Urban-rural differences in health service-related factors associated with male involvement in family planning services in Abia State, Southeastern Nigeria

Objective: To identify and compare the health service-related factors associated with male involvement in family planning services among the rural and urban areas in Abia State, Nigeria. Design: A community-based cross-sectional study. Setting: Twelve communities (six urban and six rural) in Abia State, Nigeria Participants: Five hundred and eighty-eight (588) men aged 15-59 years and resident in the study area 6 months before the study were recruited. Main outcome measure: Male involvement in family planning services Results: The mean ages of the respondents were 41.8±8.0 years and 43.1±8.0 years in the urban and rural areas, respectively. Active male involvement in family planning services was significantly higher in urban areas (62.6%, 95%CI: 56.8%-68.1%) compared to the rural areas (47.6%, 95%CI: 41.5%-53.2%. p<0.001). The predictors of male involvement included gender preference of healthcare workers (aOR=1.75, 95%CI:1.01-3.03) and attitude of the healthcare workers (aOR=2.07, 95%CI:1.17-3.67) among the urban participants, compared to occupational status of the respondents (aOR=2.50, 95% CI: 1.16-5.56) and the availability of male-friendly clinics (aOR=2.27, 95%CI:1.25-4.15) among the rural participants. Conclusion: Health service-related factors associated with male involvement varied between the urban and rural settings. Stakeholders should target addressing health service-related factors by types of settlement while designing family planning programs targeting men

Vivencia de la política de extensión del permiso parental postnatal para madres en Chile / Experiência da política de extensão da licença-maternidade para mães no Chile / Experience of the extension policy of postnatal parental for mothers in Chile

Objetivo: develar la vivencia de la Ley de Postnatal Parental en madres trabajadoras y sus hijos en dos ciudades del sur de Chile, 2018. Metodología: investigación cualitativa fenomenológica con referente filosófico en Schutz. Recolección por entrevista fenomenológica y análisis a través de la definición de metacategorías y categorías intermedias. El muestreo se define por saturación teórica y la recolección por medio de entrevista fenomenológica a fin de aprehender los objetos vividos. Esta se realiza en el lugar y horario acordado, previa firma de formulario de consentimiento informado, y se autoriza la grabación del discurso. Resultados: emergieron las metacategorías experiencia beneficiosa para díadas, beneficios para el lactante, sobrecarga materna y desprotección por déficit de información. Teniendo en cuenta las perspectivas de género imperantes, retornar al trabajo implica culpa y sobrecarga materna al conciliar ambos roles. Conclusiones: se perciben miedos a perder el trabajo y perjuicios por hacer uso del permiso parental. Se deben buscar estrategias que faciliten la entrega de información y valorar redes de apoyo maternas para facilitar la conciliación familiar.

Objetivo: apresentar a experiência da Lei do Pós-natal (Ley de Postnatal Parental) em mães trabalhadoras e seus filhos em duas cidades do sul do Chile, 2018. Metodologia: pesquisa fenomenológica qualitativa com referencial filosófico de Schutz; coleta por entrevista fenomenológica e análise por meio da definição de metacategorias e categorias intermediárias. A amostragem é definida por saturação teórica e a coleta por entrevista fenomenológica para a apreensão dos objetos vividos. A entrevista foi realizada em local e horário acordados após a assinatura do Termo de Consentimento Livre e Esclarecido, sendo autorizada a gravação do discurso. Resultados: surgiram metacategorias experiência benéfica para as díades, benefícios para o bebê, sobrecarga materna e falta de proteção por causa do deficit de informações. Devido às perspectivas predominantes de gênero, o retorno ao trabalho implica culpa e sobrecarga materna ao conciliar os dois papéis. Conclusões: o medo de perder trabalho e preconceitos por usar a licença-maternidade são percebidos. Estratégias que facilitam a entrega de informações e valorizam as redes de apoio materno devem ser buscadas para promover a reconciliação familiar.

Objective: To reveal the experience of the Parental Postnatal Law in working mothers and their children in two cities in southern Chile, 2018. Methodology: Phenomenological qualitative research with Schutz philosophical reference. Data was collected by phenomenological interview and analysis, defining a set of metacategories and intermediate categories. Sampling is defined by theoretical saturation and data collection carried out by phenomenological interview in order to apprehend the objects lived. Interviews were performed at the agreed place and time, after signing an informed consent form, and included an authorized recording of the speech. Results: The emerged metacategories correspond to beneficial experience for dyads, benefits for the infant, maternal overload, and deprotection due to information deficit. Considering the prevailing gender perspectives, returning to work implies guilt and maternal overload when reconciling both roles. Conclusion: Fears of losing the job and prejudices are perceived when making use of a parental leave. Strategies aimed at easing the delivery of information and valuing maternal support networks that smooth family reconciliation should be considered.

Awareness and attitude regarding postnatal care and immunization practice among antenatal mothers

Background: Under 5 mortality is a key indicator of health status of the country. Optimum care in postnatal period with immunization as per recommended schedule and exclusive breastfeeding with appropriate technology are the most essential factors for optimum growth and development of the child and to prevent under five mortality. The study was done to assess the knowledge and attitude of antenatal mothers on vaccination and postnatal care.Methods: Total 150 pregnant women were required to answer a series of questionnaire related to demographic data, awareness and attitude towards postnatal care, breastfeeding and immunization.Results: Total 90% of the women are aware regarding immunization at birth, 87% of them got the information from a person, who is directly related to health system. Statistically 97.3% mother were aware about importance to keep the baby covered. Every 3 out of 4 women knew that breastfeeding to be started within 1 hour of life. Only 40% were aware that prelacteal feed should never be given to newborns and 74% of the women think that jaundice in newborn requires evaluation.Conclusions: There is a need to educate antenatal mothers about various aspects of immunization and postnatal care including breastfeeding.

An assessment of utilization of postnatal care services in urban area Jabalpur district

Background: Postnatal period is a vulnerable time, because most maternal and new born deaths occur during this period, especially immediately after childbirth. Postnatal care in the first hours and days after childbirth could prevent the great majority of these deaths. The objective of study was to assess the utilization of post-natal care and associated factors for low utilization in urban area of Jabalpur district.Methods: A community based cross-sectional study was carried 360 mothers who delivered in last one year in urban area of Jabalpur district. Sampling method was multistage sampling method. A total 36 wards with 10 mothers from each ward was selected. The questionnaire included information related to mode of delivery, post-natal checkups and visits of health care providers.Results: Among 360 mothers, 93.9% mothers received first postnatal check-up within 24 hrs. 1.11% of mothers between 2-3 days and 1.67% of mothers received first postnatal check-up between 4-7 days while 3.33% of mothers didn’t receive any postnatal check-up. Regarding number of post-natal visits, 58.33% mothers received 3 or more postnatal visits, 35% of mother received 2 PNC visits, while 3.3% did not receive a single postnatal visit. The education of mothers, joint type of family, high socioeconomic status, early registration of pregnancy, minimum 4 ANC visits and institutional deliveries were found significantly associated with utilization of postnatal check-up.Conclusions: Utilization of postnatal services is still poor in the urban areas even though the physical accessibility was adequate. In the present study, it was concluded that the role of education, especially of female education, is important contributing factor associated with utilization of postnatal care.

Clinical Features of Respiratory Syncytial Virus Infection in Neonates: A Single Center Study

PURPOSE: The aim of this study was to investigate the clinical characteristics of Respiratory syncytial virus (RSV) infection during the neonatal period to provide information that is useful in clinical practice and suggest extension of the palivizumab administration. METHODS: Neonates admitted to the National Health Insurance Service Ilsan Hospital neonatal intensive care unit due to respiratory symptoms and for whom multiplex reverse transcription-polymerase chain reaction and multiplex real time-polymerase chain reaction tests were performed between October 2011 and May 2016 were included in this study. Medical records were retrospectively reviewed, and data was collected for 156 neonates. RESULTS: Among the 156 neonates, RSV was detected in 114 (73.1%), non-RSV in 25 (16%), and no virus in 17 (10.9%). The majority were full term infants (92.4%) and peak incidence of RSV infection was in January. Post-natal care center infection was more common in the RSV group (46.6%) than that in the other virus groups (24%, P=0.0243). Clinical symptoms were severe in the RSV group in contrast to that in the non-RSV or others groups. The RSV group frequently needed oxygen therapy (P=0.0001) and the duration of hospital stays were longer (P=0.0001). CONCLUSION: RSV is a significant cause of respiratory infection in neonates and the severity is higher in contrast to that with other viral causes of infection. Infants in post-natal care centers have a high-risk of developing RSV infections; therefore, palivizumab administration may be considered in this group to prevent hospitalization and reduce the duration of hospital stay.

Utilization of maternal health services – A comparative study.

Background & Objectives: The importance of maternal health services in reducing maternal and infant morbidity and mortality has received increasing recognition. Studies have shown that the uptake of maternal health care (MHC) in developing countries has significant consequences for both the safe transition of the mother through pregnancy and child birth, and the survival and health of the child during early infancy So the objective of this study is to examine the existing pattern of maternal health care utilization in Ahmedabad District. Methods: This was a cross sectional study done in Ahmedabad district during November 2010-december 2010. Results: Most of women were from the age groups 20 to 24 years. The iron folic acid tablet intake was found higher in urban women (82%) then rural women (66%). All over ANC visits given or taken were found more in urban area (84%) as compare to rural area (78%). While supplementary nutritional services are utilized more in rural area (64%). Almost equal number of institutional deliveries took place in both rural and urban area. The counselling regarding family planning and breast feeding were given more in urban area (81%). Interpretation & Conclusion: The analysis presented in this paper has enabled the examination of the differences in the maternal health care utilization between these very diverse sub-groups. Thus, it may be conclude that, there is a need for formulation of revised strategies for better and effective reach of maternal health care services in India as a whole.

Utilization of maternal health services – a comparative study.

Background & Objectives: The importance of maternal health services in reducing maternal and infant morbidity and mortality has received increasing recognition. Studies have shown that the uptake of maternal health care (MHC) in developing countries has significant consequences for both the safe transition of the mother through pregnancy and child birth, and the survival and health of the child during early infancy So the objective of this study is to examine the existing pattern of maternal health care utilization in Ahmedabad District. Methods: This was a cross sectional study done in Ahmedabad district during November 2010-december 2010. Results: Most of women were from the age groups 20 to 24 years. The iron folic acid tablet intake was found higher in urban women (82%) then rural women (66%). All over ANC visits given or taken were found more in urban area (84%) as compare to rural area (78%). While supplementary nutritional services are utilized more in rural area (64%). Almost equal number of institutional deliveries took place in both rural and urban area. The counselling regarding family planning and breast feeding were given more in urban area (81%). Interpretation & Conclusion: The analysis presented in this paper has enabled the examination of the differences in the maternal health care utilization between these very diverse sub-groups. Thus, it may be conclude that, there is a need for formulation of revised strategies for better and effective reach of maternal health care services in India as a whole.