The Effectiveness of Web-Based Education Women Health (E-WoHealth) on The Level of Skills of Pregnant Women About Breast Care

The report from the Bone Bolango District Health Office shows that the prevalence of exclusive breastfeeding for the last 3 years has decreased, namely in 2019 by 28.3%, in 2020 by 16%, and in 2021 it has decreased by 12.7%. Many factors cause the low rate of exclusive breastfeeding in children, one of which is caused by poor knowledge about breastfeeding. Based on these problems, media is needed to increase the skills of pregnant women regarding breast care. This research aims to create a web platform called E-WoHealth which can improve pregnant women's skills regarding breast care. This research used Research and Development (R&D) methods. Then to see the difference before and after the use of Web-based E- WoHealth on the skill level of pregnant women in performing breast care using the Pre-Experimental Design (One group pretest-posttest design). This study was carried out in the working area of the Kabila Health Center, Oluhuta, Kec. Kabila, Bone Bolango Regency, Gorontalo. Population in research tian namely third-trimester pregnant women in the working area of the Kabila Health Center, Bone Bolango Regency, as many as 60. Data collection techniques, documentation, questionnaires, tests, and observations. The results showed that the results of the web-based E-WoHealth feasibility test were in the very feasible category, and the statistical test results showed that the web-based E-WoHealth was effective in increasing pregnant women's skill regarding breast care with a p-value of 0.000 (p<0.05). Thus, education on breast care using web-based E-WoHealth is feasible and effective in increasing the skills of pregnant women before and after the intervention. It is hoped that the health office can socialize this platform with pregnant women to raise awareness about breast care

Online video instruction on hand expression of colostrum in pregnancy is an effective educational tool

The use of antenatal colostrum expression in the weeks prior to birth may help improve long-term breastfeeding, but few large-scale studies exist. Typically, antenatal colostrum expression instruction relies on face-to-face education, making large interventions costly. We aimed to determine whether an expert online instructional video can improve knowledge and confidence around antenatal colostrum expressing. Pregnant women were asked to complete a questionnaire pre- and post-watching the instructional video online. Ninety five pregnant women completed both pre- and post-questionnaires. Total antenatal colostrum expression knowledge scores improved after watching the video, from a mean of 3.05 ± 1.70 correct out of a maximum of 7, to 6.32 ± 0.76 (p \u3c 0.001). Self-reported confidence around hand expressing in pregnancy also improved from an average ranking of not confident (2.56 ± 1.17, out of a possible 5) to confident (4.32 ± 0.80, p \u3c 0.001). Almost all women (98%) reported that they would recommend the video to a friend or family member if antenatal colostrum expression was suggested by their healthcare provider. Findings suggest that the use of an online expert video is an acceptable and effective way to educate pregnant women in antenatal colostrum expression

Designing a Multimedia Intervention for Illiterate and Semi-Illiterate Pregnant Women in Developing Countries: A Case of Uganda

Die hohe Müttersterblichkeit in Entwicklungsländern ist zum Teil auf indirekte Faktoren wie Analphabetismus und eingeschränkten Zugang zu Gesundheitsinformationen für Mütter zurückzuführen. Während gebildete Frauen auf Gesundheitsinformationen über Online-Plattformen und mHealth-Apps zugreifen können, müssen Analphabetinnen diese in Gesundheitseinrichtungen abrufen, was aufgrund der Transportkosten oft nicht möglich ist. Mobilfunktechnologie hat in der Gesundheitsversorgung Chancen für ressourcenarme Gemeinschaften eröffnet, die sonst nicht von den digitalen Technologien profitiert hätten. Obwohl Mobilfunktechnologie in der Müttergesundheit eingesetzt wird, können die meisten Maßnahmen nicht von Analphabeten genutzt werden, verwenden Sicherheitsmodelle die nicht auf den Kontext von Entwicklungsländern zugeschnitten sind, und wurden nicht auf ihre Auswirkungen auf die Müttergesundheit hin evaluiert. In dieser Arbeit wurden zwei (Web und Mobile) Apps entwickelt, die die Übermittlung von multimedialen Nachrichten zur Müttergesundheit, Terminerinnerungen und Anrufe/Chats erleichtern. Um die Anforderungen der Nutzer zu erfassen, wurde eine Feldstudie mit halbstrukturierten Interviews und Fokusgruppendiskussionen mit schwangeren Analphabetinnen, Gesundheitsexperten und Entwicklern durchgeführt. Es folgte die Entwicklung eines Sicherheitsmodells (T2RoL) zur Sicherung der Gesundheitsinformationen in den Apps, die dann nach einem nutzerzentrierten Designansatz entwickelt wurden. Eine zweite Feldstudie in Form von halbstrukturierten Interviews und Umfragen wurde durchgeführt, um die mobile App in einer randomisierten kontrollierten Studie mit 80 schwangeren Analphabetinnen über 9 Monate zu evaluieren. Die Auswertung zeigte, dass die App akzeptiert wurde sowie einfach zu erlernen und zu benutzen war. Das Wissen über Müttergesundheit in der Interventionsgruppe verbesserte sich, was sich positiv auf gesundheitsbezogene Entscheidungen und Gesundheitsmaßnahmen auswirkte.Maternal mortality is high in developing countries partly due to indirect factors such as illiteracy and limited access to maternal health information. While literate women can access health information from online platforms, and mHealth apps, illiterate women must get it from health facilities which is often not possible due to lack of transport fees. Mobile technology has opened opportunities in maternal health care for low resource communities that would otherwise not have benefited from digital technologies. Although used in maternal health, most interventions are not usable by the illiterate, use security models that are not tailored to the developing countries’ context, and have not been evaluated to assess their impact on maternal health care. In this thesis, two (web and mobile) apps that facilitate delivery of multimedia-based maternal health messages, appointment reminders, and calls/ chats were developed. To gather user requirements, a field study in form of semi-structured interviews and focus group discussions was conducted with illiterate pregnant women, health practitioners and developers. Development of a security model (T2RoL) to secure the health information in the apps followed. The apps were then developed following a user-centered design approach. A second field study in form of semi-structured interviews and surveys was conducted to evaluate the mobile app through a randomized controlled trial with 80 illiterate pregnant women that were followed for 9 months. Overall, results show that the app was acceptable, easy to learn and use. There was improved maternal health knowledge among the intervention group which positively influenced health related decision making and health practices

Pilot Study of a Breastfeeding Support Training Program Designed Particularly for Infants with Common Congenital Anomalies and Defects

The American Academy of Pediatrics (American Academy of Pediatrics [AAP], 2018), the World Health Organization (World Health Organization [WHO)], 2018), and The March of Dimes (March of Dimes, 2016) recommend exclusive breastfeeding for the first six months of life. In 2014, 79% of women in the United States began breastfeeding their infants, but only 40.7% and 18.8% continued breastfeeding exclusively at three and six months respectively (Centers for Disease Control and Prevention, 2017). This doctoral project promotes breastfeeding by creating and testing simple teaching algorithms for training registered nurses to support breastfeeding, including for infants with trisomy 21, congenital heart defects, and oral cleft defects. To validate the new algorithms, two focus groups were held with a total of nineteen registered nurses in Central California (four registered nurses in one focus group and fifteen in the other). Participants tended to be older with an average of 29.6 years of experience primarily in obstetrical nursing. A qualitative study showed the nurses enjoyed learning through role play and felt they learned valuable information. The biggest barrier to learning identified was feeling overwhelmed by the amount of information presented in the algorithm for infants with common congenital anomalies and defects

Use of Traditional 3-Hour Lectures in Preparing Students for the Childbearing Clinical Setting

Following completion of a 4-year nursing program, some graduates have difficulty applying theories learned in the classroom to the clinical environment. This difficulty results in healthcare employers providing additional in-house training to ensure graduates\u27 ability to safely care for their patients. The purpose of this research was to explore how traditional lecture methods have prepared students for the clinical environment. Based on a constructivist theoretical framework, a case study design was used to examine students\u27 learning of theories delivered by traditional lecture methods. The research questions focused on student activities in the classroom and clinical setting, teaching strategies, critical thinking skills, and transfer of theory. Interview and observational data were collected from 10 randomly chosen students, their instructor, and 2 preceptors. Data were analyzed through a manual coding process, one that sought to identify emergent themes. Observational data revealed that nursing students were disengaged during the 3-hour lectures. Interview data revealed that students preferred that nursing skills be demonstrated prior to implementation. Both sources of data revealed that the 3-hour lectures should be divided into segments, that simulation and hands-on demonstration be incorporated in the curriculum, and that repetition should be allowed during instruction to accommodate different learning styles and increase students’ confidence. These findings have implications for positive social change by improving the transfer of theory from the classroom to the clinical setting through use of a newly developed 9-week participative curriculum project for nursing students in the childbearing class. Improved preparation of graduates will increase safe care of patients in the community

Prevalence of depression and its association with suicidal ideation among older people

Objective: Suicidal ideation is common in older people worldwide. However, there is a lack of data about suicidal ideation and its risk factor among Malaysian population. Aims: To determine the prevalence of suicidal ideation and depressive symptoms, and risk factors contributing to suicidal ideation among older people.Methods: A cross sectional study was conducted on 200 older people aged 60 years and older who attended Medical Outpatient Department (MOPD) Hospital Tengku Ampuan Afzan, Kuantan. A questionnaire consisted of three parts; (1) Socio demographic background, (2) Depressive symptoms (Geriatric Depression Scale (GDS-15) and (3) Suicide Behaviors Questionnaire Revised (SBQ-R). The data were analyzed by Statistical Package Social Sciences (SPSS) version 20.Results: The prevalence rate of older people who experienced suicidal ideation was 3% and 29.5 % older people reported depression. It was found that there was an association between ethnicity (p < 0.00), marital status (p= 0.008), depressive symptoms (p < 0.00) and suicidal ideation. Conclusion: Ethnicity, marital status and depressive symptoms are associated with suicidal ideation among older people in Malaysia. Future interventions should focus on these factors while planning for the intervention specific for this group of older people

Childbirth Education in Jordan: Content, Feasibility and Challenges of Implementing a Childbirth Education Program in Jordan

No childbirth education (CE) programs are available in the public sectors in Jordan. Many studies from Jordan recommended that pregnant women be educated about their health needs during pregnancy and childbirth. From the literature, CE programs were found to have positive effects on pregnancy and childbirth outcomes. Four focus groups with pregnant women, midwives and physicians were conducted to examine the perceptions of pregnant women, midwives and physicians regarding the content, feasibility, and challenges of implementing a CE program in Jordan. The 4 focus groups, two with pregnant women (one group with 8 primiparous women and one group with 6 multiparous women), one with 8 midwives, and one with 6 physicians were presented with the content, timing, and a description of three existing CE programs. Findings indicated that pregnant women’s sources of knowledge about pregnancy and childbirth were mainly from other females and doctors but not from midwives. Younger pregnant women reported the Internet as an important source of pregnancy and childbirth knowledge. Findings showed that women were not sure of what they wanted to learn. Midwives and physicians wanted to include warning signs, physical exercises, psychological changes, vii nutrition, breast feeding, newborn heath, sexually transmitted diseases, pain management, postpartum physiology and care, family planning, and planning of pregnancy as content in a new CE program. All participants reported the need to include husbands in CE. However, husbands were considered a potential challenge to implementing a CE program. Other challenges were cost, staff, clients’ responses, and governmental policies. Midwives and physicians thought that CE should be included in free antenatal care. All participants reported support for a new CE program. Midwives and physicians suggested implementing the new program within the facilities of the Ministry of Health (MOH). This would decrease cost and the need for staffing for the new program. They suggested that the CE program could benefit from potential support from international sponsors that affiliate with the MOH. Potential benefits of CE could potentially help gain support from the MOH decision makers and the community in Jordan