scholarly journals Maternal Health Care in the Time of Ebola: A Mixed-Method Exploration of the Impact of the Epidemic on Delivery Services in Monrovia

2017 ◽  
Vol 98 ◽  
pp. 169-178 ◽  
Author(s):  
Theodora-Ismene Gizelis ◽  
Sabrina Karim ◽  
Gudrun Østby ◽  
Henrik Urdal
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Mixed Method ◽  
Maternal Health Care ◽  
Delivery Services ◽  
The Impact

scholarly journals Intervention Time Series Modeling of Infant Mortality: Impact of Free Maternal Health Care

2020 ◽  
pp. 38-47
Author(s):  
J. Kisabuli ◽  
J. Ong'ala ◽  
E. Odero
Keyword(s):  
Health Care ◽  
Time Series ◽  
Maternal Health ◽  
Infant Mortality ◽  
Moving Average ◽  
Maternal Health Care ◽  
The Sustainable Development ◽  
Infant Deaths ◽  
Moving Average Model ◽  
The Impact

Infant mortality is an important marker of the overall society health. The 3rd goal of the Sustainable Development Goals aims at reducing infant deaths that occur due to preventable causes by 2030. Due to increased infant mortality the Kenyan government introduced Free Maternal Health Care as an intervention towards reducing infant mortality through elimination of the cost burden of accessing medical care by the mother and the infant. The study examines the impact of Free Maternal Health Care on infant mortality using Intervention time series analysis particularly the intervention Box Jenkins ARIMA (Autoregressive Integrated Moving Average) model. There was significant support that Free Maternal Health Care had a significant impact on infant mortality which was estimated to be a decrease of 10.15% in infant deaths per month.

scholarly journals A review of the impact of financing mechanisms on maternal health care in Australia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Haylee Fox ◽  
Stephanie M. Topp ◽  
Emily Callander ◽  
Daniel Lindsay
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health System ◽  
Search Engine ◽  
Grey Literature ◽  
Maternal Health Care ◽  
World Health ◽  
Google Search ◽  
The Impact ◽  
Out Of Pocket Costs

Abstract Background The World Health Organization states there are three interrelated domains that are fundamental to achieving and maintaining universal access to care - raising sufficient funds for health care, reducing financial barriers to access by pooling funds in a way that prevents out-of-pocket costs, and allocating funds in a way that promotes quality, efficiency and equity. In Australia, a comprehensive account of the mechanisms for financing the health system have not been synthesised elsewhere. Therefore, to understand how the maternal health system is financed, this review aims to examine the mechanisms for funding, pooling and purchasing maternal health care and the influence these financing mechanisms have on the delivery of maternal health services in Australia. Methods We conducted a scoping review and interpretative synthesis of the financing mechanisms and their impact on Australia’s maternal health system. Due to the nature of the study question, the review had a major focus on grey literature. The search was undertaken in three stages including; searching (1) Google search engine (2) targeted websites and (3) academic databases. Executive summaries and table of contents were screened for grey literature documents and Titles and Abstracts were screened for journal articles. Screening of publications’ full-text followed. Data relating to either funding, pooling, or purchasing of maternal health care were extracted for synthesis. Results A total of 69 manuscripts were included in the synthesis, with 52 of those from the Google search engine and targeted website (grey literature) search. A total of 17 articles we included in the synthesis from the database search. Conclusion Our study provides a critical review of the mechanisms by which revenues are raised, funds are pooled and their impact on the way health care services are purchased for mothers and babies in Australia. Australia’s maternal health system is financed via both public and private sources, which consequentially creates a two-tiered system. Mothers who can afford private health insurance – typically wealthier, urban and non-First Nations women - therefore receive additional benefits of private care, which further exacerbates inequity between these groups of mothers and babies. The increasing out of pocket costs associated with obstetric care may create a financial burden for women to access necessary care or it may cause them to skip care altogether if the costs are too great.

scholarly journals Women Using Mobile Phones for Health Communication Are More Likely to Use Prenatal and Postnatal Services in Bangladesh: Cross-Sectional Study (Preprint)

2018 ◽  
Author(s):  
Shangfeng Tang ◽  
Bishwajit Ghose ◽  
Md Rakibul Hoque ◽  
Gang Hao ◽  
Sanni Yaya
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Services ◽  
Mobile Phone ◽  
Mobile Phones ◽  
Health Care Services ◽  
Maternal Health Care ◽  
Cross Sectional ◽  
Mobile Phone Use ◽  
Delivery Services

BACKGROUND The public health system in Bangladesh has been struggling to provide coverage and utilization of basic maternal health care services in pursuit of achieving maternal and child mortality-related goals. Interestingly, the rapid popularization of mobile technology in the country is transforming the landscape of health care access and delivery. However, little is known regarding the use of mobile phones from the perspective of maternal health care service utilization. OBJECTIVE In this study, we aimed to investigate the prevalence and sociodemographic pattern of mobile phone use for health services among women and relationship between the use of mobile phone use and the uptake of essential maternal health services (MHSs). METHODS Cross-sectional data from the Bangladesh Demographic and Health Survey on 4494 mothers aged between 15 and 39 years were used in the analysis. Using mobile phones to get health services or advice was hypothesized to have a positive association with the uptake of basic MHSs (antenatal care, ANC, facility delivery services, postnatal care) and postnatal care for the newborn. Data were analyzed using bivariate and multivariable techniques. RESULTS More than a quarter (1276/4494, 28.4%; 95% CI 26.8-30.3) of the women aged 15-39 years reported using mobile phones to get health services with significant sociodemographic variations in the use of mobile phones. Analysis of the specific purposes revealed that, in most cases, mobile phones were used to contact service providers and consult with the same about what to do, whereas a smaller proportion reported using mobile phone for the purposes of arranging money and transportation. Multivariable analysis showed that compared with respondents who reported not using mobile phones for health care services, those who used them had higher odds of making 3+ ANC visits and delivering at a health facility. The odds were slightly higher for rural residents than for those in the urban areas. CONCLUSIONS The findings of this study conclude that women who use mobile phones are more likely to use ANC and professional delivery services than those who do not. More in-depth studies are necessary to understand the mechanism through which mobile phone-based services enhance the uptake of maternal health care.

scholarly journals Obstacles in the Utilisation of Maternal Health Care Services in Murarai-II C.D. Block, Birbhum District, West Bengal, India

2017 ◽  
Vol 4 (3) ◽  
pp. 40 ◽  
Author(s):  
Alokananda Ghosh ◽  
Dr.Biswaranjan Mistri
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Maternal Health Care ◽  
Empirical Observation ◽  
Care Services ◽  
Birbhum District ◽  
Development Goals ◽  
Maternal Health Care Services ◽  
The Impact

Improving maternal health was one of the eight Millennium Development Goals (MDGs) and now it is one of the targets of 17 point Sustainable Development Goals (SDGs). The utilisation of Maternal Health Care Services (MHCSs) is a complex phenomenon and it is influenced by several factors, like-health care seeking behaviour of the cohorts belonging to different socio-economic and cultural background, distance of the facility centres, type and conditions of the roads including undulating surface, transportation cost, type and availability of transportation mode along with the factors related to the accountability and surveillances of the health care services. Therefore, clear understanding and discussion is needed to draw an association between MHCSs and its influential factors. The objectives of the study are to estimate the impact of accessibility on the underserved status of MHCSs and on the utilisation of MHCSs through paucity index. In addition, the study aims to evaluate the causal relationships between underserved situation and obstacle score with the paucity index of MHCS utilisation.The empirical observation unfolds that the provision and utilisation of MHCSs are strongly dependent on accessibility and distance. The situation is aggravating for proper delivery of services, which is responsible for the increasing obstacle score and paucity index, especially in remote sub- centres of Murarai-II C.D. Block of Birbhum District. 

scholarly journals The Impact of Refugee Women’s Accommodation on Maternal Health Care Provision

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Kasper
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Professionals ◽  
Maternal Health Care ◽  
Special Focus ◽  
Health Care Provision ◽  
Care Provision ◽  
Childbearing Age ◽  
Refugee Women ◽  
The Impact

Abstract Background About 1/3 of the persons seeking asylum in Germany are female. The majority of all refugee women in Germany are currently of childbearing age. The maternity period requires specialized care. Maternal health care professionals monitor the physiological processes of maternity and the psychosocial well-being in order to allow an uncomplicated transition to maternity. On arriving in Germany there are different types of accommodation for refugee women: 1) shared reception centers (e.g. tents, containerbuildings, gyms), 2) collective shelters for particularly vulnerable refugees and 3) private apartments. Depending on the woman’s accommodation maternal health care professionals are confronted with different situations and conditions in providing care for these women. The aim is to analyze the impact of refugee women’s accommodation on maternal health care provision and professional’s actions. Methods Structured expert interviews were conducted with maternal health care professionals. The interviews were analyzed following the standards of qualitative thematic analysis with a special focus on refugee women’s accommodation and its impact on maternal health care provision. Results The accommodation situation does impact the provision of maternal health care as well as the actions and doings of maternal health care professionals. On the one hand there is a change in tasks, which are no subject to original maternal health care, such as organizing transportation. On the other hand there are challenges in actually executing particular maternal health care actions, such as taking the medical history or performing examinations where there is no or little privacy. Conclusions Accommodation conditions impact maternal health care provision in various ways. Therefore an enhancement of housing for refugee women may improve maternal health care provision and therefore maternal health for refugee women.

scholarly journals A study on impact of training programme on knowledge of maternal health care among ASHA workers in a tribal population of Tamil Nadu

2019 ◽  
Vol 6 (3) ◽  
pp. 1147
Author(s):  
Mohamed Jainul Azarudeen ◽  
M. Buvnesh Kumar ◽  
M. Logaraj ◽  
Balaji Ramraj
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Tamil Nadu ◽  
Statistical Tests ◽  
Training Programme ◽  
Maternal Health Care ◽  
Vulnerable Groups ◽  
Initial Assessment ◽  
P Value ◽  
The Impact

Background: Accredited Social Health Activist (ASHA) forms the backbone of NRHM who provides promotive, preventive, and curative health facilities in especially the vulnerable groups. There is a need to comprehensively look into the knowledge and performance of ASHA in terms of her job responsibilities in maternal health, hence this study was conducted to assess knowledge regarding maternal health care among the ASHA workers and to assess the impact achieved after the training programme.Methods: Community based interventional study was conducted among ASHA’s in Jawadhu Hills between April to July 2017, a pretested semi structured questionnaire was administered to elicit the knowledge of ASHA in regard to maternal health care. After the initial assessment, an intervention training programme was conducted based on a module prepared in their native language and post training assessment was done after two months. The statistical tests used were proportions, chi-square test. A p value less than 0.05 was considered to be significant.Results: Based on the initial assessment around 60% of ASHA knew about the core ANC, which statistically (p<0.05) improved after the training programme. Based on danger signs of pregnancy less than 10% knew about vaginal bleeding (3.8%), swelling of legs (4.8%), visual disturbances (6%) which statistically (p<0.05) improved after the training.Conclusions: Knowledge of ASHAs on various aspects of maternal health care was moderately adequate, before the training programme and it was significantly improved after the training programme, which shows that there is a need for regular fixed training programme to maintain the performance of ASHA. 

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