Tesis sobre el tema "Antenatal care"
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Majoko, Franz. "Assessing Antenatal Care in Rural Zimbabwe". Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6018.
Texto completoDraper, J. "An experiment in community antenatal care". Thesis, University of Cambridge, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.598641.
Texto completoThorley, Kevan. "Seeing mothers as partners in antenatal care". Thesis, Keele University, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.414753.
Texto completoMametja, Selaelo Mabu. "Factors associated with late antenatal care attendance". Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/9401.
Texto completoThe prevalence of late attendance for antenatal care in South Africa remains high despite the reported benefits of early initiation of antenatal care. The study aimedat identifying factors associated with late initiation of antenatal care. Methods: Cross sectional survey data collected for a FAS prevention programme in rural and urban South Africa were used. The primary study made use of face-to-face interviews with female participants the age range of 18 to 44 years. The dependent variable, gestational age, was categorized into a binary variable across 4 months gestational age. Independent variables consisted of scales and categorical variables (mostly binary) within the following domains: (a) socio-demographic factors; (b) characteristics of index pregnancy including substance use information; (c) psychosocial factors; (d) community factors; and (e) partner characteristics.
McCaw-Binns, Affette Michelle. "Does antenatal care make a difference? An examination of antenatal care in Jamaica and its relationship to pregnancy outcome". Thesis, University of Bristol, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.335732.
Texto completoKufa, Erica. "The timing of first antenatal care visit and factors associated with access to care among antenatal care attendees at Chitungwiza municipal clinics, Zimbabwe". Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/4553.
Texto completoBackground and Rationale: Antenatal care (ANC) is vital for accessing prevention of mother to child transmission (PMTCT) services. The timing of the first ANC visit is critical for HIV infected pregnant women to access antiretroviral (ARV) prophylaxis as recommended. In addition pregnant women access other interventions like syphilis screening and treatment, provision of ferrous iron supplements, malaria prevention and treatment, health education, identification and management of risk factors. There is however paucity of information on factors associated with the timing and adequate use of ANC services in Chitungwiza Township, Zimbabwe. Aim: This study aimed to determine the factors associated with early access to and adequate use of ANC services among women attending ANC in the four polyclinics in Chitungwiza Township.Method:The study included a retrospective record review of women who registered for ANC in 2010 and a cross sectional study of pregnant women attending ANC clinic for the first time during the current pregnancy during the survey period. Data on gestation age at first ANC visit, number of ANC visits, age, gravidity, parity, tetanus, iron sulphate, rhesus results, HIV test result, WHO clinical stage, CD4 count, cotrimoxazole, PMTCT option accepted, date of initiation of AZT or ART; partner HIV test results; and infant feeding adherence done was abstracted into an MS Excel spreadsheet from the 2010 ANC registers in the four primary health care clinics. Every fourth record was captured. Exit interviews were also conducted on all women attending ANC for the first time during the current pregnancy using a structured questionnaire. Questions on socio-economic status, pregnancy history, reasons for seeking ANC, knowledge and belief about ANC services and their perception of the service received were asked. The outcome variables were gestation age at first ANC visit and the number of ANC visits. The spreadsheet was imported into Epi Info 7.0.9.7 and STATA 11 for analysis. The questionnaires were captured into an Epi Info 7 database exported to STATA 11 for analysis. A sample of 1,236 of first ANC visit records were abstracted from the 2010 ANC registers in the four primary care clinics and 80 women coming for ANC were interviewed in three clinics. The prevalence of pregnant women attending ANC for the first time at gestation age less or equal to 14 weeks and the prevalence of women with less than 4 ANC visits were computed. Pearson Chi-square tests were used to determine the strength of the relationships between the dependent variable (gestation age at the time of the first visit) and independent variables of age, marital status, level of education, parity, gravidity. All statistical tests were performed at 5% significance level and estimates were calculated at 95% confidence interval. Multiple logistic regression analysis was used to investigate the association between the outcome and the independent variables. Model interpretation was done using odds ratios (OR). Levels of knowledge and perception about ANC services as well as service content during the visit were also summarized. Results: Less than 1% of the women who attended ANC in 2010 came for 1st visit at week 14 or less, while of the women interviewed, 2.5% came at similar gestation age. Thirty-nine percent of women attending ANC in 2010 had at least four visits. Lower parity and tetanus immunization were significantly associated with early ANC initiation, while tetanus immunization and syphilis screening were associated with the number of visits.Among the interviewed women (n=80), 72.1% believed that a pregnant women should start ANC at 14 weeks or earlier. Most women (61.7%) cited having no money for booking as the reason for not coming earlier. Need for husband or partners permission, procrastination and not having any health problems with previous pregnancies were also a barrier to access. Uptake of HIV testing was very high at 94.7% of the women. However partner testing was very low at 2.1%. Knowledge of the appropriate time of the first ANC visit was somewhat high but not universal. Conclusions and Recommendations: Timely and adequate uptake of ANC services is very low in Chitungwiza Township. The user-fees appeared to be a major barrier to accessing ANC timely. While correct knowledge about when to go for ANC and the health problems women face during pregnancy and childbirth is prevalent,other factors like the need for permission from spouse or partner and procrastination were barriers to seeking service. Abolishing maternity fees should be seriously considered in order to increase access to timely ANC services. Sustainable means of financing services without reducing quality should be sought. There was variable uptake of various interventions in the ANC package due in part to supplies stock outs. There is need for strengthening the procurement and distribution systems so as to ensure continuous supplies at service delivery level.
Simelane, Lungile. "Pregnant women’s perceptions and understanding of the barriers to early antenatal care booking in the Shiselweni region in Swaziland". University of the Western Cape, 2020. http://hdl.handle.net/11394/8099.
Texto completoGlobally, the maternal mortality rate (MMR) dropped by 44%, from 342 deaths per 100 000 to 211 maternal deaths per 100,000 live births in 2017. Developing countries have reached two-thirds coverage (69 %) of the recommended focused visits and first ANC. In sub-Saharan Africa alone, approximately 66% (201,000) of deaths occur during birth. MMR can be reduced if pregnant women initiate ANC early enough and receive quality care. In Swaziland, only 14% of pregnant women make their first ANC visit during the first trimester, 64% during the 2nd trimester and 22% during the 3rd trimester. The study aimed to explore pregnant women's perceptions of the factors contributing to late ANC booking in the Shiselweni Region.
Simkhada, Bibha. "Antenatal care uptake in Nepal : barriers and opportunities". Thesis, University of Aberdeen, 2011. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=166164.
Texto completoDoubell, Chantéll. "Antenatal care for HIV positive women / Chantéll Doubell". Thesis, North-West University, 2007. http://hdl.handle.net/10394/741.
Texto completoThesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.
Snyman, J. S. "Effectiveness of the basic antenatal care package in primary health care clinics". Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/728.
Texto completoKaye, Debra Anne. "Women's perceptions of telephone nursing care within an antenatal home care program". Thesis, University of Ottawa (Canada), 2006. http://hdl.handle.net/10393/26308.
Texto completoMxoli, Winnifred Nonkonzo. "Women's perceptions and experiences of antenatal care rendered by midwives". Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/575.
Texto completoStenson, Kristina. "Men's Violence against Women – a Challenge in Antenatal Care". Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4140.
Texto completoCandelier, Claire Kathleen. "Studies on antenatal care in the South Wales valleys". Thesis, University of Sheffield, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296766.
Texto completoHaddrill, Rosalind. "Understanding delayed access to antenatal care : a qualitative study". Thesis, University of Sheffield, 2015. http://etheses.whiterose.ac.uk/10533/.
Texto completoHepburn, Mary. "The role of antenatal inpatient care in obstetric practice". Thesis, University of Edinburgh, 1986. http://hdl.handle.net/1842/19839.
Texto completoChege, Eunice Nyambura. "Geographic Variations in Antenatal Care Services in Sierra Leone". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5062.
Texto completoWatson-Jones, Deborah Lindsay. "Impact of syphilis on outcome of pregnancy and evaluation of syphilis screening strategies for the reduction of adverse pregnancy outcomes in Mwanza, Tanzania". Thesis, London School of Hygiene and Tropical Medicine (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.246851.
Texto completoSaltvedt, Sissel. "Prenatal diagnosis in routine antenatal care : a randomised controlled trial /". Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-549-6/.
Texto completoHo, Kit-ching Jane y 何潔貞. "Screening for antenatal depression in a primary health care setting". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43251183.
Texto completoHo, Kit-ching Jane. "Screening for antenatal depression in a primary health care setting". Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B43251183.
Texto completoDe, Vaal Sybrand Johannes. "Late booking at the Michael Mapongwana antenatal clinic, Khayelitsha : understanding the reasons". Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/95545.
Texto completoABSTRACT: Background: The initiation of antenatal care (“booking”) is universally recommended in the first trimester. While working in the Michael Mapongwana antenatal clinic (ANC) in Khayelitsha, the researcher noticed that late booking was prevalent, with consequent impaired antenatal care and increased potential for adverse outcomes. The objective of this qualitative study was to understand why women book late at this specific ANC. Methods: Twenty-three in-depth, open-ended interviews were conducted with 23 late bookers (i.e. who booked after 18 weeks) who attended the ANC between June and October in 2009. The interviews were recorded, transcribed, and analysed according to the “Framework” model. Results: The mean gestational age at booking was 26,4 weeks (range: 20 to 34 weeks). The majority were multigravid, unmarried and unemployed. A high incidence of previous or current obstetric problems was noted. Important personal barriers included ignorance of purpose of antenatal care, ignorance of ideal booking time, and denial or late recognition of an unplanned pregnancy. Provider barriers appeared to be significant, especially the cumbersome booking system, absence of an ultrasound service, and perceived poor quality of care. Conclusion: A combination of personal and provider barriers contributed to late booking at this clinic - it seems that the perceived effort of attending this antenatal service outweighed the perceived value thereof. Provider barriers should be addressed by accommodating patients’ needs, optimising nurse-patient interaction, provision of an ultrasound service and improvement of the booking system. Public awareness of early booking and the holistic value of antenatal care should also be enhanced.
Iyekekpolor, Maria E. "The antenatal care experiences of overweight pregnant women in the UK". Thesis, University of Huddersfield, 2016. http://eprints.hud.ac.uk/id/eprint/34176/.
Texto completoDoi, Lawrence K. "Screening and alcohol brief interventions in antenatal care : a realistic evaluation". Thesis, University of Stirling, 2012. http://hdl.handle.net/1893/9513.
Texto completoPercat, Ariella. "“I think we’ve lost it”. Sexuality counselling at the antenatal care". Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-27049.
Texto completoBackground: Several studies show that nurses don’t meet the need from groups of patients to talk about sexuality and sexual health. There are almost no studies on midwives’ view on sexuality counselling. Aim: The aim of this study is to explore midwives’ views and experiences on sexuality counselling at the antenatal care. Method: Semi-structured interviews were conducted with nine midwives’ at seven different antenatal care centers in Skåne. The interviews were then analyzed with a qualitative content analysis through identification of codes, categories and themes. Results and analysis: The study utilizes scripting theory to analyze and understand how midwives act and counsel patients in relation to sexuality. One main theme emerged: Sexuality is important but easy to lose. The midwives’ consider sexuality as important but sometimes hard to address. The reasons for this is said to be lack of time, lack of knowledge, lack of encouragement from the managerial level and/or lack of counseling tools, and, added to that, even more uncertainty when the patient deviates from the heterosexual norm or has another cultural background. Conclusion: Midwives’ ask for education to communicate around sexuality and to be able to provide the holistic care that the patients are entitled to. The result, however, suggest that clear expectations and guidelines about when and how to address sexuality is more important than deepened knowledge. As long as there is cultural and interpersonal scripts in the workplace in which sexuality is not expected to be addressed, additional education won’t help to change addressing patients’ sexuality. Organizational and managerial support along with opportunities for reflection concerning dialogue regarding sexual issues might evoke the interest and intent of midwives’ to approach sexuality and change the cultural and interpersonal scripts. Further studies are needed to understand fully what mechanisms underline the barriers that prevent midwives’ from addressing patients’ sexuality.
Adanri, Olubunmi A. "Maternal Health Literacy, Antenatal Care, and Pregnancy Outcomes in Lagos, Nigeria". Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10282020.
Texto completoMaternal mortality, an example of poor maternal health outcomes, is widely accepted as an indicator of the overall health of a population. One of the Millennium Development Goals was reduction in maternal mortality by 3 quarters by 2015. These goals were not met in Nigeria and it is important to look at some of the reasons why. Education has been shown to have positive impact on pregnancy outcomes; however, the characteristics of pregnant women, their health literacy level, their usage of antenatal care services and how these impact pregnancy outcomes are yet to be analyzed in Lagos, Nigeria. Guided by the social cognitive theory and health belief model, the purpose of this cross-sectional quantitative study was to determine if there is a relationship between maternal health literacy, antenatal care visits, development of medical conditions during pregnancy, and pregnancy outcomes (measured by healthy or unhealthy baby) in Lagos, Nigeria. The research question for this study tested if there was a relationship between these variables. Lisa Chew’s health literacy assessment tool was used in a sample of 130 women in Shomolu local government in Nigeria who met the inclusion criteria. Using binary logistic correlations, only problems developed during pregnancy is statistically significant with pregnancy outcomes (p < .05). The results suggested an increase in problems developed during pregnancy most likely will increase the chance of having negative pregnancy outcomes. Results from this study could promote positive social change by helping health professionals identify the characteristics of at-risk women during antenatal education sessions. The results could also help health professionals in the development of targeted antenatal care interventions.
Ngongo, Ngashi. "Health System Predictors of Antenatal Care Compliance Among Rural Congolese Women". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2038.
Texto completoAdanri, Olubunmi. "Maternal Health Literacy, Antenatal Care, and Pregnancy Outcomes in Lagos, Nigeria". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3651.
Texto completoNoncungu, Thabani Mishack. "Investigating health education needs of pregnant women in their first antenatal visit at primary health care facilities in Khahyelitsha". University of the Western Cape, 2017. http://hdl.handle.net/11394/5777.
Texto completoThe use of health education during antenatal care of pregnant women has been a commonly used strategy in improving maternal health worldwide. However the health education strategy sometimes does not prove to be effective in promoting maternal health, especially in Sub-Sahara Africa.
Bayouh, Fikirte Girma. "Developing antenatal maternal mental health services: Identifying depression in pregnant women attending antenatal care in Sodo district health centres, Ethiopia". Master's thesis, Faculty of Health Sciences, 2020. http://hdl.handle.net/11427/32589.
Texto completoDe, Vaal Sybrand Johannes. "Late booking at the Michael Mapongwana antenatal clinic, Khayelitsha – understanding the reasons". Thesis, Stellenbosch : University of Stellenbosch, 2015. http://hdl.handle.net/10019.1/97233.
Texto completoRoelofse, Maryke. "Investigating factors contributing to late initiation of antenatal care in a health facility in Cape Town". University of the Western Cape, 2018. http://hdl.handle.net/11394/6849.
Texto completoDespite the awareness of the importance of initiating antenatal care in the first trimester of a pregnancy (before 12 weeks gestation), late initiation of antenatal care (on or after 24 weeks of gestation) remains a common trend amongst pregnant women. The late initiation of antenatal care poses such a risk, to both the pregnant women and their unborn babies that it can contribute to maternal and foetal mortality and morbidity. The late initiation of antenatal care, an entirely avoidable occurrence, has an impact on targets set by the United Nations Millennium Development Goals (MDGs), now focusing on the Sustainable Development Goals (SDG‟s) set out by the United Nations. This study aim to investigate the factors which contribute to and cause the late initiation of antenatal care in pregnant women in a region in the Western Cape. Aim: The aim of this study was to investigate the factors that influence pregnant woman and contribute to late initiation of antenatal care (after 24 weeks gestational age) in one health facility/district in Cape Town. The findings of the study identified possible factors that may cause pregnant women to initiate antenatal care late in pregnancy and these findings could facilitate planning and possible interventions targeting the importance of early initiation in the community.
Ferreira, Nicole. "Enduring "lateness": biomedicalisation and the unfolding of reproductive life, sociality, and antenatal care". Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/27691.
Texto completoPeabody, John W. "Will measuring the quality of antenatal care tell us how it works?" Santa Monica, CA : Rand, 1995. http://catalog.hathitrust.org/api/volumes/oclc/33073688.html.
Texto completoOkafor, Amaka Tonia. "Antenatal Care and Maternal Sociocultural Determinants of Childhood Immunization in Northern Nigeria". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7052.
Texto completoNwafor, A. O. "Reasons pregnant women who attend antenatal care in Mecklenburg Hospital eat soil". Thesis, University of Limpopo (Medunsa Campus), 2008. http://hdl.handle.net/10386/198.
Texto completoObjective: To determine what proportion of pregnant women attending antenatal care in Mecklenburg Hospital eat soil. Study Design: A cross-sectional descriptive study was conducted at Mecklenburg Hospital. Results: A total 273 pregnant women participated in the study, of which 85% eat soil. The majority (74%) were single, mean age of 26 years. About seventy-eight percent had secondary education. Most of the women were unemployed. The majority of women believed that soil eating gives energy, taste nice, makes women feel strong, and makes stomach feel full. The other reason given by these women is that soil eating protects unborn baby from poison, gives nutrients to unborn baby, prevent prolonged labor, stops morning sickness. Conclusion: We conclude that the majority of pregnant women seen at Mecklenburg Hospital eat soil. There was not direct relationship between education level and nutritional reasons for eating soil. Furthermore, fetal and maternal reasons for eating soil were not associated with education level.
Presern, Carole Bridget. "Reproductive health care in poor urban areas of Nepal". Thesis, University of London, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.243545.
Texto completoKausar, Farah. "Maternal health care utilisation among the urban poor of Maharashtra, India". Thesis, University of Southampton, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.340665.
Texto completoUmunna, Zeluwa Ifeoma. "Exploring the factors that contribute to poor utilization of primary health care services: a study of two primary health care clinics in Nasarawa State, Nigeria". Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/4536.
Texto completoIntroduction: Nigeria operates a three tiered health care delivery system with a large percentage of health care delivery vested at the primary care level. There has been over the years a continued effort by the government to decentralize health care service thereby increasing the range of services provided at the primary care level. Despite all these efforts there is still low utilization of primary health care services. This study therefore seeks to explore the factors that may be responsible for poor utilization of primary health service in Nasarawa State, Nigeria using two primary health clinics in Lafia local government area as case studies. Methodology: The study was carried out using the qualitative research methodology primarily using two data collection methods, the focus group discussions and individual interviews. A total of sixty participants were sampled, these consisted of ten members of staff, twenty non facility users and thirty facility users. Thirty individual interviews were conducted and four focus group discussions held with staff and facility users at the two clinics. Facility users were randomly selected as they attended the clinic on the data collection days and were invited to participate in the study. Every second patient attending the clinic was selected for the focus group discussion and every third person for the interviews. The staff participants were randomly selected based on their availability while non-facility users were selected using snowballing. Data was analyzed using thematic analysis method. Findings: Two major themes emerged following data analysis; these were perception and experiences of facility users and barriers to utilization of health services. Users had a good perception of the services they received and are reasonably satisfied but certain deficiencies in the health care systems compromised the quality of service. Several factors were however hindering the utilization of these services and these include mainly institutional factors such as lack of infrastructure, equipment and staffing constraints; household factors such as cost of service and responsibility of decision making and other factors such as stigmatization and beliefs. Conclusion: Facility users of these clinics seem to have an overall good impression of services at the clinics; however there are certain fundamental deficiencies that need to be urgently addressed to improve the care provided at these clinics as these constitute barriers to utilization. These deficiencies such as the absence of electricity and water, lack of basic work equipment and inappropriate staff composition need to be addressed by the local government health department to ensure utilization and improved quality of service.
Olsson, Pia. "Antenatal midwifery consultations : a qualitative study". Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 2000. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-96903.
Texto completoMokhondo, Kgabiso Rachel. "The effect of involving the private practioners on the quality of antenatal care of the indigent population of Tembisa". Diss., University of Pretoria, 2011. http://hdl.handle.net/2263/25747.
Texto completoDissertation (MCur)--University of Pretoria, 2011.
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van, Zyl Tharine. "An exploration of the reasons for late presentation of pregnant women for antenatal care in Worcester, Cape Winelands District". University of the Western Cape, 2018. http://hdl.handle.net/11394/6858.
Texto completoBackground: Antenatal Care (ANC) is a key strategy in achieving positive maternal health outcomes. ANC is an important entry point into formal health care services. ANC is very low in cost and among the most effective packages to promote and establish good health before childbirth and the early postnatal period; therefore, it is very feasible for the good results it is proven to have on maternal and child health. South Africa has had free ANC services since 1994. Despite these free services a lot of women still attend the ANC clinics late or do not attend follow-up visits, hindering the quality of care during pregnancy. The first ANC visit should be in the first trimester of pregnancy or as early as possible, because with the first visit underlying conditions must be identified and managed to promote maternal and foetal health. ANC initiation after 20 weeks may increase maternal, foetal and perinatal morbidity and mortality. In the Cape Winelands there are still 27.3% of women that attend ANC after 20 weeks gestation. This may hinder the quality of care during pregnancy and may lead to negative health outcomes for mother and or baby. The purpose of the study is to understand why some women still do not attend ANC before 20 weeks gestation even when it is available.
Shennan, Andrew Hoseason. "Ambulatory blood pressure measurement in pregnancy and pre-eclampsia". Thesis, Imperial College London, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286663.
Texto completoLaryea, Maureen Gato Gasele. "A cross-cultural study of women's preparation for childbirth : Canada and England". Thesis, University of Ulster, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.390065.
Texto completoRankin, Jean. "Effects of antenatal exercise on psychological well-being, pregnancy and birth outcome". London : Whurr, 2002. http://dx.doi.org/10.1002/9780470699263.
Texto completoDyeli, Nolwando. "An investigation into the implementation of the basic antenatal care programme by midwives in Mdantsane clinics". Thesis, University of Fort Hare, 2011. http://hdl.handle.net/10353/425.
Texto completoCragg, Carol Diane. "Evaluating viral load monitoring in antiretroviral-experienced HIV-positive pregnant women accessing antenatal care in Khayelitsha, Cape Town". Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16490.
Texto completoBACKGROUND: A viral load monitoring algorithm in the 2013 Western Cape Department of Health PMTCT guidelines include VL measurement in women who are antiretroviral (ART)-experienced at presentation for antenatal care, the timing of subsequent VL measurements and criteria for regimen change. The study evaluates the implementation of the algorithm in women who are virologically nonsuppressed and determines the outcomes of virological resuppression and infant PCR status. METHODS: This retrospective cohort study focused on all ART-experienced women who presented for antenatal care at one of two primary level Maternity Obstetric Units (MOUs) in Khayelitsha, Cape Town between July 2013 and June 2014. The study used routine data from facility registers, clinical records and electronic monitoring systems at the MOU, and referral ART sites and hospitals. Data collected included age, ART clinic, start date and regimen, and maternal VL and infant PCR results. RESULTS: Forty percent of the 1412 HIV-positive pregnant women, were ART-experienced, of whom 14.1 % were VNS. Predictors of being VNS included a duration on ART of more than 4 years (p= 0.04), attending an ART clinic other than that in the facility (p= 0.02), being on a second-line ART regimen (p=0.07) and being younger than 25 years (p= 0.05). The algorithm was correctly followed in up to 87.5% of women identified as VNS. The rate of virological resuppression by three months postpartum was 70.0% to 82.3%. Excluding three neonates who died, all of the 82.2% of infants tested were PCR negative. CONCLUSIONS: Nearly 15% of ART-experienced women were virologically nonsuppressed on presentation for antenatal care. Levels of adherence to the guideline, and virological resuppression rates of up to 82.3% are encouraging. The implementation of the VLM algorithm could be improved by the integration of obstetric and ART care, the adoption of a single electronic monitoring system and the use of standardised integrated clinical stationery.
Steyn, Petrus Schonken. "Development and validation of a scale to measure patient satisfaction with antenatal care". Thesis, Stellenbosch : University of Stellenbosch, 1999. http://hdl.handle.net/10019.1/95694.
Texto completoENGLISH ABSTRACT: There is no standardised instrument available in South Africa to measure patient satisfaction with antenatal care. The measurement of patient satisfaction is especially important after the implementation of a free antenatal care service in the South African health system. The purpose of this study was to develop and validate an appropriate scale to measure patient satisfaction. Several methods to measure patient satisfaction are described in the literature. A questionnaire was developed for the Tygerberg Hospital patients. This questionnaire was tested in 200 antenatal patients through a structured interview. The importance of cross-cultural research is emphasised in the validation of the measuring instrument. Factor analysis was used to validate the instrument. This showed that a single factor accounted for most of the total variance. All the items had to do with the process of antenatal care. The findings of this survey showed the following: • One cannot use overseas measuring instruments without adjusting for cross-cultural differences. • The patient satisfaction score is negatively skewed with a high mean. • Social desirability response sets may play an important role in these questionnaires. • There is a statistically significant difference in patient satisfaction with antenatal care between the different antenatal clinics, even after controlling for socio-demographic differences. • That the satisfaction score is a reflection of the service rendered to the patient and not of the socio-demographic differences. This research identified the difficulties of developing a standardised instrument to measure patient satisfaction with antenatal care and opens the way for future research into patient satisfaction with medical services.
AFRIKAANSE OPSOMMING: Daar is geen gestandaardiseerde meetinstrument om pasiente se tevredenheid met voorgeboortesorg in Suid Afrika te bepaal nie. Die noodsaaklikheid van die bepaling van tevredenheid met voorgeboortesorg het nou belangriker geword nadat 'n stelsel van gratis voorgeboortesorg in Suid-Afrika gei"mplementeer is. Die doel van hierdie navorsing was om 'n skaal te ontwikkel om pasiente se tevredenheid met voorgeboortesorg te bepaal en om die geldigheid van hierdie meetinstrument plaaslik te toets. In die literatuur is daar verskeie metodes om pasiente se tevredenheid te bepaal. 'n Vraelys is ontwikkel vir Tygerberg Hospitaal se voorgeboorte pasiente. Hierdie vraelys is getoets by 200 pasiente in die voorgeboorte klinieke in Tygerberg Hospitaal deur middel van 'n gestruktureerde onderhoud. In die geldigheidsbepaling van die meetinstrument 1s die belangrikheid van kruiskulturele navorsing beklemtoon. Faktoranalise is gebruik vir die bepaling van geldigheid. Met faktoranalise is aangetoon dat een onderliggende faktor, naamlik die voorgeboortesorgsisteem, pasiente se tevredenheid verklaar. Die bevindings in hierdie ondersoek het die volgende getoon: • Dat aile meetinstrumente nie summier transkultureel toegepas kan word nie . • Dat die tevredenheidsmeting van voorgeboortesorg 'n negatiewe skewe verspreiding het, met 'n hoe gemiddelde telling. • Sosiaal-aanvaarbare antwoorde speel waarskynlik 'n groat rol in hierdie vraelyste. • Dat daar 'n statistiese betekenisvolle verskil is in die tevredenheidsgraad van pasiente met voorgeboortesorg tussen sommige klinieke; selfs nadat gekontroleer is vir sosiodemografiese verskille tussen pasiente. • Dat die tevredenheidsmeting 'n weerspieeling is van die diens gelewer aan die pasient, en nie net 'n weerspieeling is van die pasient se sosio-demografiese verskille nie. Hierdie navorsmg identifiseer die probleme met die opstel van 'n gestandaardiseerde meetinstrument vir die bepaling van pasente se tevredenheid met voorgeboortesorg en baan die weg vir verdere navorsing oor pasiente se tevredenheid met mediese dienste.
Paul, Pooja Lilly. "Gatekeepers or Equal Partners?: An Examination of Male Partner Attendance in Antenatal Care". Thesis, Boston College, 2021. http://hdl.handle.net/2345/bc-ir:109137.
Texto completoA growing body of literature, particularly from low and middle-income countries, has focused on the role of male involvement in maternal care as a crucial strategy to improve maternal and neonatal health outcomes. The purpose of this three-paper dissertation is to add to this evidence base within the context of India, and to gain an in-depth understanding of one aspect of male involvement – that is, male partner attendance in antenatal care. This dissertation utilized data from the National Family Health Survey (NFHS-3, 2005-06 and NFHS-4, 2015-16) and was framed using the Social Ecological Model, Connell’s Theory of Gender and Power and a Gender-Transformative lens. Paper 1 summarized the levels of male partner attendance in antenatal care and assessed changes over time. Further, multivariable logistic regression models were used to examine the factors influencing male partner attendance in antenatal care. The results show an overall increase in male partner attendance in India during the period of 2005-06 to 2015-16, with the Southern region reporting the highest level of male partner attendance in both years. Higher level of education and household wealth, increased knowledge of pregnancy-related complications, older age at marriage, and women’s autonomy were positively associated with male partner attendance in antenatal care. Paper 2 examined the association between male partner attendance in antenatal care and maternal health service utilization. Controlling for all socio-demographic variables and adjusting for report of pregnancy complications, the results showed that women who were accompanied by a male partner for antenatal care reported increased odds of maternal health service utilization (early initiation of antenatal care, frequency of antenatal care contacts and institutional delivery). While the place of residence (rural/urban) did not influence the association between male partner attendance and maternal health service utilization, region had a significant moderating effect. Paper 3 examined the association between antenatal care and infant birth weight, adjusting for gestational age. Further, the analysis also assessed whether the relationship between antenatal care and infant birth weight varied by male partner attendance. Findings indicate that early initiation of antenatal care and maternal immunization was associated with reduced odds of low birth weight among infants. The results showed that male partner attendance in antenatal care did not have a moderating influence. Taken together, the findings of the three papers have implications for policy and practice; further, they provide support for interventions that aim for a more inclusive and gender-transformative approach to maternal and neonatal health
Thesis (PhD) — Boston College, 2021
Submitted to: Boston College. Graduate School of Social Work
Discipline: Social work
Al, Maqbali Fatma. "Navigating antenatal care in Oman : a grounded theory of women's and healthcare professionals' experiences". Thesis, University of Manchester, 2018. https://www.research.manchester.ac.uk/portal/en/theses/navigating-antenatal-care-in-oman-a-grounded-theory-of-womens-and-healthcare-professionals-experiences(498154bf-961f-427d-8b08-89a640bfb270).html.
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