NURSES' AND PREGNANT WOMEN'S KNOWLEDGE REGARDING QUALITY ANTENATAL CARE IN TERTIARY CARE HOSPITALS IN PESHAWAR, PAKISTAN
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Keywords
Antenatal care, Nurses’ knowledge of antenatal care, pregnant women’s knowledge of antenatal care, quality care
Abstract
Background: Antenatal Care is essential for every pregnant lady during the period of pregnancy for the healthier result is called antenatal care. Quality antenatal care is significant for the good health of a mother. It is a vital approach to minimizing maternal mortality and morbidity. Knowledge of pregnant women and nurses regarding quality antenatal care can promote maternal health, and it can also reduce mother’s and child’s mortality rate.
Aim: The aim of this study was to determine mothers’ and nurses’ knowledge of quality antenatal care.
Method: This Cross-sectional study was conducted to determine nurses’ and mothers’ knowledge regarding quality antenatal care at three tertiary care public sector hospitals in Peshawar. A total of 189 pregnant women and 59 registered nurses working in antenatal care units were recruited for the study through Stratified random sampling. SPSS version 20 was used for data analysis.
Results: The mean knowledge of pregnant women about quality antenatal care noted was 84.84+13.5, whereas the mean knowledge score of nurses regarding quality antenatal care was 92.82 + 5.13. A significant association was noted between mothers’ age and knowledge of quality antenatal care with a p-value of 0.020.
Conclusion: The current study identifies that pregnant women and nurses working in antenatal care units of tertiary care hospitals of Peshawar have good knowledge of antenatal care. The study suggests that health authorities should take necessary actions for developing and implementing policies and procedures for further improvement of pregnant women and nurses’ knowledge regarding the subject matter.
References
2. Say L, Raine R. A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context. Bulletin of the World Health Organization. 2007 Oct;85(10):812-9
3. Rani M, Bonu S, Harvey S. Differentials in the quality of antenatal care in India. International journal for quality in health care. 2007 Nov 17;20(1):62-71.
4. Chowdhury S, Hossain SA, Halim A. Assessment of quality of care in maternal and newborn health services available in public health care facilities in Bangladesh. Bangladesh Medical Research Council Bulletin. 2009 Aug 12;35(2):53-6.
5. Mercer A, Haseen F, Huq NL, Uddin N, Hossain Khan M, Larson CP. Risk factors for neonatal mortality in rural areas of Bangladesh served by a large NGO programme. Health Policy and Planning. 2006 Aug 30;21(6):432-43.
6. Gayen K, Raeside R. Social networks, normative influence and health delivery in rural Bangladesh. Social science & medicine. 2007 Sep 30;65(5):900-14.
7. Simkhada B, Teijlingen ER, Porter M, Simkhada P. Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. Journal of advanced nursing. 2008 Feb 1;61(3):244-60.
8. Chowdhury RI, Islam MA, Gulshan J, Chakraborty N. Delivery complications and healthcare‐seeking behaviour: the Bangladesh Demographic Health Survey, 1999–2000. Health & social care in the community. 2007 May 1;15(3):254-66
9. Chowdhury S, Hossain SA, Halim A. Assessment of quality of care in maternal and newborn health services available in public health care facilities in Bangladesh. Bangladesh Medical Research Council Bulletin. 2009 Aug 12;35(2):53-6.
10. Bhuiyan AB, Mukherjee S, Acharya S, Haider SJ, Begum F. Evaluation of a Skilled Birth Attendant pilot training program in Bangladesh. International Journal of Gynecology & Obstetrics. 2005 Jul 31;90(1):56-60
11. Viccars, A. Antenatal care. In M. A. Cooper & D. M. Fraser (Eds.), Mylestextbook for midwives 2003 14th ed., 251-274. New York: ChurchillLivingstone.
12. Diane M, Cooper MA. Myles textbook for midwives. 2003; 14th ed., pp. 251-274
13. Dujardin B, Clarysse G, Criel B, De Brouwere V, Wangata N. The strategy of risk approach in antenatal care: evaluation of the referral compliance. Social Science & Medicine. 1995 Feb 28;40(4):529-35.
14. Mubyazi G, Bloch P, Kamugisha M, Kitua A, Ijumba J. Intermittent preventive treatment of malaria during pregnancy: a qualitative study of knowledge, attitudes and practices of district health managers, antenatal care staff and pregnant women in Korogwe District, North-Eastern Tanzania. Malaria journal. 2005 Jul 20;4(1):31
15. Alderliesten ME, Vrijkotte TG, Van Der Wal MF, Bonsel GJ. Late start of antenatal care among ethnic minorities in a large cohort of pregnant women. BJOG: An International Journal of Obstetrics & Gynaecology. 2007 Oct 1;114(10):1232-9.
16. Agarwal P, Singh MM, Garg S. Maternal health-care utilization among women in an urban slum in Delhi. Indian Journal of Community Medicine. 2007 Jul 1;32(3):203.
17. Åberg A, Lindmark G. Competence and compliance in antenatal care: experience from Sweden. International journal of technology assessment in health care. 1992 Jan;8(S1):20-4.
18. Rumbold AR, Cunningham J. A review of the impact of antenatal care for Australian Indigenous women and attempts to strengthen these services. Maternal and child health journal. 2008 Jan 1;12(1):83-100.
19. Rajicic BN, Ciric M. The importance of service quality for achieving customer satisfaction. Fascicle of Management and Technological Engineering. 2008;7:2572-9.
20. Fawole AO, Okunlola MA, Adekunle AO. Clients’ perceptions of the quality of antenatal care. Journal of the National Medical Association. 2008 Sep 1;100(9):1052-8.
21. Mumtaz Z, Salway SM. Gender, pregnancy and the uptake of antenatal care services in Pakistan. Sociology of health & illness. 2007 Jan 1;29(1):1-26.
22. Fatmi Z, Avan BI. Demographic, socio-economic and environmental determinants of utilisation of antenatal care in a rural setting of Sindh, Pakistan. JOURNAL-PAKISTAN MEDICAL ASSOCIATION. 2002 Apr;52(4):138-42.
23. Piechulek H, Al-Sabir A. Client satisfaction and quality of health care in rural Bangladesh. Bulletin of the World Health Organization. 2001 Jan;79(6):512-7.
24. Boller C, Wyss K, Mtasiwa D, Tanner M. Quality and comparison of antenatal care in public and private providers in the United Republic of Tanzania. Bulletin of the World Health Organization. 2003 Jan;81(2):116-22.
25. Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams Obstetrics, 24e. Mcgraw-hill; 2014.
26. Kritcharoen S, Suwan K, Jirojwong S. Perceptions of gender roles, gender power relationships, and sexuality in Thai women following diagnosis and treatment for cervical cancer. InOncology nursing forum 2005 May 1 (Vol. 32, No. 3).
27. Newhouse RP, Stanik-Hutt J, White KM, Johantgen M, Bass EB, Zangaro G, Wilson RF, Fountain L, Steinwachs DM, Heindel L, Weiner JP. Advanced practice nurse outcomes 1990-2008: a systematic review. Nursing Economics. 2011 Sep 1;29(5):230.
28. Waldenström U, Brown S, McLachlan H, Forster D, Brennecke S. Does team midwife care increase satisfaction with antenatal, intrapartum, and postpartum care? A randomized controlled trial. Birth. 2000 Sep 1;27(3):156-67
29. El-Zanaty F, Way AA. Egypt Demographic and Health Survey 2000.
30. Peterson TO, Van Fleet DD. The ongoing legacy of RL Katz: An updated typology of management skills. Management decision. 2004 Dec 1;42(10):1297-308.
31. Charpak N, Ruiz-Peláez JG, de Calume ZF. Current knowledge of kangaroo mother intervention. Current opinion in pediatrics. 1996 Apr 1;8(2):108-32.
32. Hildingsson I, Rådestad I. Swedish women's satisfaction with medical and emotional aspects of antenatal care. Journal of advanced nursing. 2005 Nov 1;52(3):239-49.
33. Proctor S.What determines quality in maternity care, Comparing the perceptions of childbearing women and midwives. Birth. 1998 Jun 1;25(2):85-93.
34. Souza JP, Gülmezoglu AM, Vogel J, Carroli G, Lumbiganon P, Qureshi Z, Costa MJ, Fawole B, Mugerwa Y, Nafiou I, Neves I. Moving beyond essential interventions for reduction of maternal mortality (the WHO Multicountry Survey on Maternal and Newborn Health): a cross-sectional study. The Lancet. 2013 May 18;381(9879):1747-55.
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Naeema Sher Akbar
Nursing Instructor, college of Nursing Federal Govt Polyclinic, Islamabad
Aurang Zeb
Associate Professor, Rehman College of Nursing, Peshawar,
Hassan Karim
(RN) Registered Nurse, Rehman Medical Institute, Peshawar
Rabia Naz
(RN) Registered Nurse, Federal Govt Polyclinic Hospital, Islamabad,
Gul Naz
(RN) Registered Nurse, Federal Govt Polyclinic Hospital, Islamabad