Factors Influencing Utilisation of Non-Pneumatic Anti-Shock Garment in The Management of Postpartum Haemorrhage Among Midwives in Ekiti State (Published)
Postpartum haemorrhage (PPH) is one of the leading causes of death among women especially in developing nations which can be managed through the use of non-pneumatic anti-shock garment (NASG). This study was aimed at evaluating the Utilization of NASG in the management of PPH among midwives in Ekiti State. This study adopted an embedded mixed method design. Purposive sampling technique was used to select six health facilities in Ekiti State and a total of 164 midwives participated in the quantitative study and 11 midwives in the qualitative study. Data were collected using self- structured questionnaire and interview guide. Results from the study shows that Midwives mean age was 37 ± 7.64, more than half 65.9% had (NASG) in their facilities, 54.3% have applied NASG on their patients, this corroborates with the result of the interview where majority showed adequate utilization, occasional utilization and awaiting approval for utilization. It was observed that Midwives’ don’t utilize NASG as a result of availability of other methods of controlling PPH 88.8%, non-availability of the garment 53%t, and Inaccessibility to NASG 48.8%, 36,4% indicated staff training challenge and alternative to NASG utilization 36.4% as the major factors influencing the utilization, this also corroborate with the result from the key informant interview, It was noted that the utilization of NASG was influenced by its availability as the p value gotten was 0.01 which is lesser than 0.05. Conclusively, the utilization of NASG for the management of PPH was on the average.
Keywords: Midwives, Non pneumatic anti-shock garment, Postpartum haemorrhage, Utilization
Utilization of Family Planning Services Among Women of Child Bearing Age (15-45 Years) From 2011 To2013 in Calabar South Local Government Area Of Cross River State-Nigeria (Published)
High fertility and lack of proper family planning had resulted in large population growth rate in the country. One of the most effective ways to address population growth and achieve larger sustainable development goals is to increase access to sustainable free voluntary family planning services (Disu, 2012). This study therefore seeks to assess utilization of family planning services among women of child bearing age in Calabar South Local Government Area of Cross River State-Nigeria. To achieve this purpose of the study, three research questions were raised to guide the study. Retrospective study design was used. Records of 398 women who were attending family planning clinics in selected four primary health facilities from 2011 to 2013 were used, and structured checklist was developed. Data collected were analysed using tables and simple percentage. The results of the study showed that about 145 (36.4%) number of women utilized family planning in 2013. Oral method of contraceptive was mostly used by the women, indicating 46 (35%), and that family planning is mostly used by women with about 3-4 children which accounted for 122 (31%) of the women. The result also showed that a large proportion of the women were influenced by friends to utilize family planning services which amounted to about 185 (46%). Non-acceptance of family planning by husbands showing 294 (73.9%) was the main factor hindering utilization. It was recommended that mass mobilization and creation of awareness should be carried out to sensitise the people on public acceptance of family planning to break taboos, myths and misconceptions about family planning services especially by husbands to control rapid population growth in the study area.
Keywords: Child Bearing, Family Planning, Utilization, services