Health Research Registry List

Research Registry No : HRID-00303_V1
 
University Departmental Research : No
 
Registration Date : 2020-03-19
 
Title of Research : Community baseline study on knowledge and practice of malaria and maternal, newborn and child health care in selected townships of Kayah State
 
Principle Investigator : Su Latt Tun Myint
 
Co-authors : Khin Thet Wai, Myat Phone Kyaw, Thae Maung Maung, Khin Wuit Ye Hla
 
Field of Research : Community Health
 
Publication Source :
 
 
Year of Publication : -
 
URL of Publication : -
 
Presentation Source : 45th Myanmar Health Research Congress. 2017; P110
 
Placement of Presentation : Department of Medical Research
 
Year of Presentation : 2017
 
Abstract : Health interventions for problems related to maternal health require complex and an integrated approach. The Department of Health, Myanmar and its implementing partners has been promoting the primary care component in hard to reach areas of Kayah State starting from 2013. To maximize the translation of research findings into policy and practice, this cross-sectional study focused 521 households with under-five children randomly selected from 40 villages of three townships, Kayah State, at the end of 2014. The major objective was to explore the awareness, knowledge and experiences related to maternal health during pregnancy. Very few respondents were aware of quality services for pregnancy. Alarmingly, nearly 60% of respondents (307/521) were unable to mention the danger signs in pregnancy that might hamper seeking help from skilled providers. Less than 15% of respondents recognized vaginal bleeding and swollen in face, body, and hands as important. The awareness of severe headache and fits, severe vomiting, fever and no movement of fetus were negligible. Among those respondents who could mention the danger signs, their main preference as the first place to seek treatment was rural and sub-rural health centers (44.6%). This was followed by the state hospital (53/213; 24.9%) being equipped for an emergency obstetric care. Consistent with their awareness of quality services during pregnancy at RHC and sub RHC, 64.9% of respondents mentioned their experiences of antenatal care by midwives. Nearly 71% of respondents reported the frequency of antenatal care of more than two times by skilled providers and 93.7% of them had received tetanus toxoid injection. Around 91% of respondents stated that they had either bought or provided with iron tablets during their last pregnancy. Findings indicated that there was a need to improve awareness raising activities related to danger signs in pregnancy by appropriate means in the given socio-cultural context. Moreover, challenges to improve an access to quality ante-natal care required attention. Promoting antenatal care by skilled providers more than at present was essential to avoid unnecessary consequences. Misconceptions and misunderstanding regarding maternal health beliefs still existed and practices to enhance the women’s health during pregnancy was to be attempted further. In order to move towards Millennium Development Goal 5, an adequate knowledge of maternal health is prerequisite. Challenges for an access to quality care required detailed exploration and further decisions for pragmatic solutions. Findings are useful for evidence informed priority setting and policy decisions for investment and resources allocation in universal health coverage.
 
 
IRB/PRC/ERC Approval Date : 2014-10-27
 
Placement of IRB/PRC/ERC : 64/ Ethics 2014
 
IRB/PRC/ERC Approval Letter/Document : 18032020085036MalariaandMCH.PDF
 
Pre-existing Registration ID : -
 
Pre-existing Name of Organization : -
 
Pre-existing Website : -