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  • ISSN: 2379-0547
    Volume 4, Issue 2
    Research Article
    Ishaku Ara Bako*, Eje Daniel Ukpabi, and Egwuda Livinus
    Background: Access to antenatal and delivery and post natal services in Benue state Nigeria is less than recommended by the World Health Organization. The objective of the study was to determine the proportion of women who attended Ante Natal Care (ANC) and whose deliveries were attended to by skilled birth attendants as well as factors associated with utilization of skilled delivery services among women attending under five clinics in Makurdi Benue state.
    Methods: The study was a cross sectional study including 300 mothers of infants aged less than six months. An interviewer administered structured questionnaire was used to obtain socio demographic data and information on ANC and attendants at last delivery. Data was analyzed using SPSS version 20. Chi-square tests were used to determine associations between outcome and exposure variables.
    Results: Among the respondents, 94.3% had antenatal care during their last pregnancy, 88% had their delivery at a health facility while 94% were attended to by a skilled birth attendant. About three quarters of the respondents reside within a 30 minutes travel time to the nearest health facility. Higher level education and ANC attendance were significantly associated with health facility delivery.
    Conclusions: The level of utilization of antenatal care and health facility delivery is higher than findings from many previous studies in resource constrained settings. Higher level of educational attainment and attending ANC were significantly associated with having delivery attended to by a skilled birth attendant. There is need to intensify the health education programme to achieve universal access to skilled delivery.
    Vineeta Singh*, Manushi Srivastava, and Singh TB
    Introduction: Pregnancy and childbirth are generally times of joy for parents and families. Pregnancy, birth and motherhood, in an environment that respects women, can powerfully affirm women's rights and social status without jeopardizing their health. On the other hand empowerment is a process of development of status of women in society and directly influences the utilization maternal health care services. Therefore, reproductive healthcare and women's empowerment go hand in hand, especially in rural areas. Thus the aim of this study is to find out the association between women's empowerment and the utilization of antenatal care services in rural areas.
    Materials and Methods: This is a community based cross-sectional study based on primary data at individual level. The study was conducted with the women of reproductive age group (15-49 years) who had at least one child up to age of 2 years, in rural areas of Varanasi district, Uttar Pradesh, India with sample size of 523. Pre-tested & structured interview schedule was used for data collection. Women Empowerment Scale was used to measure the status of women empowerment.
    Finding of the study: Data reveals significant association between utilization of antenatal care services with respondent's age, caste, education, occupation, age at marriage & socio-economic status of family. The results indicate that if women were empowered in term of mobility, freedom from family domination and economic security they were better utilizing antenatal care services as compared to non-empowered women. This finding confirms that women's empowerment is crucial to improve maternal health care especially in rural setting.
    Conclusion: Women's empowerment has a significant and positive impact on receiving regular antenatal care. The study results suggest that policy actions that increase women's empowerment could be effective in helping assure improved maternal health care utilization, and as a result, better maternal and child health outcomes.
    Case Report
    Rune Vinther Madsen*, Henrik Kjældgaard, Hanne EH Møller, and Mikael Frederiksen
    Acute conditions may present themselves anywhere in the healthcare system. Thus it is important for everyone to pay attention to the identification and treatment strategies for acute conditions at general practices and/or hospitals. Herein, we report a case of a previously healthy, 21-year-old Romanian man initially presenting his acute symptoms to his Danish general practitioner. He was presented as experiencing a malaise, fever, growing rashes on his legs and a slight taste of blood in his mouth.
    Supportive care was initiated at the general practice and he was transported to an acute hospital for further stabilization and medical investigations. Subsequently he was transferred to a haematological specialized department at the regional university hospital, where he was diagnosed with the potentially fatal disease aplastic anemia. Later on, the patient was transferred to a hospital with highly specialized functions of definitive treatment. Although aplastic anemia is a rare clinical condition, this case underlines the importance to try to optimize the different processes in both pre-hospital and intra-hospital settings. It also suggests special attention to procedural, medical and cultural factors.
    Perspective
    Brett Worly* and Deborah O'Donnell JD
    While managing risk is something very common to healthcare providers, Risk Management is something very foreign. This editorial will explore the challenges and opportunities for growth amongst the Risk Management aspects of the healthcare field. While progress has been made, improvements are essential as one of the focus points in health care becomes a reduction in harms by the medical establishment.
    Short Communication
    Corina Martinez, Denise Rios, Marielena Lara, Michael E. Hochman, and Anne L. Escaron*
    Background & Objectives: Evidence suggests that district wellness policies influence children's BMI levels, and calories consumed and expended. USDA provisions require school districts to assess their wellness policy and report progress towards achieving wellness policygoals. In this report, we describe our experience guiding one district through a systematic approach for prioritizing and updating key wellness policy items and report back on lessons learned.
    Methods: First, we analyzed the wellness policy of 1 school district using WellSat 2.0 to inform our wellness policy revision process. Second, we rated all 78 WellSat items for the strength of the evidence according to What Works for Health to 1) increase fruit and vegetable consumption, 2) increase physical activity, and 3) reduce sugary beverage consumption. Similarly, all 78 WellSat items were assessed for their relevance to the USDA provisions. Third, we applied this prioritization framework with one school district in updating their wellness policyin a 1-day session.
    Results: Thirty-one of 78 WellSat items were scientifically supported to positively influence priority health behaviors according to the database, and10 were relevant to USDA provisions. For the district 47 of 54 items (87%) that could be improved were discussed by key district stakeholders and new policy language was developed for 39 of 47 items (83%). Of the 31high priority items, 18 of 19items that could have been improved were discussed.
    Conclusions: The step by step process we describe in this report for helping one school district revise its wellness policy offers a community engagement approach for supporting school districts to revise these policies in an evidence-based manner.
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