摘要
Background: Health information is a vital aspect of antenatal care. Health seeking behaviour is largely influenced by the availability, accessibility and reliability of such information. In resource-poor nations, there exist strong inclinations to informal sources of information which may pose a threat to accessing qualitative health care.
Methods: A descriptive cross sectional survey of pregnant women attending the ante-natal clinic of the University College Hospital, Ibadan between 1st of September, 2015 and 30th April, 2016. Data collection was via a structured questionnaire which was then analyzed. Descriptive statistics were generated and presented as frequency tables, bar and pie charts.
Results: One hundred and one pregnant women participated in the study. A significant proportion (95.1%) was literate. The mean age of the participants was 32.04 ± 2.34 years. Books and magazines such as “Baby Wise, and The Mama’s Natural Guide to Pregnancy and Childbirth” were the most sought after sources of formal information (96 respondents) while the internet (65 respondents) was the more popular source for daily information. While information from health workers especially the physician was the most valuable, attitude of these health care givers was the most important limitation to seeking health information.
Conclusion: With the increasing availability of internet services in Nigeria, a paradigm shift has become inevitable with our findings of about 65% of patients visiting the internet on a daily basis. There is therefore a need to develop a friendly and accommodating atmosphere for seeking health information at various antenatal health posts in Nigeria.
Keywords: Health information, Behaviour, Antenatal care, Nigeria
Abstrait
Contexte : L’information sur la santé est un aspect essentiel des soins prénatals. Le comportement de recherche de santé est largement influencé par la disponibilité, l’accessibilité et la fiabilité de ces informations. Dans les pays pauvres en ressources, il existe une forte inclinaison aux sources d’informations informelles ce qui peut compromettre l’accès à des soins de santé de qualité.
Méthodes : Une étude transversale descriptive des femmes enceintes fréquentant la clinique anténatale du Collège Hospitalier Universitaire, Ibadan entre le 1er Septembre 2015 et le 30 Avril
2016. La collecte des données a été au moyen d’un questionnaire structuré qui a ensuite été analysé. Des statistiques descriptives ont été générées et présentées sous forme de tableaux de fréquences, de diagrammes à barres et à secteurs.
Résultats : Cent et une femmes enceintes ont participé à l’étude. Une proportion importante (95,1%) était alphabète. L’âge moyen des participants était de 32,0 ± 2,3 ans. Les livres et magazines tels que ‘Sensation de Bébé, et le Guide naturel de la grossesse et de l’accouchement de Maman’ étaient les sources d’informations officielles les plus recherchées (96 répondants), tandis que l’internet (65 répondants) était la source d’information quotidienne la plus populaire.Bien que les informations fournies par les agents de santé, en particulier le médecin, soient les plusutiles, l’attitude de ces prestataires de soins de santé était le principal obstacle à la recherche d’informations de santé.
Conclusion : Avec la disponibilité croissante des services internet au Nigéria, un changement de paradigme est devenu inévitable avec nos résultats concernant environ 65% des patients visitant l’internet de manière quotidienne.Il est donc nécessaire de créer une atmosphère amicale et accommodante pour rechercher des informations sur la santé dans divers postes de santé prénatals au Nigéria.
Mots-clés : Information sur la santé, Comportement, Soins prénatals, Nigéria
Correspondence: Dr. G.O. Obajimi, Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: gbolahanobajimi@gmail.com
参考
Ogunmodede TA, Ebijuwa A and Oyetola S. Health information need and information sources of pregnant women in Ogbomoso Metropolis, Oyo State, Nigeria. Libr Philos Pract . 2013; http://digitalcommons.unl.edu/libphilprac/981 Accessed:(May,21, 2017)
Corragio F. Information needs of women in developing countries. (2011) http://www.slideshare.net/fcorragio. Accessed:( June 8,2017.
Parmar VS. Design framework for developing ICT products and services for rural development: A persuasive health information system for rural India. 2009. uuid:99260bf4-7d83-41f0-92c6-cb65ba7c7700. Accessed:(June 28, 2017)
Nwagwu WE and Ajama M. Women’s health information needs and information sources: A study of a rural oil palm business community in South-Western Nigeria. Ann Libr Inf Stud. 2011;58(3):270–281.
Hibbard JH and Peters E. Supporting informed consumer health care decisions: data presentation approaches that facilitate the use of information in choice. Annu Rev Public Health. 2003;24:413–433.
Federal Ministry of Health Nigeria. Saving Newborn Lives in Nigeria: New Born in the context of the Integrated Maternal, Newborn and Child Health Strategy .(2nd Edition ed). Abuja. Federal Ministry of Health, Save the Children, Jhpiego; 2011
Adamu HS. Utilization of maternal health care services in Nigeria: An analysis of regional differences in the patterns and determinants of maternal health care use. University of Liverpool, 2011. http://www.support.liverpool-online.com. Accessed:(Sept 15, 2017)
Maternal Health: Investing in the lifeline of healthy societies and economies Policy Brief. September. 2010. www.who.int/.../maternal/app_maternal_health_english. Accessed:(June 21, 2017)
Doctor H V, Bairagi R, Findley SE, Helleringer S and Dahiru T. Northern Nigeria maternal, newborn and child health programme: Selected analyses from population-based baseline survey. Open Demogr J. 2011;4:11–21.
WHO. Standards for Maternal and Neonatal Care. WHO Libr. 2007;1–72. http://apps.who.int/iris/bitstream/10665/69735/1/a91272.pdf Accessed:(July 10, 2017)
Hossain A and Shariful I. Information Needs of Rural Women/ : A Study of Three Villages of Bangladesh. Libr Philos Pract. 2012 . http://digitalcommons.unl.edu/libphilprac. Accessed:(July 13, 2017)
Grimes HA, Forster DA and Newton MS. Sources of information used by women during pregnancy to meet their information needs. Midwifery. 2014;30(1):26–33.
Lagan B, Sinclair M and Kernohan WG. Pregnant women’s use of the internet: a review of published and unpublished evidence. Evid Based Midwifery . 2006;4(1):17–23.
Plutzer K and Keirse MJNC. Effect of motherhood on women’s preferences for sources of health information: A prospective cohort study. J Community Health. 2012;37(4):799–803.
Owusu-Addo SB, Owusu-Addo E and Morhe ESK. Health information-seeking behaviours among pregnant teenagers in Ejisu-Juaben Municipality, Ghana. Midwifery . 2016;41:110–117.
Tsehay AB. Seeking Health Information In Rural Context/ : Exploring Sources of Maternal Health Information in Rural Ethiopia. Master of Philosophy in Health Promotion. University of Bergen 2014.
Onuoha U and Amuda A. Information seeking behaviour of pregnant women in selected hospitals of Ibadan Metropolis. J Inf Knowl Manag 2013;4(1)79-91
Gambo, S. A. and Ibrahim LF. Information Needs and Information Seeking Behavior of Rural Women in Borno.State, Nigeria. Libr Philos Pract. 2011;http://digitalcommons.unl.edu/libphilprac/625 Accessed:(Aug 10, 2017)
Longo DR, Ge B, Radina ME, et al. Understanding breast-cancer patients’ perceptions: Health information-seeking behaviour and passive information receipt. J Commun Healthc 2009;2(2):184–206.
Longo DR, Schubert SL, Williams CD and Clore JN. Health information seeking and Use in Diabetes Self-Management. Ann Fam Med 2010;8(4):334–340.
White LA. HIV related Information Seeking among Residential University Students in Three Caribbean Countries. 2009. http://purl.flvc.org/fsu/fd/FSU_migr_etd-1083. Accessed:(June 23, 2017)
Bernhardt JM and Felter FE. Online Pediatric Information Seeking Among Mothers of Young Children: Results from a Qualitative Study Using Focus Groups. J Med Res 2004;6(1):7.
Chae J and Quick BL. An Examination of the Relationship Between Health Information Use and Health Orientation in Korean Mothers: Focusing on the Type of Health Information. J Health Commun. 2015;20(3):275-284
Romano AM. A Changing Landscape: Implications of Pregnant Women’s Internet Use for Childbirth Educators. J Perinat Educ. 2007 Fall; 16(4): 18–24
Gao L ling, Larsson M and Luo S yuan. Internet use by Chinese women seeking pregnancy-related information. Midwifery 2013;29(7):730–735.
Sayakhot P and Carolan-Olah M. Internet use by pregnant women seeking pregnancy-related information: a systematic review. BMC Pregnancy Childbirth 2016;16(1):65.
Larsson M. A descriptive study of the use of the Internet by women seeking pregnancy-related information. Midwifery. 2009;25(1):14–20.