Browsing by Subject "Attendance"

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    Attendance to Focus Antenatal Care Clinic and Place of Delivery at Nankese in Suhum Municipality
    (University of Ghana, 2016-07) Senyo, G.A.; Kretchy, I.; Adongo, P.B.; University of Ghana, College of Health Sciences, School of Public Health
    Introduction: Focus Antenatal Care (FANC) and health facility skilled delivery are very vital issues to consider when dealing with matters of maternal mortality. Therefore perceived quality of these services and their relatedness cannot be overlooked when assessing patronage levels of these services. Records of non-patronage among some individuals still remain high in some communities. It is in this direction that this study sought to identify the relationship between receiving FANC and preference of place of delivery among pregnant women in the Nankese Sub-Municipality of the Suhum municipality in the Eastern Region of Ghana. Methods:The study employed both qualitative and quantitative research methods where interview guide and a semi-structured questionnaire were tools for data collection. Data were obtained from 340 respondents and five (5) key informantsof which four were health facility workers and one community member to ascertain institutional based factors that could contribute to FANC attendance and facility based delivery. Data were analyzed using SPSS version 16.0. Descriptive and inferential analyses were used to analyze quantitative data whereas thematic content analysis was employed for the qualitative findings. Results: The study found that women in the municipality had positive perceptions about FANC as the majority (99.7%) indicated its importance in areas of maternal and child health. There was a significantrelationship between FANC attendance and place of delivery among mothers (p<0.0001). Further, FANC attendance influenced the choice of place of delivery due to the quality of care they received at the facility in terms of medication, education and birth preparedness. Conclusions: Themajority of the mothers in this study had positive attitudes towards FANC. Employment status, distance to health facility and coverage under NHIS related with the attendance to FANC, and FANC attendance positively related with the place of delivery. These findings highlight the need for education on FANC services and the allocation of resources to enhance the delivery of effective FANC services to mothers.
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    Determinants Of Postnatal Care Attendance In Nsawam-Adoagyiri Municipal.
    (University of Ghana, 2023-02) Atura, J.O.
    Postnatal care is essential in maintaining the health and well-being of mothers and children. This study explored the determinants of postnatal care attendance in the Nsawam-Adoagyiri municipal in the Eastern region. The study was hinged on three main objectives which were: to assess the knowledge level of mothers regarding postnatal care; to assess the knowledge of mothers about postnatal care attendance and to find out factors that affect postnatal care attendance. A total of 300 mothers from five health facilities in the Nsawam- Adoagyiri municipality were purposively sampled and surveyed. The analysis centered on knowledge of mothers on postnatal care; knowledge of mothers concerning postnatal care for newborns and knowledge of danger signs as well as factors affecting postnatal care attendance. The study revealed that 89% of mothers have good knowledge of postnatal care. Using the chi-square test of independence, the study showed that age, education level, and marital status of mothers have no significant influence on the knowledge of postnatal care. The bivariate analysis results showed that 64.7% women have a good knowledge of postnatal care for newborns; 84.3% of mothers have good knowledge as mothers during postnatal care and 93.0% of the mothers have a good knowledge of responding to danger signs in newborns. The chi- square test on the knowledge of mothers regarding newborns showed significant influence of occupation on knowledge of newborn care. In addition, educational level had a significant influence on the knowledge of postnatal care as mothers. Using the probit regression, the study revealed factors such as income, occupation, marital, and educational status of respondents, national health insurance card and awareness of postnatal care as significant and had a positive influence on postnatal care attendance. However, distance to health facility was significant and had a negative influence on postnatal care attendance. The study therefore recommended that the NHIS should be well managed and financially resourced to ensure increased access and quality postnatal care; the need for continuous counselling of pregnant mothers by midwives in and out of health facilities to ensure increased utilisation of postnatal care during antenatal visits. Moreover, there should be increased efforts by the municipal health directorate at Nsawam-Adoagyiri to expand postnatal outreach programs to mothers who stay far away from health care centers.