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Effects of introducing routinely ultrasound scanning during Ante Natal Care (ANC) clinics on number of visits of ANC and facility delivery: a cohort study.

Mbuyita S, Tillya R, Godfrey R, Kinyonge I, Shaban J, Mbaruku G - Arch Public Health (2015)

Bottom Line: A total of 257 women consented and received the study treatment.Our results showed that, there was no a slight change between baseline (97.2 %) and endline (97.4 %) results among women attending ANC clinics at least once.However, there was a significant change in percentage of women attending ANC clinic four times or more (27.2 % during baseline and 60.3 %; p = 0001).

View Article: PubMed Central - PubMed

Affiliation: Ifakara Health Institute, P.O. Box 78373, Kiko Avenue, Mikocheni, Dar Es Salaam Tanzania.

ABSTRACT

Background: Many countries have integrated antenatal care as an essential part of routine maternal health services. The importance of this service cannot be overemphasized as many women's lives are usually saved particularly through early detection of pregnancy related complications. However, while many women would attend at least one visit for ante natal care (ANC), completion of recommended number of visits (4+) has been a challenge of many health systems particularly in developing countries like Tanzania.

Methods: We conducted a cohort study to include ultrasound scanning using a portable hand-held Vscan to test whether by integrating it in routine ANC clinics at dispensary and health centre levels would promote number of ANC visits by women. Health providers rendering ANC services in selected facilities were trained on how to use the simple technology of ultrasound scanning. Women living in catchment areas of the respective selected facilities were eligible to inclusion to the study when consented. A baseline status of the ANC attendance in the study area was established through baseline household and facility surveys. A total of 257 women consented and received the study treatment.

Results: Our results showed that, there was no a slight change between baseline (97.2 %) and endline (97.4 %) results among women attending ANC clinics at least once. However, there was a significant change in percentage of women attending ANC clinic four times or more (27.2 % during baseline and 60.3 %; p = 0001).

Conclusions: We conclude that, introduction of the simplified ultrasound scanning technology at lowest levels of care has an effect to improving ANC attendance in terms of number of visits and motivate facility delivery.

No MeSH data available.


Related in: MedlinePlus

Trend of ANC attendance by Tanzanian women between 1999 and 2010 Source: NBS, 2010
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Fig1: Trend of ANC attendance by Tanzanian women between 1999 and 2010 Source: NBS, 2010

Mentions: Many developing countries (including Tanzania) have made in their health policy ANC services to be universal and provided without a cost in order to enable accessibility by the majority poor [3, 4]. However, despite such initiatives and efforts, utilization of ANC services has not been very satisfactory [5]. For example, while Tanzania has attained an average of about 96 % of women attending ANC clinics (at least once) between 2004 and 2010 (Fig. 1), the percentage of women attending four or more visits has been declining [2].Fig. 1


Effects of introducing routinely ultrasound scanning during Ante Natal Care (ANC) clinics on number of visits of ANC and facility delivery: a cohort study.

Mbuyita S, Tillya R, Godfrey R, Kinyonge I, Shaban J, Mbaruku G - Arch Public Health (2015)

Trend of ANC attendance by Tanzanian women between 1999 and 2010 Source: NBS, 2010
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4561474&req=5

Fig1: Trend of ANC attendance by Tanzanian women between 1999 and 2010 Source: NBS, 2010
Mentions: Many developing countries (including Tanzania) have made in their health policy ANC services to be universal and provided without a cost in order to enable accessibility by the majority poor [3, 4]. However, despite such initiatives and efforts, utilization of ANC services has not been very satisfactory [5]. For example, while Tanzania has attained an average of about 96 % of women attending ANC clinics (at least once) between 2004 and 2010 (Fig. 1), the percentage of women attending four or more visits has been declining [2].Fig. 1

Bottom Line: A total of 257 women consented and received the study treatment.Our results showed that, there was no a slight change between baseline (97.2 %) and endline (97.4 %) results among women attending ANC clinics at least once.However, there was a significant change in percentage of women attending ANC clinic four times or more (27.2 % during baseline and 60.3 %; p = 0001).

View Article: PubMed Central - PubMed

Affiliation: Ifakara Health Institute, P.O. Box 78373, Kiko Avenue, Mikocheni, Dar Es Salaam Tanzania.

ABSTRACT

Background: Many countries have integrated antenatal care as an essential part of routine maternal health services. The importance of this service cannot be overemphasized as many women's lives are usually saved particularly through early detection of pregnancy related complications. However, while many women would attend at least one visit for ante natal care (ANC), completion of recommended number of visits (4+) has been a challenge of many health systems particularly in developing countries like Tanzania.

Methods: We conducted a cohort study to include ultrasound scanning using a portable hand-held Vscan to test whether by integrating it in routine ANC clinics at dispensary and health centre levels would promote number of ANC visits by women. Health providers rendering ANC services in selected facilities were trained on how to use the simple technology of ultrasound scanning. Women living in catchment areas of the respective selected facilities were eligible to inclusion to the study when consented. A baseline status of the ANC attendance in the study area was established through baseline household and facility surveys. A total of 257 women consented and received the study treatment.

Results: Our results showed that, there was no a slight change between baseline (97.2 %) and endline (97.4 %) results among women attending ANC clinics at least once. However, there was a significant change in percentage of women attending ANC clinic four times or more (27.2 % during baseline and 60.3 %; p = 0001).

Conclusions: We conclude that, introduction of the simplified ultrasound scanning technology at lowest levels of care has an effect to improving ANC attendance in terms of number of visits and motivate facility delivery.

No MeSH data available.


Related in: MedlinePlus