scholarly journals Male Involvement in Maternal Health Planning Key to Utilization of Skilled Birth Services in Malindi Subcounty, Kenya

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Lilian Nyamusi Nyandieka ◽  
Mercy Karimi Njeru ◽  
Zipporah Ng’ang’a ◽  
Elizabeth Echoka ◽  
Yeri Kombe
Keyword(s):  
Maternal Health ◽  
Health Planning ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Male Involvement ◽  
Rural Populations ◽  
Place Of Birth ◽  
Community Members ◽  
Care Services ◽  
Setting Process

Background.In Malindi, rural populations face challenges in accessing skilled birth services. Consequently, the majority of women deliver at home and only seek help when they have complications. This paper reports part findings from a study conducted to assess health priority setting process and its implication on availability, access, and use of emergency obstetric care services in Malindi.Methods. The study utilized qualitative methods to collect data from health personnel and maternal health stakeholders including community members. Source and method triangulation was used to strengthen the credibility of study findings. Data was categorized manually into themes around issues relating to utilization of skilled birth services discussed in this paper.Findings. Various barriers to utilization of skilled birth services were cited. However, most were linked tomwenye(the husband) who decides on the place of birth for the wife.Conclusion.Husbands are very influential in regard to decisions on skilled birth service utilization in this community. Their lack of involvement in maternal health planning may contribute as a barrier to utilization of skilled care by pregnant women. There is need to address themwenyefactor in an attempt to mitigate some of the barriers cited for nonutilization of skilled birth services.

scholarly journals Female Community Health Volunteers’ (FCHVs) Involvement in Improving Maternal Health, Nepal

2019 ◽  
Vol 2 (3) ◽  
pp. 250-252 ◽  
Author(s):  
Prakash Shahi
Keyword(s):  
Maternal Health ◽  
National Policy ◽  
Family Health ◽  
Emergency Obstetric Care ◽  
Skilled Birth Attendant ◽  
Neonatal Morbidity ◽  
Obstetric Care ◽  
Safe Motherhood ◽  
Care Services ◽  
Policies And Programs

Improving maternal health was one of the eight millennium development goals (MDGs) in 2000 and later included in SDG as a major agenda in 2015 which was adopted by the international community.  In Nepal, the first elected democratic government developed Health Policy in 1991 and revised in 2014 which has identified safe motherhood as a priority program and institutionalized safe motherhood as a primary health care. In order to effectively address maternal and neonatal morbidity and mortality, the Family Health Division, Department of Health Services (DoHS) developed National Safe Motherhood Long Term Plan 2002- 2017 (revised in 2006) which aimed to establish basic and comprehensive emergency obstetric care services in all districts. To complement this plan, the National Policy on SBA (2006) was developed with the aim of increasing the percentage of births assisted by a skilled birth attendant (as internationally defined) to 60 percent by 2015. Table 1 explains some historical shifts in maternal health policies and programs in Nepal.

scholarly journals Prevalence, Indications, and Community Perceptions of Caesarean Section Delivery in Ngora District, Eastern Uganda: Mixed Method Study

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Isaac Waniala ◽  
Sandra Nakiseka ◽  
Winnie Nambi ◽  
Isaac Naminya ◽  
Margret Osuban Ajeni ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Qualitative Data ◽  
Health Workers ◽  
Maternal Mortality Ratio ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Male Involvement ◽  
Community Perceptions ◽  
Caesarean Section Delivery ◽  
Eastern Uganda

Background. Uganda has a high maternal mortality ratio (MMR) of 336/100,000 live births. Caesarean section is fundamental in achieving equity and equality in emergency obstetric care services. Despite it being a lifesaving intervention, it is associated with risks. There has been a surge in caesarean section rates in some areas, yet others remain underserved. Studies have shown that rates exceeding 15% do not improve maternal and neonatal morbidity and mortality. Our study aimed at determining the prevalence, indications, and community perceptions of caesarean section delivery in Eastern Uganda. Methods and Materials. It was both health facility and commuity based cross-sectional descriptive study in Ngora district, Eastern Uganda. Mixed methods of data collection were employed in which quantitative data were collected by retrospectively reviewing all charts of all the mothers that had delivered at the two comprehensive emergency obstetric care service facilities between April 2018 and March 2019. Qualitative data were collected by focus group discussions till point of saturation. Data were entered into EpiData (version 3.1) and analyzed using SPSS software (version 24). Qualitative data analysis was done by transcribing and translating into English verbatim and then analyzed into themes and subthemes with the help of NVIVO 12. Results. Of the total 2573 deliveries, 14% (357/2573) were by CS. The major single indications were obstructed labour 17.9%, fetal distress 15.3%, big baby 11.6%, and cephalopelvic disproportion (CPD) 11%. Although appreciated as lifesaving for young mothers, those with diseases and recurrent intrauterine fetal demise, others considered CS a curse, marriage-breaker, misfortune, money-maker and a sign of incompetent health workers, and being for the lazy women and the rich civil servants. The rise was also attributed to intramuscular injections and contraceptive use. Overall, vaginal delivery was the preferred route. Conclusion. Several misconceptions that could hinder access to CS were found which calls for more counseling and male involvement. Although facility based, the rate is higher than the desired 5–15%. It is higher than the projected increase of 36% by 2021. It highlights the need for male involvement during counseling and consent for CS and concerted efforts to demystify community misconceptions about women that undergo CS. These misconceptions may be a hindrance to access to CS.

scholarly journals The impact of a multi-level maternal health programme on facility delivery and capacity for emergency obstetric care in Zambia

2017 ◽  
Vol 13 (10) ◽  
pp. 1481-1494 ◽  
Author(s):  
Elizabeth G. Henry ◽  
Donald M. Thea ◽  
Davidson H. Hamer ◽  
William DeJong ◽  
Kebby Musokotwane ◽  
...  
Keyword(s):  
Maternal Health ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Facility Delivery ◽  
Multi Level ◽  
The Impact ◽  
Health Programme

Availability, Utilisation and Quality of Basic and Comprehensive Emergency Obstetric Care Services in Malawi

2008 ◽  
Vol 13 (5) ◽  
pp. 687-694 ◽  
Author(s):  
Eugene J. Kongnyuy ◽  
Jan Hofman ◽  
Grace Mlava ◽  
Chisale Mhango ◽  
Nynke van den Broek
Keyword(s):  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Care Services

scholarly journals Barriers to Emergency Obstetric Care Services in Perinatal Deaths in Rural Gambia: A Qualitative In-Depth Interview Study

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Abdou Jammeh ◽  
Johanne Sundby ◽  
Siri Vangen
Keyword(s):  
Perinatal Outcomes ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Obstetric Complications ◽  
Transport Cost ◽  
Contributing Factors ◽  
Perinatal Deaths ◽  
Danger Signs ◽  
Care Services ◽  
Transport Services

Objective. The Gambia has one of the world's highest perinatal mortality rates. We explored barriers of timely access to emergency obstetric care services resulting in perinatal deaths and in survivors of severe obstetric complications in rural Gambia. Method. We applied the “three delays” model as a framework for assessing contributing factors to perinatal deaths and obstetric complications. Qualitative in-depth interviews were conducted with 20 survivors of severe obstetric complications at home settings within three to four weeks after hospital discharge. Family members and traditional birth attendants were also interviewed. The interviews were translated into English and transcribed verbatim. We used content analysis to identify barriers of care. Results. Transport/cost-related delays are the major contributors of perinatal deaths in this study. A delay in recognising danger signs of pregnancy/labour or decision to seek care outside the home was the second important contributor of perinatal deaths. Decision to seek care may be timely, but impaired access precluded utilization of EmOC services. Obtaining blood for transfusion was also identified as a deterrent to appropriate care. Conclusion. Delays in accessing EmOC are critical in perinatal deaths. Thus, timely availability of emergency transport services and prompt decision-making are warranted for improved perinatal outcomes in rural Gambia.

scholarly journals Existence and functionality of emergency obstetric care services at district level in Kenya: theoretical coverage versus reality

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Elizabeth Echoka ◽  
Yeri Kombe ◽  
Dominique Dubourg ◽  
Anselimo Makokha ◽  
Bjørg Evjen-Olsen ◽  
...  
Keyword(s):  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
District Level ◽  
Care Services

scholarly journals A study on obstetric care in a primary health center of South Assam district, India

2018 ◽  
Vol 5 (8) ◽  
pp. 3629
Author(s):  
Ajit Kumar Dey ◽  
Debojit Chutia
Keyword(s):  
Age Groups ◽  
Multivariate Logistic Regression Analysis ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Safe Motherhood ◽  
Cross Sectional ◽  
Birth Prevalence ◽  
Care Services ◽  
Vaginal Deliveries ◽  
The Mean

Background: Maternal and child health are critically important in a country that is experiencing high infant mortality and maternal mortality. Research all over the world has suggested that one of the major solutions to this problem is availability of Emergency Obstetric Care services within the reach of people. Objectives of the study were to examine profile of mothers who have delivered in health facility during a year and the interplay of various factors in child birth and newborn outcome.Methods: Retrospective cross sectional study conducted by collecting information in predesigned format from medical records. Appropriate statistical methods and test of significance performed for qualitative and quantitative variables.Results: Out of 539 women, the majority of 42.9% were in the age group 20-25 years, the mean age (SD) of mother was 24.1 years (±4.09). Out of total 539 vaginal deliveries, 56.6% cases episiotomy was performed. 41.6% deliveries occurred from 8 AM to 4 PM. The mean birth weight was 2.830 kg SD 0.439 and low birth prevalence 16.0%. Parity with time to delivery after admission in different age groups revealed significant association (X2=66.456, p=0.000). Women aged less than 20 years are 12 times more at risk of episiotomy performed. The multivariate logistic regression analysis shows 60.67% specificity and 85.59% sensitivity in predicting episiotomy.Conclusions: From study it is evident that women report to hospital late in labor hence there is urgent need to provide quality antenatal care services at village and PHC level and augment awareness among the community for promotion of safe motherhood.

scholarly journals Utilization of Maternity Waiting Home (MWH) to Improve Access to Health Services: Systematic Literature Review

2020 ◽  
Vol 7 (3) ◽  
pp. 368-375
Author(s):  
Nuraina Nuraina
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Health Workers ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Access To Health Services ◽  
Care Services ◽  
Access To Health ◽  
Maternity Waiting Home ◽  
Improve Access

Maternity waiting home (MWH) is a home built in the compound or near to health facilities that provides standard medical and emergency obstetric care services. MWH is considered to be a key strategy to "bridge the geographical gap" in obstetric care between rural areas with poor access to equipped facilities, and urban areas where the services are available. This study aimed to systematically review the utilization of MWH to improve access to health service. The method of finding articles in this study was in the period 2014 to 2018, free full text, human species, and scholarly journals which were then identified using an electronic database from Pubmed, Proquest and Onesearch. Three articles were carried out with thematic analysis to identify the main points. Factors associated with the utilization of MWH included (1) Distance; (2) Complication during pregnancy; and (3) Income. Barrier in the utilization of MWH were (1) Inadequate number of room and postpartum bed; (2) Lack of water and sanitation facilities; and (3) Unavailable electricity. Partnership between health workers in rural facilities, stronger role of stakeholders, and a broader health system, were expected to increase the utilization of MWH.

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