The Enhanced Maternal and Child Health nursing program in Victoria: a cross-sectional study of clinical practice

2019 ◽  
Vol 25 (3) ◽  
pp. 281
Author(s):  
Catina Adams ◽  
Leesa Hooker ◽  
Angela Taft
Keyword(s):  
Child Health ◽  
Data Collection ◽  
Maternal And Child Health ◽  
Online Survey ◽  
Program Effectiveness ◽  
Outcome Measurement ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Vulnerable Families ◽  
And Child Health

The Maternal and Child Health (MCH) service in Victoria comprises a universal service, an enhanced program providing additional support for vulnerable families (EMCH) and a 24-h MCH telephone line. There is anecdotal evidence of variation in EMCH programs between Local Government Areas, and this study aims to explore the variation in EMCH programs to inform future EMCH policy and practice. An online survey was sent to MCH coordinators in Victoria in December 2016 (n = 79), with a response rate of 70% (55/79). Quantitative data have been analysed using descriptive statistics, with open-ended questions examined using content analysis. The data confirms that EMCH programs vary significantly across the state. Differences include a variation in referral and intake criteria, different models of service and modes of delivery, differences in EMCH nurse working conditions, issues with data collection and a lack of systematic clinical tools. Variation in the EMCH program is greatest between urban and rural services and between advantaged and disadvantaged urban councils. Lack of consistent service delivery and data collection impairs program evaluation, including outcome measurement and evidence of program effectiveness.

scholarly journals Peran Diskusi Suami Istri terhadap Kepatuhan Kunjungan Antenatal Care (ANC)

2021 ◽  
Vol 3 (10) ◽  
pp. 814-825
Author(s):  
Fadhila Tri Cahyanti ◽  
Supriyadi Supriyadi ◽  
Ema Novita Deniati
Keyword(s):  
Child Health ◽  
Data Collection ◽  
Health Services ◽  
Antenatal Care ◽  
Women's Health ◽  
Maternal And Child Health ◽  
Married Couples ◽  
Cross Sectional ◽  
And Child Health ◽  
Husband And Wife

Abstract: Every marriage must experience various problems that occur especially in the wrong communication between husband and wife. A true communication must be well established, especially during the wife's pregnancy, especially for the husband. The East Java Provincial Health Office stated that the K4 coverage for East Java Province was 91.15 percent. Pamekasan Regency is a Regency in East Java that has less desire for visits to pregnant women's health services is 92,75 percent, while target MSS. This study uses an observational quantitative cross-sectional approach with a sample of 112 married couples determined using the technique Accidental Sampling. Data collection using questionnaires includes two parts, namely husband's discussion and wife's discussion, based on The results show that there is an influence between husband's discussion on ANC visits and there is no influence between wife's discussion on ANC visits with the meaning that there is a role for husband and wife discussions to encourage ANC visits. the health of the wife and fetus is healthy until the delivery is smooth. And improve and develop programs related to the promotion of maternal and child health (MCH). Abstrak: Setiap pernikahan pasti mengalami berbagai masalah yang terjadi terutama pada komunikasi yang salah antara suami istri. Suatu komunikasi sejatinya harus terjalin dengan baik terutama pada masa kehamilan istri, terutama bagi suami. Dinas Kesehatan Provinsi Jawa Timur menyatakan bahwa cakupan K4 untuk Provinsi Jawa Timur sebesar 91,15. Kabupaten Pamekasan merupakan Kabupaten di Jawa Timur yang mempunyai hasrat kunjungan yang kurang terhadap pelayanan kesehatan ibu hamil adalah 92,75 persen, sedangkan sasaran SPM Penelitian ini menggunakan kuantitatif observasional pendekatan Cross Sectional dengan jumlah sampel 112 pasangan suami istri yang ditentukan dengan menggunakan teknik Accidental Sampling. Pengumpulan data menggunakan penyebaran kuesioner meliputi dua bagian yaitu diskusi suami dan diskus istri, berdasarkan hasil bahwa ada pengaruh antara diskusi suami terhadap kunjungan ANC dan tidak ada pengaruh antara diskusi istri terhadap kunjungan ANC dengan makna ada peran diskusi suami dan istri terhadap mendorong melakukan kunjungan ANC. Dan diharapkan dapat meningkatkan komunikasi dan motivasi kepada sang istri terhadap kepatuhan kunjungan ANC agar kesehatan istri dan janin sehat hingga persalinannya pun lancar. Dan meningkatkan dan mengembangkan program-program terkait promosi kesehatan Ibu dan Anak (KIA).

scholarly journals Burnout among obstetricians and paediatricians: a cross-sectional study from China

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e024205 ◽  
Author(s):  
Junying Ye ◽  
Huan Wang ◽  
Hao Wu ◽  
Liaosha Ye ◽  
Qi Li ◽  
...  
Keyword(s):  
Child Health ◽  
Family Support ◽  
Maternal And Child Health ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Occupational Burnout ◽  
Cross Sectional ◽  
Professional Efficacy ◽  
Patient Relationships ◽  
And Child Health

ObjectivesHospitals devoted to maternal and child health represent unique healthcare institutions in China. Healthcare professionals in these hospitals attend to health services for women and children, and also provide technical services and support for district maternal and children’s healthcare as well as family planning. However, few studies have examined occupational burnout among doctors employed in these hospitals. This research addresses the gap in the literature.MethodsA cross-sectional survey of obstetricians and paediatricians from 11 maternal and child health hospitals across China was conducted May through June 2017. A total of 678 people completed a self-administered questionnaire. The survey included questions about demographics, doctor–patient relationships and networks of support as well as characteristics designed to capture the occurrence of burnout, such as emotional exhaustion, cynicism and professional efficacy. T-test, variance and multiple regression analyses were used to examine the data.ResultsThe research revealed that 56.6% of obstetricians and paediatricians exhibited signs of occupational burnout. Poor doctor–patient relationships and high average number of weekly hours worked contributed to burnout. Additionally, low family support corresponded to physicians’ low sense of professional efficacy.ConclusionsSeveral factors have contributed to occupational burnout among paediatricians and obstetricians at maternal and child health hospitals in China, including lack of family support, poor doctor–patient relationships and heavy workloads.

Maternal and Child Health in Urban Sabah, Malaysia: A Comparison of Citizens and Migrants

1994 ◽  
Vol 7 (3) ◽  
pp. 151-158 ◽  
Author(s):  
Siti Norazah Zulkifli ◽  
Khin Maw U ◽  
Khairuddin Yusof ◽  
Wong Yut Lin
Keyword(s):  
Child Health ◽  
Infant Mortality ◽  
Maternal And Child Health ◽  
Health Indicators ◽  
Cross Sectional Study ◽  
Infant Mortality Rate ◽  
Cross Sectional ◽  
Multi Stage ◽  
Pregnancy Wastage ◽  
And Child Health

This paper describes selected maternal and child health indicators based on a cross-sectional study of citizens and migrants in Sabah, Malaysia. A total of 1, 515 women were interviewed from a multi-stage random sample of households in eight urban centers. Among the 1, 411 women in the sample who had experienced a pregnancy before, 76% were local citizens and 24% were migrants. There were statistically significant differences between citizens and migrants in ethnicity, religion, education, household income, and access to treated water supply and sanitary toilet facilities. Significantly fewer migrants practiced any form of contraception and obtained any antenatal care during any pregnancy. Furthermore, citizens tended to initiate care as early as three months but migrants as late as seven months. Despite these differences, only the infant mortality rate, and not pregnancy wastage, was statistically significantly higher among migrants. Pregnancy interval was also similar between the two groups. The influence of several socioeconomic factors on pregnancy wastage and infant mortality was explored. Asia Pac J Public Health1994;7(3):151-8.

scholarly journals Where are the gaps in improving maternal and child health in Mauritania? the case for contextualised interventions: a cross sectional study

2013 ◽  
Vol 14 ◽  
Author(s):  
Frédérique Vallières ◽  
Emma Louise Cassidy ◽  
Eilish McAuliffe ◽  
Sidina Ould Isselmou ◽  
Mohamed Saleh Hamahoullah ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
And Child Health

Maternal and Child Health in Mongolia at 3 Years After Childbirth: A Population-Based Cross-Sectional Descriptive Study

2015 ◽  
Vol 20 (5) ◽  
pp. 1072-1081 ◽  
Author(s):  
Kenji Takehara ◽  
Amarjargal Dagvadorj ◽  
Naoko Hikita ◽  
Narantuya Sumya ◽  
Solongo Ganhuyag ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Descriptive Study ◽  
Population Based ◽  
Cross Sectional ◽  
And Child Health

scholarly journals Project ACCLAIM: Intervention Effect on Community Knowledge, Attitudes and Beliefs of Maternal and Child Health and HIV/AIDS in Eswatini, Uganda and Zimbabwe

2021 ◽  
Author(s):  
N. Bandopadhay ◽  
◽  
G. B. Woelk ◽  
M. P. Kieffer ◽  
D. Mpofu
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Community Leaders ◽  
Community Leader ◽  
Community Interventions ◽  
Attitudes And Beliefs ◽  
Hiv Knowledge ◽  
Post Intervention ◽  
Cross Sectional ◽  
And Child Health

AbstractThe ACCLAIM Study aimed to assess the effect of a package of community interventions on the demand for, uptake of, and retention of HIV-positive pregnant/postpartum women in maternal and child health (MCH) and prevention of mother-to-child HIV transmission (PMTCT) services. The study occurred from 2013 to 2015 in Eswatini, Uganda, and Zimbabwe. The three interventions were: (1) a social learning and action component for community leaders, (2) community days, and (3) peer discussion groups. Household cross-sectional surveys on community members’ MCH and PMTCT knowledge, attitudes, and beliefs were analyzed pre- and post-intervention, using MCH, HIV stigma, and gender-equitable men (GEM) indicators. We used t-tests to measure the significance of mean pre- vs. post-intervention score changes stratified by gender within each intervention arm and generalized linear models to compare mean score changes of the cumulative intervention arms with the community leaders-only intervention. Response rates were over 85% for both surveys for men and women, with a total of 3337 pre-intervention and 3162 post-intervention responses. The combined package of three interventions demonstrated a significantly greater increase in MCH scores for both women (diff = 1.34, p ≤ 0.001) and men (diff = 2.03, p < 0.001). The arms that included interventions for both community leader engagement and community days (arms 2 and 3)led to a greater increase in mean GEM scores compared to the community leader engagement intervention alone (arm 1), for both women (diff = 1.32, p = 0.002) and men (diff = 1.37, p = 0.004). Our findings suggest that a package of community interventions may be most effective in increasing community MCH/HIV knowledge and improving gender-equitable norms.

scholarly journals The coverage of continuum of care in maternal, newborn and child health: a cross-sectional study of woman-child pairs in Ghana

2018 ◽  
Vol 3 (4) ◽  
pp. e000786 ◽  
Author(s):  
Akira Shibanuma ◽  
Francis Yeji ◽  
Sumiyo Okawa ◽  
Emmanuel Mahama ◽  
Kimiyo Kikuchi ◽  
...  
Keyword(s):  
Child Health ◽  
Continuum Of Care ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Newborn And Child Health ◽  
Care Services ◽  
Women And Children ◽  
And Child Health ◽  
The Continuum

IntroductionThe continuum of care has recently received attention in maternal, newborn and child health. It can be an effective policy framework to ensure that every woman and child receives timely and appropriate services throughout the continuum. However, a commonly used measurement does not evaluate if a pair of woman and child complies with the continuum of care. This study assessed the continuum of care based on two measurements: continuous visits to health facilities (measurement 1) and receiving key components of services (measurement 2). It also explored individual-level and area-level factors associated with the continuum of care achievement and then investigated how the continuum of care differed across areas.MethodsIn this cross-sectional study in Ghana in 2013, the continuum of care achievement and other characteristics of 1401 pairs of randomly selected women and children were collected. Multilevel logistic regression was used to estimate the factors associated with the continuum of care and its divergence across 22 areas.ResultsThroughout the pregnancy, delivery and post-delivery stages, 7.9% of women and children achieved the continuum of care through continuous visits to health facilities (measurement 1). Meanwhile, 10.3% achieved the continuum of care by receiving all key components of maternal, newborn and child health services (measurement 2). Only 1.8% of them achieved it under both measurements. Women and children from wealthier households were more likely to achieve the continuum of care under both measurements. Women’s education and complications were associated with higher continuum of care services-based achievement. Variance of a random intercept was larger in the continuum of care services-based model than the visit-based model.ConclusionsMost women and children failed to achieve the continuum of care in maternal, newborn and child health. Those who consistently visited health facilities did not necessarily receive key components of services.

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