Kematangan Emosi Pada Pria Dan Wanita Yang Menikah Muda

Penelitian ini bertujuan untuk menguji secara empiris perbedaan kematangan emosi pada pria dan wanita yang menikah muda. Penelitian ini dilakukan terhadap 25 orang pria dan 25 orang wanita yang berusia antara 18 sampai dengan 24 tahun yang menikah muda. Dari 56 item disebarkan diperoleh 34 item yang valid. Nilai korelasi yang didapat berkisar antara 0.307 sampai 0.752 sedangkan koefisien reliabilitas sebesar 0.884. Uji hipotesis menggunakan uji beda U Mann-Whitney, karena tidak terpenuhinya kriteria uji statistik parametrik. Berdasarkan analisis data diperoleh skor t sebesar -3.061 (p < 0.01). Hasil tersebut menunjukkan adanya perbedaan kematangan emosi yang sangat signifikan pada pria dan wanita yang menikah muda

Mortalité maternelle à Central Hospital, Benin City, Nigeria : Une revue de dix ans

Maternal mortality remains a major challenge in Nigeria. This retrospective study was conceptualized to document the number and pattern of obstetric deaths at the Central Hospital, Benin City, over a ten year period, to identify common causes of maternal deaths and proffer relevant interventions. The overall maternal mortality ratio (MMR) was 518/100,000. MMR was 30 times higher in unbooked as compared to the booked patients, while 60% of maternal deaths occurred within 24 hours of admission. The leading direct causes of maternal deaths were sepsis, hemorrhage, obstructed labor and preeclampsia/ eclampsia, while the major indirect causes are institutional difficulties and anaemia. Low literacy, high poverty levels, extremes of parity and non-utilization of maternity services were associated with maternal mortality. Recommendations are made for public enlightenment campaign and advocacy activities aimed at mobilizing resources for reducing maternal mortality. Also, female education and poverty alleviation programmes will contribute to the reduction of the burden of maternal mortality (Afr J Reprod Health 2008; 12[3]:17-26).La mortalité maternelle reste un défi principal au Nigeria. Cette étude rétrospective a été conceptualisée pour se documenter sur le nombre et le modèle de morts obstétriques à Central Hospital, Bénin City, au cours d&apos;une période de dix ans, d’identifier les causes communes de morts maternelles et offrir des interventions pertinentes. La proportion de mortalité maternelle complète (MMC) était 518/100,000. MMC était 30 fois plus élevée pour des patients non réservés en comparaison des patients réservés, tandis que 60 % des morts maternelles sont arrivés dans 24 heures d&apos;admission. Les causes directes principales des morts maternelles étaient la septicité, l&apos;hémorragie, l’accouchement entravé et prééclampsie/ éclampsie, tandis que les causes indirectes majeures sont des difficultés institutionnelles et l&apos;anémie. L&apos;alphabétisation basse, de hauts niveaux de pauvreté, les extrêmes de parité et la nonutilisation de services de maternité a été associée à la mortalité maternelle. Les recommandations sont faites pour la campagne d&apos;éclaircissement publique et les activités de plaidoyer ont visé à mobiliser des ressources pour réduire la mortalité maternelle. Aussi, l&apos;éducation féminine et des programmes d&apos;allégement de pauvreté contribueront à la réduction du fardeau de mortalité maternelle (Afr J Reprod Health 2008; 12[3]:17-26)

Rating of aspects of quality of emergency obstetrics care by the Key Informants in the Hospitals (lowest rating = 1, highest = 5 per category).

<p>Rating of aspects of quality of emergency obstetrics care by the Key Informants in the Hospitals (lowest rating = 1, highest = 5 per category).</p

Assessing the knowledge and skills on emergency obstetric care among health providers: Implications for health systems strengthening in Nigeria.

ObjectiveTo assess the existing knowledge and skills relating to Emergency Obstetrics Care (EMOC) among health providers in eight referral maternity hospitals in Nigeria.Study designA cross-sectional study of skilled health providers (doctors, nurses and midwives) working in the hospitals during the period.SettingSix general hospitals (4 in the south and 2 in the north), and two teaching hospitals (both in the Northern part) of the country.PopulationAll skilled providers offering EMOC services in the hospitals during the study.MethodsA pre-tested self-administered questionnaire was used to obtain information relating to socio-demographic characteristics, the respondents' knowledge and skills in offering specific EMOC services (as compared to standard World Health Organization recommendations), and their confidence in transferring the skills to mid-level providers. Data were analyzed with univariate, bivariate, binary and multinomial logistic regression analyses. Main outcome measures: knowledge and skills in EMOC services by hospital and overall.ResultsA total of 341 health providers (148 doctors and 193 nurses/midwives) participated in the study. Averagely, the providers scored less than 46% in a composite EMOC knowledge score, with doctors scoring considerable higher than the nurses/midwives. Similarly, doctors scored higher than nurses/midwives in the self-reporting of confidence in carrying out specific EMOC functions. Health providers that scored higher in knowledge were significantly more likely to report confidence in performing specific EMOC functions as compared to those with lower scores. The self-reporting of confidence in transferring clinical skills was also higher in those with higher EMOC knowledge scores.ConclusionThe knowledge and reported skills on EMOC by health providers in referral facilities in Nigeria was lower than average. We conclude that the in-service training and re-training of health providers should be included in national policy and programs that address maternal mortality prevention in referral facilities in the country.Trial registrationNigeria Clinical Trials Registry 91540209

Map of Nigeria showing the geopolitical zones, states and study sites.

<p>Map of Nigeria showing the geopolitical zones, states and study sites.</p

Aspects of emergency obstetrics care to be improved–recommendations by key informants.

<p>Aspects of emergency obstetrics care to be improved–recommendations by key informants.</p