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The effects of the Strengthening Partnership, Results, and Innovations in Nutrition Globally (SPRING) project on #malnutrition (stunting, acute malnutrition, and underweight) among #children under five years of age
The study provides suggestive evidence that the project may have influenced child nutrition status through #antenatal #care attendance
Being The ANSC (Antenatal Specialist Clinic) House Officer – Housemanship Diaries
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In my previous article, I have talked about my experience as an EPAU (Early Pregnancy Assessment Unit) House Officer.
The ANSC (Antenatal Specialist Clinic) is a separate clinic of its own. Usually patients with other underlying issues comes in for follow up here and most of the time, it is combined with the Medical team. The operating hours are on weekdays from 9am till 12pm and 2pm till 5pm.
The joblists for ANSC is similar to that of EPAU. The patients over here will come in for scan and the medical officers are in charge of screening and scanning the patients. After which, the patients will go to their allocated specialists.
The job of the House Officer?
Our job is merely to record down scan findings or to call the patients or to take their blood or fill up blood requests forms if needed. There are instances whereby we need to request certain radiological tests or to get an outpatient appointment.
But that’s about it actually. The good thing about EPAU and ANSC is that we do get lunch breaks. Thus, it is something I always looked forward to.
Usually in the afternoon, it is a different clinic. Most of the time I would stay behind. Mainly because once we are done with the clinics, we are expected to return to Labour Ward and help out since our working hours are till 7pm. Thus, I try my best to delay my return to the labour ward for as long as possible.
My experience as a House Officer in both the EPAU and ANSC were both enjoyable and fun.
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Being the EPAU (Early Pregnancy Assessment Unit) House Officer – Housemanship Diaries
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EPAU of the Early Pregnancy Assessment Unit is like working in a clinic. Before I begin, allow me to express how much I absolutely love it when I am allocated as the “EPAU House Officer” for the day.
The hospital that I am practicing in is Hospital Umum Sarawak otherwise known as Sarawak General Hospital.
The working hours as an EPAU HO is from 8am till 5pm, with a lunch break from 12pm till 2pm. This is then followed by the continuation of work from 2pm till about 5pm.
Most of the cases seen here are patients who go for follow up most likely due to foetal growth restriction (FGR) or cases referred from Klinik Kesihatan. There are some cases whereby the gestation is yet to be seen in utero likely because it is too early but the pregnancy test appears positive, hence they are on follow up for scan of gestational viability after a week or two. In terms of gynae cases, most of the patients that come in are impending miscarriages or patients who have miscarriage but are on follow up to check on their B-hCG.
As an EPAU house officer, our duty is to first screen through the cases that comes in. As I mentioned before, some cases are referred while some are on follow-up.
Thus, we will screen through by writing their age followed by their gestation and parity and finally, any relevant antenatal history.
After we are done screening, we help out with writing the scan findings, calling the patients or helping to take bloods.
There’s not much that needs to be done actually but on certain days whereby the patient load is tremendous, it can get extremely busy.
However, being an EPAU house officer is a good experience and a good change of scene especially if you’ve been allocated to the ward always.
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Background Pregnant women in sub-Saharan Africa (SSA) experience the highest levels of maternal mortality and stillbirths due to predominantly avoidable causes. Antenatal care (ANC) can prevent, detect, alleviate, or manage these causes. While eight ANC contacts are now recommended, coverage of the previous minimum of four visits (ANC4+) remains low and inequitable in SSA. Methods We modelled ANC4+ coverage and likelihood of attaining district-level target coverage of 70% across three equity stratifiers (household wealth, maternal education, and travel time to the nearest health facility) based on data from malaria indicator surveys in Kenya (2020), Uganda (2018/19) and Tanzania (2017). Geostatistical models were fitted to predict ANC4+ coverage and compute exceedance probability for target coverage. The number of pregnant women without ANC4+ were computed. Prediction was at 3 km spatial resolution and aggregated at national and district -level for sub-national planning. Results About six in ten women reported ANC4+ visits, meaning that approximately 3 million women in the three countries had <ANC4+ visits. The majority of the 366 districts in the three countries had ANC4+ coverage of 50–70%. In Kenya, 13% of districts had < 70% coverage, compared to 10% and 27% of the districts in Uganda and mainland Tanzania, respectively. Only one district in Kenya and ten districts in mainland Tanzania were likely met the target coverage. Six percent, 38%, and 50% of the districts had at most 5000 women with <ANC4+ visits in Kenya, Uganda, and mainland Tanzania, respectively, while districts with > 20,000 women having <ANC4+ visits were 38%, 1% and 1%, respectively. In many districts, ANC4+ coverage and likelihood of attaining the target coverage was lower among the poor, uneducated and those geographically marginalized from healthcare. Conclusions These findings will be invaluable to policymakers for annual appropriations of resources as part of efforts to reduce maternal deaths and stillbirths.
ThreeOfUs
PAGEPress Scientific Publ
The Theoretical Doctor
Stephanie Ortoleva
Stephanie Ortoleva
WorldPopProject