scholarly journals Utilization and Predictors of Maternal Health Care Services among Women of Reproductive Age in Hawassa University Health and Demographic Surveillance System Site, South Ethiopia: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Elsabet Shudura ◽  
Amanuel Yoseph ◽  
Alemu Tamiso
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Care Services ◽  
Maternal Health Care Services

Background. Regular utilization of maternal health care services decreases maternal morbidity and mortality. However, major predictors that influence the utilization of the existing maternal health care services are complex and differ from place to place. Therefore, assessing these predictors assists health planners to prioritize promotion strategies and is a fundamental step for intervention. This study assessed the utilization and predictors of maternal health care services among women of the reproductive age in Hawassa Health and Demographic Surveillance System site, South Ethiopia, 2019. Methods. A community-based cross-sectional study was conducted among 682 women of the reproductive age from January to February, in 2019. A two-stage stratified sampling method was utilized. Data were collected using a structured, face-to-face interviewer-administered questionnaire. The data were entered using Epi Data 3.1 and analyzed using SPSS version 20. The variables were entered into the multivariable model using the backward stepwise regression approach. Multivariable logistic regression analysis was used to identify factors associated with utilization of the maternal health care. Adjusted odds ratios (AORs) with 95% confidence interval (CI) were computed to assess the presence and strength of associations. Result. The overall utilization of ANC, institutional delivery, and PNC was 69.1, 52.1, and 32.7%, respectively. The odds of utilizing ANC were 4.72 times higher for women who have a formal education (AOR: 4.72, 95% CI = 2.82–7.90) as compared to those who have no formal education. The odds of utilizing institutional delivery were 5.96 times higher for women who had ANC follow-up (AOR: 5.96; 95% CI = 3.88–9.18) as compared to those who had no ANC follow-up. Presence of information about the PNC (AOR: 3.66; 95% CI = 2.18–6.14) and autonomy of a woman to make decision on health issues (AOR: 6.13, 95% CI = 3.86–9.73) were positively associated with utilization of PNC. Conclusion. The utilization of maternal health care services is far below the national target in the study area. Maternal and paternal education status, autonomy of the woman to make decision on the health issues, wealth status, and having a plan on the current pregnancy were major predictors of the maternal health care service utilization. Providing information and training about the model household to the women about maternal health care service utilization using various methods of health education should be considered.

EFFECT OF INDIVIDUAL AND COMMUNITY FACTORS ON MATERNAL HEALTH CARE SERVICE USE IN INDIA: A MULTILEVEL APPROACH

2015 ◽  
Vol 48 (1) ◽  
pp. 1-19 ◽  
Author(s):  
AWDHESH YADAV ◽  
RANJANA KESARWANI
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Service Use ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Community Level ◽  
Care Services ◽  
Maternal Health Care Services

SummaryThis study aimed to assess empirically the influence of individual and community (neighbourhood) factors on the use of maternal health care services in India through three outcomes: utilization of full antenatal care (ANC) services, safe delivery and utilization of postnatal care services. Data were from the third round of the National Family Health Survey (2005–06). The study sample constituted ever-married women aged 15–49 from 29 Indian states. Multilevel logistic regression analysis was performed for the three outcomes of interest accounting for individual- and community-level factors associated with the use of maternal health care services. A substantial amount of variation was observed at the community level. About 45%, 51% and 62% of the total variance in the use of full ANC, safe delivery and postnatal care, respectively, could be attributed to differences across the community. There was significant variation in the use of maternal health care services at the individual level, with socioeconomic status and mother's education being the most prominent factors associated with the use of maternal health care services. At the community level, urban residence and poverty concentration were found to be significantly associated with maternal health care service use. The results suggest that an increased focus on community-level interventions could lead to an increase in the utilization of maternal health care services in India.

scholarly journals Utilization of Maternal Health Care Services in Kihun Village Development Committee of Tanahun District of Nepal

2017 ◽  
Vol 1 (1) ◽  
pp. 56-60
Author(s):  
B.R. Pokhrel ◽  
S.B. Parajuli ◽  
S. Khatiwada ◽  
C. Adhikari
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Care Services ◽  
Development Committee ◽  
Village Development Committee ◽  
Maternal Health Care Services

Introduction Nepal had significant improvement to reduce the maternal mortality ratio. Still, the maternal deaths are common in rural areas. The proper utilization of maternal health care services is important to reduce maternal death in Nepal.Objective This study was conducted to know current maternal health care service utilization at Kihun Village Development Committee (VDC) of Tanahu District.Methodology A community based cross- sectional study was conducted from st th 1 Nov 2014 to 30 Dec 2014 among 570 household of Kihun VDC. The pretested semi-strutured questionnaire was used to collect the required information. The obtained data was enter into Microsoft excel analyzed.Results The majority (65%) of the family was nuclear. Majority (90.90%) had Hindu as a common religion. The major occupation was agriculture (68.95%). Age of marriage before 18 years was 44.70% and pregnancy below 18 years was 25.5%. The knowledge of ante natal care (ANC) check up was reported from 96.3% but only 93.20 % went for ANC check up. Almost 41% had 4 times ANC visit as suggested by world health organization (WHO). Majority (69.40% ) had home delivery and 56.8% of them, family members were involved to conduct such delivery. Though 31.20% were aware about post natal care (PNC) visit but only 22% had visited for PNC.Conclusion The ANC and PNC care practices were not up to the mark. For improvement of maternal health, we need to improve maternal health care service utilization.Birat Journal of Health Sciences 2016 1(1): 56-60

scholarly journals Utilization of maternal health care services in Belbari VDC of Eastern Region of Nepal

2012 ◽  
Vol 1 (1) ◽  
pp. 53-58
Author(s):  
Buna Bhandari ◽  
Baburam Pokhrel ◽  
Bimala Bhatta ◽  
Rajib Karn ◽  
Ava Pokhrel ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Cultural Practices ◽  
Maternal Health Care ◽  
Eastern Region ◽  
Cross Sectional ◽  
Care Services ◽  
Maternal Health Care Services ◽  
One Year

Background: Appropriate utilization of maternal health care services is very important to reduce the maternal morbidity and mortality rate in the country and healthful practices while caring mother is needed to improve the health condition of both mother and child. Objectives: Main objectives of this study is to assess the utilization of Maternal health care services and know the cultural practices about care of mother and children of under one year of children. Methodology: Descriptive cross sectional study was conducted among 248 mothers of less than one year children on Belbari VDC of Morang district. Data was collected by using quantitative (house hold survey) and qualitative (focus group discussions and key informant interview) methods. Results: Among 248 mothers, 84% utilized the antenatal care services, 91% received TT vaccine during pregnancy. Most of them 80% had done delivery in health institutions. Conclusion: Based on proposed objectives of study, Utilization of maternal health care services should be encouraged in Belbari VDC of Morang District and healthful practices should be reinforced in areas where corrections are needed.DOI: http://dx.doi.org/10.3126/jonmc.v1i1.7288 Journal of Nobel Medical College Vol.1(1) 2011 53-58

scholarly journals Perceived Indigenous Perspectives of Maternal Health Care Services among Women of Marakwet, Kenya

2019 ◽  
pp. 1-14
Author(s):  
Solomon Kemoi Cheboi ◽  
Anastasiah Nyamilu Kimeu ◽  
Kenneth Kibaara Rucha
Keyword(s):  
Health Care ◽  
Social Interaction ◽  
Maternal Health ◽  
Health Care Services ◽  
Maternal Health Care ◽  
Sexual Relationships ◽  
Reproductive Age ◽  
Safe Motherhood ◽  
Care Services ◽  
Maternal Health Care Services

Background: Recognition of the vulnerabilities and differentials in maternal indicator is a pressing concern throughout safe motherhood literature. Uptake of skilled delivery by women in Marakwet remain 44%, compared to the national rate of 68%. Accountability for improving maternal indicators calls for interrogation of indigenous practices to amend complex social causes. Methods: This was a qualitative study conducted in the thirteen patrilineal clans of Marakwet.  Discussants were women of reproductive age while key informants included cultural anthropologist, traditionalist and gatekeepers. The data was analyzed manually through a process of data reduction, organization and emerging patterns interpretation then sub categories. Results: Pregnancy and delivery are not just biomedical process but culturally biosocial practice. Discipline and socialization are critical elements. Adequate self, family and community care lead to noble pregnancy outcome. The community and midwife uses knowledge to jumpstart childbirth practices for expectant women for healthy prenatal period, delivery and postnatal running.  Holiness and hygiene, controlled sex and sexual relationships, artefacts and dressing, food ways and diet, social interaction, livelihoods and lifestyle are key pregnancy and childbirth social aetiology. Conclusion: cultural stimuli and remedies inform maternal health seeking behaviour and practices of women. Continued care, hygiene, geophagy, controlled food ways and social interaction as well as avoiding heavy duties and events that trigger emotions and pressure are sound indigenous ways of improving maternal and child health. However, norms such as visiting a midwife for pregnancy confirmation and massage as well as folk activities such as the use of charms and repertoires for protection and cleansing ceremonies provide false protection. Recommendation: the results suggest the relative value for indigenous maternal health care services in enhancing client centered delivery health services. Review of policies and programs to integrate harmless indigenous practices into maternity care services may promote quality, satisfaction and uptake of facility based childbirth services.

scholarly journals Determinants and Utilization of Maternal Health Care Services in Urban Slums of an Industrialized City, in Western India

2020 ◽  
Author(s):  
Sandeep Sharma ◽  
Partha Sarathi Mohanty ◽  
Ruchi Omar ◽  
Ankit P Viramgami ◽  
Namita Sharma
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Maternal Health Care ◽  
Urban Slums ◽  
Western India ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Care Services ◽  
Maternal Health Care Services

Objective: To assess the status of utilization of Maternal Health Care (MHC) services in slums of an industrialized city and elucidating the various determinants influencing the utilization. Materials and methods: A Cross-sectional study using multi stage sampling methodology was conducted in slums of an industrialized city. The study participants were the women who had given a live birth in the last one year before 4 weeks of the study starts. Total one hundred eighty families were interviewed & analysed. Results: The utilization of MHC services was poor as compared to national averages in urban slums. There was no association between age of mother, birth order, educational and occupational status of head of family with utilization of services while education and employment of mother, category and type of family, distance and time to reach health facility, were significantly associated. Conclusion: The reduction of maternal mortality and morbidity mostly depends on the utilization of MHC services. The findings of this study have important implications for improving utilization of maternal health care services.

scholarly journals Barriers in Utilization of Maternal Health Care Services: Perceptions of Rural Women in Eastern Nepal

2015 ◽  
Vol 12 (4) ◽  
pp. 253-258 ◽  
Author(s):  
S Lama ◽  
AKI Krishna
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Rural Women ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Safe Motherhood ◽  
Care Services ◽  
Maternal Health Care Services

Background Nepal is promoting safe motherhood through maternity incentives schemes. Still about two-thirds of births take place at home. Inadequate access to health care and under utilization of services is the major reasons for poor health of women and children.Objectives The study aim to explore the barriers in utilization of maternal health care services in eastern Nepal specifically to explore the reasons for not availing the services and to assess the indigenous practices regarding maternal health.Methods An exploratory study design was adopted to elicit the information from the selected respondents from different villages. Focus group discussions and in-depth interviews were conducted. Data was transcribed and analyzed manually to identify themes.Results The barriers to maternal health care service utilization were identified as social factors like family pressure, superstition, shyness, misconception, negligence, illiteracy, alcoholism. Likewise, large family size, jobless, unnecessary expenditure on health services was identified as economic barrier. Some cultural practices were also found as barrier for not availing the health services.Conclusion The study explored factors that are contributing in not availing the maternal health care services. The elimination of these barriers will facilitate quality of care and health outcomes. Therefore, the interventions should be developed and implemented to improve the health status of women and children. The result of this study can be utilized to draw the attention of local government, in strategic planning related to maternal health interventions.Kathmandu University Medical Journal Vol.12(4) 2014; 253-258

scholarly journals What is the Impact of Ante Natal Care (ANC) Attendance on the Subsequent Maternal Health Care Services Utilization in Conflict Affected Area

2021 ◽  
Author(s):  
Temesgen Bocher ◽  
Adam A Abdulkadir ◽  
Mashaka Lewela ◽  
Judy Korir ◽  
Ali Mohamed Magan
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Skilled Birth Attendance ◽  
Maternal Health Care ◽  
Care Services ◽  
Birth Attendance ◽  
The Impact

Abstract Background: Somalia has registered 732 maternal mortality every 100,000 live birth; the uptake of maternal health care service is lowest in the world. The purpose of study is to understand social and economic factors that hinder or facilitate the uptake of maternal health care service during the pregnancy in Somalia. Methods: Cross-sectional data was collected from 642 mothers of reproductive age in Mogadishu town through a community survey in November 2020. Descriptive data analysis and propensity score matching models were employed to measure association between the determinants of the uptake of required ANC, Skilled birth attendance and confounding factors. In addition, the impact of minimum ANC attendance on the uptake of mother health care services was evaluated Results: The study indicated that ANC is at its lowest level, only 10% women reported attending 4-ANC[1], 23% didn’t attend any ANC, and 61% attending 1 to 3 ANC; moreover, skilled birth attendance is low rate at 30%, against 67% average in Africa; 78% of women are unable to make decision to visit health clinic or hospital autonomously, rather the decision is made by other people, 44% decision is made by the husband and only 30% jointly by the woman and her husband. Contrary to the data on attendance, about 70% of the surveyed women were aware of health benefits of attending ANC. The cost associated with accessing health service at 31%, distance to health centers, 12%, and perception (ANC is not needed), 23% were the major reasons of not delivering at health institutions.Conclusions: Thus, the number of ANC visits has an incremental positive effect on the probability utilization of skilled birth attendance and delivery at health facility. Access related factors are the most hindering barriers for the poor utilization of health care service as evidently indicated by the negative correlation of distance from health center. Improving access to health education, interventions targeting improved income and women empowerment lead to better maternal health outcome.

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