B">B Obrist</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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