FACULTY OF CLINICAL SCIENCES

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Author: search.filters.author.Oluwasola, T. A. O.Subject: search.filters.subject.Antenatal care

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    Male involvement in maternal health care in Karonga District, Malawi.
    (2021) Soko, M.; Oluwasola, T. A. O.; Olayemi, O.
    Background: Male involvement in maternal health has been of interest since the Cairo International Conference on Population and Development (ICPD) programme of action in 1994 outlined the role of men in reproductive health. This study aimed to evaluate the level of male involvement in maternal health in Malawi. Methods: A cross sectional study, involving 408 men, was conducted in Karonga distuict of Malawi. Men whose spouses delivered a child within a period of 2 years preceding the study were selected using random sampling procedures. The study design adopted an explanatory mixed-method approach making use of questionnaires and focus group discussions for data collection. The quantitative data was analyzed using Statistical Package for Social Sciences (SPSS) version 24 while the qualitative data analysis was guided by the thematic content analysis. Ethical approval was duly obtained before commencing the study. Results: Most of the participants had secondary education (54%), were businessmen (40.7%). had one or two children (53.7%) while 80% were aged between 21 and 40 years. Of the 408 participants, about three-fifths, 244 (59.8%) had accompanied their wives for antenatal care (ANC) during last pregnancy, 230 (56.4%) were present at delivery while 210 (51.5%) accompanied their wives for postnatal care services. Overall, only 185 (45.5%) of the patticipants had accompanied their wives for all the three services. Aside accompanying their wives for care, more than two-thirds of the participants, 284 (69.6%) planned ANC with their wives, about three-quarters. 304 (74.5%) helped with household chores and more than half, 223(54.7%) discussed their wives' health issues with health workers. Conclusion: There is a high level of male involvement in maternal health care services in Karonga district of Malawi, However, few men are involved in accompanying the wife to all the maternal health care services, There is need to improve male involvement in maternal health thereby warranting a need for clearly stated policies that address male involvement in maternal health care.
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    Awareness and knowledge of birth defects among antenatal Clinic attendees at the University College Hospital Ibadan, South-West, Nigeria.
    (2021) Akinmoladun, J. A.; Uchendu, O.; Lawal, T. A.; Oluwasola, T. A. O.
    OBJECTIVES: This study assessed the knowledge of risk factors and prevention of birth defects among ante-natal clinic attendees at the University College Hospital, Ibadan, Oyo State, Nigeria METHODS: This was a cross sectional study among 415 mothers who presented at the antenatal clinic, A semi-structured questionnaire was used to obtain information on respondents socio-demographic profile, pregnancy, birth history, knowledge on prevention and risk factors for birth defects. Descriptive statistics was used to present results, independent t-test and ANOVA were used to determine the factors associated with mean of overall knowledge of birth defects. Test statistics was done at a 5% level of statistical significance. RESULTS: The mean age of the women was 31.7 + 4.8 years Overall, 93 (22.4%) of the women were above 35 years, 118 (29.9%%) were skilled workers and 343 (84.9%) had tertiary education. More than half (219, 52.8%) of the respondents had good knowledge of birth defects (56.4%a had good knowledge of prevention and 66.0% had good knowledge of risk factors) Antenatal clinic attendees in their first trimester had higher mean overall knowledge score (8.3 t 4.9) compared to those in second (7.9 + 4.5) and third (7,9 + 4,9) trimesters but this was not statistically significant (p=0.873). However, respondents in skilled/ semi-skilled occupation (8_62) had a significantly higher mean knowledge score compared with those in unskilled occupation/ unemployed (7,33) (p=0.005) CONCLUSION: Knowledge of birth defects is relatively low among women. To reduce the occurrence and severity of birth defects, there is a need to educate mothers on the knowledge, prevention and importance of screening for birth defects.