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研究生:Mkhonta Zama
論文名稱(外文):The Factors Associated with Utilization of Antenatal Care Visits Among Pregnant Women in Eswatini
指導教授:盧玉嬴盧玉嬴引用關係
指導教授(外文):YU-YING LU
口試委員:郭素珍劉介宇
口試委員(外文):Suchen KuoChieh-Yu Liu
口試日期:2022-06-21
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2022
畢業學年度:110
語文別:英文
論文頁數:126
外文關鍵詞:Maternal health literacy, Utilization of antenatal care (ANC), Pregnant women, Eswatini
相關次數:
  • 被引用被引用:0
  • 點閱點閱:134
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Abstract

Background:
  Antenatal care (ANC) has been identified as a key strategy for maintaining a healthy pregnancy. Therefore, this study aimed to explore the associations between maternal health literacy and the utilization of ANC.
Methods:
  A cross-sectional correlational design was conducted among 400 pregnant women in Eswatini. Data was collected using a demographic questionnaire, MHELIP (Maternal Health Literacy Inventory in Pregnancy), and utilization of ANC. SPSS version 20 was used to analyze data. Bivariate and multiple logistic regressions were done to identify factors related to the utilization of ANC.
Results:
  Results showed that utilization of ANC was significantly associated with maternal education, gestational age, parity, complications during pregnancy, medical history, and maternal health literacy (p< .05). Healthcare providers should offer antenatal health education to pregnant women which might help to reduce maternal and neonatal mortality.
Keywords: Maternal health literacy, Utilization of antenatal care (ANC), Pregnant women, Eswatini




Contents

Chapter 1: Introduction 1
1.3 Problem Statement 4
1.4 Research purpose 7
1.5 Research questions 7
1.6 Significance of the study 7
1.7 Research concepts and definitions 8
1.7.1 Maternal health literacy 8
1.7.2 Utilization of Antenatal Care 9
Chapter 2: Literature Review 10
2.1. Introduction 10
2.2 Eswatini’s country profile 10
2.3 The health system of Eswatini 11
2.4 Basic Antenatal Care (BANC) Approach in Eswatini 13
2.5 Raleigh Fitkin Memorial Hospital (RFMH) 15
2.6 Utilization of Antenatal Care 16
2.7 The Factors related to the Utilization of ANC 17
2.7.1 Maternal Health Literacy 17
2.7.2 The Sociodemographic Factors 19
2.8 Obstetric Factors 26
2.9 Research Framework 27
Chapter 3: Methodology 29
3.1 Study design 29
3.2 Study Setting and Sampling 29
3.3 Inclusion and Exclusion Criteria 31
Inclusion: 31
3.4 Instruments 31
3.4.1 Socio-demographic Characteristics 31
3.4.2 Utilization of ANC 32
3.4.3 Maternal health literacy inventory in pregnancy (MHELIP) 32
Reliability and Validity 33
3.5 Data Collection 33
3.6 Ethical Issues 36
3.7 Data Analysis 36
Chapter 4: Results 38
4.1 The demographic and Obs-Gyn characteristics of the participants 38
4.1.1 The demographic characteristics of the participants 38
4.1.2 The Demographic and Obs-Gyn characteristics of the participants 39
4.2. The levels of Maternal Health Literacy 41
4.3. The usage of antenatal care among pregnant women in Eswatini 43

4.6. Associations between demographic and Obs-Gyn variables and maternal health literacy 49
4.7 The relationship between maternal health literacy and the usage of antenatal care 55
4.9. Predictors of the usage of ANC 57
4.9.1 Predictors of the number of ANC visits 57
4.9.2 Predictors of the gestational age at the first ANC visit 58
Chapter 5: Discussion 60
Introduction 60
5.1. Maternal health literacy among pregnant women in Eswatini 60
5.2 The usage of ANC visits among pregnant women in Eswatini 62
5.2.1 Number of ANC visits 62
5.2.2 Gestational age at first ANC visit 63
5.3 Factors associated with the utilization of ANC visits 64
5.3.1 Demographic, Obs-Gyn variables, MHL, and the number of ANC visits 64
5.3.2 Demographic, Obs-Gyn variables, MHL and gestational age at first ANC visit 68
Chapter 6: Implication, Recommendations, and Conclusion 71
6.1 Summary of Research Findings 71
6.2 Implications 72
6.2.1 Clinical practice 72
6.2.2 Policy 72
6.2.3 Nursing education 73
6.3 Strengths and Limitations 74
6.4 Recommendations for future study 74
6.5 Conclusion 75
References 76
Appendices 99
Appendix I: Consent for the study 99
Appendix II: Questionnaire 100
Appendix III: MHL Tool 111
Appendix IV: Request for Permission to Use Questionnaire 112
Appendix V: Grant for Permission to use Questionnaire 113
Appendix VI: Request for Permission to Collect Data At Study Site 114
Appendix VII: Support letter from the Study Site 115
Appendix VIII: Eswatini Research Approval Certificate 116






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