scholarly journals Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries

2018 ◽  
Vol 3 (3) ◽  
pp. e000466 ◽  
Author(s):  
Iryna Postolovska ◽  
Stéphane Helleringer ◽  
Margaret E Kruk ◽  
Stéphane Verguet
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Low Income ◽  
Child Health Services ◽  
Demographic And Health Surveys ◽  
Care Seeking ◽  
Middle Income ◽  
Middle Income Countries ◽  
And Child Health

BackgroundMeasles supplementary immunisation activities (SIAs) are an integral component of measles elimination in low-income and middle-income countries (LMICs). Despite their success in increasing vaccination coverage, there are concerns about their negative consequences on routine services. Few studies have conducted quantitative assessments of SIA impact on utilisation of health services.MethodsWe analysed the impact of SIAs on utilisation of selected maternal and child health services using Demographic and Health Surveys and Multiple Indicator Cluster Surveys from 28 LMICs, where at least one SIA occurred over 2000–2014. Logistic regressions were conducted to investigate the association between SIAs and utilisation of the following services: facility delivery, postnatal care and outpatient sick child care (for fever, diarrhoea, cough).ResultsSIAs do not appear to significantly impact utilisation of maternal and child services. We find a reduction in care-seeking for treatment of child cough (OR 0.67; 95% CI 0.48 to 0.95); and a few significant effects at the country level, suggesting the need for further investigation of the idiosyncratic effects of SIAs in each country.ConclusionThe paper contributes to the debate on vertical versus horizontal programmes to ensure universal access to vaccination. Measles SIAs do not seem to affect care-seeking for critical conditions.

scholarly journals The Role of Social Capital on Utilization of Maternal and Child Health Services in Low- and Middle- Income Countries: Mixed-Methods Review

2021 ◽  
Author(s):  
Endalkachew Worku Mengesha ◽  
Getu Degu Alene ◽  
Desalegne Amare Zelellw ◽  
Yibeltal Assefa ◽  
Gizachew Assefa Tessema
Keyword(s):  
Social Capital ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Child Health Services ◽  
Middle Income ◽  
Middle Income Countries ◽  
Quantitative Studies ◽  
And Child Health ◽  
Low And Middle Income

Abstract Background: Social capital is defined as social relations that may provide individuals and groups with access to resources and supports in community networks. It has become an important issue to be studied in the field of public health. This study aimed to review pieces of literature about the role of social capital on the utilization of maternal and child health services in low- and middle- income countries.Methods: Mixed-methods research review and synthesis, using three databases (PubMed, Scopus, and Science Direct), was performed. Besides, Google Scholar and Google search engines were used. Both quantitative and qualitative studies conducted in low- and middle- income countries, published in English, in grey and commercial literature were considered. Results: A total of 1,545 studies were identified, of which, 328 records were removed due to duplication. Then, 13 records were selected after reading titles, abstracts, and full texts. Of these eligible studies, six studies were included for quantitative synthesis, and seven of them for qualitative synthesis. Moreover, six quantitative studies and seven qualitative studies were included. Of the six reviewed quantitative studies, five of them addressed the relationship between social capital and health facility delivery. Likewise, women who lived in communities with higher membership in groups that help form intergroup bridging ties had higher odds of antenatal care use. Synthesized qualitative findings revealed that women received some form of emotional, informational, and instrumental support from their network members. Receiving health information from trusted people and socio-cultural factors influenced the use of maternal health services.Conclusions: Social capital has a great contribution to the utilization of maternal and child health services. Countries aiming to reduce maternal mortality should identify context-specific approaches to benefit from its social capital. On the other hand, measurement tools for social capital require due attention as there is no uniformity across studies and most of them were conducted using a cross-sectional design. Hence, further longitudinal and interventional studies should be employed to pin down the direction of causality.Systematic review registration: PROSPERO CRD42021226923

Sign in / Sign up

Export Citation Format

Share Document