Midwives’ perceptions about adolescents’ utilisation of public prenatal services in Bulawayo, Zimbabwe

Chaibva, Cynthia Nombulelo; Ehlers, V.J.; Roos, Janetta Hendrika

doi:10.1016/j.midw.2009.01.001

Cited by 33 publications

(49 citation statements)

References 6 publications

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“…In a study from Zimbabwe, transport costs and costs for prenatal services have been characterized as major factors influencing adolescents late or non-utilization of prenatal services. In the same study the limited knowledge of young women about antenatal care programs and the fear of HIV testing have been further obstacles to efficient antenatal care [25].…”

Section: Discussionmentioning

confidence: 94%

Socio-demographic determinants of teenage pregnancy in the Niger Delta of Nigeria

Isa¹,

Gani²

2012

OJOG

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Sub-Saharan Africa has the highest rates of maternal and neonatal mortality worldwide. Young maternal age at delivery has been proposed as risk factor for adverse pregnancy outcome, it occurs in all races, faiths, socioeconomic statuses, and regions. Teenage mothers are likely to be unmarried, poor and to sacrifice education. Isolation, unstable marriages, stress, and guilt are among many social and psychological problems. The aim of this study is to determine the socio-demographic factors associated with teenage pregnancy in our environment, in order to proffer measures that can help curtail this continuing sociomedical problem. The records of all teenage mothers (aged 13 -19) who had delivery at the Niger Delta University Teaching Hospital, Bayelsa State, Nigeria, over a period of 4 years (January 1 2007 to December 31 2010) were retrospectively reviewed. There were a total of 1341 deliveries during the study period, out which 83 were teenagers giving an incidence of 6.2%. The age of the patients ranged from 14 to 19 years with a mean age of (28.1 ± 5.7) years. Their parity ranged from zero to three, with a mean of 2.4 ± 1.9. About a third (20%/24.1%) were primigravidae, 33%/ 39.9% had at least secondary education and majority (48%/57.8%) were unbooked, unmarried (60%/72.3%), unemployed (62%/74.7%) and of low social class. Majority 71 (85.5%) of the teenage mothers had never used any form of modern contraceptive method and 45 (54.2%) of them had terminated at least one pregnancy in the past. 26 (31.3%) had Caesarean sections, majority of which were emergencies 22 (84.6%). It was concluded that teenage mothers in the Niger Delta tend to have unfavorable socio-demographic and obstetric factors. Concrete measures must be put in place to address these.

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Section: Discussionmentioning

confidence: 94%

Socio-demographic determinants of teenage pregnancy in the Niger Delta of Nigeria

Isa¹,

Gani²

2012

OJOG

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“…Midwives have suggested that antenatal clinics be better staffed to ensure more efficient service provision to AMCs. 11 Another solution to the problem of prolonged waiting times is to have specific appointment times so that AMCs do not have to wait from the opening of the clinic for their appointment. Respondents suggested that new clients be given an orientation to the clinic and be made familiar with the expectations of care.…”

Section: Amc-hcp Interactionmentioning

confidence: 99%

Adolescent clients’ perceptions of maternity care in KwaZulu-Natal, South Africa

Duggan

Adejumo

2012

Women and Birth

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“…Behaviour of healthcare professionals attending to pregnant women and their new-borns is of critical importance for the adequate quality of MCH services: it is one of the factors contributing to non-utilization of MCH services by adolescents [12]. Nurses and midwives’ negative behaviour such as shouting at and scolding clients, is also reported to discourage young people from attending clinics or for follow-up visits [13, 14], although little is known of the underlying determinants.…”

Section: Introductionmentioning

confidence: 99%

Predictors of nurses’ and midwives’ intentions to provide maternal and child healthcare services to adolescents in South Africa

Jonas

Reddy

Borne

et al. 2016

BMC Health Serv Res

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BackgroundAdolescent mothers are at a much higher risk for maternal mortality compared to mothers aged 20 years and above. Newborns born to adolescent mothers are also more likely to have low birth weight, with the risk of long-term effects such as early onset of adult diabetes than newborns of older mothers. Few studies have investigated the determinants of adequate quality maternal and child healthcare services to pregnant adolescents. This study was conducted to gain an understanding of nurses’ and midwives’ intentions to provide maternal and child healthcare and family planning services to adolescents in South Africa.MethodsA total of 190 nurses and midwives completed a cross-sectional survey. The survey included components on demographics, knowledge of maternal and child healthcare (MCH) and family planning (FP) services, attitude towards family planning services, subjective norms regarding maternal and child healthcare and family planning services, self-efficacy with maternal and child healthcare and family planning services, and intentions to provide maternal and child healthcare and family planning services to adolescents. Pearson’s correlation analysis was conducted to determine the association between knowledge, attitude, subjective norms, self-efficacy, and intention variables for FP and MCH services. A 2-step linear regression analysis was then conducted for both FP and MCH services to predict the intentions to provide FP and MCH services to adolescents.ResultsSelf-efficacy to conduct MCH services (β = 0.55, p < 0.01) and years of experience as a nurse- midwife (β = 0.14, p < 0.05) were associated with stronger intentions to provide the services. Self-efficacy to provide FP services (β = 0.30, p < 0.01) was associated with stronger intentions to provide FP services.ConclusionsSelf-efficacy has a strong and positive association with the intentions to provide both MCH and FP services, while there is a moderate association with attitude and norms. There is a need to improve and strengthen nurses’ and midwives’ self-efficacy in conducting both MCH and FP services in order to improve the quality and utilization of the services by adolescents in South Africa.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1901-9) contains supplementary material, which is available to authorized users.

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Midwives’ perceptions about adolescents’ utilisation of public prenatal services in Bulawayo, Zimbabwe

Cited by 33 publications

References 6 publications

Socio-demographic determinants of teenage pregnancy in the Niger Delta of Nigeria

Socio-demographic determinants of teenage pregnancy in the Niger Delta of Nigeria

Adolescent clients’ perceptions of maternity care in KwaZulu-Natal, South Africa

Predictors of nurses’ and midwives’ intentions to provide maternal and child healthcare services to adolescents in South Africa

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