260683 Survey of Knowledge, Attitudes, Perception and Practices of Pregnancy and Birth in Women Aged 18-45 in Milot, Haiti

Wednesday, October 31, 2012

Sophia Kostelanetz, MD MPH STUDENT , School of Medicine, Tufts University, Boston, MA
Maggie Westfal, MD MPH STUDENT , School of Medicine, Tufts University, Boston, MA
Mark Pearlmutter, MD, Chair & VP Network Emergency Services Steward Medical Group , Dept of Emergency Medicine, Tufts University School of Medicine, Steward St Elizabeth's Medical Center, Boston, MA
Janet Forrester, PhD , Department of Public Health, Tufts University School of Medicine, Boston, MA
The WHO Millennium goal 5 is to reduce the maternal mortality ratio by 75%, between 1990 and 2015. Maternal mortality is the health outcome with the largest disparity between developed and developing countries. In Haiti, the maternal mortality ratio per 100,000 live births is 630 compared with 150 in adjacent Dominican Republic. The purpose of this study was to explore the knowledge, attitudes, and practices of women regarding pregnancy and birth. The population was women ages 18-45 living in the Milot Valley, an area with approximately 150,000 residents. A 40-question survey was administered to 50 women who were pregnant (33%) or who had delivered a child within the last 2 years (67%). The surveys were conducted at the hospital and surrounding communities. The results showed that 98% of women sought prenatal care and 93.0% sought post-natal care, with a variety of providers. Women reported a 94.0% satisfaction rate with pregnancy care. Although 78.7% of women sought prenatal care from a doctor, a doctor attended only 53.2% of births. Among women surveyed in the community, an equal amount (47.8%) delivered at home and at the hospital. Of currently pregnant women, 94.1% reported the hospital as their preferred site of delivery. Women who gave birth at home cited “no time to go elsewhere” (55.6%) and closest location (50.0%) as their reasons for choosing this site. In conclusion, this study provides insight into women's delivery practices in the Milot Valley and reveals nuances regarding delivery preferences.

Learning Areas:
Assessment of individual and community needs for health education

Learning Objectives:
The purpose of this study was to assess the knowledge, attitudes, and practices of women 18-45 years old regarding pregnancy and birth in Milot, Haiti.

Keywords: International Reproductive Health, International MCH

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As an MD/MPH student I have the skills to develop and implement a survey of practices in pregnancy and delivery care, while working in collaboration with Tufts University School of Medicine faculty and the administration at Hospital Sacre Coeur in Milot, Haiti. My background also includes previous global health work (both development and implementation) with Partners in Health in their headquarters office as well as in the field.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.