Effect of application of a Health Belief Model on changing mothers’ beliefs regarding birth spacing in rural areas

Abstract

Objective: A Health Belief Model seems promising as a framework for examining contraceptive behavior. The aim of this study was to examine the effect of application of a Health Belief Model on changing mothers' beliefs regarding birth spacing in rural areas. Methods: Design: A quasi experimental pre-post-test design was used to evaluate the effectiveness of application of a Health Belief Model on changing mothers' beliefs regarding birth spacing. Subjects: A simple random sample of 150 postpartum women were selected from the Maternal Child Health centers at El Hmoul and Shobra Blola villages, Menouf at Menoufia Governorate, Egypt. Instruments: (1) A Birth Spacing Interview Questionnaire to assess socio demographic data, reproductive history, knowledge about birth spacing, and mothers' practices regarding birth spacing; (2) Perceived Benefits Questionnaire to assess a Health Belief Model constructs such as perceived susceptibility, seriousness, benefits, barriers, health motivation and cues to action. Results: It was illustrated that regarding the perception of benefits of using contraception, 94% of the subjects agreed that benefits outweighed side effects and 100% of the subjects agreed that using contraceptive improved maternal health. Regarding the perception of barriers of using contraceptives, 90% of the subjects disagreed that using contraceptive increased their susceptibility to cancer. Conclusions: Application of a Health Belief Model proved to be effective in changing the health beliefs about birth spacing.

Effect of Application of Health Belief Model on females' Knowledge and Practice regarding the premarital counseling

“…This is congruent with Mohsen, 2016 (8) who study the effect of application of HBM on changing mothers' beliefs regarding birth spacing in rural areas and found that perception of seriousness of not using contraceptives of the sample is increased in the first post test than in the baseline. Also our study findings came in agrees with Mahmoodi et al,2011 (24) who found that the mean perceived severity scores before and after education were 45.38 ± 23.06 and 53.27 ± 1.21, respectively.…”

“…The model can be adapted to counselling behaviour if one views complications as a state to avoid. Females vary in strength of desire to do premarital counselling and perception of costs and benefits of premarital counselling (8).…”

Perception of women towards contraceptive methods: using health belief model

“…They revealed that39.2% of Ghanaian women agreed that contraceptives use can make them infertile. As well as, the previously mentioned one conducted by (Mohsen et al, 2016).They reported that a minority of Egyptian women agreed that using contraceptives are negatively affected by far distance. Finally, the previously mentioned one conducted by (Asadisarvestani et al, 2017).…”

“…This finding is congruent with the previously mentioned one conducted by (Frost & Lindberg, 2013).They reported that 63% of American women strongly agreed that using contraceptives organize family size. Also, (Mohsen et al, 2016) who conducted a study titled effect of application of a health belief model on changing mothers' beliefs regarding birth spacing in Egypt. They reported that all the study subjects strongly agreed that family planning helps decide desirable family size, 42.7% of them agreed that using contraceptives regulate menstrual cycle and 54.7% of them agreed that using contraceptives prevent many health problems and improve maternal health.…”

Analysis of knowledge and attitude regarding antenatal examination among nursing students in Sikkim - a descriptive co-relational study

“…5 Nursing curriculum includes variety of subjects taught in each year of the course among which midwifery nursing is one of the subject to be learnt. 6 Appropriate antenatal and intra-partum management is dependent on accurate assessment of in-utero fetal presentation, position and wellbeing with decisions regarding place, mode and position for delivery relying on correct assessment of fetal presentation and position. 7 Students may participate in Antenatal examination in various ways they may be involved in planning, implementing, administrating or evaluating, screening and testing programme or they may educate, assist and support the pregnant women to undergo regular antenatal examinations.…”