Self-medication practices of pregnant women attending antenatal clinic in northern ghana: An analytical cross-sectional study

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Study Justification:
– Limited examination of self-medication among pregnant women in Ghana
– Dangers posed to maternal and fetal health by self-medication
– Need to understand prevalence and factors associated with self-medication
Study Highlights:
– Analytical cross-sectional survey of 367 pregnant women in Wa Municipality, Ghana
– Prevalence of self-medication practice among pregnant women: 74.1%
– Most common sources of unprescribed medicines: chemical shops (68.4%)
– Common types of self-medicated drugs: analgesics (76.1%), antibiotics (24.6%), antimalarials (16.2%)
– Common illnesses or symptoms for self-medication: headaches (34.2%), back pain (33.1%), waist pain (32.7%), lower abdominal pain (20.6%), malaria (16.2%)
– Factors significantly associated with self-medication: easy access to medication without prescription, perception of illness as minor, availability of health facilities, frequent lack of medicines at health facilities
Recommendations for Lay Reader and Policy Maker:
– Enforce legislation to prevent stocking and sale of certain analgesics and antibiotics
– Increase service points at antenatal clinics, outpatient departments, and pharmacies
– Improve service quality at antenatal clinics, outpatient departments, and pharmacies
Key Role Players:
– Government health agencies
– Regulatory bodies
– Health facility administrators
– Health professionals (doctors, nurses, pharmacists)
– Community leaders and influencers
Cost Items for Planning Recommendations:
– Training and capacity building for health professionals
– Infrastructure development and expansion of health facilities
– Monitoring and enforcement of legislation
– Public awareness campaigns
– Procurement and supply of essential medicines
– Research and data collection for monitoring and evaluation

In Ghana, despite the dangers that self-medication poses to maternal and fetal health, there has been limited examination of self-medication among pregnant women. This study examines the practice of self-medication among pregnant women in Wa Municipality, Ghana. An analytical cross-sectional survey of 367 pregnant women was conducted in three health facilities. The prevalence of self-medication practice was 74.1%. The majority (68.4%) of pregnant women obtained unprescribed medicines from chemical shops; others utilized leftover drugs from previous hospital visits (15.8%) or herbal medications (9.9%), while others took unprescribed drugs from relatives or friends (5.9%). Analgesics (76.1%), antibiotics (24.6%), and antimalarials (16.2%) were the most frequently self-medicated drugs. The most common illnesses or symptoms for which pregnant women self-medicated were headaches (34.2%), back pain (33.1%), waist pain (32.7%), lower abdominal pain (20.6%), and malaria (16.2%). After adjusting for potential confounders, easy access to medication without prescription (AOR= 8.4), illness perceived as minor (AOR=4.1), availability of health facilities (AOR=4.2), and frequent lack of medicines at health facilities (AOR=1.7) were significantly associated with self-medication. Enforcing legislation to prevent the stocking and sale of certain analgesics and antibiotics, increasing service points, and improving service quality at antenatal clinics, outpatient departments and pharmacies could reduce self-medication. (Afr J Reprod Health 2021; 25[4]: 89-98).

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Innovation 1: Virtual Antenatal Clinics
Develop a virtual antenatal clinic platform that allows pregnant women to access comprehensive healthcare services remotely. This innovation would utilize telemedicine technology to provide virtual consultations, health education, and prescription services. Pregnant women can receive personalized care and guidance from healthcare providers without the need for physical visits to antenatal clinics, improving access to maternal health services, especially for those in remote or underserved areas.

Innovation 2: Mobile Health Application for Pregnant Women
Create a mobile health application specifically designed for pregnant women. This app would provide evidence-based information on maternal health, including the risks of self-medication during pregnancy. It could also offer features such as symptom tracking, appointment reminders, medication reminders, and a direct line of communication with healthcare providers. By empowering pregnant women with accurate information and tools, this innovation can help them make informed decisions about their health and reduce the reliance on self-medication.

Innovation 3: Community Health Worker Program
Establish a community health worker program focused on maternal health. Trained community health workers can visit pregnant women in their homes, providing education on the dangers of self-medication and promoting the utilization of antenatal clinics. They can also assist in identifying high-risk pregnancies and referring women to appropriate healthcare facilities. This innovation would bridge the gap between communities and formal healthcare systems, improving access to maternal health services and reducing self-medication practices.

Innovation 4: Medication Delivery Service
Implement a medication delivery service specifically for pregnant women. This service would ensure the timely and safe delivery of prescribed medications to pregnant women’s homes. By eliminating the need for pregnant women to visit pharmacies and risk self-medication, this innovation can improve access to prescribed medications and reduce the prevalence of self-medication during pregnancy.

Innovation 5: Collaborative Care Model
Develop a collaborative care model that involves close coordination between antenatal clinics, pharmacies, and community health workers. This model would ensure that pregnant women receive consistent and coordinated care throughout their pregnancy journey. Antenatal clinics can provide prescriptions and guidance, pharmacies can dispense medications as prescribed, and community health workers can provide ongoing support and education. By working together, these healthcare providers can effectively address self-medication practices and improve access to maternal health services.
AI Innovations Description
Based on the study titled “Self-medication practices of pregnant women attending antenatal clinic in northern Ghana: An analytical cross-sectional study,” here is a recommendation that can be developed into an innovation to improve access to maternal health:

1. Strengthening Antenatal Clinics: Enhance the capacity and resources of antenatal clinics to provide comprehensive healthcare services to pregnant women. This can include improving infrastructure, ensuring the availability of essential medicines, and increasing the number of skilled healthcare providers.

2. Education and Awareness Campaigns: Conduct targeted education and awareness campaigns to inform pregnant women about the risks associated with self-medication during pregnancy. Emphasize the importance of seeking professional medical advice and discourage the use of unprescribed medicines.

3. Community Engagement: Engage with local communities to raise awareness about the dangers of self-medication and promote the utilization of antenatal clinics. This can involve partnering with community leaders, traditional birth attendants, and local health workers to disseminate information and encourage pregnant women to seek proper healthcare.

4. Regulatory Measures: Enforce legislation to prevent the stocking and sale of certain analgesics and antibiotics without a prescription. This can help reduce the availability of unprescribed medicines and discourage self-medication practices.

5. Telemedicine and Mobile Health Solutions: Explore the use of telemedicine and mobile health solutions to provide remote access to healthcare services for pregnant women in remote or underserved areas. This can include virtual consultations, health information platforms, and mobile applications that provide guidance on maternal health.

6. Collaboration with Pharmacies: Collaborate with pharmacies to ensure that they play a role in promoting responsible medication use during pregnancy. This can involve training pharmacists on the risks of self-medication during pregnancy and encouraging them to refer pregnant women to antenatal clinics for proper medical advice.

By implementing these recommendations, access to maternal health can be improved, reducing the prevalence of self-medication among pregnant women and promoting better health outcomes for both mothers and their babies.
AI Innovations Methodology
To simulate the impact of the main recommendations on improving access to maternal health, the following methodology can be employed:

1. Baseline Data Collection: Gather baseline data on the prevalence of self-medication practices among pregnant women attending antenatal clinics in the target area. This can be done through surveys, interviews, or medical records review.

2. Intervention Implementation: Implement the main recommendations outlined in the abstract, such as strengthening antenatal clinics, conducting education and awareness campaigns, engaging with local communities, enforcing regulatory measures, and exploring telemedicine and mobile health solutions. This may involve collaboration with relevant stakeholders, including healthcare providers, community leaders, and pharmacies.

3. Monitoring and Evaluation: Continuously monitor the implementation of the recommendations and collect data on key indicators related to access to maternal health. This can include the number of pregnant women attending antenatal clinics, the availability of essential medicines, the utilization of telemedicine services, and the prevalence of self-medication practices.

4. Data Analysis: Analyze the collected data to assess the impact of the recommendations on improving access to maternal health. Compare the baseline data with the post-intervention data to identify any changes or improvements.

5. Statistical Analysis: Conduct statistical analysis to determine the significance of the findings. This can involve using appropriate statistical tests, such as chi-square tests or regression analysis, to assess the association between the implementation of the recommendations and the reduction in self-medication practices.

6. Reporting and Recommendations: Summarize the findings of the analysis and prepare a report outlining the impact of the recommendations on improving access to maternal health. Based on the results, provide further recommendations or modifications to the interventions to enhance their effectiveness.

By following this methodology, researchers and policymakers can gain insights into the effectiveness of the recommendations in improving access to maternal health and make informed decisions on scaling up or modifying the interventions to achieve better outcomes.

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