Knowledge and Social Status as Determinants of the New Antenatal Care Guidelines among Pregnant Women Attending Antenatal Clinics in Surulere Area …

Knowledge and Social Status as Determinants of the New Antenatal Care Guidelines among Pregnant Women Attending Antenatal Clinics in Surulere Area …内容摘要：

IOSR Journal Of Humanities And Social Science (IOSR-JHSS) Volume 24, Issue 10, Series. 10 (October. 2019) 28-33 e-ISSN: 2279-0837, p-ISSN: 2279-0845. www.iosrjournals.org Knowledge and Social Status as Determinants of the New Antenatal Care Guidelines among Pregnant Women Attending Antenatal Clinics in Surulere Area, Lagos Olanrewaju, M.F(PhD)1.,Aduluwa, H.O2. Adebola, O3., Adeoye,A.O. (PhD)4.,Oyerinde, O.O.(PhD)5 Asekun-Olarinmoye,T.F.6 & Filade ,B.A7 1,2.3,5,6 Dept.of Public Health, School of Public and Allied Health, Babcock University,IlishanRemo,OgunState.Nigeria. 4,7 Dept. of Education, Awoniyi Joel, School of Education and Humanities.Ilishan Remo, Ogun state. Nigeria Abstract: Pregnant women in developing countries have an increased risk for pregnancy-related complications and death and the infants of these mothers have an increased risk for complications during birth or shortly after delivery. However, many of the complications are preventable with appropriate antenatal care (ANC). Antenatal care is a key strategy to improve maternal and infant health. This study was proposed to explore the awareness, attitude, practice of the new antenatal care guidelines among pregnant women attending antenatal clinics (ANC) in Surulere area of Lagos State. This study adopted descriptive cross-sectional design and simple convenient sampling technique in trying to understand the views of pregnant women regarding the new guidelines of ANC released in 2016 by the WHO. A forty seven (47) item validated and structured questionnaire was used to collect data. The knowledge question and social status was measured on a twenty two point ration scale, Result indicate that level of knowledge among respondents has no relationship (p. value, 0.259) with utilization of the new recommended ANC guideline in Surulere, Lagos State.Also,educational status of respondents has a relationship (p. value, 0.026) with number of contacts, while other social status is not significantly associated with number of contact. Appropriate, recommendations were made. Keywords: Knowledge, Social Status, New Antenatal Care Guidelines, --------------------------------------------------------------------------------------------------------------------------------------Date of Submission: 09-10-2019 Date of acceptance: 25-10-2019 --------------------------------------------------------------------------------------------------------------------------------------- I. INTRODUCTION Pregnancy is one of the most important periods in the life of a woman, a family and a society. Extraordinary attention is therefore given to Antenatal care (ANC) by the health care administrators of most countries. This is because of its preventive power in reducing to the barest minimum pregnancy related complications. Antenatal or prenatal care aims to prevent health problems in both infant and mother and to see that each newborn child has a good start (HEN, 2003). Antenatal care is an essential part of modern health care system. The 2014 World Health Organization report on ANC established that only 61% of pregnant women in a developing country like Nigeria ever made at least one “contact” with a skilled ANC provider and only 57% made the WHO recommended “at least 4 visits” (WHO, 2002) between 2006 and 2013 despite free ANC in most parts of the country. These figures released by the WHO and other international bodies are not encouraging (WHO, 2014). It defeats the purpose of antenatal care as a whole. This is because with an increasing population comes increasing burden on the health care system as a whole. If a country like Nigeria cannot get it right at implementing effective antenatal care, one will wonder when then is the country going to get it right especially with pregnancy related deaths and diseases remaining unacceptably high. According to the World Bank estimate of 2015, Nigeria’s maternal mortality rate, MMR is still as high as 821 per 100,000 live births (World Bank, 2015). Worst still, of the 303,000 women that died globally due to complications of pregnancy and child births, 58,000 of these women died in Nigeria alone (WHO, 2015). These figures are unacceptably high as most of these illnesses are preventable. With population growth rate projected at 2.9% annually (NBS, 2012), measures needs to be put in place to address the issues arising from or aiding these preventable deaths. One of such method is increasing the number of “contacts” mothers have with their profess