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- 저자 : ( He Luzhu ) (검색결과 2 건)
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Determinants of Antenatal Care Services Utilization among Reproductive Age Women in Rural Sudan
( He Luzhu ),( Sirelkhtem Eltayeb Elfaki ),( Jung Hye Hwang ),( Soo Jeung Choi ),( Hayun Kim ),( Haebin Lm ),( Dongwoon Han ) 한국모자보건학회 2016 한국모자보건학회 학술대회 연제집 Vol.2016 No.2
Background The indices of maternal mortality and morbidity in Sudan are among the highest globally, meanwhile poor utilization of antenatal care (ANG) services are reported. Antenatal care services are key maternal health services that can significantly reduce maternal mortality. However, much less is known about the factors associated with utilization of ANG services in rural areas of Sudan. Aim To assess quality of ANG services and identify the factors associated with low prevalence of antenatal care services among reproductive age women in rural Sudan. Method: A cross-sectional study was conducted in four primary health centers in Marawi, Northern Sudan from October to November 2015. The questionnaire was developed with 4 sections, including 3 on independent variables (knowledge of pregnancy, accessibility, socio-demographic), and the dependent variable was utilization of ANG services. Data were collected through face to face interview survey and then coded and analyzed with Excel and SPSS software. Chi-square and logistic regression were used to determine the association between dependent and independent variables. Results 348 women were approached during the survey, only 163 (46.8%) women made four or more ANG visits. Most of them (over 80%) had good knowledge about danger signs and information of pregnancy. ‘Transport cost is high” was the most (56.8%) reported barrier to utilizing ANG services, following answers were “Health center is far” and “Husband refusing” . Distance form home to health center and health services waiting time were significantly related to number of ANG visits. Many socio-demographic characters such as marital status and education level of women or husbands were factors influencing the utilization of ANG services Conclusion Utilization of ANG visits was low in Marawi District. The women living there had good knowledge about pregnancy, however, had several barriers to access the ANG services in health center. Thus, public health intervention programs should be targeted towards improving the pattern of antenatal care use among the reproductive age women in Sudan.
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Use of Complementary and Alternative Medicine(CAM) during pregnancy in Kunming, China
( Lindsey Park ),( Luzhu He ),( Junghye Hwang ),( Dongwoon Han ) 한국모자보건학회 2020 한국모자보건학회 학술대회 연제집 Vol.2020 No.-
Purpose: The health status of Chinese people have considerably improved with an impressive achievement in maternal health(75% reduction rate of maternal mortality rate from 1990 to 2015) in the past 20 years with strong growth in healthcare. In China, Complementary and Alternative Medicine (CAM) such as “Traditional Chinese Medicine (TCM)” is integrated in many general hospitals and primary healthcare institutes and has been practiced since ancient time. CAM use in China is popular among pregnant women and it is reported that many women utilize CAM during pregnancy until this day. The perception of CAM and its safety has been a debate for many researchers in the healthcare sector as the prevalence of CAM use is continuously rising not only in China but all around the world. Thus, the search for factors that allow women to rely on CAM during pregnancy has been brought to light in Global Health. The purpose of this study was to assess the factors which determine the use of CAM among pregnant women in Kunming city, China. Methods: A cross-sectional study was conducted among 389 pregnant women between the ages of 19-49 years old, who had visited the antenatal care outpatient department in the Kunming City Maternal and Child Hospital and the Jinkai District People’s Hospital in Kunming city, China. The data was collected given the option of self-reported questionnaire or a verbal face-to-face interview. The collected data was then exported to Microsoft Excel and IBM SPSS version21 for analysis and Chi-square tests were used to predict the association of study variables. Results: It was observed that 68.1% of women (265) used CAM during pregnancy and among those, 64.5% of women (171) had used CAM due to their health professional’s recommendations. Prior use of CAM, self-reported health status, communication between health professionals and information regarding CAM use are key components of CAM use during pregnancy. Statistically significant factors of CAM use include: self-reported health status, prior use of CAM, experience of back pain/skin problems/the common cold, preparation for natural birth and nutritional support (p value less than 0.05). Conclusion: In this study, 7 out of 10 women in Kunming city, China had used CAM during their pregnancy. The women who did not utilize CAM during pregnancy was largely due to their perception of it not being safe. The reasons for women to utilize CAM was the highest in those that followed their doctors’ or nurses’ recommendations (64.5%) and lowest in those who had said it was cheap and easy to access (1.9%). The information received by health professionals on the use of CAM is key to a successful and safe use in CAM during pregnancy. This study places emphasis on the importance of health professional’s attitude and the delivery of information about CAM. This study can be used as a guideline to educational programs for professionals in the obstetric and TCM department to ensure the safe use of CAM. With an appropriate integrative medicine healthcare delivery system in hospitals throughout China, the strengthening cooperation between the two departments could benefit many users.
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