Perceptions of pregnancy complications in Haiti

Anderson, Frank W.; Naik, Sujata; Feresu, Shingairai A.; Gebrian, Bette; Karki, Manju; Harlow, Sioḃán D.

doi:10.1016/j.ijgo.2007.08.005

Cited by 11 publications

(6 citation statements)

References 3 publications

(3 reference statements)

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“…In this study, skilled ANC attendance and skilled assistance seeking to pregnancy complications was significantly associated (AOR = 10.6, 95 % CI; 3.3, 34.5). This finding was consistent with other studies in that the contribution of ANC by skilled provider to further maternal service utilizations was observed in previous studies in Ethiopia [ 9 , 20 ] and outside Ethiopia [ 13 , 21 ]. This may be due to effective counseling services given to pregnant women during ANC visits by a skilled provider better motivated the women for further assistance as compared to unskilled ANC provider (HEW and TBA).…”

Section: Discussionsupporting

confidence: 93%

Predictors of skilled assistance seeking behavior to pregnancy complications among women at southwest Ethiopia: a cross-sectional community based study

2015

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BackgroundIn Ethiopia, about 20,000 women die each year from complications of pregnancy and child birth with many more maternal morbidities occurring for each maternal deaths. This makes Ethiopia one of the highest countries for maternal deaths in the developing world. This study attempted to assess women’s skilled assistance seeking behaviour for pregnancy complications among those who gave birth.MethodA cross-sectional community based study was conducted among women who gave birth within one year regardless of their delivery place. The study was carried out in fifteen randomly selected villages at Arba Minch Zuria district, south west Ethiopia. Data was collected house-to-house using a pretested Amharic questionnaire. During the survey, 798 women were interviewed. Logistic regression model was applied to control confounders.ResultsOut of the total sample, 344 (43.1 %) respondents reported at least any one of the pregnancy complications faced in the recent pregnancy. The most common complications reported were malaria (57 %), nausea/vomiting (47.1 %) and severe head ache (29.1 %). of those women who faced complications, around 254 (73.8 %) sought assistance from a skilled provider. Ninety (26.2 %) of the respondents sought assistance either from unskilled provider or home based self-care. Unable to understand the seriousness of the complications, thought as unnecessary, and family disapproval were the major reasons for not seeking care from skilled providers. Belonging to monthly household income $US25- 100 (AOR = 3.4, 95 % CI; 1.04, 11.4), getting antenatal care from a skilled provider (AOR = 10.6, 95 % CI; 3.3, 34.5), Women in the age 20–34 years old (AOR = 3.8; 95 % CI, 1.2, 12.3), Availability of transport access (AOR = 72.2; 95 % CI; 17.2, 303.5) were significantly associated with seeking assistance from a skilled provider.ConclusionsNearly half (43.1 %) of the women had faced pregnancy complications to the recent birth of last one year. Majority (2/3rd) of the women who reported complications sought skilled assistance. Family, income, transport issue and antenatal care use were independent predictors for skilled assistance from skilled provider.

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Section: Discussionsupporting

confidence: 93%

Predictors of skilled assistance seeking behavior to pregnancy complications among women at southwest Ethiopia: a cross-sectional community based study

2015

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“…6,18–21 The Haitian government and international organizations must find creative ways to remove these barriers. Corruption is recognized by the Haitian government and the World Bank as “a manifestation of multi-faceted, systemic weaknesses that can only be addressed through a broad program of governance, public sector reform and broader accountability throughout Haitian society and government.” 22 …”

Section: Discussionmentioning

confidence: 99%

Unmet health needs identified by Haitian women as priorities for attention: a qualitative study

Urrutia¹,

Merisier

Small

et al. 2012

Reproductive Health Matters

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This 2009 qualitative study investigated Haitian women’s most pressing health needs, barriers to meeting those needs and proposed solutions, and how they thought the community and outside organizations should be involved in addressing their needs. The impetus for the study was to get community input into the development of a Family Health Centre in Leogane, Haiti. Individual interviews and focus group discussions were conducted with 52 adult women in six communities surrounding Leogane. The most pressing health needs named by the women were accessible, available and affordable health care, potable water, enough food to eat, improved economy, employment, sanitation and education, including health education. Institutional corruption, lack of infrastructure and social organization, the cost of health care, distance from services and lack of transport as barriers to care were also important themes. The involvement of foreign organizations and local community groups, including grassroots women’s groups who would work in the best interests of other women, were identified as the most effective solutions. Organizations seeking to improve women’s health care in Haiti should develop services and interventions that prioritize community partnership and leadership, foster partnerships with government, and focus on public health needs.

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“…Bleeding postdelivery was the most frequent complication (42.5%), followed by great pain (33.8%), bleeding during pregnancy (20.1%), and fever postdelivery (11.6%). 27 Community level identification and initial stabilization of pregnancy emergencies may prevent the progression of the complication to an untreatable, fatal state. Tertiary preventative efforts, or efforts to delay progression of the complication must be implemented early in the course of a pregnancy complication to be effective.…”

Section: Maternal Mortalitymentioning

confidence: 99%

Maternal Mortality:

Anderson¹

2009

Clinical Obstetrics &Amp; Gynecology

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Women continue to die from pregnancy-related causes at an alarming rate. Maternal mortality was first called a neglected epidemic in 1985, but to date, no significant improvements have been realized. Great disparity exists as lifetime risk of dying from pregnancy is 1 in 26 in Africa, 1 in 7300 in high-income areas. The UN Millennium Development Goals call for a 75% reduction in maternal mortality by 2015, which will only be realized when priority setting, funding, and program implementation can create conditions for appropriate human resources, infrastructure, and patient education for high-quality obstetric care.

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Perceptions of pregnancy complications in Haiti

Abstract: The perceived pregnancy complication rate in Haiti is high and is associated with access to health care. The association between use of herbs and pregnancy complications warrants investigation.

Cited by 11 publications

References 3 publications

Predictors of skilled assistance seeking behavior to pregnancy complications among women at southwest Ethiopia: a cross-sectional community based study

Predictors of skilled assistance seeking behavior to pregnancy complications among women at southwest Ethiopia: a cross-sectional community based study

Unmet health needs identified by Haitian women as priorities for attention: a qualitative study

Maternal Mortality:

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