<strong>Introduction</strong><strong>: </strong><span style="font-family:""><span style="font-family:Verdana;">Maternal mortality remains a major public hea...<strong>Introduction</strong><strong>: </strong><span style="font-family:""><span style="font-family:Verdana;">Maternal mortality remains a major public health problem in </span><span style="font-family:Verdana;">the world. Complications during pregnancy and childbirth are the main</span><span style="font-family:Verdana;"> causes </span><span style="font-family:Verdana;">of maternal mortality in low-income countries. It is estimated that 15% of</span><span style="font-family:Verdana;"> deaths are related to these complications. Studies have shown that women </span><span style="font-family:Verdana;">have little or no acquaintance on sign danger and complications during</span><span style="font-family:Verdana;"> pregnancy and childbirth. Limited literature exists on women’s knowledge and attitudes about pregnancy and childbirth’s complications as well as the barriers for their management, therefore necessity to carry out this study. </span><b><span style="font-family:Verdana;">Objective: </span></b><span style="font-family:Verdana;">To explore women’s knowledge and attitudes in the community about complications during pregnancy and childbirth. </span><b><span style="font-family:Verdana;">Method: </span></b><span style="font-family:Verdana;">A qualitative study was conducted in three prefectures of Guinea. Eighteen focus groups were conducted with women of reproductive age living in urban and rural areas. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Complications during pregnancy and childbirth are common among </span><span style="font-family:Verdana;">pregnant women in Guinea. Many women have knowledge about various</span><span style="font-family:Verdana;"> sorts </span><span style="font-family:Verdana;">of complications related to pregnancy and childbirth. These complications </span><span style="font-family:Verdana;">were mostly vaginal bleeding, abortions and maternal mortality. The use of a health facility in case of complications during pregnancy and childbirth was reported as a major attitude in this study. Accompanying the woman to the </span><span style="font-family:Verdana;">health facility was another attitude identified. Lack of financial means, the</span><span style="font-family:Verdana;"> distance from the health facilities and the lack of means of transport were listed as barriers to the management of complications during pregnancy and childbirth. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> This study showed that women’s knowledge and attitudes about obstetric complications are insufficient. To that effect, women counselling during prenatal consultations on the risks of complications and especially the identification of sign danger during pregnancy and childbirth is </span><span style="font-family:Verdana;">essential to reduce maternal and neonatal mortality in our less equipped </span><span style="font-family:Verdana;">countries.</span></span>展开更多
Background: The 2018 demographic and health survey reports low coverage in the continuum of antenatal care over the period 2013 to 2018. However, little remains known about this indicator since the Ebola epidemic cris...Background: The 2018 demographic and health survey reports low coverage in the continuum of antenatal care over the period 2013 to 2018. However, little remains known about this indicator since the Ebola epidemic crisis was over. This epidemic has been reported to decrease utilization of maternal health services. This study aims to determine the coverage and factors associated with four or more antenatal care visits in Guinea in the post-Ebola context. Methods: This was a cross-sectional study using secondary data from the most recent (2018) Guinea Demographic and Health Survey. Women aged 15 to 49 years constituted our study population. Our sample included women who had their most recent birth over the last 24 months preceding data collection and whether or not they had performed 4 antenatal care (ANC) visits. Factors associated with performing four or more antenatal visits were assessed through a multivariate logistic regression analysis using Stata software version 15.1. The final model was constructed using the bottom-up stepwise method. Hosmer and Leeshawn’s goodness-of-fit test was used for model specification. Results: Among the 2634 women in the sample, 41% had four or more ANC visits. Factors associated with attending four or more ANC visits included education level, poverty quintile and region. Women with a secondary or higher education were 44% more likely to attend four or more ANC visits (OR = 1.44, 95% CI = [1.07 - 1.92]. Those whose spouses had secondary or education level were 1.66 times more likely to attend four or more ANC visits. Women from moderately wealthy households were 76% more likely to attend four or more ANC visits (OR = 1.76, 95% CI = [1.30 - 2.39]. Women from wealthier households were 2.52 times more likely to attend four or more ANC visits (OR = 2.52, 95% CI = [1.30 - 2.39]). Women living in Boké and Nzérékoré regions were 44% and 47% less likely to attend four or more ANC visits, respectively (OR = 0.56, IC 95% = [0.35 - 0.94]) and (OR = 0.53, IC 95% = [0.31 - 0.89]). Conclusion: Attending four or more ANC visits declined in the post-Ebola epidemic context in Guinea from 57% in 2012 to 41% in 2018. To improve coverage in four or more ANC visits in this context, there is a need for policies and programs to address education, poverty and administrative region factors.展开更多
Maternal mortality remains very high in developing countries. In Guinea, it is 550 maternal deaths in 100.000 living birth. More than half of these deaths occur in the postpartum period. Hence the interests to have a ...Maternal mortality remains very high in developing countries. In Guinea, it is 550 maternal deaths in 100.000 living birth. More than half of these deaths occur in the postpartum period. Hence the interests to have a better understanding of the factors that hinder the realization of post-natal care (PNC)</span><span style="font-family:Verdana;"> arise</span><span style="font-family:Verdana;">. It is for this reason that the objective of this study is to identify barriers to the use of post-natal care in Guinea.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">A qualitative study was conducted in the prefectures of Kindia and Dubréka, in the Administrative Region of Kindia (Guinea)</span><span style="font-family:""> </span><span style="font-family:Verdana;">in April and May 2014. Fourteen focus group discussions of women and girls of the community, as well as fifteen individual in-depth interviews (9 with</span><span style="font-family:""> </span><span style="font-family:Verdana;">women and 6 with healthcare providers)</span><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Most women do their PNC during their child vaccination or in case of postpartum complications. Financial constraints are the main barrier to us</span><span style="font-family:Verdana;">ing</span><span style="font-family:Verdana;"> postnatal care identified by participants. In general, distance from the health center associated with lack of transport mean and insufficient staffs are factors related to the health system. In addition, poor reception of clients, women</span><span style="font-family:Verdana;">’</span><span style="font-family:Verdana;">s experience during childbirth, poor programming for PNC as well as the lack of trust and confidentiality between clients and health care providers are the barriers related to health providers. The participants also mentioned the lack of sensitization and information as well as cultural constraints as barriers to us</span><span style="font-family:Verdana;">ing</span><span style="font-family:""><span style="font-family:Verdana;"> post-natal care. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The removal of these barriers in the use of PNC will significantly reduce maternal and neonatal mortality in Guinea.展开更多
Older people are a demographically significant group, who represent a vulnerable layer within conditions for active and healthy aging that may be lacking in both urban and rural areas. Objective: To identify the main ...Older people are a demographically significant group, who represent a vulnerable layer within conditions for active and healthy aging that may be lacking in both urban and rural areas. Objective: To identify the main barriers and opportunities for the establishment of age-friendly cities and communities in a low-income country. Methods: This was a qualitative study that involved focus group discussions with older people, and service providers (health and social services) in the city of Conakry. The older people were purposively selected with the support of older people associations, and men and women were equally represented in the sample. Results: The analysis focused on the experience of old age as well as the barriers and opportunities for active healthy aging specific to the sub-Saharan context. The results indicate that a good quality of life for older adults boils down to the acquisition of good health and decent housing. Other concerns frequently reported were food and education problems for their children and security. Conclusion: This study contributes to strengthening the understanding of the age-friendly cities and communities’ approach in the context of sub-Saharan African countries.展开更多
文摘<strong>Introduction</strong><strong>: </strong><span style="font-family:""><span style="font-family:Verdana;">Maternal mortality remains a major public health problem in </span><span style="font-family:Verdana;">the world. Complications during pregnancy and childbirth are the main</span><span style="font-family:Verdana;"> causes </span><span style="font-family:Verdana;">of maternal mortality in low-income countries. It is estimated that 15% of</span><span style="font-family:Verdana;"> deaths are related to these complications. Studies have shown that women </span><span style="font-family:Verdana;">have little or no acquaintance on sign danger and complications during</span><span style="font-family:Verdana;"> pregnancy and childbirth. Limited literature exists on women’s knowledge and attitudes about pregnancy and childbirth’s complications as well as the barriers for their management, therefore necessity to carry out this study. </span><b><span style="font-family:Verdana;">Objective: </span></b><span style="font-family:Verdana;">To explore women’s knowledge and attitudes in the community about complications during pregnancy and childbirth. </span><b><span style="font-family:Verdana;">Method: </span></b><span style="font-family:Verdana;">A qualitative study was conducted in three prefectures of Guinea. Eighteen focus groups were conducted with women of reproductive age living in urban and rural areas. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Complications during pregnancy and childbirth are common among </span><span style="font-family:Verdana;">pregnant women in Guinea. Many women have knowledge about various</span><span style="font-family:Verdana;"> sorts </span><span style="font-family:Verdana;">of complications related to pregnancy and childbirth. These complications </span><span style="font-family:Verdana;">were mostly vaginal bleeding, abortions and maternal mortality. The use of a health facility in case of complications during pregnancy and childbirth was reported as a major attitude in this study. Accompanying the woman to the </span><span style="font-family:Verdana;">health facility was another attitude identified. Lack of financial means, the</span><span style="font-family:Verdana;"> distance from the health facilities and the lack of means of transport were listed as barriers to the management of complications during pregnancy and childbirth. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> This study showed that women’s knowledge and attitudes about obstetric complications are insufficient. To that effect, women counselling during prenatal consultations on the risks of complications and especially the identification of sign danger during pregnancy and childbirth is </span><span style="font-family:Verdana;">essential to reduce maternal and neonatal mortality in our less equipped </span><span style="font-family:Verdana;">countries.</span></span>
文摘Background: The 2018 demographic and health survey reports low coverage in the continuum of antenatal care over the period 2013 to 2018. However, little remains known about this indicator since the Ebola epidemic crisis was over. This epidemic has been reported to decrease utilization of maternal health services. This study aims to determine the coverage and factors associated with four or more antenatal care visits in Guinea in the post-Ebola context. Methods: This was a cross-sectional study using secondary data from the most recent (2018) Guinea Demographic and Health Survey. Women aged 15 to 49 years constituted our study population. Our sample included women who had their most recent birth over the last 24 months preceding data collection and whether or not they had performed 4 antenatal care (ANC) visits. Factors associated with performing four or more antenatal visits were assessed through a multivariate logistic regression analysis using Stata software version 15.1. The final model was constructed using the bottom-up stepwise method. Hosmer and Leeshawn’s goodness-of-fit test was used for model specification. Results: Among the 2634 women in the sample, 41% had four or more ANC visits. Factors associated with attending four or more ANC visits included education level, poverty quintile and region. Women with a secondary or higher education were 44% more likely to attend four or more ANC visits (OR = 1.44, 95% CI = [1.07 - 1.92]. Those whose spouses had secondary or education level were 1.66 times more likely to attend four or more ANC visits. Women from moderately wealthy households were 76% more likely to attend four or more ANC visits (OR = 1.76, 95% CI = [1.30 - 2.39]. Women from wealthier households were 2.52 times more likely to attend four or more ANC visits (OR = 2.52, 95% CI = [1.30 - 2.39]). Women living in Boké and Nzérékoré regions were 44% and 47% less likely to attend four or more ANC visits, respectively (OR = 0.56, IC 95% = [0.35 - 0.94]) and (OR = 0.53, IC 95% = [0.31 - 0.89]). Conclusion: Attending four or more ANC visits declined in the post-Ebola epidemic context in Guinea from 57% in 2012 to 41% in 2018. To improve coverage in four or more ANC visits in this context, there is a need for policies and programs to address education, poverty and administrative region factors.
文摘Maternal mortality remains very high in developing countries. In Guinea, it is 550 maternal deaths in 100.000 living birth. More than half of these deaths occur in the postpartum period. Hence the interests to have a better understanding of the factors that hinder the realization of post-natal care (PNC)</span><span style="font-family:Verdana;"> arise</span><span style="font-family:Verdana;">. It is for this reason that the objective of this study is to identify barriers to the use of post-natal care in Guinea.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">A qualitative study was conducted in the prefectures of Kindia and Dubréka, in the Administrative Region of Kindia (Guinea)</span><span style="font-family:""> </span><span style="font-family:Verdana;">in April and May 2014. Fourteen focus group discussions of women and girls of the community, as well as fifteen individual in-depth interviews (9 with</span><span style="font-family:""> </span><span style="font-family:Verdana;">women and 6 with healthcare providers)</span><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Most women do their PNC during their child vaccination or in case of postpartum complications. Financial constraints are the main barrier to us</span><span style="font-family:Verdana;">ing</span><span style="font-family:Verdana;"> postnatal care identified by participants. In general, distance from the health center associated with lack of transport mean and insufficient staffs are factors related to the health system. In addition, poor reception of clients, women</span><span style="font-family:Verdana;">’</span><span style="font-family:Verdana;">s experience during childbirth, poor programming for PNC as well as the lack of trust and confidentiality between clients and health care providers are the barriers related to health providers. The participants also mentioned the lack of sensitization and information as well as cultural constraints as barriers to us</span><span style="font-family:Verdana;">ing</span><span style="font-family:""><span style="font-family:Verdana;"> post-natal care. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The removal of these barriers in the use of PNC will significantly reduce maternal and neonatal mortality in Guinea.
文摘Older people are a demographically significant group, who represent a vulnerable layer within conditions for active and healthy aging that may be lacking in both urban and rural areas. Objective: To identify the main barriers and opportunities for the establishment of age-friendly cities and communities in a low-income country. Methods: This was a qualitative study that involved focus group discussions with older people, and service providers (health and social services) in the city of Conakry. The older people were purposively selected with the support of older people associations, and men and women were equally represented in the sample. Results: The analysis focused on the experience of old age as well as the barriers and opportunities for active healthy aging specific to the sub-Saharan context. The results indicate that a good quality of life for older adults boils down to the acquisition of good health and decent housing. Other concerns frequently reported were food and education problems for their children and security. Conclusion: This study contributes to strengthening the understanding of the age-friendly cities and communities’ approach in the context of sub-Saharan African countries.
