Abstract:
Background:Risk perception and recognition of danger signs are important cues for accessing obstetric care. These measures are not well documented in many resource-limited settings, including northern Nigeria, a region with poor maternal health indices. Objective:To assess community level obstetric risk perception, danger sign recognition and their predictors in Kano, northern Nigeria. Method:This is a community-based cross-sectional study. Participants were surveyed using structured, pretested questionnaires. Knowledge of obstetric risk factors and danger sign recognition were analyzed, and their predictors modeled using logistic regression to generate adjusted odds ratios (AORs). Results:The obstetric risk factors identified by the 400 respondents included: maternal age (64.3%), history of abortion (37.0%), postpartum haemorrhage (36.0%), previous operative delivery (31.8%), and high parity (31.3%). The most frequently recognised danger signs during pregnancy were: vaginal bleeding (76.8%), seizures (44.5%), and severe abdominal pain (34.8%). Common intrapartum danger signs recognised included: severe bleeding (77.8%), seizures (55.5%), and loss of consciousness (38.3%). Severe bleeding (80.5%), seizures (42.0%), and high fever (28.5%) were the top three danger signs identified in the postpartum period. At multivariate level, respondent sex (female vs. male) (aOR = 3.10, 95% CI = 1.67-5.74), ethnicity (Yoruba vs. Hausa) (aOR = 7.53, 95% CI = 2.51-22.6), occupation (employed vs. unemployed) (aOR = 4.07, 95% CI = 1.87-8.84) and parity (≥5 versus 0) (aOR = 0.23, 95% CI = 0.06-0.92) predicted good obstetric risk perception. Participants' ethnicity (Yoruba vs. Hausa) (aOR = 4.40, 95% CI = 1.10-19.2) and obstetric risk perception (good vs. poor) (aOR = 12.0, 95% CI = 6.8-21.2) predicted danger sign recognition. Conclusion:The perception of obstetric risk and recognition of danger signs were influenced by participant sex, parity, employment status, and ethnicity. Targeted communication strategies and community-based education are essential to enhance effective utilisation of emergency obstetric services.
journal_name
Ann Glob Healthjournal_title
Annals of global healthauthors
Iliyasu Z,Galadanci HS,Abdurrahim A,Jibo A,Salihu HM,Aliyu MHdoi
10.5334/aogh.376subject
Has Abstractpub_date
2019-10-03 00:00:00pages
121issue
1issn
2214-9996journal_volume
85pub_type
杂志文章abstract:BACKGROUND:Diabetes has become a major health care problem in India with an estimated 66.8 million people suffering from the condition, representing the largest number of any country in the world. OBJECTIVE:The rising burden of diabetes has greatly affected the health care sector and economy in India. The goal of heal...
journal_title:Annals of global health
pub_type: 杂志文章,评审
doi:10.1016/j.aogh.2016.01.002
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Sub-Saharan Africa (SSA) has one of the highest levels of perinatal mortality globally. However, there are sub-regional and country-specific disparities in its distribution. OBJECTIVE:The aim of this study was to undertake a meta-analysis of demographic and health surveys to quantify perinatal mortality rat...
journal_title:Annals of global health
pub_type: 杂志文章,meta分析
doi:10.5334/aogh.2348
更新日期:2019-07-12 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
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journal_title:Annals of global health
pub_type: 杂志文章
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更新日期:2020-04-28 00:00:00
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pub_type: 杂志文章
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journal_title:Annals of global health
pub_type: 杂志文章,评审
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journal_title:Annals of global health
pub_type: 杂志文章
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journal_title:Annals of global health
pub_type: 历史文章,杂志文章,评审
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更新日期:2015-07-01 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章,多中心研究
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journal_title:Annals of global health
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journal_title:Annals of global health
pub_type: 杂志文章,评审
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journal_title:Annals of global health
pub_type: 杂志文章,评审
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journal_title:Annals of global health
pub_type: 杂志文章,评审
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journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.3024
更新日期:2020-09-03 00:00:00
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journal_title:Annals of global health
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journal_title:Annals of global health
pub_type: 杂志文章,评审
doi:10.1016/j.aogh.2014.09.012
更新日期:2014-09-01 00:00:00
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journal_title:Annals of global health
pub_type: 评论,社论
doi:10.5334/aogh.2519
更新日期:2019-06-17 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2592
更新日期:2019-10-23 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2462
更新日期:2019-11-07 00:00:00
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journal_title:Annals of global health
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journal_title:Annals of global health
pub_type: 杂志文章
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journal_title:Annals of global health
pub_type: 杂志文章
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journal_title:Annals of global health
pub_type: 杂志文章
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更新日期:2020-05-22 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
doi:10.1016/j.aogh.2016.05.005
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journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2514
更新日期:2019-08-16 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.3104
更新日期:2020-11-02 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章,评审
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更新日期:2019-01-22 00:00:00
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pub_type: 杂志文章
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更新日期:2019-05-09 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
doi:10.1016/j.aogh.2016.01.017
更新日期:2016-01-01 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
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更新日期:2020-07-30 00:00:00