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All Journal Journal of Maternal and Child Health
Bonney, Richard Abeiku
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Medicine & Pharmacology Public Health

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Knowledge and Perception of COVID-19 and Its Psychosocial Impact on Pre- and Post-Natal Women in Tema Metropolis, Ghana, West Africa Adu Mensah, Derrick; Bortie, Patience Naa Adaku; Bonney, Richard Abeiku; Ashong, Sam-Kingsley; Ayamba, Emmanuel Ayimbissa; Odonkor, Stephen Tawiah
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.02

Abstract

Background: The emergence of the coronavirus disease 2019 (COVID-19) pandemic incited series of societal changes. Adopted practices to mitigate the virus’ spread included; limiting human contact, closure of workplaces, lockdown of cities, and thus limiting health care delivery to emergency services with interruption to routine visits— such as antenatal and postnatal care. During the onset of the pandemic there was a myriad of information on the virus, with several misconceptions involving the viral infection. This study was aimed at assessing the knowledge and perceptions of COVID-19, as well as its psychosocial impact among pregnant and postnatal women in the Tema Metropolis. Subjects and Method: This cross-sectional survey was conducted among a total of 349 pregnant and postnatal women at the Tema General Hospital, Ghana. The dependent variable was outcome of a number of correct/incorrect responses given and the test scores. The independent variables were level of knowledge on COVID-19, prevention practices of COVID-19, and the psychosocial impact of COVID-19. Structured questionnaires were administered to participants to retrieve demographic information, knowledge, perception, and psychosocial impact of COVID-19 on participants. The data collected were imported into Microsoft Excel and analyzed with SPSS version 20. Data was presented as frequencies, percentages, and chi-square values. Results: The study comprised of 295 (84.5%) pregnant and 54 (15.5%) postnatal women. Generally, 80.5% of the participants had good knowledge about COVID-19, whereas 2.6% exhibited poor knowledge. Most postnatal women had the right perceptions about COVID-19, with statistical significance (p<0.050) observed among all variables. With the preventive measures, significant associations amongst both pregnant and postnatal women were observed in monitoring body temperature (OR= 0.08; 95% CI= 0.01 to 0.02; p=0.002) and seeking medical advice when ill (OR= 0.83; 95% CI= 0.01 to 0.02; p= 0.004). Based on depression anxiety score, each variable recorded a postnatal woman experiencing extremely severe psychological impact because of COVID-19, whereas only one pregnant woman experienced same. Conclusion: There were adequate knowledge about COVID-19 among both pre- and post-natal women in the study area, and very few were impacted psychologically as a result of COVID-19. Keywords: COVID-19, prenatal, postnatal, psychological, pregnant women. Correspondence: Derrick Adu Mensah, Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana/Kumasi Center for Collaborative Research in Tropical Medicine, KCCR, Kumasi, Ghana. Mobile: +2332-6168-6052. Email: derrickadumensah@yahoo.com
Analysis of Influential Factors on Postnatal Care Utilization: A Community-based Cross-sectional Study in Kwadaso Municipality, Ghana Owusu, Sarah Boafowaa; Bonney, Richard Abeiku; Safo, Kwame Sarkodie; Abudey, Samuel; Adu, Randolph Baah; Dassah, Edward Tieru
Journal of Maternal and Child Health Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.04.01

Abstract

Background: Postnatal care is central to maternal well-being as it averts cognitive complications and illnesses that come from childbirth. Non-utilization of postnatal care hinders initiatives aimed at improving maternal morbidity and mortality because postnatal care is an essential component of those initiatives. This study sought to determine factors associated with the utilization of postnatal care services among mothers in Kwadaso Municipality. Subjects and Method: Community-based cross-sectional study to assess the factors associated with utilization of postnatal care services among mothers in Kwadaso Municipality. A multistage sampling technique was used to recruit 568 women for the study. The dependent variable was mothers' utilization of postnatal care (PNC). The independent variable was demographic characteris­tics of mothers, socio-economic status, educational level, accessibility to healthcare facilities, know­ledge of PNC Services, and awareness of PNC services. The data were collected using a structured questionnaire, the data obtained were analyzed using STATA version 14.0, and the variables were analyzed using the chi-square test and multiple logistic regression and p=0.050 was considered statistically significant. Results: The mean age was 20-25 years 22.4 (SD=3.7 years) and 55.5% were married. The level of knowledge of the mothers on postnatal care services was 71.8% and 82.3% of the subjects knew postnatal period is more dangerous to the lives of mothers and their babies. The unadjusted odds of women who were married (OR= 2.11; 95% CI= 0.86 to 7.46; p=0.042), with two children (OR=4.17; 95% CI= 0.03 to 5.30; p= 0.025), earned GHC 500.00 monthly (OR= 3.47; 95% CI= 0.26 to 5.73; p=0.038), or delivered at the hospital (OR= 3.18= 95%CI= 0.02 to 8.06; p=0.014) were statistically significantly higher in women who were not married, had more than or less than four children, earned less than GHC 500.00 or delivered at other places aside the hospital. Conclusion: This study contributes to the ongoing discourse on maternal health and underscores the importance of evidence-based interventions to improve the health and well-being of mothers and infants.
Seroprevalence and the Associated Risk Factors of Toxoplasma Gondii Infection among Pregnant Women in The Middle Belt of Ghana Adu Mensah, Derrick; Debrah, Linda Batsa; Bonney, Richard Abeiku; Bhavana, Singh; Bortie, Patience; Safo, Rebecca; Aryee, Clement Evans; Debrah, Alexander Yaw
Journal of Maternal and Child Health Vol. 8 No. 5 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.05.02

Abstract

Background: Exposure to Toxoplasma gondii infection is prevalent in up to 90% of the world’s human population. Severe infections can be fatal and deforming in neonates, with cats serving as reservoirs for T. gondii infections. The objective of this study was to determine the seroprevalence of Toxoplasma gondii infection and its associated risk factors among pregnant women in the middle belt of Ghana. Subjects and Method: This was a cross-sectional study involving 266 pregnant women from two health facilities in the middle belt of Ghana. A structured questionnaire was administered to the parti­cipants to gather information on exposure to the associated infection risk factors and demo­graphy. In addition, 3ml of venous blood was collected from each participant for anti-Toxo­plasma gondii IgG/IgM antibody analyses. Results: A total of 64.3% of the study population had been exposed, whiles 26.3% were actively infected, being seropositive respectively to anti-Toxoplasma gondii IgG/IgM antibodies. In both districts, significant differences were recorded between anti-T. gondii IgG and IgM seroprevalences (95% CI= 0.00 to 0.02; p<0.001). There was no statistical difference observed between the parti­cipants’ mean antibody concentration levels and age (95% CI= 0.74 to 0.85; p=0.637) as well as the stage of pregnancy (95% CI= 0.38 to 0.43; p= 0.127). Also, no strong association (OR<0.6) was found between seropositivity and the suspected risk factors assessed in the study. Conclusion: The study showed that the seroprevalence of T. gondii infection among pregnant women visiting the two health facilities in the two regions was higher compared to the 30%-65% reported as the global population infection status. This study provides baseline data for future studies in other Districts and Regions in the country to ascertain the overall seroprevalence in Ghana and also push for a national programme/ policy for routine clinical screening of toxoplasmosis in pregnant women. Keywords: seroprevalence, Toxoplasma gondii, pregnant women, anti-T. gondii IgG/IgM antibodies. Correspondence: Derrick Adu Mensah, Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana/Kumasi Center for Collaborative Research in Tropical Medicine, KCCR, Kumasi, Ghana. Mobile: +2332-6168-6052. Email: derrickadumensah@yahoo.com.
Co-Authors Abudey, Samuel Adu Mensah, Derrick Adu, Randolph Baah Aryee, Clement Evans Ashong, Sam-Kingsley Ayamba, Emmanuel Ayimbissa Bhavana, Singh Bortie, Patience Bortie, Patience Naa Adaku Dassah, Edward Tieru Debrah, Alexander Yaw Debrah, Linda Batsa Odonkor, Stephen Tawiah Owusu, Sarah Boafowaa Safo, Kwame Sarkodie Safo, Rebecca