scholarly journals Immunisation with BCG in the Maringue District, Sofala Province, Mozambique

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Dario Consonni ◽  
Marina Margarida Montenegro Agorostos Karagianis ◽  
Giuseppe Bufardeci
Keyword(s):  
Child Health ◽  
Vaccination Coverage ◽  
Information Sources ◽  
Maternal Child Health ◽  
Health Unit ◽  
Immunisation Coverage ◽  
Bacille Calmette Guerin ◽  
Information Recording ◽  
Home Deliveries ◽  
Individual Information

Objectives. We evaluated immunisation with Bacille Calmette-Guérin (BCG) among newborns in 2011 in the Maringue District, Sofala Province, Mozambique, which includes seven health units. The study was motivated by the fact that in official reports, immunisation coverage was unreliable (more than 100%).Methods. The office of maternal-child health of the central Maringué-Sede health unit provided the number of live newborns in 2011 at the maternal clinics of the seven health units and an estimate of the number of home deliveries. From vaccination registers, we abstracted records of BCG vaccinations administered in the period 01/01/2011–30/06/2012 to children born in 2011.Results. The number of live newborns was 3,353. Overall, the number of BCG vaccinations administered was 2,893, with a coverage of 86.3%.Conclusion. In this study, we could only calculate an approximate coverage estimate, because of unavailability of adequate individual information. Recording practices should be changed in order to allow use of individual information and linkage across different information sources and thus a more precise vaccination coverage assessment.

scholarly journals Preventive health service coverage among infants and children at six maternal-child health clinics in western Kenya: A cross-sectional assessment

2020 ◽  
Author(s):  
Andrew Deathe ◽  
Eren Oyungu ◽  
Samuel O. Ayaya ◽  
Ananda R. Ombitsa ◽  
Carole I. McAteer ◽  
...  
Keyword(s):  
Child Health ◽  
Health Service ◽  
Vaccination Coverage ◽  
Substantial Reduction ◽  
Child Health Service ◽  
Growth Monitoring ◽  
Maternal Child Health ◽  
Cross Sectional ◽  
Western Kenya ◽  
Service Coverage

Abstract BackgroundDespite the substantial reduction of child mortality in recent decades, Kenya still strives to provide universal healthcare access and to meet other international benchmarks for child health. This study aimed to describe child health service coverage among children visiting six Maternal and Child Health (MCH) clinics in western Kenya. MethodsIn a cross-sectional study of Kenyan young children (≤5 years) presenting to MCH clinics, child health records were reviewed to determine coverage of immunizations, growth monitoring, vitamin A supplementation, and deworming. Among 78 children and their caregivers, nearly 70% of children were fully vaccinated for their age. ResultsWe found a significant disparity in full vaccination coverage by gender (p = .017), as males had 3.5x higher odds of being fully vaccinated compared to females. Further, full vaccination coverage also varied across MCH clinic sites ranging from 43.8% to 92.9%. ConclusionsHealth service coverage for Kenyan children in this study is consistent with national and sub-national findings; however, our study found a significant gender equity gap in coverage at these six clinics that warrants further investigation to ensure that all children receive critical preventative services.

scholarly journals Impact of Socio-Economic Factors and Health Information Sources on Place of Birth in Sindh Province, Pakistan: A Secondary Analysis of Cross-Sectional Survey Data

2019 ◽  
Vol 16 (6) ◽  
pp. 932 ◽  
Author(s):  
Jin-Won Noh ◽  
Young-mi Kim ◽  
Nabeel Akram ◽  
Ki-Bong Yoo ◽  
Jooyoung Cheon ◽  
...  
Keyword(s):  
Child Health ◽  
Health Information ◽  
Information Sources ◽  
Economic Factors ◽  
Maternal Child Health ◽  
Medical Facility ◽  
Place Of Birth ◽  
Facility Birth ◽  
Health Information Sources ◽  
Socio Economic Factors

Medical facility birth with skilled birth attendance is essential to reduce maternal mortality. The purpose of this study was to assess the demographic characteristics, socio-economic factors, and varied health information sources that may influence the uptake of birth services in Pakistan. We used pooled data from Maternal-Child Health Program Indicator Survey 2013 and 2014. Study population was 9719 women. Generalized linear model with log link and a Poisson distribution was used to identify factors associated with place of birth. 3403 (35%) women gave birth at home, and 6316 (65%) women gave birth at a medical facility. After controlling for all covariates, women’s age, number of children, education, wealth, and mother and child health information source (doctors and nurses/midwives) were associated with facility births. Women were significantly less likely to give birth at a medical facility if they received maternal-child health information from low-level health workers or relatives/friends. The findings suggest that interventions should target disadvantaged and vulnerable groups of women after considering rural-urban differences. Training non-health professionals may help improve facility birth. Further research is needed to examine the effect of individual information sources on facility birth, both in urban and rural areas in Pakistan.

scholarly journals Selecting contextually appropriate performance indicators in a circumpolar context: a modified Delphi approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rebecca Rich ◽  
Thomsen D’Hont ◽  
Kellie E. Murphy ◽  
Jeremy Veillard ◽  
Susan Chatwood
Keyword(s):  
Child Health ◽  
Performance Measurement ◽  
Performance Indicators ◽  
Maternity Care ◽  
Cultural Safety ◽  
Determinants Of Health ◽  
Maternal Child Health ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Maternal Child

Abstract Background Meaningful performance measurement requires indicators to be scientifically robust and strategically focused. For many circumpolar states, indicators aligned with national strategies may ignore the priorities of northern, remote, or Indigenous populations. The aim of this project was to identify contextually appropriate performance indicators for maternity care in circumpolar regions. Methods Fourteen maternity care and health systems experts participated in a modified Delphi consensus process. The list of proposed indicators was derived from a previously published scoping review. Fourteen participants rated each proposed indicator according to importance, circumpolar relevance, validity, and reliability and suggested additional indicators for consideration. Results Consensus was achieved after two rounds, as measured by a Cronbach’s alpha of 0.87. Eleven indicators, many of which represented physical health outcomes, were ranked highly on all four criteria. Twenty-nine additional indicators, largely focused on social determinants of health, health care responsiveness, and accessibility, were identified for further research. Travel for care, cultural safety and upstream structural determinants of health were identified as important themes. Conclusions This study identified the important gaps between current performance measurement strategies and the context and values that permeate maternal-child health in circumpolar regions. The indicators identified in this study provide an important foundation for ongoing work. We recommend that future work encompass an appreciation for the intersectoral nature of social, structural, and colonial determinants of maternal-child health in circumpolar regions.

Genetic Testing, Genetic Information, and the Role of Maternal-Child Health Nurses in Israel

2006 ◽  
Vol 38 (3) ◽  
pp. 219-224 ◽  
Author(s):  
Sivia Barnoy ◽  
Dorit Appel ◽  
Chava Peretz ◽  
Hana Meiraz ◽  
Mally Ehrenfeld
Keyword(s):  
Genetic Testing ◽  
Child Health ◽  
Genetic Information ◽  
Maternal Child Health ◽  
Maternal Child

scholarly journals DETERMINANTS OF USE OF MATERNAL–CHILD HEALTH SERVICES IN RURAL GHANA

2000 ◽  
Vol 32 (1) ◽  
pp. 1-15 ◽  
Author(s):  
ISAAC ADDAI
Keyword(s):  
Child Health ◽  
Child Health Services ◽  
Multivariate Techniques ◽  
Maternal Child Health ◽  
Place Of Delivery ◽  
Level Of Education ◽  
Religious Background ◽  
Rural Ghana ◽  
Region Of Residence ◽  
Maternal Child

This study uses data from the Ghana Demographic and Health Survey (GDHS) of 1993 to examine factors determining the use of maternal–child health (MCH) services in rural Ghana. The MCH services under study are: (1) use of a doctor for prenatal care; (2) soliciting four or more antenatal check-ups; (3) place of delivery; (4) participation in family planning. Bivariate and multivariate techniques are employed in the analyses. The analyses reveal that the use of MCH services tends to be shaped mostly by level of education, religious background and region of residence, and partially by ethnicity and occupation. The implications of these results are discussed.

scholarly journals Parents’ health information seeking behaviour – does the child’s health status play a role?

2020 ◽  
Author(s):  
Isabel Baumann ◽  
Rebecca Jaks ◽  
Dominik Robin ◽  
Sibylle Juvalta ◽  
Julia Dratva
Keyword(s):  
Child Health ◽  
Digital Media ◽  
Health Information ◽  
Information Seeking ◽  
Print Media ◽  
Information Sources ◽  
Personal Network ◽  
Information Seeking Behaviour ◽  
Health And Development ◽  
Search For Information

Abstract BackgroundDigital media are increasingly abundant and being used to seek health information. To date, very little is known about parental seeking behaviour for child health information outside of English-speaking and Nordic countries. Our study “Digital parental counsellors” examines how parents search for health information in digital media, print media and among personal contacts, distinguishing between the search for information about general child health and development and child’s acute illness, and comparing information seeking behaviour by disability status of the child.MethodsA questionnaire was sent to 2573 parents (response rate: 30%) to a population-based sample of parents with children aged 0–2 years (N = 769). We developed a frequency score of use of different information sources and conducted bivariate and multivariate linear regression analyses to describe parental search behaviour and the association with child’s disability status.ResultsThe sample consists of 88% mothers (mean age: 35.7 years SD 4.33). Children’s mean age is 16 months (SD 7.1), 49% of the children are female and 6% have a disability. Parents use digital media significantly more frequently to search for information about general health and development questions than about an acute child’s illness (p < 0.001). In case of acute child’s illness, parents refer to their paediatrician, family members and other personal contacts significantly more frequently than other information sources (p < 0.001). The use of digital media and personal contacts does not significantly vary between parents with and without a disabled child, whereas the use of print media does (p < 0.02). Moreover, irrespective of disability, 45% of parents resort to the Internet prior to a paediatric visit and 27% after a visit when a visit did not answer all questions.ConclusionsDespite the high prevalence of digital media, personal contacts are still the most frequent health information resource for parents with young children. Parents combine all information resources (online, print, personal network) to improve their understanding or check the validity of information received regarding their child’s health. It is thus of utmost importance, that the increasingly accessed digital information parents search for is correct, understandable and addresses parent’s concerns.Trial registration:BASEC Req-2017-00817 (30 October 2017)

scholarly journals Worldwide routine immunisation coverage regressed during the first year of the COVID-19 pandemic

2021 ◽  
Author(s):  
Beth Evans ◽  
Thibaut Jombart
Keyword(s):  
Vaccination Coverage ◽  
First Year ◽  
Immunisation Coverage ◽  
Routine Immunisation ◽  
Middle Income ◽  
Middle Income Countries ◽  
Model Predictions ◽  
Country Specific

AbstractWe modelled historical, country-specific routine immunisation trends using publicly available vaccination coverage data for diphtheria, tetanus and pertussis-containing vaccine first-dose (DTP1) and third-dose (DTP3) from 2000 to 2019. We evaluate changes in coverage in 2020 by comparing model predictions to WUENIC-reported coverage. We report a 2.9% (95%CI: [2.2%; 3.6%]) global decline in DTP3 coverage, and important increases in missed immunisations in some countries with middle-income countries, and the Americas, being most affected.

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