Monitoring of pregnant and infants in Konya district before and after transformation in health-care system

Objectives: The study was aimed to assess whethermonitoring of pregnant women and infants were appropriateaccording to the protocols in the field.Materials and methods: This cross-sectional study wasperformed in Konya city center. In 2006, sample size wascalculated for pre-natal care in urban population (n=175).Same sample size was used as a base for infants. Theneighborhoods from which the clusters were to be takenwere selected randomly. Same sample size and progresswere also used in 2011. Data were collected by face-tofaceinterview with the pregnant and mothers.Results: The average week of pregnancy was 25±9. Thepercentage of unmonitored pregnant was 23% in 2006and 7% in 2011 (P<0.001). The median of monitoringwere 2 and 3 in 2006 and 2011 respectively (P<0.001).The percentage of pregnant monitoring in accordancewith monitoring protocol of Ministry of Health in terms ofcorrect timing and proper numbers was 51% in 2006 and79% in 2011 (P<0.001). Total antenatal care increasedfrom 91% to 99% in five years (P<0.01). The mean ageof infants involved into the study was 6±3 months. Thepercentage of unmonitored infants was 6% in 2006 and2% in 2011 (P<0.01). The median of monitoring was 3 in2006 and 4 in 2011 (P<0.01). The percentage of monitoringproper to the time intervals stated in protocols decreasedfrom 33% to 18% (P<0.01).Conclusion: While most parameters of pregnant andinfant monitoring increased in urban population, the percentageof in-time monitoring decreased.