Utilization of Antenatal Care Services by a Semi-Nomadic Bedouin Arab Population: Evaluation of the Impact of a Local Maternal and Child Health Clinic

2007 ◽  
Vol 11 (5) ◽  
pp. 425-430 ◽  
Author(s):  
Natalya Bilenko ◽  
Rachel Hammel ◽  
Ilana Belmaker
Keyword(s):  
Child Health ◽  
Antenatal Care ◽  
Maternal And Child Health ◽  
Health Clinic ◽  
Arab Population ◽  
Care Services ◽  
Child Health Clinic ◽  
The Impact ◽  
And Child Health

scholarly journals Exploring Strategies to Improve Adherence to Immunization Schedule: A Study among Children Attending Maternal and Child Health Clinic at Kenyatta National Hospital, Nairobi, Kenya

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Esther Cheptanui Muathe ◽  
Mary Kamau ◽  
Eve Rajula
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Text Messages ◽  
World Health ◽  
Health Clinic ◽  
Immunization Schedule ◽  
National Hospital ◽  
Kenyatta National Hospital ◽  
Child Health Clinic ◽  
And Child Health

Background. Globally, immunization is among the major contributors to public health, preventing 20% of childhood mortality annually. The highest fatality rates from vaccine preventable diseases are usually among children under five. Despite immunization guidelines put in place by the World Health Organization, globally, 1.5 million children die annually related to inadequate vaccination coverage. Existing literature indicate that there is an increase in nonadherence to immunization schedule in developing countries, and therefore, there is an increased demand to improve adherence to immunization schedule. Objective. To explore strategies that will improve adherence to immunization schedule among children under 24 months attending the Maternal and Child Health clinic at Kenyatta National Hospital. Methods. A cross-sectional mixed method study involving caregivers (n=214) of well babies attending the Maternal and Child Health clinic. Data was collected using semistructured questionnaires, focus group discussions, and key informant interviews and analyzed using SPSS V.20. Results. There was a significant relationship between the level of education and marital status of the caregivers and adherence to immunization schedule. Barriers found that is related to adherence to immunization schedule included far distance from health facility, baby’s sickness, and vaccine stock-outs while employment of a caregiver was a constrainer factor. Conclusion. The enabling factors to current strategies of improving adherence to immunization schedule were having more health facilities near residential areas, using text messages reminders a day before the clinic date to remind caregivers of the due date for the clinic, and constant availability of vaccines. The health system strategies that would improve adherence to immunization schedules were more flexible clinic hours, availability of vaccines on daily basis, phone call reminders by health care providers, and increasing awareness on the importance of both vaccinations and adherence to immunization schedule.

scholarly journals Potential teratogenecity risk and prescription drug use among pregnant women attending maternal and child health clinic of Kemisse General Hospital, Northeastern, Ethiopia

2019 ◽  
Author(s):  
Belete Kassa Alemu ◽  
Nesredin Nigatu Wolle
Keyword(s):  
Drug Use ◽  
Child Health ◽  
Pregnant Women ◽  
Maternal And Child Health ◽  
Medical Records ◽  
First Trimester ◽  
Health Clinic ◽  
Third Trimester ◽  
Child Health Clinic ◽  
And Child Health

Abstract Background Drug use during pregnancy requires special consideration because both fetus and the mother are affected. Drug teratogenicity is most likely to occur when drugs are taken during first trimester of pregnancy when fetal organs are formed. In addition, drugs at second and third trimester may affect the growth and functional development of the fetus or have toxic effect on fetal tissues. Objective The objective of this study was to assess potential teratogenecity risk and drug use pattern in Kemisse General Hospital. Methods An institution based cross sectional study was conducted by reviewing a one year medical records (from January 1, 2010 to December 31, 2011) of pregnant women attending maternal and child health clinic of the hospital. Systematic random sampling was employed to select a total of 263 pregnant women. Structured data abstraction format was used for collection of data and then data were coded, entered and analyzed by using Statistical Package for Social Sciences version 23. Result A total of 263 medical records of pregnant women were reviewed, of which 234 pregnant women were prescribed with a total of 430 prescription drugs. The average numbers of drugs per pregnant women was found to be 1.84. Most pregnant women 166 (63.2%) were in the third trimester and more than half of them (51.3%) were multigravida. The maximum number of drugs were prescribed in the second trimester 162 (37.67%) followed by third trimester 143(33.26%). Supplemental drugs were the most widely used medications 297 (69.07%) and followed by 82 (19.1%) drugs from category B; 54 (12.6%) drugs from category C; and the rest 7 (1.6%) drugs from category D. There was no any drug from category X. Conclusion Approximately one third of the pregnant women encountered with drugs from category B, C and D. However, there were no FDA category C and D drugs prescribed in first trimester. There was no drug utilized by pregnant women from FDA pregnancy risk category X.

Association Between Maternal and Child Health Handbook and Quality of Antenatal Care Services in Palestine

2017 ◽  
Vol 21 (12) ◽  
pp. 2161-2168 ◽  
Author(s):  
Harumi Kitabayashi ◽  
Chifa Chiang ◽  
Abubakr Ahmed Abdullah Al-Shoaibi ◽  
Yoshihisa Hirakawa ◽  
Atsuko Aoyama
Keyword(s):  
Child Health ◽  
Antenatal Care ◽  
Maternal And Child Health ◽  
Care Services ◽  
And Child Health

scholarly journals A comparative study on the role of antenatal care services and child care at various rural and tribal villages, Adilabad, Telangana state

2020 ◽  
Vol 8 (2) ◽  
pp. 88-93
Author(s):  
Sreekanth G ◽  
Kusuma Nirmala ◽  
Ravinder A
Keyword(s):  
Child Care ◽  
Child Health ◽  
Antenatal Care ◽  
Comparative Study ◽  
Maternal And Child Health ◽  
Care Services ◽  
Development Goals ◽  
Tribal Areas ◽  
And Child Health

Background: Reproductive, maternal, newborn and child health is one of the four categories of the universal health coverage indicators under sustainable development goals target 3.9: family planning, antenatal care (minimum 4 visits), with skilled attendants at birth, full child immunization coverage, and health seeking behavior for suspected child pneumonia1 . Achievement under millennium development goals shows that in developing countries like India, mostly in tribal villages continue to face the greatest challenges in improving the maternal and child health struggling with a combination of poor coverage and quality of health care services and public health interventions. The hard to reach tribal areas face obstacles in ensuring universal access to sexual, reproductive health services2 . The indicators showed lower performance among the tribal communities as seen with most of the health indicators. Poverty, low literacy and poor nutritional status of reproductive age women give rise to poor maternal and child health outcomes along with lack of healthcare delivery facilities lead poor maternal health indicators3 . Methods: A comparative study was conducted on 243 randomly selected mothers who have children less than 7years in rural and tribal villages (150 and 93 respectively). This is community based cross-sectional study and done by using a pre-tested structured questionnaire for data collection at Shanthapur , a rural village and various tribal villages, at an average 25kms away from Adilabad town from Jan-October 2019. Analysis was done using SPSS for windows version 16, Microsoft excel and Open epi website. Result: Out of 243 study subjects, 85% (206) of the study subjects were registered for the antenatal services. The mean age of mother at pregnancy, female literacy, birth order, number of antenatal visits, person conducting delivery, place of delivery, birth weight of child, number of breastfeeding per day, exclusive breastfeeding, total stoppage of breastfeeding ,baby hospitalization due to sickness, weight per age and height per age of the child are statistically significant(p<0.05) between the rural and tribal study subjects . Conclusion and Recommendation: This study revealed that utilization of ANC services and child care services are far better by rural women than the tribal women. The role of antenatal care and child care being influenced by difficulties of accessibility, availability of these services at tribal areas are exposed from this study

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