QUANTITY AND QUALITY OF INFORMATION, EDUCATION AND COMMUNICATION DURING ANTENATAL VISIT AT PRIVATE AND PUBLIC SECTOR HOSPITALS OF BAHAWALPUR, PAKISTAN
AbstractBackground: Information, education and communication (IEC) by health care provider topregnant woman during the antenatal visit are very crucial for healthier outcome of pregnancy.This study analysed the quality and quantity of antenatal visit at a private and a public hospital ofBahawalpur, Pakistan. Methods: An exit interview was conducted from 216 pregnant women byusing validated, reliable and pre-tested adapted questionnaire. First sample was selected by simplerandom sampling, for rest of the sample selection systematic random sampling was adapted byselecting every 7th women for interview. Ethical considerations were taken. Results: Averagecommunication time among pregnant woman and her healthcare provider was 3 minute in publicand 8 minutes in private hospital. IEC mainly focused on diet and nutrition in private (86%) and(53%) public, advice for family planning after delivery was discussed with 13% versus 7% inpublic and private setting. None of the respondents in both facilities got advice or counselling onbreastfeeding and neonatal care. Birth preparedness components were discussed, woman in publicand private hospital respectively. In both settings antenatal clients were not received informationand education communication according to World Health Organization guidelines. Conclusion:Quality and quantity of IEC during antenatal care was found very poor in both public and privatesector hospitals of urban Pakistan.Keywords: Antenatal Care, Public and Private Hospitals, Communication, Information, Education
Family care international. Safe motherhood: A review. The safe
motherhood initiative 1987‒2005.
Moran AC, Sangli G, Dineen R, Rawlins B, Yameogo M,
Baya B. Birth-preparedness for maternal health: findings
from Koupéla District, Burkina Faso. J Health Popul Nutr
Bhatia JC, Cleland J. Self-reported symptoms of gynecological
morbidity and their treatment in south India. Stud Fam
World Health Organization. Interpersonal communication Part 1.
World Health Organization: Information, education and
communication: lessons from the past, perspectives for the future.
WHO/RHR/01.22. Geneva 2001.
O Lincetto. Antenatal Care ‒World Health Organization. URL:
JHIPEGO. Maternal and neonatal health (MNH) program. Birth
preparedness and complication readiness: A Matrix of shared
responsibilities. MNH 2001;1‒12.
Charles U, Tade T. Communication and Counselling in
HIV/AIDS: National Open University of Nigeria 2008;2‒145.
World Health Organization: WHO antenatal care randomized trial:
manual for the implementation of the new model. Geneva 2002.
Zafar R, Cross A. Reproductive Health. Pakistan Demographic
Health Survey 2006‒2007. p.129‒51.
WHO. Mother Baby Package: implementing safe Motherhood in
countries. Maternal health & safe motherhood programme division
of family health 2006. Geneva: p.114.
Andaleeb SS. Public and private hospitals in Bangladesh: service
quality and predictors of hospital choice. Health Policy Plan
Albrecht J, Dar lang M, Shah U, Diesfeld HJ. Maternity care in
rural Nepal: a health service analysis. Trop Med Int Health
J Ayub Med Coll Abbottabad 2012;24(3-4)
Lissner C. Safe motherhood needs assessment. In WHO/RHT/
MSM/96.18. World Health Organization, Geneva; 2001.
Mushtaq MU, Gull S, Shad MA, Akram J. Sociodemographic correlates of the health-seeking behaviours in
two districts of Pakistan’s Punjab province. J Pak Med Assoc
Wojtyla A, Bojar I, Boyle P, Zatonski W, Marcinkowski JT,
Bilinski P. Nutritional behaviours among pregnant women
from rural and urban environments in Poland. Ann Agric
Environ Med 2011;18(1):169‒74.
Habib F, Hanafi MI, El-Sagheer A. Antenatal care in primary health
care centers in Medina, Saudi Arabia, 2009: a cross-sectional study.
Eastern Mediterranean Health Journal 2011;17(3):196‒202.
Anyia SE, Hydara A, Jaiteh LE. Antenatal care in the Gambia:
Missed opportunity for information, education and communication.
BMC Pregnancy and Childbirth 2008;8:9.
Kitui J, Lewis S, Davey G. Factors influencing place of delivery for
women in Kenya: an analysis of the Kenya demographic and health
survey, 2008/2009. BMC Pregnancy Childbirth 2013;13:40.
McDonagh M. Is antenatal care effective in reducing maternal
morbidity and mortality? Health Policy Plan. 1996;11(1):1‒15.
Pembe AB, Urassa DP, Carlstedt A, Lindmark G, Nystrom L, Darj
E. Rural Tanzanian women's awareness of danger signs of obstetric
complications. BMC Pregnancy Childbirth 2009;9:12.