Barriers and Enablers That Influence  Utilization of Ultrasound Screening Services among Antenatal Women in Kajiado and  Kisii Counties Kenya

Matiang’i, Micah; Joosse, K.; Ngunju, Priscillah; Kiilu, Colleta; Harkx, Romy; Hangelbroek, Marianne; Omogi, Jarim

doi:10.4236/ojcd.2021.111001

Cited by 7 publications

(8 citation statements)

References 17 publications

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“…The third factor could pertain to community related issues such as lack of awareness and fears around U/S machines. These findings were consistent with a study in Kenya that reported on barriers of prenatal U/S service utilization, including lack of money, limited awareness, and fear of side effects [36].…”

Section: Discussionsupporting

confidence: 91%

Contribution of portable obstetric ultrasound service innovation in averting maternal and neonatal morbidities and mortalities at semi-urban health centers of Ethiopia: a retrospective facility-based study

Abawollo¹,

Tsegaye²,

Desta³

et al. 2022

BMC Pregnancy Childbirth

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Background The maternal and neonatal mortalities in Ethiopia are high. To achieve the Sustainable Development Goals, innovations in ultrasound scanning and surveillance activities have been implemented at health centers for over 2 years. This study aims to estimate the contribution of obstetric ultrasound services on averted maternal and neonatal morbidities and mortalities in Ethiopia. Methods A retrospective facility-based cross-sectional study design was conducted in 25 selected health centers. Data were extracted from prenatal ultrasound registers. SPSS version 25 was used for analysis. To claim statistically significant relationship among sartorial variables, a chi-square test was analyzed and P < 0.05 was the cut-off point. Results Over the 2 years, 12,975 pregnant women were scanned and 52.8% of them were residing in rural areas. Abnormal ultrasound was reported in 12.7% and 98.4% of them were referred for confirmation of diagnosis and treatment. The ultrasound service has contributed to the prevention of 1,970 maternal and 19.05 neonatal morbidities and mortalities per 100,000 and 1,000 live births respectively. The averted morbidities and mortalities showed a statistically significant difference among women residing in rural and semi-urban areas, X,2 df (10) = 24.07, P = 0. 007 and X,2 df (5) = 20.87. P = 0.00, 1 respectively. Conclusion After availing the appropriate ultrasound machines with essential supplies and capacitating mid-level providers, significant number of high-risk pregnant women were identified on time and managed or referred to health facilities with safe delivery services. Therefore, scaling-up limited obstetric ultrasound services in similar setups will contribute to achieving the Sustainable Development Goals by 2030. It is recommended to enhance community awareness for improved utilization of ultrasound services by pregnant women before the 24th week of gestational age.

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Section: Discussionsupporting

confidence: 91%

Contribution of portable obstetric ultrasound service innovation in averting maternal and neonatal morbidities and mortalities at semi-urban health centers of Ethiopia: a retrospective facility-based study

Abawollo¹,

Tsegaye²,

Desta³

et al. 2022

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…The third factor could pertain to community related issues such as lack of awareness and fears around U/S machines. These ndings were consistent with a Matiang'i et al, (2021) study in Kenya that reported on barriers of prenatal U/S service utilization, including lack of money, limited awareness, and fear of side effects [35].…”

Section: Discussionsupporting

confidence: 91%

Contribution of Portable Obstetric Ultrasound Service Innovation in Averting Maternal and Neonatal Morbidities and Mortalities at Semi-Urban Health Centers of Ethiopia: A Retrospective Facility-Based Study

Abawollo¹,

Tsegaye²,

Desta³

et al. 2022

Preprint

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Background The maternal and neonatal mortalities in Ethiopia are high. The Ministry of health and partners are committed to reducing these outcomes. To achieve the Sustainable Development Goals, innovations in ultrasound scanning and surveillance activities have been implemented for over two years. This study aims to estimate the contribution of obstetric ultrasound services on averted maternal and neonatal morbidities and mortalities in Ethiopia. Methods A retrospective facility-based cross-sectional study design was conducted in 25 selected health centers, in three regional states of Ethiopia. Data were extracted from prenatal ultrasound registers. SPSS version 25 was used for analysis. To claim statistically significant relationship among sartorial variables, a chi-square test was analyzed and P < 0.05 was the cut-off point. Results A total of 12,975 pregnant women were scanned over the two-year period. Half (52.8%) of the scanned women were residing in rural areas. The abnormal ultrasound report rate was 12.7% and almost all (98.4%) of cases were referred for confirmation of diagnosis and then treatment. The introduction of obstetric ultrasound services at health centers has contributed to the prevention of 1,970 maternal morbidities and mortalities per 100,000 live births and 19.05 neonatal morbidities and mortalities per 1,000 live births during the two-year period. The maternal and neonatal morbidities and mortalities averted showed a statistically significant difference among women residing in rural and semi-urban areas, X2, df (10) = 24.07, P = 0. 007 and X2, df (5) = 20.87. P = 0.00, 1 respectively. Conclusion After availing the appropriate ultrasound machines with essential supplies and capacitating mid-level healthcare providers on operating the machine, significant number of high-risk pregnant women were identified on time and managed or referred to health facilities with safe delivery services. Therefore, scaling-up limited obstetric ultrasound services in similar setups will contribute to achieving the Sustainable Development Goals by 2030. Finally, it is recommended community awareness be enhanced and pregnant women ultrasound service utilization be increased before the 24th week of gestational age.

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“…Generally, long waiting time for the examination and being attended by students were identified by the majority of the respondents as the main barriers to accessing ultrasound. This finding is higher than that of a study conducted in Kenya [ 25 ], where 49.5% of respondents mentioned the lack of skilled staff; this may be due to differences in the study areas.…”

Section: Discussioncontrasting

confidence: 80%

Knowledge, attitude, barriers, and associated factors of obstetric ultrasound among pregnant women in public hospitals, Ethiopia, 2022: a cross-sectional study

Haile

Gurmu

2023

J Ultrasound

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Background Obstetric ultrasound is a non-invasive imaging modality that uses sound waves to provide a real-time image of the foetus. Women’s knowledge of and attitudes toward ultrasound are suggested to influence their responses, and a variety of barriers also influence their practices. Objectives This study aimed to assess the knowledge, attitude, barriers, and associated factors of obstetric ultrasound among pregnant women in public hospitals in Addis Ababa. Methods and materials An institution-based cross-sectional study was conducted on 422 pregnant women from July to August 2021 using systematic random sampling. A structured questionnaire was employed, entered into Epi Info 7.2, and analysed in SPSS 23. Bivariate and multivariate logistic regression was used to identify associated factors. Result The proportion with good knowledge of obstetric ultrasound was 51.4%, and that with positive attitudes was 70.1%. Women with a degree and above (AOR 2.70; 95% CI 0.21–35.23), government employment (AOR 3.901; 95% CI 1.92–7.90), and previous ultrasound exposure (AOR 1.966; 95% CI 1.24–3.12) were significantly associated with knowledge. Government-employed women (AOR 6.83; 95% CI 2.43–19.18), women with 1000–5000birr in household income (AOR 5.31; 95% CI 2.01–14.03), and women with a history of births with congenital anomalies (AOR 21.07; 95% CI 2.09–21.21) were significantly associated with the attitude toward obstetric ultrasound. Participants in the study expressed a variety of barriers that influenced their practices; long waiting time was the most common (77.3%). Conclusion Pregnant women’s levels of knowledge and attitudes towards obstetric ultrasound were moderately good. However, there were a variety of barriers, including patient privacy, waiting time, handling, and side effects, that influenced the utilisation of ultrasound.

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Barriers and Enablers That Influence Utilization of Ultrasound Screening Services among Antenatal Women in Kajiado and Kisii Counties Kenya

Cited by 7 publications

References 17 publications

Contribution of portable obstetric ultrasound service innovation in averting maternal and neonatal morbidities and mortalities at semi-urban health centers of Ethiopia: a retrospective facility-based study

Contribution of portable obstetric ultrasound service innovation in averting maternal and neonatal morbidities and mortalities at semi-urban health centers of Ethiopia: a retrospective facility-based study

Contribution of Portable Obstetric Ultrasound Service Innovation in Averting Maternal and Neonatal Morbidities and Mortalities at Semi-Urban Health Centers of Ethiopia: A Retrospective Facility-Based Study

Knowledge, attitude, barriers, and associated factors of obstetric ultrasound among pregnant women in public hospitals, Ethiopia, 2022: a cross-sectional study

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