Maternal and child health network: multi-partners engagement in improving health planning process in Papua, Indonesia

Background Investment Case is a participatory approach that has been used over the years for better strategic actions and planning in the health sector. Based on this approach, a District Investment Case (DIC) program was launched to improve maternal, neonatal and child health services in partnership with government, non-government sectors and UNICEF Nepal. In the meantime, this study aimed to explore perceptions and experiences of local stakeholders regarding health planning and budgeting and explore the role of the DIC program in ensuring equity in access to maternal and child health services. Methods This study adopted an exploratory phenomenography design with a purposive sampling technique for data collection. Three DIC implemented districts and three comparison districts were selected and total 30 key informant interviews with district level stakeholders and six focus groups with community stakeholders were carried out. A deductive approach was used to explore the perception of local stakeholders of health planning and budgeting of the health care expenses on the local level. Results Investment Case approach helped stakeholders in planning systematically based on evidence through collaborative and participatory approach while in comparison areas previous year plan was mainly primarily considered as reference. Resource constraints and geographical difficulty were key barriers in executing the desired plan in both intervention and comparison districts. Positive changes were observed in coverage of maternal and child health services in both groups. A few participants reported no difference due to the DIC program. The participants specified the improvement in access to information, access and utilization of health services by women. This has influenced the positive health care seeking behavior. Conclusions The decentralized planning and management approach at the district level helps to ensure equity in access to maternal, newborn and child health care. However, quality evidence, inclusiveness, functional feedback and support system and local resource utilization should be the key consideration.

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Improving Maternal and Child Health Care: A Blueprint for Community Action in Pittsburgh Region: Summary

PsycEXTRA Dataset ◽

10.1037/e563542010-001 ◽

2005 ◽

Author(s):

Harold Alan Pincus ◽

Stephen B. Thomas ◽

Donna J. Keyser ◽

Nicholas Castle ◽

Jacob W. Dembosky ◽

...

Keyword(s):

Health Care ◽

Child Health ◽

Maternal And Child Health ◽

Community Action ◽

Child Health Care ◽

And Child Health

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The Maternal and Child Health Bureau's Initiative for Mental Health in Schools

PsycEXTRA Dataset ◽

10.1037/e573382011-001 ◽

1998 ◽

Keyword(s):

Mental Health ◽

Child Health ◽

Maternal And Child Health ◽

Mental Health In Schools ◽

And Child Health

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Child Abuse and Neglect: Maternal and Child Health Fact Sheet

PsycEXTRA Dataset ◽

10.1037/e665322007-001 ◽

2013 ◽

Keyword(s):

Child Abuse ◽

Child Health ◽

Maternal And Child Health ◽

Child Abuse And Neglect ◽

Fact Sheet ◽

Abuse And Neglect ◽

And Child Health

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Maternal and child health nurses’ experiences of implementing two community-based breastfeeding interventions in Victoria, Australia: A mixed methods process evaluation

Australian Journal of Child and Family Health Nursing ◽

10.33235/ajcfhn.16.1.4-14 ◽

2019 ◽

Vol 16 (1) ◽

pp. 4-14 ◽

Cited By ~ 1

Author(s):

Rhian L Cramer ◽

Helen L McLachlan ◽

Touran Shafiei ◽

Lisa H Amir ◽

Meabh Cullinane ◽

...

Keyword(s):

Child Health ◽

Maternal And Child Health ◽

Randomised Trial ◽

Cluster Randomised Trial ◽

Breastfeeding Initiation ◽

Structured Interviews ◽

Breastfeeding Support ◽

Community Based ◽

Significant Drop ◽

And Child Health

Despite high rates of breastfeeding initiation in Australia, there is a significant drop in breastfeeding rates in the early postpartum period, and Australian government breastfeeding targets are not being met. The Supporting breastfeeding In Local Communities (SILC) trial was a three-arm cluster randomised trial implemented in 10 Victorian local government areas (LGAs). It aimed to determine whether early home-based breastfeeding support by a maternal and child health nurse (MCH nurse) with or without access to a community-based breastfeeding drop-in centre increased the proportion of infants receiving ‘any’ breast milk at four months. Focus groups, a written questionnaire and semi-structured interviews were undertaken to explore the interventions from the perspective of the SILC-MCH nurses (n=13) and coordinators (n=6), who established and implemented the interventions. Inductive thematic analysis was used to identify themes, then findings further examined using Diffusion of Innovations Theory as a framework. SILC-MCH nurses and coordinators reported high levels of satisfaction, valuing the opportunity to improve breastfeeding in our community; and having focused breastfeeding time with women in their own homes. They felt the SILC interventions offered benefits to women, nurses and the MCH service. Implementing new interventions into existing, complex community health services presented unforeseen challenges, which were different in each LGA and were in part due to the complexity of the individual LGAs and not the interventions themselves. These findings will help inform the planning and development of future programs aimed at improving breastfeeding and other interventions in MCH.

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