Child survival and child health development activities for the Eighth five year plan in India (1990–1995)—Part II

1991 ◽  
Vol 58 (2) ◽  
pp. 153-160 ◽  
Author(s):  
Author(s):  
Tarun Bala

<div><p><em>Reducing maternal and child mortality is the most important goal of the National Rural Health Mission. Indian government has worked towards its commitment to achieve the Millennium Development Goals.  Huge investments are being made by Government of India to achieve these goals. A well framed roadmap is being developed for accelerating child survival and improving maternal health and 16 indicators is selected for this purpose. The improvement in these indicators shows the way towards the achievement of MDGs.  India has made considerable progress over the last few years since NRHM in the area of maternal and child health, which was further accelerated after introduction of RMNCHA+ () strategy which appropriately directs the states to focus their efforts on the most vulnerable and disadvantaged sections of the society in the country. Main focus is healthy mothers and child. It also emphasizes on the need to reinforce efforts in those poor performing districts that have already been identified as the high focus districts. ‘Continuum care’ is required to have equal focus on various life stages.  Improvement in these indicators provide an understanding the importance of ‘continuum of care’ to ensure equal focus on various life stages. Some low performing districts had shown an improvement over period of time in its RMNCHA+ indicators.</em></p></div>


2020 ◽  
Vol 11 (7) ◽  
pp. 1006-1014
Author(s):  
Ajit Kumar Jaiswal

Maternal and child health programmes plays a key role in reducing infant and child mortality in any population. The Government of India started maternal and child health care services in the first five year plan (1951-56). This study uses data from the fourth round of the National Family Health Survey (NFHS, 2015-16). We are interested to examine the effect of child delivery at a healthcare facility, on child survival. We are followed by Mosley and Chen’s framework (1884), according to the framework, several socioeconomic determinants are grouped into some categories, namely, maternal, environmental contamination, nutrient deficiency, and personal illness control. Consequently, we reduced the number of independent variables to women’s age at birth and education, birth order, low child birth weight, household wealth, and healthcare.


2020 ◽  
Author(s):  
Anu Rammohan ◽  
Srinivas Goli ◽  
Shashi Kala Saroj ◽  
Abdul Jaleel CP

Abstract Background Poor Maternal and Child Health (MCH) outcomes pose challenges to India’s ability to attain Goal-3 of the Sustainable Development Goals (SDGs). The government of India strengthened the existing network of Frontline Health Workers (FHWs), under its National Rural Health Mission in 2005 and subsequent National Urban Health Mission in 2013 as a strategy to mitigate the shortage of skilled health workers and to provide affordable healthcare services. However, there is a lack of robust national-level empirical analysis on the role of maternal engagement with FHWs in influencing the level of maternal and child health care utilisation and child health outcomes in India. Methods Using data from the nationally representative Indian National Family Health Survey (NFHS) 2015-16, this paper aims to investigate the intensity of engagement of FHWs with married women of child-bearing age (15-49 years), its influence on utilisation of maternal and child healthcare services, and child health outcomes. Our empirical analyses use multivariate regression analyses, focusing on five maternal and child health indicators: antenatal care visits (ANC) (4 or >4 times), institutional delivery, full-immunisation of children, postnatal care (PNC) (within 2 days of delivery), and child survival. Results Our analysis finds that maternal engagement with FHWs is statistically significant and a positive predictor of maternal and child health care utilisation, and child survival. Further, the level of engagement with FHWs is particularly important for women from economically poor households. Our robustness checks across sub-samples of women who delivered only in public health institutions and those from rural areas provides an additional confidence in our main results. Conclusions From a policy perspective, our findings highlight that strengthening the network of FHWs in the areas where they are in shortage which can help in further improving the utilisation of maternal and child healthcare services, and health outcomes.


2021 ◽  
Author(s):  
SM Moazzem Hossain ◽  
Victoria B. Chou ◽  
Shaimaa Ibrahim ◽  
Riyadh Alhilfi ◽  
Faris Lami ◽  
...  

2017 ◽  
Vol 41 (5) ◽  
pp. 590 ◽  
Author(s):  
Don Matheson ◽  
Kunhee Park ◽  
Taniela Sunia Soakai

Objective Twenty years ago the Pacific’s health ministers developed a ‘Healthy Islands’ vision to lead health development in the subregion. This paper reports on a review of health development over this period and discusses the implications for the attainment of the health related Sustainable Development Goals. Methods The review used qualitative and quantitative methods. The qualitative review included conducting semi-structured interviews with Pacific Island Government Ministers and officials, regional agencies, health workers and community members. A document review was also conducted. The quantitative review consisted of examining secondary data from regional and global data collections. Results The review found improvement in health indicators, but increasing health inequality between the Pacific and the rest of the world. Many of the larger island populations were unable to reach the health Millennium Development Goals. The ‘Healthy Islands’ vision remained an inspiration to health ministers and senior officials in the region. However, implementation of the ‘Healthy Islands’ approach was patchy, under-resourced and un-sustained. Communicable and Maternal and Child Health challenges persist alongside unprecedented levels of non-communicable diseases, inadequate levels of health finance and few skilled health workers as the major impediments to health development for many of the Pacific’s countries. Conclusions The current trajectory for health in the Pacific will lead to increasing health inequity with the rest of the world. The challenges to health in the region include persisting communicable disease and maternal and child health threats, unprecedented levels of NCDs, climate change and instability, as well as low economic growth. In order to change the fortunes of this region in the age of the SDGs, a substantial investment in health is required, including in the health workforce, by countries and donors alike. That investment requires a nuanced response that takes into account the contextual differences between and within Pacific islands, adherence to aid effectiveness principles and interventions designed to strengthen local health systems. What is known about the topic? It is well established that the Pacific island countries are experiencing the double disease burden, and that the non-communicable disease epidemic is more advanced. What does this paper add? This paper discusses the review of 20 years of health development in the Pacific. It reveals that although progress is being made, health development in the region is falling behind that of the rest of the world. It also describes the progress made by the Pacific countries in pursuit of the ‘Healthy Islands’ concept. What are the implications for practitioners? This paper has significant implications for Pacific countries, donor partners and development partners operating across and within Pacific countries. It calls for a substantial increase in health resourcing and the way development assistance is organised to arrest the increasing inequities in health outcomes between Pacific people and those of the rest of the world.


2019 ◽  
Vol 3 (2) ◽  
pp. 43
Author(s):  
Aplonia PALA ◽  
Endang LARASATI ◽  
Sri SUWITRI ◽  
Ngalimun NGALIMUN

Health care is a human right for communities who arranged mandatory organized by government mandate bases on Constitution 1945. Maternal health services include antenatal, childbirth services and parturition. While children's services are, include the ministries of the newborn, baby and toddlers. In North Central Timor Regency (TTU) in the last five years maternal mortality (AKI), infant mortality (AKB) and Mortality Toddler (AKABA) is very fluctuating. This illustrates that the district health degree requires revamping TTU Regency thoroughly of all aspects related to it. The acceleration of the decline in the mortality rate of mothers, babies and toddlers will improve public health degrees in North Central Timor. This done through community empowerment approach in the field of maternal and child health in which the community does not placed as health development destinations but placed as subjects of health development to enhance the knowledge, attitudes and behavior as well as self-reliance community for healthy living. Community empowerment in the health field can be encouraged through the Health Efforts Resource of Community (UKBM) such as the village health post, a postal village, the construction of an integrated, unified service and post maternity huts are scattered in the whole area villages of North Central Timor. Through community empowerment in the health community field, getting involved is active in the health service because the public join the plan, monitor, evaluate and keep maternal and child health services According to applicable minimum service standard. It can also increase public awareness in the mindset and behave clean living and healthy because of the maternal and child health issues in North Central Timor Regency not only just the responsibility of the Department of Health of North Central Timor, but also be the responsibility of all elements in society. Therefore it takes cooperation of cross-program and cross-sector, i.e. Government Sectors, Private Sector, Community and Health Care in this area so as able to increase the degree of maternal and child health in North Central Timor Regency. Key words: Public Health, North Central Timor Regency,Empowerment, Community HealthHealth Resources.


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