Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services

2007 ◽  
Vol 52 (4) ◽  
pp. 342-350 ◽  
Author(s):  
Pulani Tlebere ◽  
Debra Jackson ◽  
Marian Loveday ◽  
Lyness Matizirofa ◽  
Nomafrench Mbombo ◽  
...  
Keyword(s):  
South Africa ◽  
Maternal Health ◽  
Health Services ◽  
Maternal Health Services ◽  
Neonatal Care ◽  
Situation Analysis ◽  
Community Based

scholarly journals Utilization of maternal health services in rural Thawang, Rolpa district of Nepal: a community-based cross-sectional study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jahirul Hushen ◽  
Arpaporn Powwattana ◽  
Chockchai Munsawaengsub ◽  
Sukhontha Siri
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Local Level ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Local Context ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Content Type

PurposeThis study aimed to identify the proportion and factors influencing the use of maternal health services (MHS) in rural Thawang, Rolpa, Nepal.Design/methodology/approachThis was a community-based cross-sectional study conducted among 417 mothers who had given birth in the previous two years. Bivariate and multivariate logistic regression was applied to identify associations and predictors.FindingsThe results showed that the use of maternal health services was 50.8%. Adjusting for all other factors in the final model, age group 25–30 years (AOR: 2.30; 95% CI: 1.199–4.422), spouse communication (AOR: 7.31; 95% CI: 2.574–20.791), high accessibility (AOR: 2.552, 95% CI: 1.402–4.643) and high affordability (AOR: 10.89; 95% CI: 4.66–25.445) were significant predictors.Research limitations/implicationsThis is a community-based cross-sectional study, and hence cannot establish causal relationships. The research was conducted in a limited rural area mid-Western Nepal, and this may limit the generalization of results to other settings of the country.Practical implicationsThis research supports to local level government and district health authority to develop and implement need based action to increase maternal health service in the local context.Originality/valueUnderutilization of maternal health services is the result of socioeconomic dynamics, poor access to health services and other physical developments. To increase utilization of maternal health services in rural areas, there is a need to tackle the root cause of health inequality such as reducing poverty, increasing female education, involving women in employment and increasing access to health as a priority development agenda by government authorities. This research supports local level government and district health authorities to develop and implement needs-based action to increase MHS in the local context.

scholarly journals Exploring inequalities in access to and use of maternal health services in South Africa

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Sheetal P Silal ◽  
Loveday Penn-Kekana ◽  
Bronwyn Harris ◽  
Stephen Birch ◽  
Diane McIntyre
Keyword(s):  
South Africa ◽  
Maternal Health ◽  
Health Services ◽  
Maternal Health Services

scholarly journals Leadership and the functioning of maternal health services in two rural district hospitals in South Africa

2018 ◽  
Vol 33 (suppl_2) ◽  
pp. ii5-ii15 ◽  
Author(s):  
T Mathole ◽  
M Lembani ◽  
D Jackson ◽  
C Zarowsky ◽  
L Bijlmakers ◽  
...  
Keyword(s):  
South Africa ◽  
Maternal Health ◽  
Health Services ◽  
Maternal Health Services ◽  
Rural District ◽  
District Hospitals

Using community-based research to shape the design and delivery of maternal health services in Northern Nigeria

2012 ◽  
Vol 20 (39) ◽  
pp. 104-112 ◽  
Author(s):  
Henry V Doctor ◽  
Sally E. Findley ◽  
Alastair Ager ◽  
Giorgio Cometto ◽  
Godwin Y Afenyadu ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Maternal Health Services ◽  
Northern Nigeria ◽  
Community Based ◽  
Community Based Research

scholarly journals The association between male involvement in institutional delivery and women’s use of institutional delivery in Debre Tabor town, North West Ethiopia: Community based survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249917
Author(s):  
Kassanesh Melese Tessema ◽  
Kebadnew Mulatu Mihirete ◽  
Endalkachew Worku Mengesha ◽  
Azezu Asres Nigussie ◽  
Awoke Giletew Wondie
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Institutional Delivery ◽  
Male Involvement ◽  
Maternal Health Services ◽  
Maternal Health Service ◽  
Male Partners ◽  
Community Based ◽  
Cross Sectional ◽  
The Impact

Background Maternal deaths remain high in Ethiopia mainly due to poor maternal health service utilization. Despite men are the chief decision-makers and economically dominant in Ethiopia, the impact of their involvement on maternal health services utilization is not clear. This study aimed to assess the association between male involvement and women’s use of institutional delivery, and factors influencing male partners’ involvement in institutional delivery. Methods A community based cross-sectional study was conducted between March and May, 2019. A total of 477 married men who have children less than one year of age were interviewed. Face-to-face interviews using a pre-tested and structured questionnaire were used for data collection. Bivariate and multiple logistic regressions were carried out. SPSS version 23 was used for data analysis. Results Overall 181 (37.9%) husbands/partners were involved in institutional delivery for the most recent child birth. Male partners involvement in institutional delivery was strongly associated with an increased odds of attending institutional delivery by spouse [AOR: 66.2, 95% CI: 24.8, 177.0]. Education [AOR: 0.33, 95% CI: 0.18–0.59], knowledge on maternal health [AOR: 1.67, 95% CI: 1.11–2.50], favourable attitude towards institutional delivery [AOR: 1.83, 95% CI: 1.23–2.71], and no fear while supporting spouse [AOR: 2.65, 95% CI: 1.28–5.50] were positively associated with male partners involvement in institutional delivery. Conclusion Male partner’s involvement in institutional delivery was inadequate. This study reported a significant beneficial impact of male involvement on maternal health through improved utilisation of institutional delivery. Therefore, maternal health interventions should target husbands as consumers of maternal health services, and healthcare/government policies that isolate or discourage men from having active engagement in maternal health should be improved.

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