scholarly journals Comparison of quality, birth outcomes, and service utilization between health facilities with and without maternity waiting homes in Liberia

Midwifery ◽  
2021 ◽  
pp. 103235
Author(s):  
Rachel Horton ◽  
Haeun Lee ◽  
Joseph E. Perosky ◽  
Alphonso Kofa ◽  
Jody R. Lori
Keyword(s):  
Service Utilization ◽  
Birth Outcomes ◽  
Health Facilities ◽  
Maternity Waiting Homes

scholarly journals Delay in Making Decision to Seek Institutional Delivery Service Utilization and Associated Factors among Mothers Attending Public Health Facilities in Dawuro Zone, Southern Ethiopia

2020 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Public Health ◽  
Service Utilization ◽  
Associated Factors ◽  
Institutional Delivery ◽  
Health Facilities ◽  
Delivery Care ◽  
Time Interval ◽  
Delivery Service ◽  
First Onset ◽  
Institutional Delivery Service

Background: Delay in institutional delivery refers to the time interval from the first onset of labour to start to receiving first healthcare. Delay in deciding to seek care (first delay), identifying and reaching medical facility (second delay), and receiving adequate and appropriate treatment (third delay) are three major factors that contribute to maternal death in developing countries. The time interval from the first onset of labour to decision to seek emergency obstetric care from health facility and time longer than the expected time (one hour) is considered as first delay. Objective: This study was aimed to investigate delay in deciding to seek institutional delivery care and associated factors among mothers attending public health facilities in Dawuro zone. Methods: Institution based cross-sectional study was employed from March 1-30, 2017. Consecutive sampling technique was used to interview mothers who presented to health facilities to receive delivery service. Data were collected using structured interviewer administered questionnaire. Results: Total of 394 mothers were participated in the study. One hundred sixty six [42%] of the study subjects were delayed in making decision to seek delivery service utilization from health facilities. A significant relationship was found between mother’s residence in rural areas, mother’s educational level primary and below, average monthly income of the family < 1000 ETB & mother’s antenatal care visit less than 4 times and first delay (maternal delay to seek institutional delivery care). Conclusion: Significant number [42%] of mothers delayed in making decision to seek delivery service utilization from health facilities. Therefore, strategies to identify determinants of delay in making decision to seek institutional delivery service and enhance practices for further reduction in this delay is needed.

Patterns of mental health service utilization in a general hospital and outpatient mental health facilities

2007 ◽  
Vol 258 (2) ◽  
pp. 117-123 ◽  
Author(s):  
Enrique Baca-Garcia ◽  
Maria M. Perez-Rodriguez ◽  
Ignacio Basurte-Villamor ◽  
F. Javier Quintero-Gutierrez ◽  
Juncal Sevilla-Vicente ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
General Hospital ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Health Facilities ◽  
Mental Health Service Utilization ◽  
Outpatient Mental Health ◽  
Mental Health Facilities

scholarly journals Adolescent and Young People's Utilization of HIV/Sexual and Reproductive Health Services: Comparing Health Facilities and Mobile Community Outreach Centers

2019 ◽  
Vol 3 (2) ◽  
pp. 66-74
Author(s):  
Ikenna J. Nwakamma ◽  
Carol S. Talla ◽  
Stephanie E. Kei ◽  
Genevieve C. Okoro ◽  
Godwin Asuquo ◽  
...  
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Health Facility ◽  
Service Utilization ◽  
Waiting Time ◽  
Sexual And Reproductive Health ◽  
Community Outreach ◽  
Health Facilities ◽  
Community Based ◽  
Mobile Community

Background/Objectives: Demand creation for uptake of HIV and sexual reproductive health (HIV/SRH) services among adolescents and young people (AYP) in Nigeria is challenging. This study compares the reach, and utilization patterns, and factors that drive the patterns of utilization of HIV/SRH services by AYP in mobile outreach service centers and health care facilities in Nigeria's capital city. Methods: Data were obtained from service exit surveys and HIV/SRH service utilization records in selected health facilities and mobile testing outreaches from January to April 2018. The service providers were provided a checklist to capture key information during their interaction with their AYP clients. Data were captured with Microsoft Excel, imported to and analysed with Statistical Package for Social Sciences, version 16. Results: Community-based mobile outreaches reached a significantly higher proportion of participants, with 88% of them from the community HIV testing points. Among the participants in the SRH service utilization assessment, 20 (15%) and 142 (19%) voluntarily asked for SRH-related information in the health facility and mobile outreach respectively; 53 (40%), and 224 (30%) accepted offer of SRH counselling in the health facility and mobile outreach respectively. There were significant differences in the waiting time for testing and waiting time for result collection at the mobile testing posts and the health facilities. Conclusion and Implications for Translation: AYP friendly mobile community outreach model shows more promise in terms of reach and also seems to encourage voluntary request for HIV/SRH services among AYP. The costs and waiting times favor the mobile outreach model; however, the quality in terms of personnel and environment was an issue of concern. Hospitals are not providing friendly environments that encourage voluntary uptake of HIV/SRH services by AYPs. A model for AYPs should prioritize community based and friendly services with well-trained personnel in order to build the confidence of AYPs for improved SRH seeking behaviors. Key words: • HIV • Sexual and reproductive Health • Adolescents and Young People • Preferences • Mobile outreaches services • Health facility testing • Abuja Nigeria   Copyright © 2019 Nwakamma et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.affect economic and health promotion.

scholarly journals One-year activity of a “Casa de Espera” (Maternity Waiting Home) in the south of Angola

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Fattorini ◽  
G Raguzzoni ◽  
C Cuccaro ◽  
N Nante ◽  
G Messina ◽  
...  
Keyword(s):  
Data Collection ◽  
Neonatal Mortality ◽  
Health Workers ◽  
Emergency Obstetric Care ◽  
Routine Data ◽  
Health Facilities ◽  
Local Health ◽  
Risk Pregnancy ◽  
Maternity Waiting Homes ◽  
One Year

Abstract Background Maternity Waiting Homes (MWHs) are structures usually located close to health facilities able to provide emergency obstetric care. Women can decide to be hosted in MWHs and when labour begins they move to the health facility for the delivery. Although the effectiveness of MWHs is debated, literature shows increasing findings about their importance. Aim of the study is to describe a one-year activity of a MWH located in Angola. Methods Since 2000, Italian Non-Governmental Organization (NGO) Doctors with Africa CUAMM supports the activities of the hospital of Chiulo in the district of Ombadja (Cunene province). Among the implemented projects, the NGO supports the local MWH (in Portuguese, “casa de espera”), providing dedicated staff and food for all the women hosted in the MWH. The MWH team routinely performs antenatal care visits and brief talks regarding maternal health. In case of pregnancy complications, the staff promptly refers women to the nearby hospital. The MHW team is also involved in routine data collection. Results In 2018, 703 women were admitted in the MWH. Three-hundred and forty-two (48.6%) were between 18 and 24 years of age. Four-hundred and eighty-two (68.6%) were invited to join the MWH by personnel of local health facilities, while 160 (22.8%) by family members and 61 (8.7%) by community health workers/traditional birth attendants. Age less than 18, previous abortion and/or caesarean were the most assessed factors for high risk pregnancy. In 2018, 1364 deliveries were performed in the hospital, and 593 (43.5%) concerned women hosted in the MWH. Conclusions To achieve the 2030 Sustainable Development Goals targets regarding maternal and neonatal mortality, the implementation of MHWs could represent an effective tool, especially in countries such as Angola where these indicators show a weak annual reduction. Regarding Chiulo’s MWH, an improvement of data collection could lead to a better comprehension of the efficacy of the facility. Key messages In the SDGs era, countries with a high burden of maternal and neonatal mortality should implement various and integrated approaches to achieve significant reductions of these indicators. Although the effectiveness of maternity waiting homes is still debated, increasing findings suggest that they could represent an effective tool to contain mother and child mortality.

scholarly journals Maternity Waiting Home Use by HIV-positive Pregnant Women in Zambia: Opportunity for Improved Prevention of Maternal to Child Transmission of HIV

2019 ◽  
Vol 8 (1) ◽  
pp. 1-10
Author(s):  
Rachael Bonawitz ◽  
Kathleen Lucy McGlasson ◽  
Jeanette L. Kaiser ◽  
Thandiwe Ngoma ◽  
Jody Lori ◽  
...  
Keyword(s):  
Health Facilities ◽  
World Health ◽  
Hiv Positive ◽  
Child Transmission ◽  
Chi Square ◽  
Hiv Positive Women ◽  
Antiretroviral Prophylaxis ◽  
Maternity Waiting Homes ◽  
Rural Zambia ◽  
Hiv Negative

Background: Maternity waiting homes (MWHs), defined as residential lodging near health facilities, are an intervention to improve access to maternal care recommended by the World Health Organization. Little is known about utilization of MWHs by HIV-positive women. This paper describes: 1) maternal awareness and utilization of MWHs in rural Zambia among HIV-positive women, and 2) health outcomes for HIVpositive women and their infants with regards to utilization of MWHs. Methods: Data were collected from recently delivered women (delivered after 35 weeks in the previous 12 months) living >9.5 km from 40 health facilities in rural Zambia. For our analysis, primary outcomes were compared between self-identified HIV-positive and HIV-negative women in the sample. Primary outcomes include: 1) awareness of MWHs and 2) utilization of MWHs. We summarized simple descriptive statistics, stratified by maternal self-reported HIV status. We conducted bivariate analyses using chi-square tests, t-tests and Wilcoxon rank sum test. Results: Among 2,381 women, 50 (2.4%) self-identified as HIV-positive. HIV-positive women were older and had more pregnancies and children than HIV-negative women (p<0.001). There was no difference in awareness of MWHs, but HIV-positive women were more likely to use a MWH than HIV-negative women. There was no difference in receipt of infant antiretroviral prophylaxis between women who did or did not stay at a MWH. Conclusion and Global Health Implications: Though HIV prevalence in this sample was lower than expected, MWHs may represent a useful strategy to improve prevention of mother to child transmission of HIV in high prevalence, low-resource settings. Key words: Maternity waiting homes • HIV • PMTCT • Zambia

scholarly journals Attitude and Behavior to Oral Health of 456 Patients Who Presented for Tooth Extraction at 2 Health Facilities in Southwestern Nigeria

2018 ◽  
Vol 6 (2) ◽  
pp. 157-163
Author(s):  
Olalere Omoyosola Gbolahan ◽  
Abiodun Olubayo Fasola ◽  
Timothy Olukunle Aladelusi
Keyword(s):  
Oral Health ◽  
Health Behavior ◽  
Service Utilization ◽  
Tooth Extraction ◽  
Oral Surgery ◽  
Dental Service ◽  
Health Facilities ◽  
Oral Health Behavior ◽  
Southwestern Nigeria ◽  
And Behavior

Introduction: Tooth loss can indicate the population’s oral health situation; majority of patients presenting for tooth extraction have poor oral health behavior and dental service utilization. Understanding the factors responsible for the poor attitude may help in designing targeted intervention to improve their oral health behavior. This study aims to find out the effects of dental health attitude and behavior on tooth mortality in a cohort of adults attending the oral surgery clinic for tooth extraction in 2 health facilities in southwestern Nigeria. Patients and Method: Cross-sectional study of consecutive adult patients who presented at the oral surgery clinic for tooth extraction. Clinical and demographic data, oral health habits, and pattern of previous dental clinic attendance were collected. Data analysis was done using SPSS version 19.0. Variables were subjected to univariate and multivariate logistic regression to evaluate factors influencing dental habit and dental service utilization. Results: The study comprised a total of 453 respondents, consisting of 239 nonattenders, 196 in-trouble attenders, and 18 regular attenders, with majority (59.4%) of them being low earners or not gainfully employed. Majority (64.8%) of the in-trouble attenders had attained tertiary education. Attendance pattern had no influence on the number of extractions needed. Conclusion: Despite high educational attainment and availability of dental services, most patients presenting for extraction have poor oral health habit and are problem-oriented attenders. Socioeconomic disparities and poor dental habits appear to be part of the major factors responsible for poor dental behavior among the study subjects.

scholarly journals The effect of Kenya’s free maternal health care policy on the utilization of skilled delivery services and maternal and neonatal mortality rates in public health facilities

2017 ◽  
Vol 4 (12) ◽  
pp. 4431
Author(s):  
Cosmas Mugambi Gitobu ◽  
Peter Bundi Gichangi ◽  
Walter O. Mwanda
Keyword(s):  
Public Health ◽  
Health Care ◽  
Neonatal Mortality ◽  
Service Utilization ◽  
Mortality Rates ◽  
Health Facilities ◽  
Skilled Delivery ◽  
Delivery Service ◽  
Public Health Facilities ◽  
Delivery Services

Background: Kenya abolished delivery fees in all public health facilities through a presidential directive effective on June 1, 2013 with an aim of promoting skilled delivery service utilization and reducing pregnancy-related mortality in the country. This paper aims to provide a brief overview of the free maternal health care policy’s effect on skilled delivery service utilization and maternal and neonatal mortality rates in Kenyan public health facilities. Methods: Interrupted time series analysis of skilled delivery services utilization, maternal and neonatal mortality rates two years before and after the policy intervention was carried out in 77 Kenyan public health facilities. Results: A statistically significant increase in the number of facility-based deliveries was identified with no significant changes in the rates of maternal mortality and neonatal mortality. Conclusions: The findings suggest that cost is a deterrent to skilled delivery service utilization in Kenya and thus free delivery services are an important strategy in the effort to promote the utilization of skilled delivery services; however, there is a need to simultaneously address other factors that contribute to pregnancy-related deaths when addressing maternal and neonatal mortality rates. 

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