Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda; a cross sectional survey

Ssetaala, Ali; Nabawanuka, Joan; Matovu, Gideon; Nakiragga, Nusula; Namugga, Judith; Nalubega, Phiona; Kaluuma, Henry Lutalo; Chinyenze, Kundai; Perehudoff, Katrina; Michielsen, Kristien; Bagaya, Bernard S.; Price, Matthew A.; Kiwanuka, Noah; Degomme, Olivier

doi:10.21203/rs.3.rs-20221/v3

Cited by 4 publications

(6 citation statements)

References 14 publications

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“…Mobility for birth attendance might have been due to a lack of childbirth related trust in the available public health facilities within these communities. Our previous work indicated that components of ANC receipt by women in these FCs was low despite attending ANC, which might have prompted women to seek birth attendance from facilities outside their residential communities [32]. These findings are contrary to similar work in Tanzania which indicated that women living far from hospitals used primary health care facilities more [13].…”

Section: Discussionmentioning

confidence: 70%

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Mobility for maternal health among women in hard-to-reach fishing communities on Lake Victoria, Uganda; a community-based cross-sectional survey

Ssetaala

Ssempiira

Nanyonjo

et al. 2021

BMC Health Serv Res

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Background Maternal mortality is still a challenge in Uganda, at 336 deaths per 100,000 live births, especially in rural hard to reach communities. Distance to a health facility influences maternal deaths. We explored women’s mobility for maternal health, distances travelled for antenatal care (ANC) and childbirth among hard-to-reach Lake Victoria islands fishing communities (FCs) of Kalangala district, Uganda. Methods A cross sectional survey among 450 consenting women aged 15–49 years, with a prior childbirth was conducted in 6 islands FCs, during January-May 2018. Data was collected on socio-demographics, ANC, birth attendance, and distances travelled from residence to ANC or childbirth during the most recent childbirth. Regression modeling was used to determine factors associated with over 5 km travel distance and mobility for childbirth. Results The majority of women were residing in communities with a government (public) health facility [84.2 %, (379/450)]. Most ANC was at facilities within 5 km distance [72 %, (157/218)], while most women had travelled outside their communities for childbirth [58.9 %, (265/450)]. The longest distance travelled was 257.5 km for ANC and 426 km for childbirth attendance. Travel of over 5 km for childbirth was associated with adolescent girls and young women (AGYW) [AOR = 1.9, 95 % CI (1.1–3.6)], up to five years residency duration [AOR = 1.8, 95 % CI (1.0-3.3)], and absence of a public health facility in the community [AOR = 6.1, 95 % CI (1.4–27.1)]. Women who had stayed in the communities for up to 5 years [AOR = 3.0, 95 % CI (1.3–6.7)], those whose partners had completed at least eight years of formal education [AOR = 2.2, 95 % CI (1.0-4.7)], and those with up to one lifetime birth [AOR = 6.0, 95 % CI (2.0-18.1)] were likely to have moved to away from their communities for childbirth. Conclusions Despite most women who attended ANC doing so within their communities, we observed that majority chose to give birth outside their communities. Longer travel distances were more likely among AGYW, among shorter term community residents and where public health facilities were absent. Trial registration PACTR201903906459874 (Retrospectively registered). https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=5977.

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Section: Discussionmentioning

confidence: 70%

“…The islands were selected from 12 islands where the authors had previous research experience based on being most hard-to-reach [31]. Exhaustive methods are published elsewhere [31,32].…”

Section: Study Design Setting and Populationmentioning

confidence: 99%

Mobility for maternal health among women in hard-to-reach fishing communities on Lake Victoria, Uganda; a community-based cross-sectional survey

Ssetaala

Ssempiira

Nanyonjo

et al. 2021

BMC Health Serv Res

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“…The total score was calculated as follows -Satisfactory HSB ≥60% of total score = (18-22). -Unsatisfactory HSB <60% of total score = (11)(12)(13)(14)(15)(16)(17).…”

Section: The Scoring System Was As Follow -mentioning

confidence: 99%

“…(9)(10) Researchers have long been interested in what facilitates the use of ANC, and what influences women to behave differently in relation to their health. (11)(12) Health seeking behavior (HSB) of pregnant women is the way mothers takes care of their health and that of the unborn baby in order to carry pregnancy to term very healthy with positive outcome. It is drawing out the factors which enable or prevent pregnant women from making 'healthy choices', in either their lifestyle behaviors or their use of medical care and treatment.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Health Seeking Behavior among Pregnant Women in rural Areas

Salem

Gaheen²,

Bela³

2022

Tanta Scientific Nursing Journal

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Background The practice of health seeking behavior has many potential effects on reduction of the occurrence of maternal and fetal morbidity and mortality. The aim of this study was to explore factors affecting health seeking behavior among pregnant women in rural areas. Design: A descriptive exploratory research design was used. Subjects and method: The study was carried out at 5 outpatient clinics of obstetric departments in

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“…Since the last national evaluation of maternal care as part of the 2016 DHS survey, the World Health Organization (WHO) has updated its guidelines on maternal health care [ 18 ]. These new WHO guidelines were adopted and rolled out in Uganda in 2018 [ 19 ], however, no survey has evaluated the quality of care especially in the underperforming regions of the country since their role out. This study assessed the prevalence and factors associated with appropriate perinatal care at the three district hospitals in Bunyoro region.…”

Section: Introductionmentioning

confidence: 99%

Perinatal care in Western Uganda: Prevalence and factors associated with appropriate care among women attending three district hospitals

Muwema

Kaye

Edwards³

et al. 2022

PLoS ONE

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Background Perinatal mortality remains high globally and remains an important indicator of the quality of a health care system. To reduce this mortality, it is important to provide the recommended care during the perinatal period. We assessed the prevalence and factors associated with appropriate perinatal care (antenatal, intrapartum, and postpartum) in Bunyoro region, Uganda. Results from this study provide valuable information on the perinatal care services and highlight areas of improvement for better perinatal outcomes. Methods A cross sectional survey was conducted among postpartum mothers attending care at three district hospitals in Bunyoro. Following consent, a questionnaire was administered to capture the participants’ demographics and data on care received was extracted from their antenatal, labour, delivery, and postpartum records using a pre-tested structured tool. The care received by women was assessed against the standard protocol established by World Health Organization (WHO). Poisson regression with robust standard errors was used to assess factors associated with appropriate postpartum care. Results A total of 872 mothers receiving care at the participating hospitals between March and June 2020 were enrolled in the study. The mean age of the mothers was 25 years (SD = 5.95). None of the mothers received appropriate antenatal or intrapartum care, and only 3.8% of the participants received appropriate postpartum care. Factors significantly associated with appropriate postpartum care included mothers being >35 years of age (adjusted prevalence ratio [aPR] = 11.9, 95% confidence interval [CI] 2.8–51.4) and parity, with low parity (2–3) and multiparous (>3) mothers less likely to receive appropriate care than prime gravidas (aPR = 0.3, 95% CI 0.1–0.9 and aPR = 0.3, 95% CI 0.1–0.8 respectively). Conclusions Antenatal, intrapartum, and postpartum care received by mothers in this region remains below the standard recommended by WHO, and innovative strategies across the continuum of perinatal care need to be devised to prevent mortality among the mothers. The quality of care also needs to be balanced for all mothers irrespective of the age and parity.

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Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda; a cross sectional survey

Cited by 4 publications

References 14 publications

Mobility for maternal health among women in hard-to-reach fishing communities on Lake Victoria, Uganda; a community-based cross-sectional survey

Mobility for maternal health among women in hard-to-reach fishing communities on Lake Victoria, Uganda; a community-based cross-sectional survey

Factors Affecting Health Seeking Behavior among Pregnant Women in rural Areas

Perinatal care in Western Uganda: Prevalence and factors associated with appropriate care among women attending three district hospitals

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