ArticleMaternal and child health journal2018
Counseling and Knowledge of Danger Signs of Pregnancy Complications in Haiti, Malawi, and Senegal.
Article in Maternal and child health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pregnant woman awareness of obstetric danger signs in developing country: systematic review.BMC pregnancy and childbirth · 2023Pooled it
- Comparing the use of direct observation, standardized patients and exit interviews in low- and middle-income countries: a systematic review of methods of assessing quality of primary care.Health policy and planning · 2021Pooled it
- Trial
- Determinants of counseling on neonatal danger signs among women in Somalia: a multilevel mixed-effects logistic regression analysis of the 2020 SDHS.Frontiers in pediatrics · 2026Article
- Compliance with ≥ 8 antenatal care contacts and its associated factors among postnatal women attending public health facilities in Nekemte town, Western Ethiopia: a cross-sectional study.BMC pregnancy and childbirth · 2025Article
- Article
- Identifying gaps in maternal knowledge and care-seeking for neonatal health: A mixed methods study in rural pregnant women.Journal of education and health promotion · 2024Article
- Pregnant Women's Experiences with Midwifery-Led Antenatal Care Services in Peri-Urban Communities in Karachi, Pakistan.Patient related outcome measures · 2023Article
- Lived experiences of women who survived from pre-eclampsia and eclampsia in public hospitals of Shashemene Town, Oromia Region, Ethiopia: a qualitative study.F1000Research · 2023Article
- The effect of national antenatal care guidelines and provider training on obstetric danger sign counselling: a propensity score matching analysis of the 2014 Ethiopia service provision assessment plus survey.Reproductive health · 2022Article
- Stability of healthcare quality measures for maternal and child services: Analysis of the continuous service provision assessment of health facilities in Senegal, 2012-2018.Tropical medicine & international health : TM & IH · 2022Article
- Reablement professionals' perspectives on client characteristics and factors associated with successful home-based reablement: a qualitative study.BMC health services research · 2021Article
- Awareness of obstetric danger signs among pregnant women in the Democratic Republic of Congo: evidence from a nationwide cross-sectional study.BMC women's health · 2021Article
- Article
- Birth preparedness and complication readiness practice and influencing factors among women in Sodo town, Wolaita zone, Southern Ethiopia, 2018; community based cross-sectional study.Reproductive health · 2019Article
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Abstract
Objectives Providing counseling on danger signs of pregnancy complications as part of visits for antenatal care (ANC) can raise expecting women's awareness so that if danger signs occur they can seek assistance in time. The study examines the level of agreement in counseling on danger signs between observation of the provider during the ANC visit and the client's report in the exit interview, and the association of this agreement with the client's level of knowledge on danger signs. Methods The analysis used data from service provision and assessment (SPA) surveys in Haiti, Malawi, and Senegal. Agreement between the observation and client's report was measured by Cohen's kappa and percent agreement. Regressions were performed on the number of danger signs the client knew, with the level of agreement on the counseling on danger signs as the main independent variable. Results The study found little agreement between the observation of counseling and the client's report that the counseling occurred, despite the fact that the exit interview with the client was performed immediately following the ANC visit with the provider. The level of positive agreement between observation and client's report was 17% in Haiti, 33% in Malawi, and 23% in Senegal. Clients' overall knowledge of danger signs was low; in all three countries the mean number of danger signs known was 1.5 or less. The regression analysis found that, in order to show a significant increase in knowledge of danger signs, it was important for the client to report that it took place. Conclusions Ideally, there should be 100% positive agreement that counseling occurred. To achieve this level requires raising both the level of counseling on danger signs of pregnancy complications and its quality. While challenges exist, providing counseling that is more client-centered and focuses on the client's needs could improve quality and thus could increase the client's knowledge of danger signs.
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