The impact of panel composition and topic on stakeholder perspectives: Generating hypotheses from online maternal and child health modified‐Delphi panels

Abstract Background: Multi-stakeholder engagement is crucial for conducting health services research. Delphi-based methodologies combining iterative rounds of questions with feedback on and discussion of group results are a well-documented approach to multi-stakeholder engagement. The aim of this study is to develop hypotheses about the impact of panel composition and topic on the propensity and meaningfulness of response changes in multi-stakeholder modified-Delphi panels.Methods: We conducted three online modified-Delphi multi-stakeholder panels using the same protocol. We assigned 60 maternal and child health professionals to a homogeneous (professionals-only) panel, 60 pregnant or postpartum women (patients) to a homogeneous panel, and 30 professionals and 30 patients to a mixed panel. In Round 1, participants rated seriousness of 11 maternal and child health outcomes using 0-100 scale and explained their ratings. In Round 2, participants saw Round 1 results and discussed them using anonymous, moderated online discussion boards. In Round 3, participants revised their original ratings. Our outcome measures included binary indicators of response changes to ratings of low, medium, and high severity maternal and child health outcomes and their meaningfulness, measured by a change of 10 or more points on a 0-100 scale.Results: Participants changed 55% of responses; the majority of response changes were meaningful. We developed three main hypotheses. First, stakeholders may be more likely to change their responses on preference-sensitive topics where there is a range of viable alternatives or perspectives. Second, patients may be more likely to change their responses and to do so meaningfully in mixed panels, whereas professionals may be more likely to do so in homogeneous panels. Third, the association between panel composition and response change may vary according to the topic.Conclusions: Results of our work not only helped generate empirically-derived hypotheses to be tested in future research, but also offer practical recommendations for designing multi-stakeholder online modified-Delphi panels.Registration: International Registered Report Identifier: DERR1-10.2196/16478

Download Full-text

Examining the Impact of Family Planning on Fertility, Maternal and Child Health, and Economic Well-Being: Evidence from a Field Experiment in Urban Malawi

AEA Randomized Controlled Trials ◽

10.1257/rct.697-7.0 ◽

2015 ◽

Author(s):

Mahesh Karra

Keyword(s):

Family Planning ◽

Child Health ◽

Field Experiment ◽

Maternal And Child Health ◽

Well Being ◽

The Impact ◽

And Child Health ◽

Economic Well Being

Download Full-text

The Impact of Maternal Health Care Utilization on Probability of Child Survival in India

International Journal of Scientific and Engineering Research ◽

10.14299/ijser.2020.07.07 ◽

2020 ◽

Vol 11 (7) ◽

pp. 1006-1014

Author(s):

Ajit Kumar Jaiswal

Keyword(s):

Health Care ◽

Child Health ◽

Maternal And Child Health ◽

Child Survival ◽

Nutrient Deficiency ◽

Household Wealth ◽

Care Utilization ◽

The Government ◽

The Impact ◽

And Child Health

Maternal and child health programmes plays a key role in reducing infant and child mortality in any population. The Government of India started maternal and child health care services in the first five year plan (1951-56). This study uses data from the fourth round of the National Family Health Survey (NFHS, 2015-16). We are interested to examine the effect of child delivery at a healthcare facility, on child survival. We are followed by Mosley and Chen’s framework (1884), according to the framework, several socioeconomic determinants are grouped into some categories, namely, maternal, environmental contamination, nutrient deficiency, and personal illness control. Consequently, we reduced the number of independent variables to women’s age at birth and education, birth order, low child birth weight, household wealth, and healthcare.

Download Full-text

No effects of pilot performance-based intervention implementation and withdrawal on the coverage of maternal and child health services in the Koulikoro region, Mali: an interrupted time series analysis

Health Policy and Planning ◽

10.1093/heapol/czaa001 ◽

2020 ◽

Vol 35 (4) ◽

pp. 379-387

Author(s):

David Zombré ◽

Manuela De Allegri ◽

Valéry Ridde

Keyword(s):

Time Series ◽

Child Health ◽

Health Service ◽

Maternal And Child Health ◽

Interrupted Time Series ◽

Child Health Services ◽

Child Health Service ◽

Health Centres ◽

The Impact ◽

And Child Health

Abstract Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Thus, further rigorous investigation is needed to be able to draw broader conclusions about the effects of this health financing reform. We examined the effects of the implementation and subsequent withdrawal of the PBF pilot programme in the Koulikoro region of Mali on a range of relevant maternal and child health indicators targeted by the programme. We relied on a control interrupted time series design to examine the trend in maternal and child health service utilization rates prior to the PBF intervention, during its implementation and after its withdrawal in 26 intervention health centres. The results for these 26 intervention centres were compared with those for 95 control health centres, with an observation window that covered 27 quarters. Using a mixed-effects negative binomial model combined with a linear spline regression model and covariates adjustment, we found that neither the introduction nor the withdrawal of the pilot PBF programme bore a significant impact in the trend of maternal and child health service use indicators in the Koulikoro region of Mali. The absence of significant effects in the health facilities could be explained by the context, by the weaknesses in the intervention design and by the causal hypothesis and implementation. Further inquiry is required in order to provide policymakers and practitioners with vital information about the lack of effects detected by our quantitative analysis.

Download Full-text

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

Social Work in Public Health ◽

10.1080/19371918.2019.1635941 ◽

2019 ◽

Vol 34 (6) ◽

pp. 519-528 ◽

Cited By ~ 1

Author(s):

Gülcan Şantaş ◽

Gülsün Erigüç ◽

Mehmet Ali Eryurt

Keyword(s):

Child Health ◽

Health Services ◽

Maternal And Child Health ◽

Internal Migration ◽

Health Services Utilization ◽

Child Health Services ◽

Services Utilization ◽

The Impact ◽

And Child Health

Download Full-text

Information and communication technologies and access to maternal and child health information: Implications for sustainable development

Information Development ◽

10.1177/0266666918767482 ◽

2018 ◽

Vol 35 (4) ◽

pp. 524-534 ◽

Cited By ~ 2

Author(s):

Ngozi B Ukachi ◽

Stella NI Anasi

Keyword(s):

Sustainable Development ◽

Child Health ◽

Health Information ◽

Information And Communication Technologies ◽

Maternal And Child Health ◽

Positive Impact ◽

Communication Technologies ◽

Information And Communication ◽

The Impact ◽

And Child Health

Maternal and child mortality pose a great challenge in developing nations notwithstanding the robust initiatives instituted at both the global and national levels to ameliorate it. This study is aimed at ascertaining women’s perception of the impact of information and communication technologies on access to maternal and child health information and its implication on sustainable development. The descriptive research design was adopted for the study. Purposive sampling technique was used in selecting University of Lagos Teaching Hospital and subsequently, the three clinics (Obstetrics and Gynaecology, Paediatrics Outpatient, and Antenatal clinics) where the needed groups could be seen. Questionnaire was the instrument used for data collection while SPSS statistical package was used for data analysis. The study revealed that the women perceive information and communication technologies to have a positive impact on their access to maternal and child health information while the key technological facilities used by the respondents in accessing maternal and child health information were mobile phones and social media tools such as Facebook, YouTube, blogs and Twitter. It was also found that irregular power supply, poor Internet access, and ignorance of the media that transmit maternal and child health information were the key factors that militate against effective access to maternal and child health information using communication technologies. The implication of this result on sustainable development is discussed and recommendations made.

Download Full-text

Examining the Impact of Family Planning on Fertility, Maternal and Child Health, and Economic Well-Being: Evidence from a Field Experiment in Urban Malawi

AEA Randomized Controlled Trials ◽

10.1257/rct.697-6.0 ◽

2015 ◽

Author(s):

Mahesh Karra

Keyword(s):

Family Planning ◽

Child Health ◽

Field Experiment ◽

Maternal And Child Health ◽

Well Being ◽

The Impact ◽

And Child Health ◽

Economic Well Being

Download Full-text

Masalah Kesehatan Ibu Dan Anak Pada Pernikahan Usia Dini Di Beberapa Etnis Indonesia; Dampak Dan Pencegahannya

Buletin Penelitian Sistem Kesehatan ◽

10.22435/hsr.v23i4.3672 ◽

2020 ◽

Vol 23 (4) ◽

pp. 275-283

Author(s):

Herti Windya Puspasari ◽

Indah Pawitaningtyas

Keyword(s):

Child Health ◽

Ethnic Groups ◽

Maternal And Child Health ◽

Negative Impact ◽

Early Marriage ◽

Early Age ◽

Mortality And Morbidity ◽

Reliable Source ◽

The Impact ◽

And Child Health

The negative impact of early age marriage in Indonesia is the risk maternal and infant mortality by 30%, as many as 56% of adolescent girls experienced domestic violence, only 5.6% of adolescents with early marriage still continue schooling after marriage. This article arrange by further analysis and literature review of the ethnographic research book series on the Center for Research and Development in Humanities and Management Health, NIHRD. This article aim to determine the impact of early marriage on the maternal and child health in several ethnic groups in Indonesia and about the prevention. Cases of early marriage still occur in many ethnic groups in Indonesia and contribute to mortality and morbidity for mothers and children. The impact of early marriage on maternal and child health includes miscarriage, premature, bleeding and maternal death. They must get a education health about repoduction health from reliable source. It is necessary for the government’s role to provide education about reproductive health and positive activities to avoid early age marriage. Especially in districs that have high rates of early age marriage. Abstrak Dampak negatif dari pernikahan dini di Indonesia adalah risiko kematian ibu dan bayi sebesar 30 %, 56% remaja perempuan mengalami Kekerasan Dalam Rumah Tangga, dan hanya 5,6% remaja dengan pernikahan dini yang masih melanjutkan sekolah setelah kawin. Tujuan penulisan artikel ini adalah untuk mengetahui dampak pernikahan usia dini terhadap kesehatan ibu dan anak di beberapa etnis di Indonesia serta pencegahannya. Artikel dibuat berdasarkan analisis lanjut dan kajian literatur dari buku seri riset etnografi Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan, Badan Litbang Kesehatan. Kasus pernikahan dini masih banyak terjadi di berbagai etnis di Indonesia dan menyumbang angka kematian dan kesakitan bagi Ibu dan Anak. Dampak pernikahan dini terhadap kesehatan ibu dan anak antara lain, terjadinya keguguran, kelahiran premature, perdarahan hingga kematian ibu. Sebaiknya remaja memiliki pengetahuan mengenai pentingnya kesehatan reproduksi dan mendapatkan pendidikan kesehatan reproduksi yang benar dan layak dari sumber yang terpercaya. Perlu peran pemerintah untuk memberikan edukasi tentang kesehatan reproduksi dan kegiatan-kegiatan yang positif untuk menghindari pernikahan dini. Edukaski tersebut khususnya untuk masyarakat di daerah yang memiliki angka pernikahan dini yang cukup tinggi.

Download Full-text

Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China

10.21203/rs.2.13107/v2 ◽

2020 ◽

Author(s):

Huan Zhou ◽

Yuju Wu ◽

Chengfang Liu ◽

Chang Sun ◽

Yaojiang Shi ◽

...

Keyword(s):

Child Health ◽

Health Outcomes ◽

Breast Feeding ◽

Maternal And Child Health ◽

Rural Areas ◽

Cash Transfers ◽

Conditional Cash Transfers ◽

Child Health Outcomes ◽

The Impact ◽

And Child Health

Abstract Background: Empirical evidence suggests that the uptake of maternal and child health (MCH) services is still low in poor rural areas of China. There is concern that the low uptake of MCH services may detrimentally affect child health outcomes. Previous studies have not yet identified the exact nature of the impact that conditional cash transfers (CCT) have on the uptake of MCH services and ultimately, on child health outcomes. The objective of this study is to examine the relationship between CCT, uptake of MCH services, and health outcomes among children in poor rural areas of western China.Methods: We designated two different sets of comparison villages and households that were used as comparison against which outcomes of the treated households could be assessed. In 2014 we conducted a large-scale survey of 1,522 households at 75 villages (including 25 treatment and 50 comparison) from nine nationally-designated poverty counties in two provinces of China. In each village, 21 households were selected based on their eligibility status for the CCT program. Difference-in-difference analyses were used to assess the impact of CCT on outcomes in terms of both Intention-to-treat (ITT) and average-treatment-effects-on-the-treated (ATT). Results: Overall, the uptake of MCH services in the sample households were low, especially in terms of post-partum care visits, early breast feeding, exclusive breast feeding, and physical examination of the baby. The uptake of the seven types of MCH services in the CCT treatment villages were significantly higher than that in the comparison villages. Results from both the ITT and ATT analyses showed the CCT program had a positive, although small, impact on the uptake of MCH services and the knowledge of mothers about MCH health issues. Nonetheless, the CCT program had no noticeable effect on child health outcomes.Conclusions: The CCT program generated modest improvements in the uptake of MCH services and mothers' knowledge of MCH services in poor rural areas of Western China. These improvements, however, did not translate into substantial improvements in child health outcomes for two possible reasons: poor CCT implementation and the low quality of rural health facilities.

Download Full-text