scholarly journals Does knowledge of danger signs influence use of maternal health services among rural women? Findings from Babati Rural district, Northern Tanzania

2021 ◽  
Vol 4 ◽  
Author(s):  
Edwin Joseph Shewiyo ◽  
Minael Gad Mjemmas ◽  
Faidha Haruna Mwalongo ◽  
Ester Diarz ◽  
Sia Emmanueli Msuya ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Rural Women ◽  
Maternal Health Services ◽  
Rural District ◽  
Danger Signs ◽  
Northern Tanzania ◽  
Knowledge Of Danger Signs

scholarly journals Knowledge on Intrapartum Danger Sign Influences Place of Delivery: The Case of Raya Kobo District, Northeastern Ethiopia

2021 ◽  
Vol 10 (2) ◽  
pp. 44-50
Author(s):  
Nigus Bililign Yimer ◽  
◽  
Misgan Legesse Liben
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Institutional Delivery ◽  
Maternal Health Services ◽  
District Health ◽  
Delivery Service ◽  
Danger Signs ◽  
Study Participants ◽  
Institutional Delivery Service

Background: A skilled birth attendance for every pregnant woman during childbirth is the most crucial intervention for improving maternal health. This study aimed to assess institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Raya Kobo district, Ethiopia. Methods: A community-based cross-sectional study was carried out in the Raya Kobo district of Amhara Regional State during March 2016. Logistic regression analysis was performed to assess the association between each independent variable and the outcome variable. Variables with a p-value <0.05 were considered significant. Results: A total of 493 mothers were included in the study, with a response rate of 95.4%. The mean (+SD) age of the study participants was 29.13 (±6.93) years. About 73% of the study participants had attended at least one antenatal care follow up for their last pregnancy, and 56.6% (95% CI: 52.0, 61.0%) gave birth at health institutions. Travelling for 30 minutes and less [AOR=2.95(1.89, 4.58)], attending antenatal care [AOR=6.0(3.55, 10.13)], having knowledge about intrapartum danger signs [AOR=2.48(1.44, 4.24)] and getting information from health extension workers (HEWs) regarding maternal health services were positively associated. Conclusion: The district health office should strengthen its effort to provide free ambulance accessibility and provide information on danger signs of intrapartum complications and the importance of using institutional delivery service to every mother who came to the antenatal clinic. Furthermore, the district health officials should focus on strengthening the capacity of HEWs in relation to maternal health services.

scholarly journals Leadership and the functioning of maternal health services in two rural district hospitals in South Africa

2018 ◽  
Vol 33 (suppl_2) ◽  
pp. ii5-ii15 ◽  
Author(s):  
T Mathole ◽  
M Lembani ◽  
D Jackson ◽  
C Zarowsky ◽  
L Bijlmakers ◽  
...  
Keyword(s):  
South Africa ◽  
Maternal Health ◽  
Health Services ◽  
Maternal Health Services ◽  
Rural District ◽  
District Hospitals

scholarly journals Knowledge on Intrapartum Danger Sign Influences Place of Delivery: The Case of Raya Kobo District, Northeastern Ethiopia

2020 ◽  
Vol 10 (1) ◽  
pp. 44-50
Author(s):  
Nigus Bililign Yimer ◽  
Misgan Legesse Liben ◽  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Institutional Delivery ◽  
Maternal Health Services ◽  
District Health ◽  
Delivery Service ◽  
Danger Signs ◽  
Study Participants ◽  
Institutional Delivery Service

Background: A skilled birth attendance for every pregnant woman during childbirth is the most crucial intervention for improving maternal health. This study aimed to assess institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Raya Kobo district, Ethiopia. Methods: A community-based cross-sectional study was carried out in the Raya Kobo district of Amhara Regional State during March 2016. Logistic regression analysis was performed to assess the association between each independent variable and the outcome variable. Variables with a p-value <0.05 were considered significant. Results: A total of 493 mothers were included in the study, with a response rate of 95.4%. The mean (+SD) age of the study participants was 29.13 (±6.93) years. About 73% of the study participants had attended at least one antenatal care follow up for their last pregnancy, and 56.6% (95% CI: 52.0, 61.0%) gave birth at health institutions. Travelling for 30 minutes and less [AOR=2.95(1.89, 4.58)], attending antenatal care [AOR=6.0(3.55, 10.13)], having knowledge about intrapartum danger signs [AOR=2.48(1.44, 4.24)] and getting information from health extension workers (HEWs) regarding maternal health services were positively associated. Conclusion: The district health office should strengthen its effort to provide free ambulance accessibility and provide information on danger signs of intrapartum complications and the importance of using institutional delivery service to every mother who came to the antenatal clinic. Furthermore, the district health officials should focus on strengthening the capacity of HEWs in relation to maternal health services.

scholarly journals Factors Influencing the Utilisation of Maternal Health Services: The Perspective of Rural Women in Ghana

2013 ◽  
Vol 3 (2) ◽  
pp. 121 ◽  
Author(s):  
Anita Anima Daniels ◽  
Albert Ahenkan ◽  
Kwabena Adu Poku
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Maternal Mortality ◽  
Health Outcomes ◽  
Rural Women ◽  
Rural Areas ◽  
Maternal Health Services ◽  
Individual Characteristics ◽  
Cross Sectional ◽  
Maternal Health Outcomes

Maternal mortality is a global issue and WHO recommends the use of maternal health services to help improve the health of women and babies during pregnancy and childbirth. Considering global and national interest in improving maternal health and the fact that Ghana is still battling with reducing maternal mortality, understanding the factors affecting the use of maternal services in rural areas is crucial as the women are seen as more vulnerable due to inequity issues. This study sets to examine the factors that influence the utilisation of antenatal and delivery services among rural women in Ghana, focusing on individual and area factors. A descriptive cross sectional study was carried out in three rural communities using Akuapim North District of Ghana as a case study.. The study adopted the quantitative approach. Structured interviews were used in data collection with the help of interview schedules. Two hundred and ninety-six (296) respondents were sampled using both probability and non probability techniques. Findings reveal that the use of the MHS is inadequate in relation to the WHO standards. Individual characteristics such as age, marital status and family size and the cost and time taken to a health facility were significantly associated with all the maternal health outcomes. Poor access to vehicles hindered women from delivery in a health institution and getting assistance from trained medical personnels. However, no significant association was established between education of respondents and the maternal health outcomes. It is recommended that the Ministry of Health engages in inter-sectoral collaboration to help ensure health equity.Effective integration of TBAs in providing care is needed to help improve utilisation of maternal services in rural areas

scholarly journals Influence of China’s 2009 healthcare reform on the utilisation of continuum of care for maternal health services: Evidence from two cross-sectional household surveys in Shaanxi Province

2019 ◽  
Author(s):  
Xiaojing Fan ◽  
Meghan Bruce Kumar ◽  
Zhongliang Zhou ◽  
Ching-Hung Lee ◽  
Duolao Wang ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Rural Women ◽  
Healthcare Reform ◽  
Urban Women ◽  
Continuum Of Care ◽  
Maternal Health Services ◽  
Shaanxi Province ◽  
Cross Sectional ◽  
Generalised Linear Mixed Model

Abstract Background: Continuum of care for maternal health services (CMHS) is a proven approach to improve health and safety for mothers and newborns. This study aims to explore the influence of China’s 2009 healthcare reform on improving the CMHS utilisation. Methods: This population-based cross-sectional quantitative study included 2332 women drawn from the fourth and fifth National Health Service Surveys of Shaanxi Province, conducted in 2008 and 2013 respectively, before and after China’s 2009 healthcare reform. A generalised linear mixed model (GLMM) was applied to analyse the influence of this healthcare reform on utilisation of CMHS. Concentration curves, concentration indexes and its decomposition method were used to analyse the equity of changes in utilisation. Results: According to China’s policy defining CMHS, post-reform CMHS utilisation was higher in both rural and urban women. The rate of CMHS utilisation increased from 24.66% to 41.55% for urban women and from 18.31% to 50.49% for rural women (urban: χ2=20.64, P<0.001; rural: χ2=131.38, P<0.001). This finding is consistent when the WHO’s level of CMHS is applied for rural women after reform (12.13% vs 19.26%; χ2=10.99, P=0.001); for urban women, CMHS utilisation increased from 15.70% to 20.56% (χ2=2.57, P=0.109). The GLMM showed the rate of CMHS utilisation for urban women post-reform was five times higher than pre-reform rates (OR=5.02, 95%CL: 1.90, 13.31); it was close to 15 times higher for rural women (OR=14.70, 95%CL: 5.43, 39.76). The concentration index decreased from 0.130 pre-reform (95%CI: -0.026, 0.411) to -0.041 post-reform (95%CI: -0.096, 0.007) for urban women; it decreased from 0.104 (95%CI: -0.012, 0.222) to 0.019 (95%CI: -0.014, 0.060) for rural women. The horizontal inequity index for both groups of women also decreased (0.136 to -0.047 urban and 0.111 to 0.019 for rural). Conclusions: China’s 2009 healthcare reform has positively influenced utilisation rates and equity of utilisation of the CMHS among both urban and rural women in Shaanxi Province. We expect that similar impacts might be observed in other settings in China and, if so, may provide lessons in policy design to other countries looking to reduce maternal and newborn mortality.

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