The Impact of Internal Migration on the Maternal and Child Health Services Utilization in Turkey

Abstract Background There have been dozens of strikes by health workers in Kenya in the past decade, but there are few studies of their impact on maternal and child health services and outcomes. We conducted a retrospective survey study to assess the impact of nationwide strikes by health workers in 2017 on utilization of maternal and child health services in western Kenya. Methods We utilized a parent study to enroll women who were pregnant in 2017 when there were prolonged strikes by health workers (“strike group”) and women who were pregnant in 2018 when there were no major strikes (“control group”). Trained research assistants administered a close-ended survey to retrospectively collect demographic and pregnancy-related health utilization and outcomes data. Data were collected between March and July 2019. The primary outcomes of interest were antenatal care (ANC) visits, delivery location, and early child immunizations. Generalized estimating equations were used to estimate risk ratios between the strike and control groups, adjusting for socioeconomic status, health insurance status, and clustering. Adjusted risk ratios (ARR) were calculated with 95% confidence intervals (95%CI). Results Of 1341 women recruited in the parent study in 2017 (strike group), we re-consented 843 women (63%) to participate. Of 924 women recruited in the control arm of the parent study in 2018 (control group), we re-consented 728 women (79%). Women in the strike group were 17% less likely to attend at least four ANC visits during their pregnancy (ARR 0.83, 95%CI 0.74, 0.94) and 16% less likely to deliver in a health facility (ARR 0.84, 95%CI 0.76, 0.92) compared to women in the control group. Whether a child received their first oral polio vaccine did not differ significantly between groups, but children of women in the strike group received their vaccine significantly longer after birth (13 days versus 7 days, p = 0.002). Conclusion We found that women who were pregnant during nationwide strikes by health workers in 2017 were less likely to receive WHO-recommended maternal child health services. Strategies to maintain these services during strikes are urgently needed.

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The Impact of COVID-19 Pandemic on Maternal and Child Health Services in Rwanda

Research Journal of Health Sciences ◽

10.4314/rejhs.v8i3.9 ◽

2020 ◽

Vol 8 (3) ◽

pp. 221-222

Author(s):

Olive Tengera ◽

Jean Pierre Ndayisenga ◽

Donatilla Mukamana ◽

Alice Muhayimana ◽

Josephine Murekezi ◽

...

Keyword(s):

Child Health ◽

Health Services ◽

Maternal And Child Health ◽

Child Health Services ◽

The Impact ◽

And Child Health

No Abstract.

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Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trial

BMC Public Health ◽

10.1186/s12889-019-7180-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 4

Author(s):

Robert Kaba Alhassan ◽

Edward Nketiah-Amponsah ◽

Martin Amogre Ayanore ◽

Agani Afaya ◽

Solomon Mohammed Salia ◽

...

Keyword(s):

Child Health ◽

Health Services ◽

Maternal And Child Health ◽

Randomised Trial ◽

Child Health Services ◽

Cluster Randomised Trial ◽

Services Utilization ◽

Cluster Randomised ◽

And Child Health ◽

Engagement Intervention

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Dampak COVID-19 Terhadap Pelayanan KIA di Kota Cilegon

Jurnal Keperawatan Muhammadiyah ◽

10.30651/jkm.v6i2.7776 ◽

2021 ◽

Vol 6 (2) ◽

Author(s):

Zulfa Kevaladandra ◽

Evi Martha

Keyword(s):

Child Health ◽

Health Services ◽

Maternal And Child Health ◽

Health Workers ◽

Child Health Services ◽

Live Streaming ◽

Immunization Services ◽

The Impact ◽

The City ◽

And Child Health

Objective: The COVID-19 pandemic has challenged maternal and child health services in all regions of Indonesia, including the city of Cilegon. Various efforts have been made by the Cilegon City Health Office to suppress the decline in MCH services. The purpose of this study was to determine the impact of COVID-19 on MCH services in Cilegon City.Methods: This article used a qualitative descriptive method by collecting data through focus group discussions (FGD) in the second week of October 2020. The informants of this study collected by purposive sampling with the number of informants. 4 informants, including the Head of the Cilegon City Health Office, the Head of the Family Health Section (Kesga), and 2 Kesga staff.Results: The results showed that there were 7 indicators affected by COVID-19 in the city of Cilegon, including K1 coverage, K4 coverage, delivery assistance at health facilities, maternal mortality rate (MMR), neonatal visits, complete basic immunization services, and monitoring of toddler growth and development. The cause of the obstruction of MCH services was the existence of the PSBB policy and the concerns of the public and health workers of contracting the SARS-CoV-2 virus.Conclusion: Several inovasions made by the Cilegon City Health Office include implementing health protocols in health services outside buildings, making appointments for antenatal and immunization services, conducting home visits, conducting classes for pregnant women and toddlers through live streaming, and providing isolation places for OTGs. It can be concluded that the COVID-19 pandemic has caused a challenges in MCH services. However, various efforts have also been made to increase the coverage of MCH services and improve maternal and child health in the city of Cilegon.

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