Abstract : The potential of antenatal care for reducing maternal morbidity and improving newborn survival and health is widely acknowledged. Yet there are worrying gaps in the factors that influence ANC attendance. The study determined the Socio-cultural factors influencing attendance for ANC services and to establish the effects of these factors on the quest to improve maternal and child health and prevent maternal mortality. Data was collected using quantitative and qualitative methodologies. The tools used for data collection included questionnaire and in-depth interviews. Data was collected from ANC clients/ registrants, ANC providers as well as opinion leaders who matter in social and cultural issues. The study established that social and cultural barriers such as beliefs, female literacy, poverty, and age of women, quality of care and myths and misconceptions influenced the timing and utilization of ANC services. The study concluded that low empowerment of women, low educational levels, poor health infrastructure and poor attitude of health staff as well as pregnancy outdooring and other cultural factors determines partly the utilization of ANC service. Therefore intervention measures in place to improve women access and utilization of ANC services mainly address the supply side and ignore the demand side which makes the whole process fail to improve the situation on ground. More friendly and sufficient health care services were therefore recommended to be provided to boost confidence of the community masses on health care and its providers. In addition, appropriate health education that is culturally acceptable and addresses the harmful traditional practices and benefits of safe motherhood should be explored and employed as short term measure. I believe that empowering women may be a more permanent work out on this issue.
Abstract : Background:
Intravenous (IV) cannulization is common invasive procedure used in clinical practice of hospital. Intravenous cannulization is the methods of insertion of a flexible plastic device with a stylet available, inserted to the vein to administer medications, fluids of blood transfusions. The Objective of the study was to find out the level of knowledge and practice on intravenous cannulization among nurses of Tamale Teaching Hospital in Tamale city.
The study was descriptive type of cross-sectional in nature. The main study was conducted from January-March 2016 in Female Medical, Male Medical and Pediatric ward. The instruments used for the study were self-administrated questionnaire. A total of 49 categories of nurses who met the inclusion criteria were selected from the three (3) wards of hospital by using stratified sampling with simple random sampling technique within the strata.
Mean age of the respondents was 27.39±5.3 years. The majority of respondents were male (53.1%). Maximum, 92% of respondents were completed up to Diploma in Nursing. Among the respondents, 49% spend 5-6 hours of their time in the ward with IV connectors, 22.4% spend 1-2 hours, and 26.5% spend 3-4 hours with IV connectors.
Conclusions: brief summary and potential implications
A large-scale Regional study, using an updated (i.e. adding the zero device) yet similar questionnaire and targeting nurses, physicians, and students, is warranted to determine knowledge deficits and best education practices to increase knowledge in these three healthcare providers. Once the deficits and education mode(s) are determined then programmes can be established to meet these needs with research initiatives implemented and outcome criteria assessed for effectiveness. It is imperative that nurses rise to the challenge and take the lead to assist in solving this problem.