10 research outputs found
Timing of antenatal care for adolescent and adult pregnant women in south-eastern Tanzania
Early and frequent antenatal care attendance during pregnancy is important to identify and mitigate risk factors in pregnancy and to encourage women to have a skilled attendant at childbirth. However, many pregnant women in sub-Saharan Africa start antenatal care attendance late, particularly adolescent pregnant women. Therefore they do not fully benefit from its preventive and curative services. This study assesses the timing of adult and adolescent pregnant women's first antenatal care visit and identifies factors influencing early and late attendance.\ud
The study was conducted in the Ulanga and Kilombero rural Demographic Surveillance area in south-eastern Tanzania in 2008. Qualitative exploratory studies informed the design of a structured questionnaire. A total of 440 women who attended antenatal care participated in exit interviews. Socio-demographic, social, perception- and service related factors were analysed for associations with timing of antenatal care initiation using regression analysis. The majority of pregnant women initiated antenatal care attendance with an average of 5 gestational months. Belonging to the Sukuma ethnic group compared to other ethnic groups such as the Pogoro, Mhehe, Mgindo and others, perceived poor quality of care, late recognition of pregnancy and not being supported by the husband or partner were identified as factors associated with a later antenatal care enrolment (p < 0.05). Primiparity and previous experience of a miscarriage or stillbirth were associated with an earlier antenatal care attendance (p < 0.05). Adolescent pregnant women started antenatal care no later than adult pregnant women despite being more likely to be single. Factors including poor quality of care, lack of awareness about the health benefit of antenatal care, late recognition of pregnancy, and social and economic factors may influence timing of antenatal care. Community-based interventions are needed that involve men, and need to be combined with interventions that target improving the quality, content and outreach of antenatal care services to enhance early antenatal care enrolment among pregnant women
Recommended from our members
The distance to SN 1999em in NGC 1637 from the expanding photosphere method
We present 30 optical spectra and 49 photometric epochs sampling the first 517 days after discovery of supernova (SN) 1999em and derive its distance through the expanding photosphere method (EPM). SN 1999em is shown to be a Type II-plateau (II-P) event, with a photometric plateau lasting until about 100 days after explosion. We identify the dominant ions responsible for most of the absorption features seen in the optical portion of the spectrum during the plateau phase. Using the weakest unblended absorption features to estimate photospheric velocity, we find the distance to SN 1999em to be D = 8.2 ± 0.6 Mpc, with an explosion date of HJD 2,451,475.6 ± 1.4, or 5.3 ± 1.4 days before discovery. We show that this distance estimate is about 10% closer than the distance that results if the strong Fe II λλ4924, 5018, 5169 absorption features, which have often been used in previous EPM studies, are used to estimate photospheric velocity. We examine potential sources of systematic error in EPM-derived distances and find the most significant to result from uncertainty in the theoretical modeling of the flux distribution emitted by the SN photosphere (i.e., the "flux dilution factor"). We compare previously derived EPM distances to eight SNe II in galaxies (or members of the same group) for which a recently revised Cepheid distance exists from the Hubble Space Telescope Key Project and find DCepheids/DEPM = 0.87 ± 0.06 (statistical); eliminating the three SNe II distances for which a Cepheid distance exists only to a group member, and not the host galaxy itself, yields DCepheids/DEPM = 0.96 ± 0.09. Additional direct comparisons, especially to spectroscopically and photometrically normal SNe II-P, will certainly help to produce a more robust comparison. Finally, we investigate the possible use of SNe II-P as standard candles and find that for eight photometrically confirmed SNe II-P with previously derived EPM distances and SN 1999em, the mean plateau absolute brightness is MÌv(plateau) = -16.4 ± 0.6 mag, implying that distances good to âŒ30% (1 Ï) may be possible without the need for a complete EPM analysis. At MÌv(plateau) = -15.9 ± 0.2 mag, SN 1999em is somewhat fainter than the average SN II-P. The general consistency of absolute SNe II-P brightness during the plateau suggests that the standard candle assumption may allow SNe II-P to be viable cosmological beacons at Z > 2
Recommended from our members
The distance to SN 1999em in NGC 1637 from the expanding photosphere method
We present 30 optical spectra and 49 photometric epochs sampling the first 517 days after discovery of supernova (SN) 1999em and derive its distance through the expanding photosphere method (EPM). SN 1999em is shown to be a Type II-plateau (II-P) event, with a photometric plateau lasting until about 100 days after explosion. We identify the dominant ions responsible for most of the absorption features seen in the optical portion of the spectrum during the plateau phase. Using the weakest unblended absorption features to estimate photospheric velocity, we find the distance to SN 1999em to be D = 8.2 ± 0.6 Mpc, with an explosion date of HJD 2,451,475.6 ± 1.4, or 5.3 ± 1.4 days before discovery. We show that this distance estimate is about 10% closer than the distance that results if the strong Fe II λλ4924, 5018, 5169 absorption features, which have often been used in previous EPM studies, are used to estimate photospheric velocity. We examine potential sources of systematic error in EPM-derived distances and find the most significant to result from uncertainty in the theoretical modeling of the flux distribution emitted by the SN photosphere (i.e., the "flux dilution factor"). We compare previously derived EPM distances to eight SNe II in galaxies (or members of the same group) for which a recently revised Cepheid distance exists from the Hubble Space Telescope Key Project and find DCepheids/DEPM = 0.87 ± 0.06 (statistical); eliminating the three SNe II distances for which a Cepheid distance exists only to a group member, and not the host galaxy itself, yields DCepheids/DEPM = 0.96 ± 0.09. Additional direct comparisons, especially to spectroscopically and photometrically normal SNe II-P, will certainly help to produce a more robust comparison. Finally, we investigate the possible use of SNe II-P as standard candles and find that for eight photometrically confirmed SNe II-P with previously derived EPM distances and SN 1999em, the mean plateau absolute brightness is MÌv(plateau) = -16.4 ± 0.6 mag, implying that distances good to âŒ30% (1 Ï) may be possible without the need for a complete EPM analysis. At MÌv(plateau) = -15.9 ± 0.2 mag, SN 1999em is somewhat fainter than the average SN II-P. The general consistency of absolute SNe II-P brightness during the plateau suggests that the standard candle assumption may allow SNe II-P to be viable cosmological beacons at Z > 2
Recommended from our members
Panoramic optical and near-infrared SETI instrument: Overall specifications and science program
We present overall specifications and science goals for a new optical and near-infrared (350 - 1650 nm) instru- ment designed to greatly enlarge the current Search for Extraterrestrial Intelligence (SETI) phase space. The Pulsed All-sky Near-infrared Optical SETI (PANOSETI) observatory will be a dedicated SETI facility that aims to increase sky area searched, wavelengths covered, number of stellar systems observed, and duration of time monitored. This observatory will offer an "all-observable-sky" optical and wide-field near-infrared pulsed tech- nosignature and astrophysical transient search that is capable of surveying the entire northern hemisphere. The final implemented experiment will search for transient pulsed signals occurring between nanosecond to second time scales. The optical component will cover a solid angle 2.5 million times larger than current SETI targeted searches, while also increasing dwell time per source by a factor of 10,000. The PANOSETI instrument will be the first near-infrared wide-field SETI program ever conducted. The rapid technological advance of fast-response optical and near-infrared detector arrays (i.e., Multi-Pixel Photon Counting; MPPC) make this program now feasible. The PANOSETI instrument design uses innovative domes that house 100 Fresnel lenses, which will search concurrently over 8,000 square degrees for transient signals (see Maire et al. and Cosens et al., this conference). In this paper, we describe the overall instrumental specifications and science objectives for PANOSETI
Recommended from our members
Panoramic optical and near-infrared SETI instrument: Optical and structural design concepts
We propose a novel instrument design to greatly expand the current optical and near-infrared SETI search pa- rameter space by monitoring the entire observable sky during all observable time. This instrument is aimed to search for technosignatures by means of detecting nano- to micro-second light pulses that could have been emitted, for instance, for the purpose of interstellar communications or energy transfer. We present an instru- ment conceptual design based upon an assembly of 198 refracting 0.5-m telescopes tessellating two geodesic domes. This design produces a regular layout of hexagonal collecting apertures that optimizes the instrument footprint, aperture diameter, instrument sensitivity and total field-of-view coverage. We also present the optical performance of some Fresnel lenses envisaged to develop a dedicated panoramic SETI (PANOSETI) observatory that will dramatically increase sky-area searched (pi steradians per dome), wavelength range covered, number of stellar systems observed, interstellar space examined and duration of time monitored with respect to previous optical and near-infrared technosignature finders