scholarly journals Impact of COVID-19 on child health and healthcare services

2022 ◽  
Vol 78 (1) ◽  
pp. 3-6
Author(s):  
Himashree Bhattacharyya ◽  
Rashmi Agarwalla ◽  
Ankur Khandelwal
Keyword(s):  
Child Health ◽  
Healthcare Services

scholarly journals What is the Impact of Covid-19 Pandemic on the RCH (Reproductive and Child Health) Programme in Rajasthan, because of nationwide lockdown (April 2020 to June 2020)?

2021 ◽  
Author(s):  
Piyush Kumar ◽  
Habib Hasan Farooqui
Keyword(s):  
Child Health ◽  
Healthcare Services ◽  
Family Welfare ◽  
Health Management Information System ◽  
Essential Services ◽  
Reproductive And Child Health ◽  
The Impact ◽  
Child Health Programme ◽  
And Child Health ◽  
Health Programme

Abstract Background:The proper, timely, adequate delivery of effective and high quality child health and reproductive (RCH) services is of greatest significance and utmost priority mainly because of situations erupting from current ongoing pandemic of covid-19 as well as other cofactors in state of Rajasthan, India. This significance and priority is particularly due to many factors such as huge as well as increasing population with limited qualified, skilled human resourcesObjective of study:The key objective is to find out effects of SARS-CoV-2/ Covid-19 pandemic on the Reproductive and Child Health Programme of Rajasthan in India over the 3 months after Lock down enforcement nationwide in March 2020.Settings & Design:Different indicators of RCH programme i.e. immunisation, maternal and child health, family planning) for Rajasthan were observed, studied, collected and compared with previous year 2019for the period of April/May/June -2019 and 2020. The percent increase and downfall is observed, calculated, presented, from the available data to find out the status of delivery of essential RCH health services. The need assessed and percent of achievement of assessed need is also compared and future achievement projected as per achievement. Materials & Methodology:To know the effect of pandemic era on RCH health programme of Rajasthan during the period from3 months after lock-down announced in the month of March 2020 i.e. April/May/June 2020 in Rajasthan the data observed, calculated and obtained from HMIS (Health Management Information System- of Ministry of Health and Family Welfare (MoHFW), Government of India for RC Health programme, (Reproductive and Child Health).Result: The results of data analysis for RCH services, functioning in the state of Rajasthan during the month during the period from April to June 2020 (during the period from lockdown) as compared to 2019(no lockdown, for same duration suggest that the immunisation services were badly affected during the period from the lockdown period in 2020. It is possible that newborn children and the older ones have been not delivered proper immunisation services during the period from the lockdown as evident from the data observation-analysis.Conclusion:India and different states has launched several plans and strategies to deal with covid-19 pandemic. However this study report found that insufficient attention have been given to very essential services of RCH in Rajasthan as evident from the results of this study. The problems in the delivery of healthcare services should be dealt properly added with a proper update latest dynamic plan to carry on essential health delivery services even in pandemics and other situations of emergencies. The Rajasthan should develop an exclusive updated latest dynamic plan to deal with situations to guarantee delivery of very essential services such as RCH during the period from pandemics or any other natural calamities-emergencies.The ongoing Covid-19 pandemic has disclosed the vulnerability of women and children’s and at the same time teaches us about importance of equity in healthcare. The children and women’s who are considered most vulnerable in emergencies and distress must have special supportive healthcare all the times especially during the period from pandemics-emergencies and other natural disasters.

scholarly journals Female clients’ gender preferences for frontline health workers who provide maternal, newborn and child health (MNCH) services at primary health care level in Nigeria

2020 ◽  
Author(s):  
Ekechi Okereke ◽  
Godwin Unumeri ◽  
Akinwumi Akinola ◽  
George Eluwa ◽  
Sylvia Adebajo
Keyword(s):  
Child Health ◽  
Primary Healthcare ◽  
Health Workers ◽  
Healthcare Services ◽  
Child Health Services ◽  
Gender Preferences ◽  
Newborn And Child Health ◽  
Frontline Health Workers ◽  
Female Clients ◽  
And Child Health

Abstract Background In Nigeria, anecdotes abound that female clients, particularly within northern Nigeria, have gender-based preferences for frontline health workers (FLHWs) who provide healthcare services. This may adversely affect uptake of maternal newborn and child health services, especially at primary healthcare level in Nigeria, where a huge proportion of the Nigerian population and rural community members in particular, access healthcare services. This study explored female clients’ gender preferences for frontline health workers who provide maternal, newborn and child healthcare (MNCH) services at primary healthcare level in Nigeria. Methods The study adopted a cross-sectional quantitative design with 256 female clients’ exit interviews from 66 randomly selected primary health facilities within two States - Bauchi (northern Nigeria) and Cross-River (southern Nigeria). Data was collected using Personal Digital Assistants and data analysis was done using SPSS software. Descriptive analysis was carried out using percentage frequency distribution tables. Bivariate analysis was also carried out to examine possible relationships between key characteristic variables and the gender preferences of female clients involved in the study. Results Out of 256 women who accessed maternal, newborn and child health services within the sampled health facilities, 44.1% stated preference for female FLHWs, 2.3% preferred male FLHWs while 53.5% were indifferent about the gender of the health worker. However only 26.6% of female clients were attended to by male FLHWs. Bivariate analyses suggest a relationship between a female client’s health worker gender preference and her pregnancy status, the specific reason for which a female client visits a primary healthcare facility, a female client’s location in Nigeria as well as the gender of the health worker(s) working within the primary healthcare facility which she visits to access maternal, newborn and child health services. Conclusions The study findings suggest that female clients at primary healthcare level in Nigeria possibly have gender preferences for the frontline health workers who provide services to them. There should be sustained advocacy and increased efforts at community engagement to promote the acceptability of healthcare services from male frontline health workers in order to have a significant impact on the uptake of MNCH services, particularly within northern Nigeria.

scholarly journals Under-Utilization of Maternal-Child Healthcare Services and Adverse Outcomes of Unwanted Pregnancies in Urban and Rural Areas of Indonesia

2021 ◽  
Vol 30 ◽  
pp. 170-182
Author(s):  
Yunisa Astiarani ◽  
◽  
Maybelline . ◽  
Giovani I.G. Putri ◽  
Nur Fitriah ◽  
...  
Keyword(s):  
Child Health ◽  
Antenatal Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Unwanted Pregnancy ◽  
Healthcare Services ◽  
Maternal Child Health ◽  
Rural Settings ◽  
Child Healthcare ◽  
Maternal Child

The study examines the association of unwanted pregnancy and the utilization of maternal-child health services, and the adverse health outcomes in urban and rural settings. The study employed data from the 2017 Indonesia Demographic Health Survey that included 13,806 live births; the mothers were not pregnant at the interview and were married participants. The multiple logistic regression analysis concerning residential areas was conducted separately to compare outcomes related to unwanted pregnancy. Non-standard antenatal care visits (adjusted odds ratio [AOR]=1.7; 95% confidence interval [CI]=1.2–2.4), prolonged labor (AOR=1.6; 95% CI=1.2–2.1), the absence of child’s birth documentation (AOR=1.3; 95% CI=1.0–1.6), and smaller baby size (AOR=1.2; 95% CI=1.0–1.4) are associated with unwanted pregnancy in urban areas. In rural settings, on the other hand, unwanted pregnancy is associated with non-standard antenatal care (AOR=1.6; 95% CI=1.2–2.2). Therefore, in Indonesia, urban areas lack maternal-child healthcare services utilization and higher adverse events due to unwanted pregnancy than rural areas. An adjustment approach is required in maternal-child health-related programs in both areas, particularly for women living in urban.

scholarly journals Does engagement with frontline health workers improve maternal and child healthcare utilisation and outcomes in India?

2020 ◽  
Author(s):  
Anu Rammohan ◽  
Srinivas Goli ◽  
Shashi Kala Saroj ◽  
Abdul Jaleel CP
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Health Workers ◽  
Child Survival ◽  
Healthcare Services ◽  
Health Care Utilisation ◽  
Care Utilisation ◽  
Child Healthcare ◽  
And Child Health

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.

scholarly journals What is the Impact ofCovid-19 Pandemic on the RCH (Reproductive and Child Health) Programme in Rajasthan,because of nationwide lockdown (April 2020 to June 2020)?

2021 ◽  
Author(s):  
Piyush Kumar
Keyword(s):  
Child Health ◽  
Healthcare Services ◽  
Family Welfare ◽  
Health Management Information System ◽  
Essential Services ◽  
Reproductive And Child Health ◽  
The Impact ◽  
Child Health Programme ◽  
And Child Health ◽  
Health Programme

ABSTRACTBackground:The proper, timely, adequate delivery of effective and high qualitychild healthand reproductive (RCH) services is of greatest significance and utmost prioritymainly because of situations erupting from current ongoing pandemic of covid-19 as well as other cofactors in state of Rajasthan, India. This significance and priority is particularly due to many factors such as huge as well as increasing population with limited qualified, skilled human resourcesObjective of study: The keyobjectiveis to find out effects of SARS-CoV-2/ Covid-19 pandemic on the Reproductive and Child Health Programme of Rajasthan in India over the 3 months after Lock down enforcementnationwide in March 2020. Settings & Design:Different indicators of RCH programme i.e. immunisation, maternal and child health, family planning) for Rajasthan were observed, studied, collected and compared with previous year 2019for the period of April/May/June -2019 and 2020. The percent increase and downfall is observed, calculated, presented, from the available data to find out the status of delivery of essential RCH health services. The need assessed and percent of achievement of assessed need is also compared and future achievement projected as per achievement. Materials & Methodology: To know theeffect of pandemic era on RCH health programme of Rajasthan during the period from3 months after lock-down announced in the month of March 2020 i.e. April/May/June 2020 in Rajasthan the data observed, calculated and obtained from HMIS (Health Management Information System- of Ministry of Health and Family Welfare (MoHFW), Government of India for RCHealth programme, (Reproductive and Child Health). Result: The results of data analysis for RCH services,functioning in the state of Rajasthan during the monthduring the period fromApril to June 2020 (during the period from lockdown) as compared to 2019(no lockdown, for same duration suggest that the immunisation services werebadly affected during the period from the lockdown period in 2020. It is possible that newborn children and the older ones have been not delivered proper immunisation servicesduring the period from the lockdown as evident from the data observation-analysis. Conclusion: India and different states has launched several plans and strategies to deal with covid-19 pandemic.However this study report found that insufficient attention have been given to very essential services of RCH in Rajasthanas evident from the results of this study. The problems in the delivery of healthcare services should be dealt properly added with a proper update latest dynamic plan to carry on essential health delivery services even in pandemics and other situations of emergencies. The Rajasthan should develop an exclusive updated latest dynamic plan to deal with situations to guarantee delivery of very essential services such as RCH during the period from pandemics or any other natural calamities-emergencies.The ongoing Covid-19 pandemic has disclosed the vulnerability of women and children’s and at the same timeteaches usabout importance of equity in healthcare. The children and women’s who are considered most vulnerable in emergencies and distress must have special supportive healthcare all the times especially during the period from pandemics-emergencies and other natural disasters. Keywords- Health, Decrease, Pandemic, Services/service, covid-19, sars-cov-2,

scholarly journals A review of factors associated with the utilization of healthcare services and strategies for improving postpartum care in Africa

Afrika Focus ◽  
2015 ◽  
Vol 28 (2) ◽  
Author(s):  
Danielle Yugbare Belemsaga ◽  
Seni Kouanda ◽  
Anne Goujon ◽  
Joel A. Kiendrebeogo ◽  
Els Duysburgh ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Community Outreach ◽  
Healthcare Services ◽  
Postpartum Care ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Eligibility Criteria ◽  
Factors Associated ◽  
And Child Health

Reducing maternal mortality continues to be a major challenge for African countries. We conducted a literature review to identify the factors associated with the utilization of maternal and child healthcare services during the postpartum period and the strategies for strengthening postpartum healthcare in Africa. We carried out an electronic search in several databases of texts published between 1995 and 2012 related to maternal and child health. Seventyfive publications fitted the eligibility criteria. Our analysis shows that to a large extent the socio-economic context was dominant among the factors associated with the quality and utilization of postpartum services. The best interventions were those on immediate postpartum maternal care combining several intervention packages such as community mobilization and provision of services, community outreach services and health training. The integration within health facilities of mother and child clinics was shown to contribute signifiHealthcantly to improving the frequency of mothers’ postpartum visits. Key words: postpartum care, postnatal care, maternal and child health, health interventions, health strategies, sub-Saharan Africa 

scholarly journals Water and sanitation influence on child health in Namibia: using demographic and health surveys

2021 ◽  
Author(s):  
Mona Abdelhady ◽  
Anna Alfeus ◽  
Ndinomholo Hamatui
Keyword(s):  
Child Health ◽  
Health Surveys ◽  
Child Death ◽  
Healthcare Services ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Under Five ◽  
Sub Saharan ◽  
Child's Death ◽  
The Impact

Abstract Important milestones in reducing child mortality rates have been achieved internationally and in Africa. With 76 deaths per 1,000 live births, sub-Saharan Africa (SSA) continues to have the world's highest under-five mortality (U5M) rate. In SSA, one child in every 13 dies from preventable causes before reaching their fifth birthday. This study sought to determine the impact of demographic, socio-economic, and environmental determinants on child health in Namibia, using the Namibian demographic and health surveys (NDHS) from 2006 and 2013. A logistic regression model was used to determine the association between improved sanitary facilities and water sources and U5M in Namibia. Improved access to sanitation facilities in Namibia is associated with less U5M rate, according to the 2013 survey. No significant association was observed between improved access to safe water and child's death. In 2013, the greater the mother's level of education, the lower the chance of child death. Finally, the findings demonstrate that mothers with HIV-positive are more likely to experience under-five death. Hence, the Namibian government should increase sanitation facilities and promote maternal healthcare services for less fortunate households to lower the U5M rate.

scholarly journals Healthcare Providers and Caregivers’ Perspectives on the Quality of Child Health Services in Urban Indonesia: A Mixed-Methods Study

2021 ◽  
Vol 18 (15) ◽  
pp. 8047
Author(s):  
Agus Setiawan ◽  
Poppy Fitriyani ◽  
Rizkiyani Istifada ◽  
Shefaly Shorey
Keyword(s):  
Mixed Methods ◽  
Child Health ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Mixed Methods Study ◽  
Child Health Services ◽  
Structured Interviews ◽  
Mortality And Morbidity ◽  
Factors Affecting

Although Indonesia’s child mortality rate has decreased in tandem with the global trend, healthcare services can be further improved for children. This study aims to explore the perceptions of healthcare providers and caregivers of children aged below five years to improve child health in urban Indonesia. A mixed-methods study design was adopted. Quantitative data were collected via questionnaires from the caregivers. Qualitative data were collected via semi-structured interviews from the healthcare providers. Analysis of 540 caregiver questionnaires regarding the care provided to their child revealed that the majority of them were very satisfied (46.1%) and satisfied (52.2%) with the care received. Analysis of 12 interviews with healthcare providers derived three major themes: (1) importance of one’s role as a healthcare provider; (2) factors affecting the delivery of healthcare; and (3) the way forward in caring for young children. Although caregivers were very satisfied with the care received for their children, the perception of healthcare providers regarding their responsibility in delivering care to children under five years old provides insights into improving the quality of services for children in Indonesia. Our findings suggest that mortality and morbidity of children aged below five years can be best reduced by optimizing primary and secondary preventive measures.

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