Rural Tanzanian women's awareness of danger signs of obstetric complications

Pembe, Andrea B.; Urassa, David P.; Carlstedt, Anders; Lindmark, Gunilla; Nyström, Lennarth; Darj, Elisabeth

doi:10.1186/1471-2393-9-12

Cited by 186 publications

(269 citation statements)

References 18 publications

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“…This is consistent with other studies [28]. Increased awareness among older and multiparous women may be related to their own experiences of pregnancy or events in the community [28].…”

Section: Discussionsupporting

confidence: 92%

“…This is consistent with other studies done in low-income countries [11,12]. This is because educated women can easily understand health messages from different sources [11,12,28]. The implementation of universal primary and secondary education in Uganda should therefore include safe motherhood and reproductive health education in the curriculum.…”

Section: Discussionsupporting

confidence: 88%

“…This is consistent with other studies [28]. Increased awareness among older and multiparous women may be related to their own experiences of pregnancy or events in the community [28]. Women aged 14–19 years suffer from stigma, which may stop them from visiting health facilities, which are often a key source of maternal and newborn care information.…”

Section: Discussionsupporting

confidence: 88%

See 2 more Smart Citations

Effect of a participatory multisectoral maternal and newborn intervention on birth preparedness and knowledge of maternal and newborn danger signs among women in Eastern Uganda: a quasi-experiment study

Kananura

Tetui

Bua

et al. 2017

Global Health Action

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Background: Knowledge of obstetric danger signs and adequate birth preparedness (BP) are critical for improving maternal services utilization. Objectives: This study assessed the effect of a participatory multi-sectoral maternal and newborn intervention on BP and knowledge of obstetric danger signs among women in Eastern Uganda. Methods: The Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study was implemented in three districts from 2013 to 2015 using a quasi-experimental pre–post comparison design. Data were collected from women who delivered in the last 12 months. Difference-in-differences (DiD) and generalized linear modelling analysis were used to assess the effect of the intervention on BP practices and knowledge of obstetric danger signs. Results: The overall BP practices increased after the intervention (DiD = 5, p < 0.05). The increase was significant in both intervention and comparison areas (7–39% vs. 7–36%, respectively), with a slightly higher increase in the intervention area. Individual savings, group savings, and identification of a transporter increased in both intervention and comparison area (7–69% vs. 10–64%, 0–11% vs. 0–5%, and 9–14% vs. 9–13%, respectively). The intervention significantly increased the knowledge of at least three obstetric danger signs (DiD = 31%) and knowledge of at least two newborn danger signs (DiD = 21%). Having knowledge of at least three BP components and attending community dialogue meetings increased the odds of BP practices and obstetric danger signs’ knowledge, respectively. Village health teams’ home visits, intervention area residence, and being in the 25+ age group increased the odds of both BP practices and obstetric danger signs’ knowledge. Conclusions: The intervention resulted in a modest increase in BP practices and knowledge of obstetric danger signs. Multiple strategies targeting women, in particular the adolescent group, are needed to promote behavior change for improved BP and knowledge of obstetric danger signs.

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“…This is consistent with other studies [28]. Increased awareness among older and multiparous women may be related to their own experiences of pregnancy or events in the community [28].…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 88%

See 1 more Smart Citation

Effect of a participatory multisectoral maternal and newborn intervention on birth preparedness and knowledge of maternal and newborn danger signs among women in Eastern Uganda: a quasi-experiment study

Kananura

Tetui

Bua

et al. 2017

Global Health Action

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“…These differences in knowledge level could again be due to a difference in socio-demographic, cultural, and health interventions as well as methodological difference. Additionally, 30(3.6%) were knowledgeable about danger signs during postpartum period which is consistent with similar study conducted in rural Tanzania in which the percentage of Tsegaye et al 29 women who knew at least three danger sign related to the period after delivery was 3.3% (Pembe et al, 2009). Level of education showed strong statistical association with the mentioning of at least two danger signs of pregnancy.…”

Section: Discussionsupporting

confidence: 79%

“…Out of the women under the study 194(23.3%) were knowledgeable about danger signs during childbirth. But the finding of this study was higher than the study conducted in rural Tanzania in which the percentage of women who knew at least three danger sign related to pregnancy was 6.9% (Pembe et al, 2009). This difference could be resulted from the variation in educational level of respondents and accessibility of information in these two study settings.…”

Section: Discussioncontrasting

confidence: 53%

Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care at selected health facilities in Illu Ababor zone, Oromia National Regional State, south-west Ethiopia

Tsegaye¹,

Shuremu²,

Bidira³

et al. 2017

Int. J. Nurs. Midwifery

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This research investigates awareness of the danger signs of obstetric complications. Pregnancy as a normal process that results in a series of both physiological and psychological changes in pregnant women. However, normal pregnancy may be followed by some problems and complications which are potentially life threatening to the mother and/or the fetus. The study aims to assess level of knowledge of obstetric danger signs and associated factors among pregnant women attending Antenatal care (ANC) in ten districts at ten Health Centers (HCs) and Bedele Hospital in Ilu Ababor Zone, Oromia Regional state, South-west Ethiopia. Here, institutional based cross sectional descriptive study was used. A stratified multistage sampling procedure was employed. Both bivariate and multivariate logistic regression analyses were used. Odds ratio with 95% confidence interval was estimated to identify the predictors of knowledge level. The study thus revealed that mothers between the age of 30 to 34 and above 35 yrs were 1.52 and 1.42 more likely to be knowledgeable during pregnancy than those below the age of 30 years (AOR= 1.52 and 95 %CI = 1.28 to 1.99) and (AOR = 1.42 and 95% CI = 1.20 to 1.86) respectively. Mothers with higher education were 1.46 times and 1.24 times more likely to know obstetric danger signs during pregnancy and child birth than those with no formal education (AOR = 1.46 and 95% CI = 1.24 to 1.91) respectively. Mothers who previously gave birth in health institutions were about 3.48 times more likely to be knowledgeable about the danger signs of childbirth and period after delivery as compared to those who gave birth at home (AOR = 3.48 and 95%CI: 3.26 to 3.94 ), (AOR =2.43 and 95%CI: 2.23 to 2.83) respectively. Finally, age, high level of education, place of last delivery and discussion with husband about ANC service and level of satisfaction with the service were the predictors of knowledge of the mothers about obstetric danger signs in pregnancy, labor and postpartum period. Thus, provision of information, education and communication targeting women, family and the general community on danger signs of pregnancy and childbirth and associated factors was recommended.

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Knowledge of pregnancy complications and utilization of antenatal care services in Rwanda

Kpienbaareh

Kofinti

Konkor

et al. 2022

Health Planning & Management

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Background While Rwanda's progress towards achieving the maternal health care targets of the Sustainable Development Goals is impressive, evidence of women’s limited utilization of antenatal care (ANC) services in the context of an improved health care system provides an opportunity for exploring other essential but less highlighted factors that may shape ANC service utilization. In this study, we examined the association between women’s knowledge of pregnancy complications and the utilization of maternal health services. Methods We employed logistic regression analysis using the 2015 Rwanda Demographic and Health Survey data. Our analytical sample consisted of women (n = 5883) in their reproductive ages (15–49 years). Three maternal health care indicators, namely, timing of first ANC visit, number of ANC visits, and place of delivery, were explored. We controlled for the effects of socioeconomic and demographic characteristics, including marital status, place of residence and age. Results The results show that women with no knowledge of pregnancy complications were less likely to utilize ANC services within the first trimester (odds ratio [OR] = 0.76, p < 0.01), achieve the WHO recommended minimum of eight visits (OR = 0.66, p < 0.01), and deliver at a health facility (OR = 0.77, p < 0.10). Conclusion Given these findings, we recommend restructuring existing maternal health care programs to include rigorous maternal health education.

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Rural Tanzanian women's awareness of danger signs of obstetric complications

Cited by 186 publications

References 18 publications

Effect of a participatory multisectoral maternal and newborn intervention on birth preparedness and knowledge of maternal and newborn danger signs among women in Eastern Uganda: a quasi-experiment study

Effect of a participatory multisectoral maternal and newborn intervention on birth preparedness and knowledge of maternal and newborn danger signs among women in Eastern Uganda: a quasi-experiment study

Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care at selected health facilities in Illu Ababor zone, Oromia National Regional State, south-west Ethiopia

Knowledge of pregnancy complications and utilization of antenatal care services in Rwanda

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