scholarly journals Process Evaluation of Maternal, Child Health and Nutrition Improvement Project (MCHNP) in the Eastern Region of Ghana: A Case Study of Selected Districts

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Solomon Boamah Amponsah ◽  
Eric Osei ◽  
Moses Aikins
Keyword(s):  
Child Health ◽  
Service Delivery ◽  
Eastern Region ◽  
Maternal Child Health ◽  
Implementation Barriers ◽  
Community Based ◽  
Improvement Project ◽  
Health And Nutrition ◽  
Implementation Status ◽  
Maternal Child

Background. Maternal, Child Health and Nutrition improvement Project is a World Bank-funded project implemented in all then ten regions of Ghana, which aims at improving access and utilization of community-based maternal, child health, and nutrition services in order to accelerate progress. This study is aimed at determining the implementation status of the project in the Eastern region by evaluating the processes involved and identifying implementation barriers from the perspective of implementors. Methods. The study was a cross-sectional in design and employed a quantitative data collection approach in ten Community-based Health Planning and Services (CHPS) centres in five districts in the region. The project coordinators and Community Health Officers were interviewed using a structured questionnaire. The project implementation reports at the facility level were reviewed using a checklist. Tertile statistic was used to describe the status of the project implementation. Result. The finding from this study indicated “complete implementation status” for maternal, child health, and nutrition activities of the project. However, none of the facilities evaluated had satisfactorily implemented all the governance processes and were therefore rated as “partially complete.” The main implementation barriers emerged from the study were related to restrictions placed on the use of project funds and delays in the fund disbursement to CHPS facilities. Conclusion. The evidence gathered from the study showed very good implementation status for community-led maternal and child health service delivery, indicative of a positive response to the guidelines by service providers at the periphery and can have positive impact on the project’s objectives and goals. Governance component of the project, however, revealed inadequate alignment with guidelines which might have been influenced by the lack of knowledge as a result of lack of training for implementers. This therefore calls for in-service training and improved supportive supervision at both administrative and service delivery levels.

scholarly journals mHealth applications impact in improving immunization coverage and maternal-child health in Africa (Preprint)

2017 ◽  
Author(s):  
Adama Kazienga ◽  
Ernest Tambo ◽  
Stefano Giordano
Keyword(s):  
Child Health ◽  
Health Service ◽  
Service Delivery ◽  
Large Scale ◽  
Immunization Coverage ◽  
Health Service Delivery ◽  
Child Health Service ◽  
Maternal Child Health ◽  
African Countries ◽  
Maternal Child

BACKGROUND Despite laudable efforts and achievement, maternal and child mortality remains high in Africa. The region accounts for 97% of maternal and 94% of children less than five mortality in 2015. Limited resources, lack of infrastructures and shortage of healthcare workers have been identified as the main barriers towards healthcare outcomes improvement. Availability and use of mobile phones is increasing rapidly with 46% of African population having a mobile-cellular subscription in 2015. Mobile health (mHealth) interventions have proven to be beneficial in improving maternal and child health service delivery and outcomes in developed countries and elsewhere. In Africa, only few mhealth pilot research projects and small studies have been conducted, those limiting generalizability OBJECTIVE The objective of the project is to provide an overview about the current impact of mHealth applications and innovative strategies in improving large-scale (population-based) immunization coverage and maternal- child health service delivery in African countries METHODS Peer-reviewed papers were identified from Medline/PubMed, Google scholar and mHealthEvidence database via a combination of search terms RESULTS A total of 1217 articles were found of which only 17 met the inclusion criteria and were included in the project. Our findings indicates that there is some evidence on the potential of mHealth applications benefitsin increasing childhood immunization awareness, retention, coverage and effectiveness as well as maternal- child quality care delivery and outcomes CONCLUSIONS Building robust and resilient government and stakeholders leadership, committed partnerships and platform is crucial in investing on large-scale and sustainable ownership of mhealth policies and programs, adequate infrastructure, building capacity and mHealth/eHealth management implementation in strengthening health systems. Moreover, addressing inherent issues of mhealth interoperatibility, patient data privacy. confidentiality and security is needed for socio-economic benefits, cost-effective digital landscape public health solutions and gains across African countries

Home-based life saving skills in Matlab, Bangladesh: a process evaluation of a community-based maternal child health programme

Midwifery ◽  
2011 ◽  
Vol 27 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Michelle Dynes ◽  
Aminur Rahman ◽  
Diana Beck ◽  
Allisyn Moran ◽  
Anisur Rahman ◽  
...  
Keyword(s):  
Child Health ◽  
Process Evaluation ◽  
Maternal Child Health ◽  
Community Based ◽  
Home Based ◽  
Life Saving ◽  
Child Health Programme ◽  
Health Programme ◽  
Maternal Child

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.

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