scholarly journals Traditional and Skilled Birth Attendants in Zimbabwe: A Situational Analysis and Some Policy Considerations

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Naume Zorodzai Choguya
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Rural Women ◽  
Urban Areas ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Situational Analysis ◽  
Skilled Birth Attendants ◽  
Birth Attendants

The paper focuses on the situational analysis of traditional birth attendants (TBAs) and skilled birth attendants (SBAs) in Zimbabwe. Against a background of a frail health care system, characterised by a shortage in skilled professionals, increased cost of medical care, and geographic and economic inaccessibility of health care centres among others, TBAs have remained a life-line for especially many rural women in maternal health care provision. Moreover, TBAs have also found their way into the urban areas of Zimbabwe. The shift in international policy and health funding toward skilled birth attendants (i.e., an accredited health professional) has materialized into concerted government efforts to increase numbers of both midwifery training institutions and midwives themselves. The call for SBAs, though a worthy ideal, is out of touch with the lived realities of pregnant women in low resource settings such as Zimbabwe. The study is concerned with situational analysis of TBAs and SBAs in maternal health care service provision in Zimbabwe analysing and evaluating policy considerations.

scholarly journals Religion as a Social Determinant of Maternal Health Care Service Utilisation in Nigeria

2015 ◽  
Vol 29 (2) ◽  
Author(s):  
Bola L Solanke ◽  
Olusegun A Oladosu ◽  
Ambrose Akinlo ◽  
Samson O Olanisebe
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Care Service ◽  
Health Care Service ◽  
Social Determinant ◽  
Maternal Health Care ◽  
Service Utilisation ◽  
Maternal Health Care Service

scholarly journals Socioeconomic and Geographical Inequalities in Births by Caesarean Section Persist in the Context of Free Maternal Health Care: Evidence from a Cross-Sectional Survey of Southwestern and North Central, Nigeria

2019 ◽  
Author(s):  
Anthony Idowu Ajayi
Keyword(s):  
Health Care ◽  
Secondary Education ◽  
Maternal Health ◽  
Caesarean Section ◽  
Rural Areas ◽  
Urban Areas ◽  
Positive Impact ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Monthly Income

Background User fee exemption for maternal and child health care service policy was introduced with a focus on providing free caesarean sections (CS) in Nigeria from 2011 to 2015. This policy had a positive impact on access to facility-based delivery, but its effect on socioeconomic and geographical inequality remains unclear. This study’s main objective is to examine access to birth by CS in the context of free maternal health care. Specifically, the study examines socio-demographic and geographical inequality in access to birth by CS among women who gave birth between 2011 and 2015 under the free maternal health care policy using a population-based survey data obtained from two of the six main regions of the country. Methods Data were obtained from 1227 women who gave birth during the period the policy was in operation selected using cluster random sampling between May and August 2016. Adjusted and unadjusted binary logistic regression models were used to examine whether there is socio-demographic and geographical inequality in access to birth by caesarean section. Results The overall caesarean section rate of 6.1% was found but varies by income (14.1% in monthly income of over $150 versus 4.9% in income of $150 and below), education (11.8% in women with higher education versus 3.9% among women with secondary education and less) and place of residence (7.8% in urban areas versus 3.6% in rural areas). Women who earn a monthly income of $150 or less were 48% less likely to have a birth by CS compared to those who earn more. Compared to women who were educated to tertiary level, women who had secondary education or less were 54% less likely to have birth by caesarean section. Conclusion This study shows that inequality in access to CS persists despite the implementation of free maternal health care services. Given the poor access to facilities with capabilities to offer CS in most rural areas, free maternal healthcare policy is not enough to make birth by CS universally accessible to all pregnant women in Nigeria.

scholarly journals Maternal Health Care Service Utilization and Its Role in Postpartum Family Planning Use in Nepal

2015 ◽  
Vol 26 ◽  
pp. 79-91
Author(s):  
Momal Prasad Dulal
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Maternal Health ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Planning Method ◽  
Family Planning Method ◽  
Unintended Birth

Family planning and maternal health care programme has been initiated in an integrated approach for a long time in Nepal. However, the use status of family planning method could not be presented at good instance. The International Conference on Population and Development (ICPD), 1994 and later millennium development goal 2002, both paved the way out for the situation mostly in the developing countries. Nepal also has made some changes in its services aiming to reduce high maternal mortality and promote to use family planning method. Use of family planning method within 12 months after childbirth could be a right solution for many developing countries like Nepal having high unintended birth. Therefore, this paper aims to analyse the role of maternal health care service utilization in initiating use of family planning method after post-partum period. Women’s data file from Nepal Demographic Health Survey, 2011 has been used for the analysis. Bivariate and multivariate analysis result have revealed that the role of delivery care, controlling other variables seems to be much appreciable in getting family planning use within 12 months of delivery. Effects of some study variables besides delivery care remains unchanged in different models. Therefore, embracing family planning programme along with maternity care components would have implications towards - increasing current use of family planning, reducing the chances of unwanted/unintended birth, providing opportunities to control over female own body, contribution in achieving replacement level fertility and maintaining good health for both mother and the baby.

A Study to Evaluate the Efficacy of Different Interventions for Improving Quality of Maternal Health Care Service in China

2020 ◽  
Vol 26 (10) ◽  
pp. 1291-1300
Author(s):  
Chunrong Li ◽  
Li Tang ◽  
Min Yang ◽  
Yonghong Lin ◽  
Chaojie Liu ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Maternal Health Care Service

Contextual Determinants of Maternal Health Care Service Utilization in Nigeria

2013 ◽  
Vol 53 (7) ◽  
pp. 647-668 ◽  
Author(s):  
Dorothy Ngozi Ononokpono ◽  
Clifford Obby Odimegwu ◽  
Eunice Imasiku ◽  
Sunday Adedini
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Service Utilization ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Health Care Service Utilization ◽  
Contextual Determinants ◽  
Maternal Health Care Service

scholarly journals A Study on Utilisation of Maternal Health Care Services in Haryana

2017 ◽  
Vol 4 (01) ◽  
Author(s):  
Sonal Katyal
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Care Service ◽  
Health Care Service ◽  
Wealth Index ◽  
Maternal Health Care ◽  
Demographic And Health Surveys ◽  
Delivery Care ◽  
Care Services

Despite being a relatively smaller state, Haryana’s per capita Gross State Domestic Product (GSDP) is quite high. However, the statistical data on the status of women has a different story to share. This study analyses the maternal healthcare situation in Haryana to examine the differences in utilisation of maternal health care service, i.e. delivery care on the basis of socio-economic and socio-demographic indicators such as women’s age at birth, birth order, education, residence, religion, wealth index and caste. The study uses the third round of the National Family Health Survey (NFHS) data which is similar to the Demographic and Health Surveys (DHS). The findings reveal that women who have taken antenatal care utilise these services much more than women who have not taken antenatal care services. The utilisation pattern is in conjugation with the hypotheses. The results demonstrate that several socio-economic and demographic factors affect the utilisation of delivery care services in Haryana. Efforts need to be taken at community and household level to improve utilisation the utilisation of these services.

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