Socio-Ecological Factors Affecting Pregnant Women's Anemia Status in Freetown, Sierra Leone

Autor/inn/en	M'Cormack, Fredanna; Drolet, Judy
Titel	Socio-Ecological Factors Affecting Pregnant Women's Anemia Status in Freetown, Sierra Leone
Quelle	In: American Journal of Health Education, 43 (2012) 6, S.327-340 (14 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1932-5037
Schlagwörter	Pregnancy; Females; Health Promotion; Health Behavior; Health Education; Diseases; Foreign Countries; Cultural Influences; Child Health; Questionnaires; Mothers; Mortality Rate; Economic Factors; Poverty; Social Influences; Radio; Intervention; Program Development; Program Implementation; Health Personnel; Public Agencies; Nongovernmental Organizations; Sierra Leone + Suchen Sie Ihr Suchwort? Schwangerschaft; Weibliches Geschlecht; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Health behaviour; Gesundheitsverhalten; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Disease; Krankheit; Ausland; Cultural influence; Kultureinfluss; Fragebogen; Mother; Mutter; Mortalitätsrate; Ökonomischer Faktor; Armut; Sozialer Einfluss; Programmplanung; Medizinisches Personal; Öffentliche Einrichtung
Abstract	Background: Sierra Leone has high maternal mortality. Socio-ecological factors are considered contributing factors to this high mortality. Anemia is considered to be a direct cause of 4% of maternal deaths and an indirect cause of 20-40% of maternal deaths. Purpose: The current study explores socio-ecological contributing factors to the anemia status of 171 pregnant Sierra Leone women. Methods: A structured questionnaire framed around the Modified Ecological Model for Health Behavior and Health Promotion was distributed to women visiting five health care facilities in Freetown, Sierra Leone. Results: Participants were more likely to have anemia in the second and third trimester than the first trimester ([chi][superscript 2] = 6.12; [chi][superscript 2] = 6.33). Participants indicating economic difficulties were likely to have anemia. Seventy-seven percent of participants had anemia (hemoglobin less than 11.0g/dL). Discussion: Findings indicate that poverty, time of intervention, and socio-cultural factors have an impact on anemia. In addition, use of radio communication is beneficial to deliver health messages to the masses. Translation to Health Education Practice: Developing and implementing comprehensive programs that consider socio-cultural factors are necessary to raise awareness and address misconceptions about anemia causes, prevention, and treatment. These programs must be multi-sectored and include participants, health care workers, government, non-governmental agencies and community. (Contains 5 figures and 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10