Are user fees in health care always evil? Evidence from family planning, maternal, and child health services

2021 ◽  
Author(s):  
Amira El-Shal ◽  
Patricia Cubi-Molla ◽  
Mireia Jofre-Bonet
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
User Fees ◽  
Child Health Services ◽  
And Child Health

scholarly journals Utilization of maternal and child health services in Enugu, South East, Nigeria

2019 ◽  
Vol 6 (8) ◽  
pp. 3228
Author(s):  
Pat U. Okpala ◽  
Chinwendu L. Okoye ◽  
Florence O. Adeyemo ◽  
Peace N. Iheanacho ◽  
Anthonia C. Emesonwu ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Postnatal Care ◽  
Health Care Services ◽  
Antenatal Clinic ◽  
Child Health Services ◽  
Care Services ◽  
And Child Health

Background: Nigeria continues to have one of the highest rates of maternal mortality in the world at 814 deaths per 100,000 live births despite several efforts. Various factors can influence appropriate utilization of services during pregnancy, childbirth and postpartum. This study examined the perceived factors that influence the utilization of maternal and child-health services among mothers in Enugu, South-East Nigeria.Methods: A descriptive survey design was adopted for the study. The study population of 323 pregnant women was determined using the Power Analysis formula. The instrument used for data collection was a self-developed questionnaire. Demographic information of the women was also obtained for the study. The analysis was done with the software statistical package for Social Sciences (SPSS) Version 16.0. Study period was from April 2016 to August 2016.Results: There was high antenatal clinic attendance (93.1%) and utilization of postnatal care services (93.1%). Also, the major factors that influenced the utilization of maternal and child health services were professionally defined needs, accessibility of health care services and economic status.Conclusions: There was high utilization of maternal and child health care services which was influenced by some factors. There is a need for nurses and other health workers to be actively engaged in educating mothers during antenatal visits. Sustainable financial subsidies and community-based initiatives should be developed to encourage early antenatal clinic visits and to provide the necessary information on the importance of facility-based antenatal and postnatal care.

scholarly journals Impact of COVID-19 Pandemic on Utilization of Facility-Based Essential Maternal and Child Health Services in North Shewa Zone, Ethiopia

2022 ◽  
Author(s):  
Chalachew Bekele ◽  
Delayehu Bekele ◽  
Bezawit Hunegnaw ◽  
Kimiko Van Wickle ◽  
Fanos Ashenafi ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Child Health ◽  
Service Utilization ◽  
Health Care Providers ◽  
Maternal And Child Health ◽  
Child Health Services ◽  
Care Providers ◽  
New Family ◽  
And Child Health

Introduction: Ethiopia registered its first case of COVID-19 on March 13, 2020. We aimed to assess maternal, newborn, and child health care (MNCH) utilization during the first six months of the COVID-19 pandemic, as well as potential barriers and enablers of service utilization from health care providers and clients. Methods: Mixed study design was conducted as part of the Birhan Health and Demographic Surveillance System in Ethiopia. The trend of service utilization during the first six months of COVID-19 was compared to corresponding time and data points of the preceding year. Result: Service utilization of new family planning visits (43.2 to 28.5/month, p = 0.014) and sick under five child visits (225.0 to 139.8/month, P = 007) declined during the initial six months of the pandemic compared to the same period in the preceding year. Antenatal and postnatal care visits, facility delivery rates, and child routine immunization visits also decreased although this did not reach statistical significance. Interviews with health care providers and clients highlighted several barriers to service utilization during COVID-19, including fear of disease transmission, economic hardship, and transport service disruptions and restrictions. Enablers of service utilization included communities' decreased fear of COVID-19, and awareness-raising activities. Conclusion: Provision of essential MNCH services is crucial to ascertain favorable maternal and child health outcomes. In low- and middle-income country settings like Ethiopia, health systems might be fragile to withstand the caseloads and priority setting due to the pandemic. Our study presents early findings on the utilization of MNCH services that were maintained except sick child and new family planning visits. Government leaders, policy makers, and clinicians who wish to improve the resilience of their health system will need to continuously monitor service utilization and clients' evolving concerns during the pandemic to prevent increases in maternal and child morbidity and mortality.

scholarly journals Assessment of Maternal and Child Health Care Services Performance in The Context of COVID-19 Pandemic in Addis Ababa, Ethiopia: Evidence From Routine Service Data

2021 ◽  
Author(s):  
Senedu Bekele Gebreegziabher ◽  
Solomon Sisay Marrye ◽  
Tsegaye Hailu Kumssa ◽  
Kassa Haile Merga ◽  
Alemu Kibret Feleke ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Addis Ababa ◽  
Child Health Services ◽  
P Value ◽  
Health Management Information System ◽  
Under Five ◽  
And Child Health

Abstract Background In many settings, health care service provision has been modified to managing COVID-19 cases, and this has been affecting the provision of maternal and child health services. The aim of this study was to assess trends in selected maternal and child health services performance in the context of COVID-19 pandemic. Methods A cross-sectional data review was conducted in Addis Ababa, Ethiopia from April to May 2021. Routine health management information system database was reviewed from Addis Ababa Health Bureau for the period from July 2019 to March 2021 across all quarters. Proportions and mean with standard deviations were computed. T-test was used to assess statistically significant differences in services mean performance. Results PNC visit, new contraceptives accepters, safe abortion care and number of under-five years old children treated for pneumonia significantly decreased by 9.3% (p-value 0.04), 20.3% (p-value 0.004), 23.7% (p-value 0.01) and 77.2% (P-value < 0.001), respectively during the first eight months of the COVID-19 pandemic compared to the previous eight months’ average performance. The trends in ANC first visit, new contraceptive accepters, pentavalent-3 vaccination and under-five children treated for pneumonia began to decline between January-March 2020 when the COVID-19 pandemic began; with accelerated declines between April-June 2020 following national lockdown. The trends for the stated services began to increase during July-September 2020, during the last quarter of national lockdown. Contraceptive accepters and pentavalent-1 vaccination continued to decline and showed no recovery until January-March 2021when this study was completed. Conclusions Most of the maternal and child health services performance declined following the onset of COVID-19 pandemic and national lockdown, and most of the services began recovering during July-September 2020, the last quarter of national lockdown. However, new and repeat contraceptive accepters and pentavalent-1 recipients continue to decline and show no recovery during end of the study period. Implementing COVID-19 prevention measures and assuring the community about the safety of service delivery is imperative to ensure continuity of the maternal and child health services. Regular monitoring and evaluation of services performance is required to identify slowly recovering services and respond to potentially volatile changes during the COVID-19 pandemic.

scholarly journals Maternal and Child Health Services in The Border Area of Indonesia-East Timor-Based on Community Empowerment

2019 ◽  
Vol 3 (2) ◽  
pp. 43
Author(s):  
Aplonia PALA ◽  
Endang LARASATI ◽  
Sri SUWITRI ◽  
Ngalimun NGALIMUN
Keyword(s):  
Public Health ◽  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Community Empowerment ◽  
Child Health Services ◽  
Health Development ◽  
North Central ◽  
And Child Health

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.

scholarly journals Effect of Integrating Maternal and Child Health Services, Nutrition and Family Planning Services on Postpartum Family Planning Uptake at 6 Months Post-partum in Burkina Faso, Cote d’Ivoire and Niger: Protocol of a Longitudinal Quasi-experimental Study

2022 ◽  
Author(s):  
DENISE KPEBO ◽  
Abou Coulibaly ◽  
Maurice Yameogo ◽  
Sujata Bijou ◽  
Lazoumar Ramatoulaye ◽  
...  
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Post Partum ◽  
Child Health Services ◽  
Family Planning Services ◽  
Services Integration ◽  
Quasi Experimental ◽  
And Child Health

Abstract Background : Although several interventions integrating maternal, neonatal, child health and nutrition with family planning have been implemented and tested, there is still limited evidence on their effectiveness to guide program efforts and policy action,on health services integration. This study aims to assess the effectiveness of a service delivery model integrating maternal and child health services, nutrition and family planning services, compared with the general standard of care in Burkina Faso, Cote d'Ivoire, and Niger. Methods: This is a quasi experimental study with one intervention group and one control group of 3-4 health facilities in each country. Each facility was matched to a control facility of the same level of care and that had similar coverage on selected reproductive health indicators such as family planning and post-partum family planning. The study participants are pregnant women (with a 6 months pregnancy at maximum) coming for their first antenatal care visit. They will be followed up to 6 months after childbirth, and will be interviewed at each antenatal visit and also during visits for infant vaccines.The analyzes will be carried out by intention to treat, using generalized linear models (binomial log or log Poisson) to assess the effect of the intervention on the ratio of contraceptive use prevalence between the two groups of the study at a significance level of 5%, while taking into account the cluster effect and adjusting for potential confounding factors (socio-demographic characteristics of women, unevenly distributed at inclusion). Discussion :This longitudinal study, with the provision of family planning services integrated into the whole maternal care continuum, a sufficiently long observation time and repeated measurements, will make it possible to better appreciate the timeline and the factors influencing women's decision-making on the use of post-partum family planning services. The results will help in increasing the body of knowledge regarding the impact of maternal and child health services integration on the utilization of post-partum family planning, taking into account the specific context of sub-Saharan Africa French speaking countries where such information is very needed.

Sign in / Sign up

Export Citation Format

Share Document