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Design and Implementation of a Computerized Antenatal Information System (A Case Study of Park-Lane Hospital Enugu)

DESIGN AND IMPLEMENTATION OF A COMPUTERIZED ANTENATAL INFORMATION SYSTEM


ABSTRACT

Computerized Antenatal Information System has been shown to be an effective strategy for improving maternal stress and self-efficacy during pregnancy, with the implementation of the Antenatal system, it will provide opportunities for pregnant women to develop competence and obtain knowledge, skills, and social support from health care providers. The aim of the study is to Design and Implement a Computerized Antenatal Information System. In achieving this aim, the following specific objectives were laid out to design and develop an application software that will provide information availability to Antenatal patients and to doctors about expectance mothers' antenatal care, enhance access to information about Antenatal patients i.e. quick information retrieval and secured storage and reliable and desire information for the management, patients seeking advice and the best way for information processing retrieval and secured storage for future purpose. The motivation that led to the implementation of the proposed system is that care provider waste precious time searching and browsing for unscheduled Antenatal patient record to collect all information pertinent to the actual situation and there is difficulty in accessing certain Antenatal patient file location.

The methodology adopted in this study is the structured system analysis and design methodology (SSADM) which is a technical approach for analyzing and designing an application or system by applying object throughout the software development process. The programming language used is HTML, CSS, JAVASCRIPT, PHP, SQL and JQUERY. The reason why web programming languages was used is because, it is platform independent and it is a web based application. This system when completed and implemented it will help provide adequate information about Antenatal patient's medical record and facilitates quick medical appointment scheduling. This project will be beneficial to individuals such as: pregnant women, pharmacist and doctors, nurses, care providers by providing accurate and complete information about Antenatal patient's medical record thereby saving patient time during Antenatal medical checkup. The expected result is a Computerized Antenatal Information System that will process and schedule Antenatal Patient's appointment, and the system will generates accurate information for during Antenatal Care Service.


CHAPTER ONE

1.1 Introduction

Antenatal care is a type of preventive healthcare. It is provided in the form of medical checkups, consisting of recommendations on managing a healthy lifestyle and the provision of medical information such as maternal physiological changes in pregnancy, biological changes, and prenatal nutrition including prenatal vitamins, which prevents potential health problems throughout the course of the pregnancy and promotes the mother and child's health alike. The availability of routine prenatal care, including prenatal screening and diagnosis, has played a part in reducing the frequency of maternal death, miscarriages, birth defects, low birth weight, neonatal infections and other preventable health problems (Wikipedia, 2021b).

As a prelude to other parts of this study, this chapter will discuss the background upon which this study was initiated, the statement of problems that led to this study, the Aim and Objectives of the study. Others are Significance of the study, Scope of work, Limitations of the Study and Definition of technical terms.


1.2 Background of Study

A computerized Antenatal education system has been shown to be an effective strategy for improving maternal stress and self-efficacy during pregnancy, with the implementation of the Antenatal system, it will provide opportunities for pregnant women to develop competence and obtain knowledge, skills, and social support from health care providers. Researchers have suggested that antenatal education should meet pregnant women's needs by providing strategies to cope with common pregnancy-related stressors. Pregnant women are interested in participating in a web based or internet-based antenatal education or antenatal care. Previous research has reported that over 90% of pregnant women are interested in using the internet or smartphones to search for pregnancy-related information that affects their decision making. The current research aim is to design and implement an effective computerized web-based antenatal education system on maternal stress and other related health issues during pregnancy.

An information system is needed to provide basic data for any organization, which are required for decision making, coordinating and controlling of records, therefore it is of great importance that the discovery of an adequate means of making the information available to everyone concerned, this is because for decision to be made efficiently and timely the information must be consistent, up-to-date, accurate and reliable (just-in-time) to affect the operation for which it is being provided. Pregnancy can be a stressful event for many women. Women experience stress during pregnancy due to concerns about maternal-fetal safety, competence in the maternal role, physical changes, anxiety of labor and birth, social relationships, and financial issues. Maternal age, parity, pregnancy history, and maternal health status all could affect maternal stress perception. The first and second trimesters have been reported as the most stressful periods for pregnant women, and the stress in early pregnancy could last through late pregnancy month.


1.3 Statement of the Problem

The major function of the Antenatal unit is to cater for expectance mothers and provide necessary advice for the well-being of the mother and yet to be born child until delivery date, which is why the pregnant mother visits the unit, which is a little difficult for heavy mothers to always visit the hospital regularly to seek medical advisers and checkup. Investigation revealed the specific challenges encountered that led to the execution of the research work include the following;

  1. Care providers waste precious time searching and browsing for unscheduled Antenatal patient record to collect all information pertinent to the actual situation,
  2. Difficulty in accessing certain Antenatal patient file location,
  3. The manual system of Antenatal appointment scheduling of patient is usually stressful and may result to an incomplete daily scheduling of appointment with Antenatal patients, and
  4. Inaccuracies in Antenatal patient's medical record keeping due to human errors.

1.4 Aim and Objectives of the Study

The aim of the study is to Design and Implement a Computerized Antenatal Information System. In achieving this aim, the following specific objectives were laid out as follows to design and develop an application software that will:

  1. Provide information availability to Antenatal patients and to doctors about expectance mothers' antenatal care.
  2. Provide and enhance access to information about Antenatal patients i.e. quick information retrieval and secured storage.
  3. Provide a computerized antenatal mother registration in the Hospital.
  4. Provide an up-to-date, real-time, and reliable and desire information for the management, patients seeking advice.
  5. Provide the best way for information processing retrieval and secured storage for future purpose.

1.5 Significance of Study

This system when completed and implemented it will help provide adequate information about Antenatal patient's medical record and facilitates quick medical appointment scheduling. This project will be beneficial to individuals such as: pregnant women, pharmacist and doctors, nurses, care providers by providing accurate and complete information about Antenatal patient's medical record thereby saving patient time during Antenatal medical checkup. Besides, the study will serve as reference material for subsequent researcher in the field or related topics.

This study will aid the women understand the need for C/S especially when a vaginal delivery seem threatening to their health and that of their fetus. It will also help in debunking their various belief and taboo about the procedure which has been one of the reasons why they have been levistant to approve of it so that the rate of maternal and fetal mortality will be reduced to the bearest minimum. This research work is to design and implement an antenatal information system that will help in timely and useful information processing that can be accessible over the internet always.


1.6 Scope of the Study

The scope of the study is focused on the Design and Implementation of a Computerized Antenatal Information System which covers the provision of information related to the Antenatal unit of the department of a hospital.


1.7 Limitations of the Study

During the course of this study, many things militated against its completion, some of which are:

  1. Time Constraint: The time frame given to accomplish this project was very short due to school academic calendar and it was carried out under pressure which made the researcher not to implement some necessary features.
  2. Research material: availability of research material is a major setback to the scope of the study.
  3. Frequent power failure: This made the researcher append more money on fuel to ensure sustainable power.
  4. Financial Constraint: Insufficient fund tends to impede the efficiency of the researcher in sourcing for the relevant materials, literature or information and in the process of data collection (internet).

1.8 Definition of Terms

Medication: A medication is a substance that is taken in to or placed on the body that does one of the following things: most medications are used to cure disease or condition. (For example, antibiotics are given to cure an infection. Medications are also given to treat a medical condition).

Prescription: A prescription is a health-care program implemented by a physician or other qualified health care practitioner in the form of instructions that govern the plan of care for an individual patient.

Symptom: A symptom is a departure from normal function or feeling which is apparent to a patient, reflecting the presence of an unusual state or of a disease.


CHAPTER TWO

2.0 Literature Review

2.1 Introduction

The review of relevant literature is the main topic of this chapter. A literature review covers theoretical and methodological contributions to a certain issue in addition to the state of knowledge at the time of writing. It provides information about the state of the art in relation to the subject you are writing about. It examines the body of work on the chosen subject. The literature evaluation in this study comprises the …


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TABLE OF CONTENTS

PRELIMINARY PAGES


CHAPTER ONE

INTRODUCTION


    • 1.1 Introduction
    • 1.2 Background …

    CHAPTER TWO

    LITERATURE REVIEW

    • 2.1 Introduction

    CHAPTER THREE

    SYSTEM ANALYSIS AND DESIGN

    • 3.1 Methodology Adopted
    • 3.1.1 Problem Identification Using SSADM
    • 3.2 Analysis of the Existing System
    • 3.2.1 Dataflow of the Existing System
    • 3.2.2 Disadvantages Of The Existing System
    • 3.2.3 Weakness of the existing System
    • 3.3 Feasibility Study
    • 3.3.1 Economic Feasibility
    • 3.3.2 Technical Feasibility
    • 3.3.3 Operational Feasibility
    • 3.4 Analysis of the Proposed System
    • 3.4.1 Data Flow Diagram of the Proposed System
    • 3.4.2 Advantages of the Proposed System
    • 3.4.3 Justification of the Proposed System
    • 3.5 Functional Requirements
    • 3.5.1 Use Case Diagram Of The Admin / User Privileges
    • 3.6 Data Requirements
    • 3.7 High Level Model of the Proposed System

    CHAPTER FOUR

    SYSTEM DESIGN AND IMPLEMENTATION

    • 4.1 Objectives of the Design
    • 4.2 Cohesion and Decomposition High level Model
    • 4.3 Control Center / Overall Dataflow Diagram
    • 4.3.1 Proposed System Operation Flowchart
    • 4.4 System Specification and Design
    • 4.4.1 Input and Output Specification
    • 4.4.2 Database Specification and Design
    • 4.4.3 Data Dictionary
    • 4.5 Choice and Justification of Programming Language
    • 4.6 Program Documentation
    • 4.7 Implementation Techniques
    • 4.7.1 System Testing
    • 4.8 Programming Module Specification
    • 4.8.1 Installation
    • 4.9 Computer Hardware Minimum Requirement
    • 4.10 Software Requirement
    • 4.11 Personnel / User Training
    • 4.12 File Maintenance Module

    CHAPTER FIVE

    SUMMARY, CONCLUSION AND RECOMMENDATION

    • 5.1 Introduction
    • 5.2 Summary
    • 5.3 Conclusion
    • 5.4 Recommendation

    REFERENCES

    APPENDIX A - “SOURCE CODE”

    APPENDIX B - “OBJECT PROGRAM”


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