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Assessment of knowledge, attitudes and practices of expectant mothers in relation to antenatal care in Assiut governorate.

This study aims to assess knowledge, attitudes and practices of expectant mothers in relation to ante-natal care in Assiut and to find out factors affecting their knowledge. Attitudes and practices. The present study was carried out in the ante-natal clinic at Assiut General Hospital and three Maternal and Child Health Centers in Assiut. Fifty women were selected from each of the previously mentioned settings. A specially designed interview sheet was used to collect the necessary data. It was consisted of four parts. The first part included questions related to individual features of women, the second part included questions related to their family features, the third part concerned with previous obstetrical history of women and their acceptance of pregnancy and the fourth part included questions related to knowledge, attitudes and practices of expectant mother in relation to ante-natal care. The findings of the present study revealed that one quarter of the study sample (25.5%) lacked basic and essential knowledge about ante-natal care, most of older women (88.2%) were more likely to have poor knowledge in relation to ante-natal care, the higher educated women (66.7%) were more likely to have good knowledge about ante-natal care compared to 33.5% of lower educated women. It was also observed that the majority of working women (90%) were more likely to have good ante-natal care knowledge compared to housewives (10%). Most of the primigravida women (88.2%) were more likely to have poor knowledge in relation to ante-natal care compared to 11.8% of women whose gravidity was less than 5.

Adult↗

Targeted intervention research studies on sexually transmitted diseases (STD): methodology, selected findings and implications for STD service delivery and communications.

OBJECTIVE: To report the findings of qualitative studies designed for use in improving sexually transmitted disease (STD) programs. The studies explore illness conceptions and treatment behaviors for STD in five African countries. These targeted intervention research (TIR) studies were performed on clinic-based and community-based samples in representative communities and utilized a variety of qualitative research methods (e.g. in-depth and key informant interviews, focus group discussions). FINDINGS: Study findings revealed that community members' explanations of symptoms, classification of illnesses, and perceptions of whether symptoms are pathological or serious influence individual health-care-seeking behaviors. Data also showed that local terms for STD are often disparaging and do not fit into biomedical designations. STD patient care-seeking frequently reflects an ordered, albeit loosely constructed, process of elimination in pursuit of symptom relief, wherein alternative treatments are tried and proven effective or abandoned. CONCLUSIONS: The TIR studies highlight the importance of community-specific strategies aimed at increasing prompt care seeking at qualified biomedical facilities. Information from study data should lead programs to sensitize health professionals to community understanding about STD and to design services and communication programs that are meaningful and appropriate to local contexts.

Developing Countries↗

Profiles of refugee and non-refugee Palestinians from the West Bank and Gaza.

Relying on demographic and labor surveys which the Palestinian Central Bureau of Statistics collected in 1995, this article investigates the profile of West Bank and Gaza refugees. Refugees are better educated and have higher fertility than non-refugee Palestinians, but the difference is small. However, they have a significantly lower participation rate, a higher unemployment rate and a higher incidence of arrests and work stoppage than the corresponding rates among non-refugee Palestinians. A smaller proportion of Palestinians commute to work into the Israeli labor market and refugees earn lower wages than nonrefugees. Returns to investment in education are small for both groups. High fertility among refugees imposes a future challenge for policy makers in terms of resources required for the provision of appropriate education and health facilities. Employing future labor market entrants is another serious policy challenge.

Asia↗

Concepts and measures of reproductive morbidity.

This paper presents a conceptual and methodological framework developed by an interdisciplinary group of researchers to diagnose reproductive morbidity at the community level. The paper also presents a determinants structure that delineates the health and social factors hypothesized to influence reproductive morbidity. The high prevalence of reproductive-morbidity conditions revealed by implementation of the study framework in two villages of Giza in Egypt is reported. Based on this research experience and the process of presenting its results to the larger professional community, the paper discusses policy implications of the study in terms of reproductive-health services, education and training programs and research efforts for measurement of reproductive ill-health at a community setting.

Adolescent↗

[Some aspects of recent trends in mortality in Algeria (1965-1981)].

Using data from the official vital statistics register and from a three-round survey that was conducted in 1969-1970, the author calculates mortality estimates for Algeria for the years 1965-1981. The findings show "a period of fluctuations between 1965 and 1975, [during which] mortality between the age of five and young adult age experienced a deterioration which could [have been] the result of an increase of deaths due to accidents. Since 1976, mortality has decreased spectacularly, although all ages do not benefit from this decrease in the same way." (summary in ENG, ITA)

Africa↗

Manpower problems in a capital-rich country: the case of Saudi Arabia.

"In order to provide an insight into the possible problems that face Saudi Arabia in its Fourth Five-Year Plan (1985-1990), this paper assesses several aspects of the manpower problems encountered in the Third Five-Year Plan (1980-1985). In general, it appears that the country's abundance of fixed capital, or at least the means to acquire it, only emphasizes the scarcity of other resources in the Kingdom, notably the shortage of indigenous labour and the absence of the skills required to run new industries.... The paper argues that it is apparent from the performance of the Third Plan that the Government will probably use the size of the foreign labour force as a safety valve to ensure the attainment of its priorities."

Asia↗