Perceived Benefit of Health Education on Pregnant Women Attending Ante-natal Care a Case Study of General Hospital Tege in Kishi, Oyo State
CHAPTER ONE
OBJECTIVES OF THE STUDY
- To assess the level of knowledge and knowledge on practice of antenatal care among pregnant women.
- To deliver health education regarding Antenatal care
- To evaluate the benefit of health education regarding Antenatal care among pregnant women.
- To correlate the knowledge and knowledge on practice of antenatal care among pregnant women.
- To find out the association between knowledge and knowledge on practice with selected demographic variables
CHAPTER TWO
REVIEW OF LITRATURE
LITERATURE RELATED ANTENATAL CARE
KISHK N (2017) conducted a comparative study to assess the Knowledge and Practices towards ANC between rural and urban women in Alexandira a cross sectional, community based house to house survey was conducted in Alexandria using cluster sampling technique 30 clusters from urban areas and 30 cluster from rural areas. Concerning maternal practices the current study revealed rural/ urban disparities as significantly higher proportions of urban women had proper practices during antenatal period in their last pregnancy as regards utilization earlier initiation and frequent visits of antenatal care of Institutional deliveries managed by hospitals and health centers was about 41% , it being higher among literate women and in urban areas. The study revealed that the literacy of women is the key to improve antenatal care of pregnant women. Hence efforts should be made to have information, Education and Communication
Cs. S. Metgud, S. 2016 conducted a study of Utilization Patterns of Antenatal care among Pregnant women all women (n=130) village in Tanzania who were pregnant at the start of the study and who became pregnant during the study. Most of the pregnant women (92.31%) were registered for antenatal care, but only 30.00% of them were registered in the 1st trimester of pregnancy. As regards to TT immunisation70.77% of the pregnant women as received two doses or one booster dose iron and folical acid supplementation was taken by 59.68% of the pregnant women. Nearly 39.52% of the pregnant women were provided with full antenatal care. The main antenatal care provided for the pregnant women was doctor (64.52%). The study shows early and wide spread of the antenatal care, but it also reveals that the antenatal visits of occur late in pregnancy.
Kiwawa S (2018) conducted a study about the use of antenatal care maternity services for the pregnant women in Lewero Dist in Uganda. A sample size of 769 women in the viewed, among that 417 visiting initially, during second trimester 242, during third trimester 266. About the use of antenatal services most the woman delivered in health centers (28.7%), (26.4%) delivered from home, (18.2%) in private maternity homes and (13.8%) in hospital. About maternity service utilization approximately (59.2%) gave birth with a skilled attendant present others delivered other by themselves or with help of at relatives, friends and traditional birth attenders.
Yawar A (2019) performed a cross sectional survey to access the knowledge and practice of women utilizing and not utilizing antenatal care facilities during their previous pregnancy among 200 married women in the age range 15-49 years were compared by the calculating odds ratios and 95% confidence intervals. Studied showed Pallor was significantly lower among women utilizing antenatal care (57%) as compared to those who were not (77.6%) (O.R.38.95%) (. 18-81) p value.02). Tetanus toxoid coverage was higher among women utilizing antenatal care (92%) compared to those who were not (59.2%) (O.R 10.8 95%)
Singh P, (2017) conducted a study to assess the status of antenatal care among pregnant women in India. In that study 89% of the pregnant women availed antenatal visits of which 62% had received three or more ANC visits. Those receiving the second dose of TT or booster dose were about 78%. About 73% of the pregnant women received IFA tablets during their pregnancy. About 53% of the pregnant women had full package proportion of pregnant women who availed full ANC package was lower in rural as compared to urban areas, lowest for (4.5-26.2). Knowledge about danger signals in pregnancy and realization of the importance of eating healthy diet during pregnancy was significantly higher among utilizing antenatal care. The finding reveals that Lesser prevalence of Anaemia and better tetanuxs toxoid coverage was seen among women attending antenatal care facilities. Identification of danger signals in pregnancy and recognition of nutritional demands of pregnancy are better understood by women utilizing antenatal care facilities.
Adil H (2019) performed a study about utilization of routine antenatal health care services in Khartoum State, Sudan. Interviews were held among a representative sample of 400 marries women aged 15 ± 49 years from both urban and rural localities was approximately 5 times and application of TT vaccination was 3.7 times higher in urban women as compared to women in rural areas. A higher quality of care and shorter walk time (odds ratio 3.1) were significantly associated with more utilization of routine antenatal care services. Mother education showed a nearly significant positive relationship both with use of routine antenatal health care services (odds ratio 2.1).
CHAPTER THREE
METHODOLOGY
Methodology is the most important phase of the study. The methodology of research indicates the general pattern of organizing the procedures for gathering valid and reliable data for investigation. This chapter provides a brief description of method adopted by the investigator in this study. This includes the research design, setting of the study, population, sample, and sample size, sampling technique, criteria for sample selection, description of the tool, pilot study, data collection procedure, plan for data analysis and protection of human rights.
RESEARCH APPROACH
Quantitative research approach was used for the present study. According to Polit and Beck (2010) Quasi experimental research design refers to a design for an intervention study in which subjects are non randomly assigned to treatment condition, also called a non randomized rail, or a controlled trail without randomization. The present study is aimed at evaluate the benefit of health education on knowledge regarding antenatal care among Pregnant women.
RESEARCH DESIGN
The research design selected for this study was quasi experimental one group pre test and post test design. In this study to assess the benefit of structured teaching program regarding knowledge on antenatal care mothers among Pregnant women in selected rural primary health center Tege at, Oyo State.
CHAPTER FOUR
DATA ANALYSIS AND INTERPRETATION
This chapter deals with the analysis and interpretations of data collected from 40 pregnant women (20 Experimental and 20 Control) on perception of pain to evaluate the benefit of allowing family members to stay with the women during the first stage of labour in reducing the level of pain perception among pregnant women in selected hospital at Oyo State.
OBJECTIVES OF THE STUDY
- To assess the level of knowledge and knowledge on practice of antenatal care among pregnant women.
- To deliver health education regarding Antenatal care
- To evaluate the benefit of health education regarding Antenatal care among pregnant women.
- To correlate the knowledge and knowledge on practice of antenatal care among pregnant women.
- To f i nd out the association between knowledge and knowledge on practice with selected demographic variables
CHAPTER FIVE
SUMMARY, CONCLUSION, LIMITATION, NURSING IMPLICATION AND RECOMMENDATIONS
This chapter consists of summary, conclusion, and implications in nursing service, nursing education, nursing administration and nursing research and recommendations for further study.
SUMMARY
A pre-experimental (one group pre test – post test) study was conducted at General Hospital Tege to assess the benefit of educational intervention on knowledge and knowledge on practice in antenatal care among Pregnant women. 30 pregnant women were selected by convenient sampling technique. A semi structured questionnaire and observation check list was used to assess the pre test and post test score on educational intervention on knowledge and knowledge on practice in antenatal care among Pregnant women.
MAJOR FINDING OF THE STUDY
The knowledge of the Pregnant women that the pre test mean score 10.2 and post test mean score was 24.4. It is higher than the pre test mean score. The calculated ‘t’ value 15 at df (29), which is significant at p<0.05 level. The finding implies that the educational intervention has significant effect in the improvement of knowledge regarding antenatal care among Pregnant women. The knowledge on practice of the Pregnant women that the pre tests mean score 2.9 and post test score was 7.8. It is higher than the pre test score. The calculated ‘t’ value is 11 at df (29) is significant at p<0.05 level. The finding implies that the educational intervention has significant effect in the improvement of practice regarding antenatal care among Pregnant women.
CONCLUSION
Antenatal affects the global health of individual. Antenatal care its self care activity and more important to carefully we can do it. It required mother activity, participation and motivation. Structured teaching program significantly increases the knowledge on antenatal care among first and second trimester primigravida mother. So in future nurses can prepare an effective structured teaching program to reduce the maternal mortality rate.
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