Early educational intervention in the maternal and child health services‐‐long‐term evaluation of program effectiveness∗

1987 ◽  
Vol 27 (4) ◽  
pp. 555-570 ◽  
Author(s):  
Hava Palti ◽  
Bella Adler ◽  
Mario Baras
Keyword(s):  
Child Health ◽  
Health Services ◽  
Educational Intervention ◽  
Maternal And Child Health ◽  
Program Effectiveness ◽  
Child Health Services ◽  
Term Evaluation ◽  
And Child Health

scholarly journals Rapid assessment on the utilization of maternal and child health services during COVID-19 in Rwanda

2021 ◽  
Vol 11 (1) ◽  
pp. 12-21
Author(s):  
D. Wanyana ◽  
R. Wong ◽  
D. Hakizimana
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Rapid Assessment ◽  
Child Health Services ◽  
Cross Sectional ◽  
Geographical Variations ◽  
Long Term Impact ◽  
And Child Health

SETTING: All public health facilities in Rwanda, East Africa.OBJECTIVE: To assess the change in the utilization of maternal and child health (MCH) services during the COVID-19 outbreak.DESIGN: This was a cross-sectional quantitative study.RESULTS: During the COVID-19 outbreak in Rwanda, the utilization of 15 MCH services in all four categories—antenatal care (ANC), deliveries, postnatal care (PNC) and vaccinations—significantly declined. The Northern and Western Provinces were affected the most, with significant decrease in respectively nine and 12 services. The Eastern Province showed no statistically significant utilization changes. Kigali was the only province with significant increase in the fourth PNC visits for babies and mothers, while the Southern Province showed significant increase in utilization of measles + rubella (MR) 1 vaccination.CONCLUSION: Access and utilization of basic MCH services were considerably affected during the COVID-19 outbreak in Rwanda. This study highlighted the need for pre-emptive measures to avoid disruptions in MCH service delivery and routine health services during outbreaks. In order for the reductions in MCH service utilization to be reversed, targeted resources and active promotion of ANC, institutional deliveries and vaccinations need to be prioritized. Further studies on long-term impact and geographical variations are needed.

scholarly journals Assessing Access and Healthcare Quality of Maternal and Child Health Services in Facilities of Kasai Province in the Democratic Republic of the Congo (DRC)

2021 ◽  
Author(s):  
Britou Ndela ◽  
Philippe Ngwala ◽  
Adrien N’siala ◽  
Albert Kalonji ◽  
Felix Minuku ◽  
...  
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Democratic Republic ◽  
Maternal Mortality Ratio ◽  
Child Health Services ◽  
Geographical Access ◽  
Republic Of The Congo ◽  
And Child Health

Abstract Background: The Democratic Republic of the Congo (DRC) is classified among the 5 countries with the highest global maternal mortality ratio (MMR) and highest under-five mortality rate (U5MR) in the world. Kasai is one of 14 provinces of the DRC, which have a high U5MR and MMR. Despite this overriding concern, almost no studies have been conducted to assess maternal et child situation in this province. The aim of this study was to assess access, availability, and quality of maternal and child health services in Kasai Province in the DRC. Methods: A cross-sectional survey of 49 Health Facilities (HFs) integrating quantitative and qualitative data collection was conducted in 18 Health Zones in Kasai Province in the DRC. Documentary review, interviews and direct observation of HFs were performed to collect data. Pearson’s chi-squared test was performed to establish the relation between variables.Results: Nearly 54 % of visited HFs population had a geographical access to maternal and child health services and the majority of medical acts were unaffordable. Basic and comprehensive emergency obstetric care (EmOC) were offered respectively by only 11.8% and 7.6% of HF and none provided high quality basic or comprehensive EmOC. This low availability and quality of EmOC are due to the insufficiency of necessary inputs and personal for maternal and child health services in the majority of HFs. Conclusion: The situation of maternal and child health services is very precarious in Kasai Province. The improvement of EmOC coverage will require rehabilitation of infrastructure, dotation of equipment, regular supply of medicines and strengthening of human resource capacity.

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