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المصدر: BMC Public Health. 23
مصطلحات موضوعية: Public Health, Environmental and Occupational Health
الوصف: Background Breast cancer is a leading cause of cancer mortality and a major public health problem. The growing number of breast cancer-related deaths has been largely attributed to a lack of awareness of the disease among women. Whilst there have been frequent campaigns promoting breast cancer awareness, evidence suggests that women still lack awareness. Therefore, this study assessed the prevalence and factors associated with the awareness of breast cancer among women of reproductive age in Lesotho. Methods We used population-based cross-sectional data from the 2014 Lesotho Demographic and Health survey. A total of 6,620 women of reproductive age were included in the analysis. The outcome variable was awareness of breast cancer. Women who heard about breast cancer were considered to be aware of the disease. Multilevel binary logistic regression models were fitted to determine the factors associated with breast cancer awareness among women. Results The level of awareness of breast cancer was 86.8% (95% CI: 85.5, 87.9). Women aged 45–49 years [adjusted odds ratio (AOR) = 2.87, 95% confidence interval (CI): 1.83, 4.48], married women [AOR = 1.51 (95% CI: 1.19, 1.93)], and women with higher educational level [AOR = 12.56, (95% CI: 4.35, 36.28)] were more likely to be aware of breast cancer. Additionally, women who listened to the radio at least once a week [AOR = 1.96, (95% CI: 1.63, 2.37)], those who read newspapers or magazines [AOR = 1.91 (95% CI: 1.48, 2.46)] and women in the wealthiest group [AOR = 2.55, (95% CI: 1.67, 3.89)] had higher odds of breast cancer awareness. However, women who were in rural areas were less likely [AOR = 0.63, (95% CI: 0.47, 0.84)] to be aware of breast cancer than those in urban areas. Conclusion The level of awareness of breast cancer among women of reproductive age in Lesotho was extremely low. We recommend that policymakers, clinicians, and public health practitioners should consider the factors identified in this study when designing and developing intervention programs to improve the awareness of breast cancer among women in Lesotho.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::7e11c0576b249ca16ae67854bc89794fTest
https://doi.org/10.1186/s12889-023-15443-yTest -
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المؤلفون: Constancia Atachie, Agani Afaya, Raymond Saa-Eru Maalman, Irene Torshie Attachie, Mabel Apaanye Avane, Solomon Mohammed Salia, Peter Adatara, Confidence Alorse Atakro, Philemon Adoliwine Amooba, Anthony Kuug
المصدر: BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-8 (2021)
BMC Pregnancy and Childbirthمصطلحات موضوعية: medicine.medical_specialty, Experiences, Reproductive medicine, Exploratory research, Globe, Workload, Midwifery, Ghana, lcsh:Gynecology and obstetrics, Midwives, Pregnancy, medicine, Humans, Childbirth, Maternal Health Services, Challenges, Socioeconomics, Qualitative Research, lcsh:RG1-991, Midwifery care, Motivation, business.industry, Obstetrics and Gynecology, medicine.anatomical_structure, Standardized mortality ratio, Female, Rural Health Services, Rural area, business, Research Article, Qualitative research
الوصف: BackgroundIn 2017, a total of 295,000 women lost their lives due to pregnancy and childbirth across the globe, with sub-Saharan Africa and South Asia accounting for approximately 86 % of all maternal deaths. The maternal mortality ratio in Ghana is exceptionally high, with approximately 308 deaths/100,000 live births in 2017. Most of these maternal deaths occur in rural areas than in urban areas. Thus, we aimed to explore and gain insights into midwives’ experiences of working and providing women-centred care in rural northern Ghana.MethodsA qualitative descriptive exploratory design was used to explore the challenges midwives face in delivering women-centred midwifery care in low-resource, rural areas. A total of 30 midwives practicing in the Upper East Region of Ghana were purposefully selected. Data were collected using individual semistructured interviews and analysed through qualitative content analysis.ResultsFive main themes emerged from the data analysis. These themes included were: inadequate infrastructure (lack of bed and physical space), shortage of midwifery staff, logistical challenges, lack of motivation, and limited in-service training opportunities.ConclusionsMidwives experience myriad challenges in providing sufficient women-centred care in rural Ghana. To overcome these challenges, measures such as providing adequate beds and physical space, making more equipment available, and increasing midwifery staff strength to reduce individual workload, coupled with motivation from facility managers, are needed.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::66d811b21d7ff0714e826a96d93937aeTest
https://doi.org/10.1186/s12884-021-03762-0Test
