scholarly journals OP75 Mapping UK policies and strategies relevant to child and maternal health to identify opportunities for upstream evaluations: initial findings from the maternal and child health network (MatCHNet)

2021 ◽  
Author(s):  
Emma Stewart ◽  
Anna Pearce ◽  
Joanne Given ◽  
Ruth Gilbert ◽  
Sinead Brophy ◽  
...  
Keyword(s):  
Maternal Health ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Network ◽  
Child And Maternal Health ◽  
And Child Health

Narrative Case study: The most essential determinants to child and maternal health in Sierra Leone

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Sheriff ◽  
G A Barzyk
Keyword(s):  
Maternal Health ◽  
Child Health ◽  
Maternal Mortality ◽  
Health Outcomes ◽  
Sierra Leone ◽  
Maternal And Child Health ◽  
Maternal Mortality Ratio ◽  
Live Births ◽  
Child And Maternal Health ◽  
And Child Health

Abstract Background Sierra Leone is one of the poorest countries in the world, suffering from some of the worst maternal and child health outcomes. In 2013, it had a maternal mortality ratio of 1165/10000 live births and an under-five mortality of 156/1000 live births. The country has introduced a number of policies and interventions to tackle maternal and child health issues but still retains one of the highest global mortality rates. The purpose of this study is to determine the most essential determinants to infant, child and maternal health and recommend some interventions and policy changes to improve their health outcomes. Methods A small review of relevant policies and papers and analysis of relevant maternal and child health data and statistics was conducted to inform questions for Key Informant Interviews. Interviews were then conducted with relevant stakeholders to child and maternal health from UN Organisations, international NGOs and the Ministry of Health and Sanitation (MoHS). Results Analysis of transcribed Interview data with NVIVO showed that the most essential determinants were the lack of effective coordination between the MoHS and partners due to the emergency mindset, systematic problems with the attitude of the healthcare workforce especially towards women and socio-cultural restriction on women restricting their ability to make choices about their own health and lives Conclusions The study found that there was a focus on policies and interventions targeted at improving clinical determinants and health statistics while consideration of socio-cultural context were negligible. An inclusion of interventions focused on women's empowerment and increasing their voices will help to tackle some of these most essential determinants. Key messages Sierra Leone has the policy environment, political will, and technical expertise to continue making improvements to their high maternal and child mortality problem. An emergency mindset approach, and interventions targeted only at reducing clinical determinants of maternal mortality are missing out on addressing wider socio-cultural issues to improving health.

scholarly journals Community Radio Supporting Maternal and Child Health and Preventing obstetric Fistula in an area impacted by climate change

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Selim Shahriar ◽  
Abdullah Al Mahmood ◽  
Nitta Biswas ◽  
Sk Nazmul Huda ◽  
Radio Nalta ◽  
...  
Keyword(s):  
Climate Change ◽  
Maternal Health ◽  
Child Health ◽  
Maternal And Child Health ◽  
Obstetric Fistula ◽  
Radio Station ◽  
Community Radio ◽  
Development Partner ◽  
Radio News ◽  
And Child Health

Aims: To describe how a community radio station and its allied resources have supported maternal and child health promotion and prevention of fistula in hard to reach and climate change-affected areas in Bangladesh. Methods:  The volunteers and operators of Radio Nalta were provided training on maternal health and fistula communication by a development partner. Information packs were made available through different institutions. Results: We produced and broadcast public service announcements on maternal health and fistula, integrated maternal health and fistula related messages radio plays and prioritized maternal health and fistula coverage in community radio news. We aired 11 talk shows on fistula, eight in observation to International day to end obstetric fistula. We reached 600,000 people with fistula information. Conclusions: Community radio can help in reaching out populations in hard to reach areas with information and education for promoting maternal health and prevention of fistula. Coastal areas are impacted by climate change and the community radio can effectively communicate with communities there. 

scholarly journals Shifting research priorities in maternal and child health in the COVID-19 pandemic era in India: a renewed focus on systems strengthening

2021 ◽  
Author(s):  
Kayur Mehta ◽  
Sanjay Zodpey ◽  
Preetika Banerjee ◽  
Stephanie L. Pocius ◽  
Baldeep K. Dhaliwal ◽  
...  
Keyword(s):  
Public Health ◽  
Maternal Health ◽  
Child Health ◽  
Infectious Diseases ◽  
Maternal And Child Health ◽  
Research Priorities ◽  
Neonatal Health ◽  
Vaccine Preventable Diseases ◽  
Research Priority ◽  
And Child Health

AbstractBackgroundThe remarkable progress seen in maternal and child health (MCH) in India over the past two decades has been impacted by setbacks from the COVID-19 pandemic. We aimed to undertake a rapid assessment to identify key priorities for public health research in MCH in India within the context and aftermath of the COVID-19 pandemic.MethodsA web-based survey was developed to identify top research priorities in MCH. It consisted of 26 questions on six broad domains: vaccine preventable diseases, outbreak preparedness, primary healthcare integration, maternal health, neonatal health, and infectious diseases. Key stakeholders were invited to participate between September and November 2020. Participants assigned importance on a 5-point Likert scale, and assigned overall ranks to each sub-domain research priority. Descriptive statistics were used to examine Likert scale responses, and a ranking analysis was done to obtain an “average ranking score” and identify the top research priority under each domain.ResultsAmongst the 84 respondents, 37% were public-health researchers, 25% healthcare providers, 20% academic faculty and 13% were policy makers. Across the six domains, most respondents considered conducting research on systems strengthening as extremely important. The highest ranked research priorities were strengthening the public sector workforce (vaccine preventable diseases), enhancing public-health surveillance networks (outbreak preparedness), nutrition support through community workers (primary care integration), encouraging at least 4-8 antenatal visits (maternal health), neonatal resuscitation to reduce birth asphyxia (neonatal health) and pediatric and maternal screening and treatment of tuberculosis (infectious diseases). Common themes identified through open-ended questions were also systems strengthening priorities across domains.ConclusionsThe overall focus for research priorities in MCH in India during the COVID-19 pandemic is on strengthening existing services and service delivery, rather than novel research. Our results highlight pivotal steps within the roadmap for advancing and sustaining maternal and child health gains during the ongoing COVID-19 pandemic and beyond.

scholarly journals Evaluation Of The Integrated Care Model: Child Morbidity Reduction In Mashonaland East, Zimbabwe

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Maxwell Mhlanga
Keyword(s):  
Maternal Health ◽  
Child Health ◽  
Community Health ◽  
Integrated Care ◽  
Incidence Rate ◽  
Maternal And Child Health ◽  
Care Model ◽  
Child Morbidity ◽  
Care Practices ◽  
And Child Health

Zimbabwe has one of the highest prevalence rates on preventable child morbidity in the world. This is mainly attributable to the absence of an effective community health mobilisation structure that reaches all targeted households with correct and consistent social behaviour change interventions for better child and maternal health. To address this, a cluster randomised controlled trial was conducted to assess the effectiveness of a developed integrated community intervention approach in reducing child morbidity and improving maternal health outcomes. A total of 765 mother-child pairs (413 in the intervention and 352 in the control) from 2 districts in Mashonaland East province were recruited and followed up for 12 months. Only women with children aged 0 - 48 months at the beginning of the study were selected. Participants were selected (and recruited) through stratified random sampling from 30 villages/clusters (16 in the control and 14 in the intervention) out of the total of 43 villages in the 2 districts. The intervention arm received education on maternal and child health through an Integrated Care Model mobilisation system whereas participants in the control arm were mobilized and educated using the conventional mobilisation system. Baseline and end-line surveys were done to assess and compare baseline characteristics and secondary study outcomes. The primary outcome was child morbidity in the follow-up period of 12 months. The mean age of participating mothers was 28 years (SD = 6.8) and that of participating children was 18.2 months (SD = 4.0). The risk of child morbidity was 37.5% in the control and 22.0% in the intervention representing a relative risk of 1.7 [95% C.I (1.4-2.1)]. The incidence rate of child morbidity was 0.043 and 0.022 episodes per child year in the control and intervention arm respectively giving an incidence rate ratio of 2.0(p<0.001). This ratio meant that the chance of being a disease case in the control was double that in the intervention arm. Women in the intervention arm had statistically significant (p<0.001) higher knowledge about maternal and child health and better child care practices at the end of the study. There was strong evidence that the Integrated Care Model did not only reduce child morbidity but also improved maternal knowledge, health-seeking behaviour and care practices. Accordingly, governments in developing countries and countries in poor resource settings could strengthen their community health delivery systems by implementing this low-cost, sustainable and high-impact approach.

scholarly journals Maternal and child health in Bangladesh: a critical look at the policy and the sustainable development goals

2017 ◽  
Vol 3 (3) ◽  
pp. 298-304 ◽  
Author(s):  
Nur Newaz Khan
Keyword(s):  
Sustainable Development ◽  
Maternal Health ◽  
Child Health ◽  
Maternal And Child Health ◽  
Sustainable Development Goals ◽  
Critical Discussion ◽  
Expected Improvement ◽  
The Sustainable Development ◽  
Development Goals ◽  
And Child Health

Based on secondary analysis, this paper places a critical discussion looking back in history of maternal health achievements by Bangladesh, future adaptability and potentials forwarding to the sustainable development goals (SDGs) set by United Nations. Since the transition from MDGs to SDGs, Bangladesh achieved a many progress in maternal health development but still grappling with many structural and cultural barriers. Implementation of policy documents in community level, lack of better infrastructure, health bureaucracy induced delays, culture of absenteeism among practitioners and lack good health governance are some major challenges still hindering a fostered progress in achieving the expected improvement in maternal and child health condition in community and broader level. Evidences discussed in this paper suggests that, the clauses related to implementation and maintenance need to be stronger in the maternal health policy for future direction and sustainable progress in maternal health. The policy should act in practice, not as a document, to improve maternal health and reducing mortality that would finally speed up the progress in achieving SDGs target in more pragmatic sense.Asian J. Med. Biol. Res. September 2017, 3(3): 298-304

Reflections on maternal health care within the Victorian Maternal and Child Health Service

2016 ◽  
Vol 22 (2) ◽  
pp. 77 ◽  
Author(s):  
Leesa Hooker ◽  
Angela Taft ◽  
Rhonda Small
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Child Health ◽  
Maternal And Child Health ◽  
Maternal Health Care ◽  
Child Health Service ◽  
Discussion Paper ◽  
Health Demand ◽  
Training And Support ◽  
And Child Health

Women suffer significant morbidity following childbirth and there is a lack of focussed, primary maternal health care to support them. Victorian Maternal and Child Health (MCH) nurses are ideally suited to provide additional care for women when caring for the family with a new baby. With additional training and support, MCH nurses could better fill this health demand and practice gap. This discussion paper reviews what we know about maternal morbidity, current postnatal services for women and the maternal healthcare gap, and makes recommendations for enhancing MCH nursing practice to address this deficit.

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