Public Health Interventions, Barriers, and Opportunities for Improving Maternal Nutrition in Northeast Nigeria

2012 ◽  
Vol 33 (2_suppl1) ◽  
pp. S51-S70 ◽  
Author(s):  
Amy Webb Girard ◽  
Cynthia Dzingina ◽  
Oladele Akogun ◽  
John B. Mason ◽  
Deborah A. McFarland
Keyword(s):  
Economic Development ◽  
Nongovernmental Organizations ◽  
Maternal Nutrition ◽  
Phase 1 ◽  
Maternal Undernutrition ◽  
Health And Economic Development ◽  
Barriers And Opportunities ◽  
State And Local ◽  
Depth Interviews ◽  
Northeast Nigeria

Background Efficacious strategies to improve maternal nutrition and subsequent maternal, neonatal, and child health exist, but their utilization and application at scale is limited. Objective This study explored the gaps, barriers, and opportunities for maternal nutrition policy and programming in Nigeria, a country with a disproportionate share of the global burden of maternal and child mortality Methods Research was conducted in three phases in four Local Government Authorities in Taraba State. Phase 1 consisted of a desk review of policies, programs, and sociodemographic and health indicators pertinent to maternal nutrition. In-depth interviews were conducted with key informants in state and local ministries of health as well as international nongovernmental organizations and community- and faith-based organizations. Phase 2 utilized in-depth interviews and focus group discussions with community leaders, health promoters, and mothers. Phase 3 consisted of key informant interviews with federal policy and program leaders in government ministries and nongovernmental organizations. Results Nutrition, especially maternal nutrition, is not prioritized and is poorly funded in both the governmental and the nongovernmental systems. Perceived weak advocacy for nutrition and its role in economic development and the lack of coordination among governmental and nongovernmental actors were said to contribute to low prioritization. Dependence on health facilities as the primary platform for delivering maternal nutrition is problematic, given severe resource constraints and perceived community barriers, including cost, distance, and poor quality of care. Conclusions Advocacy for maternal nutrition that improves understanding of its consequences for health and economic development could hasten prioritization, coordination, and investment in maternal nutrition at the national, state, and local levels. Innovative, multisectoral strategies that move beyond facility-based platforms are needed to reduce the burden of maternal undernutrition in Northeast Nigeria.

A Situation Analysis of Public Health Interventions, Barriers, and Opportunities for Improving Maternal Nutrition in Bihar, India

2012 ◽  
Vol 33 (2_suppl1) ◽  
pp. S93-S103 ◽  
Author(s):  
Elizabeth A. Noznesky ◽  
Usha Ramakrishnan ◽  
Reynaldo Martorell
Keyword(s):  
Public Health ◽  
Low Birthweight ◽  
Maternal Nutrition ◽  
New Technologies ◽  
Service Providers ◽  
Secondary Data ◽  
New Delhi ◽  
Maternal Undernutrition ◽  
Barriers And Opportunities ◽  
The Government

Background Maternal underweight and anemia are highly prevalent in Bihar, especially among adolescent girls aged 15 to 19 years. Although numerous programs and platforms exist for delivering efficacious interventions for improving maternal nutrition, the coverage and quality of these interventions are low. Objective To examine existing interventions for reducing maternal undernutrition in Bihar and identify barriers to and opportunities for expanding their coverage and quality. Methods The research was conducted in New Delhi and Bihar between May and August 2010. Forty-eight key informant interviews were conducted with policy makers, program managers, and service providers at multiple levels. Secondary data were collected from survey reports and program documents. All data were analyzed thematically. Results Barriers to the delivery and uptake of interventions to improve maternal nutrition include the shortage of essential inputs, low prioritization of maternal undernutrition, sterilization bias within the family planning program, weak management systems, poverty, gender inequality, caste discrimination, and flooding. In order to overcome barriers and improve service delivery, the current government and its partners have introduced structural reforms within the public health system, launched new programs for underserved groups, developed innovative approaches, and experimented with new technologies. Conclusions Since coming to power, the Government of Bihar has achieved impressive increases in the coverage of prioritized health services, such as institutional deliveries and immunization. This success presents it with an excellent opportunity to further reduce maternal and infant mortality by turning its attention to the serious problem of maternal undernutrition and low birthweight.

Public Health Interventions, Barriers, and Opportunities for Improving Maternal Nutrition in India

2012 ◽  
Vol 33 (2_suppl1) ◽  
pp. S71-S92 ◽  
Author(s):  
Usha Ramakrishnan ◽  
Alyssa Lowe ◽  
Sheila Vir ◽  
Shuba Kumar ◽  
Rani Mohanraj ◽  
...  
Keyword(s):  
Public Health ◽  
Program Implementation ◽  
Tamil Nadu ◽  
Maternal Nutrition ◽  
Phase 1 ◽  
National Level ◽  
Monitoring And Evaluation ◽  
Resource Scarcity ◽  
Maternal Undernutrition ◽  
Nutrition Programs

Background Inadequate nutrient intake, early and multiple pregnancies, poverty, caste discrimination, and gender inequality contribute to poor maternal nutrition in India. While malnutrition is seen throughout the life cycle, it is most acute during childhood, adolescence, pregnancy, and lactation. Although nutrition policies are on the books and interventions are in place, child malnutrition and maternal undernutrition persist as severe public health problems. Objective To evaluate the implementation of maternal nutrition programs in India. Methods The research was conducted in two phases. Phase 1 consisted of a desk review of national and state policies pertinent to maternal nutrition and national-level key informant interviews with respondents who have a working knowledge of relevant organizations and interventions. Phase 2 utilized in-depth interviews and focus group discussions at the state, district, and community levels in eight districts of two states: Tamil Nadu and Uttar Pradesh. All data were analyzed thematically. Results India has a rich portfolio of programs and policies that address maternal health and nutrition; however, systematic weaknesses, logistical gaps, resource scarcity, and poor utilization continue to hamper progress. Conclusions Elevating the priority given to maternal nutrition in government health programs and implementing strategies to improve women's status will help to address many of the challenges facing India's nutrition programs. Programs can be strengthened by promoting integration of services, ensuring effective procurement mechanisms for micronutrient and food supplements, establishing regional training facilities for improved program implementation, and strengthening program monitoring and evaluation.

Effectiveness of Tax Policy of Ukraine: Evidence and Economy Implications

2020 ◽  
pp. 124-131
Author(s):  
Olena P. Slavkova ◽  
Oksana I Zhilinska ◽  
Maksym Palienko
Keyword(s):  
Economic Development ◽  
Tax Evasion ◽  
Tax Policy ◽  
The State ◽  
State Budget ◽  
Advantages And Disadvantages ◽  
State Tax ◽  
State And Local ◽  
Tax Payments

The article deals with the peculiarities of the formation and implementation of tax policy in the country. The analysis of change of tax receipts to the state and local budgets is carried out. The role of tax payments in the economic development of the country is determined. The efficiency of the state tax policy in Ukraine is analyzed, its advantages and disadvantages are determined. The important role of tax payments in stimulating economic and social development is substantiated. The analysis of the elasticity of change of indicators of economic development of the country from the change of volume of tax receipts to the budget is carried out. The necessity of improving the existing policy of establishing, accrual, payment, and distribution of tax revenues as one of the most promising areas to stimulate economic growth is concluded. Keywords: tax policy, revenues, tax evasion, state budget, elasticity, economic development

Health and Economic Development

2019 ◽  
pp. 257-285
Author(s):  
Mario J. Azevedo ◽  
Akim T. Lukwa ◽  
Olufunke A. Alaba
Keyword(s):  
Economic Development ◽  
Health And Economic Development

scholarly journals Maternal Nutrition Education Provided by Midwives: A Qualitative Study in an Antenatal Clinic, Uganda

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Joyce Nankumbi ◽  
Tom Dennis Ngabirano ◽  
Gorrette Nalwadda
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Maternal Nutrition ◽  
Mode Of Delivery ◽  
Antenatal Clinic ◽  
Organization Mode ◽  
Healthy Habits ◽  
Service Training ◽  
Special Circumstances ◽  
Depth Interviews

Maternalnutrition during pregnancy affects the health of the mother and baby. The objective of this paper is to describe the maternal nutrition education offered by midwives to women attending an antenatal clinic. The study also examined the resources, support, and the needs of the midwives in offering the nutrition education. Six in-depth interviews with the midwives, six direct structured observations of the group education, and 12 one-on-one interactions of midwife and pregnant women observations were completed. The interviews and field observation notes were typed and analyzed using the latent content analysis. The emerging themes were the maternal nutrition education and the education needs of the midwives. The content and presentation of maternal nutrition were inadequate in scope and depth. The maternal nutrition education was offered to only pregnant women attending the first antenatal care visit. The routine antenatal education session lasted 45 minutes to 1 hour, covering a variety of topics, but the nutritional component was allotted minimal time (5–15 minutes). The organization, mode of delivery, guidelines, resources, and service environment were extremely deficient. The relevance of appropriate weight gain during pregnancy, guidelines for healthy habits, avoidance of substance abuse, and nutrition precautions in special circumstances was missing in the nutrition presentation. Information, maternal nutrition education resources, infrastructure, and health system gaps were identified. There was an inefficient nutrition education offered to the pregnant women attending the antenatal clinic. As means of promoting effective nutrition education, appropriate in-service training, mentorship, and support for the midwives are needed, as well as infrastructural and resource provision.

Nutritional programming and the reproductive function of the offspring

2014 ◽  
Vol 54 (9) ◽  
pp. 1166 ◽  
Author(s):  
P. Chavatte-Palmer ◽  
C. Dupont ◽  
N. Debus ◽  
S. Camous
Keyword(s):  
Growth Retardation ◽  
Intrauterine Growth Retardation ◽  
Maternal Nutrition ◽  
Reproductive Function ◽  
Fetal Life ◽  
Ample Evidence ◽  
Primordial Follicles ◽  
Intrauterine Growth ◽  
Maternal Undernutrition ◽  
Males And Females

There is ample evidence on the importance of maternal nutrition during pregnancy on fetal and offspring development. In ruminant females, the pool of oocytes is complete and definitive before birth, based on the resting reserve of primordial follicles established during fetal life, which represent the lifespan supply for the female’s fertilisable oocytes, whereas in males, although the production of spermatozoa is a continuous process throughout post-pubertal life. Sertoli cells, which play a central role in the development of a functional testis, proliferate during pre- and post-natal life, coordinating testicular development. Both male and female fertility may, therefore, be affected by the maternal environment, but studies on the effects of developmental nutritional conditions on reproductive function and fertility, both in males and females, are relatively scarce. In humans, intrauterine growth retardation has been associated with abnormal ovarian development, characterised by a decreased volume of primordial follicles in the ovarian cortical tissue in girls, and a higher incidence of cryptorchidism in boys, with subsequent low sperm counts in adulthood. Age at puberty and gonadotropin and inhibin B plasma concentrations are also affected. Animal studies suggest both in males and females that maternal undernutrition during pregnancy may affect pituitary response to GnRH and gonadal development and function, depending on the timing and magnitude of the undernutrition. Excess nutrition, which is often associated with intrauterine growth retardation in domestic species, induces effects on the onset of puberty and both testicular and ovarian function, maybe through the observed reduction in fetal growth. This review addresses the influence of maternal nutrition on offspring reproductive function using examples in humans and animals, with particular focus on ruminants.

scholarly journals Kesiapan Digital Masyarakat Kampung Adat Naga pada Pelaksanaan One Village One Product

2019 ◽  
Vol 16 (1) ◽  
pp. 123
Author(s):  
Nindi Aristi ◽  
Preciosa Alnashava Janitra
Keyword(s):  
Economic Development ◽  
Natural Resources ◽  
Diffusion Of Innovation ◽  
Main Product ◽  
Case Study Method ◽  
Diffusion Of Innovation Theory ◽  
Key Informants ◽  
Ict Adoption ◽  
Depth Interviews

The implementation of One Village One Product (OVOP) program in Indonesia refersto the economic development of one village with one main product from the villagers’ creativity. Naga traditional village is one of traditional villages producing handicraft from natural resources. The use of ICT for promoting and marketing faces obstacles related to ICT adoption and digital readiness of the villagers. Case study method was deployed through in-depth interviews to five key informants. Based on the diffusion of innovation theory, the result shows the ICT adoption is in early majority level and their digital readiness is in the unprepared group

scholarly journals Decreasing Trend of Plasmodium Falciparum and Vivax Transmission in Mojo Health Center, East Shoa Oromia Region, Ethiopia: a Retrospective Study

2021 ◽  
Author(s):  
Andargie Abate ◽  
Lemu Golassa
Keyword(s):  
Public Health ◽  
Economic Development ◽  
Retrospective Study ◽  
Health Center ◽  
Malaria Prevalence ◽  
Reproductive Age ◽  
Specific Situation ◽  
Age Group ◽  
Contextual Diversity ◽  
Health And Economic Development

Abstract Introduction: Malaria continues to strike hardest against the public health and economic development in Ethiopia. Its transmission tends to be highly heterogeneous within or between years, and from area to area which need understanding of the contextual diversity of malaria prevalence within each site to deliver optimal intervention according to the site specific situation of the disease. Thus, this study was aimed to determine the trend prevalence of malaria in Mojo health center, East Shoa Zone, Ethiopia. Methods: A retrospective study was conducted in Mojo health center, East Shoa zone, Ethiopia from February to March, 2021. Malaria cases and related data reported 2016-2020 were carefully reviewed from laboratory registration logbooks. The collected data was analyzed using SPSS 25 software.Results: A total of 19, 106 blood films were examined from malaria suspected patients. The overall microscopically confirmed prevalence of malaria was 4.2%. P. vivax was the predominant species accounting 76.2% of positive samples. Malaria cases declined from 259 in 2016 to 77 in 2020. The proportion of malaria was higher among males (64.8%) than females (35.2%) in all five years. Higher malaria cases was observed from the age group 15-24 years old followed by the age group of 25-34. Malaria cases were at a peak level from September-November and lowest from December-February.Conclusion: Although the declining trend of malaria prevalence was observed, malaria still remains a public health burden in the area. The high burden of malaria among reproductive age group, males, and during cultivation season reflects its impact on health and economic development. Shifting of P. falciparum to P.vivax related malaria should get an attention during prevention and control strategies for the successful progress of malaria elimination programme.

Study Methods

2016 ◽  
Author(s):  
Dean A. Dabney ◽  
Richard Tewksbury
Keyword(s):  
Law Enforcement ◽  
Participant Observation ◽  
Federal State ◽  
Street Crime ◽  
Local Law Enforcement ◽  
Two Cities ◽  
Local Law ◽  
State And Local ◽  
Depth Interviews ◽  
Homicide Investigation

Chapter 2 presents the methods of the current study. Three fieldwork projects in two cities are explained, including one researcher’s embeddedness with a plain-clothes, street crime unit, one researcher’s 10 month inclusion with a narcotics investigation unit, and one author’s 18 months of participant observation with a major city’s homicide investigation unit. Additionally, in-depth interviews with 15 federal, state and local law enforcement authorities were conducted. These three sources of data are integrated and triangulate the data used for the analysis.

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