scholarly journals Tanzanian men’s engagement in household chores is associated with improved antenatal care seeking and maternal health

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emily Chahalis ◽  
Josie McGhie ◽  
Generose Mulokozi ◽  
Shannon Barham ◽  
Carter Chappell ◽  
...  
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Rural Areas ◽  
Large Scale ◽  
Urban Setting ◽  
Bivariate Analysis ◽  
Care Seeking ◽  
Male Partners ◽  
Household Tasks ◽  
Household Activities

Abstract Background Male support for partners’ antenatal care (ANC) has the potential to improve women’s care-seeking and maternal health outcomes. This study describes factors that are associated with men’s involvement in household tasks and explores the relationship between men’s help with tasks and women’s ANC-seeking, diet and workload during pregnancy as well as other health behaviors. Methods This study was conducted in five Lake Zone regions of Tanzania. Cross-sectional surveys were carried out among approximately 10,000 households that had children under the age of 2 years. Surveys were administered to mothers of children less than 2 years and where available, their male partners. Data were collected between December 2015 and May 2020, in conjunction with a large-scale campaign aimed at reducing childhood stunting by changing the behavior of mothers, caregivers, and decision makers. Data analysis included bivariate analysis and logistic regression modeling. Results Men’s engagement in household activities was significantly associated with living in an urban setting, being younger, having at least some formal schooling, early verbal interactions with their children, and male involvement in healthcare decisions. Additionally, mothers of male partners that were engaged in household activities were significantly older and more likely to have at least some secondary school education. Relative to households where men only infrequently helped out with chores or not at all, women from households where men frequently helped were significantly more likely to have taken iron tablets during pregnancy, report having eaten more than usual, lessening their household workload during their most recent pregnancy, and more likely to have played with their child in the week prior to the survey. Conclusion Male’s participation in household tasks is associated with a general improvement in mother’s ANC behaviors. Implicit in these findings is that general primary education for both men and women has health benefits that transcend socioeconomic class and that future interventions aimed to engage males in household tasks may target older males with less education living in rural areas.

scholarly journals A Review on Antenatal Care in Developing Country Like India

2021 ◽  
Vol 8 (5) ◽  
pp. 397-403
Author(s):  
Irin Ephrem ◽  
Ateendra Jha ◽  
A. R Shabaraya
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Maternal Health ◽  
Antenatal Care ◽  
Rural Areas ◽  
Maternal Education ◽  
Health Centre ◽  
Well Being ◽  
Maternal Health Care ◽  
Urban And Rural Areas

Antenatal care is the ‘care before birth’ to promote the well-being of mother and fetus, and it is essential to reduce maternal morbidity and mortality, low-weight births and perinatal mortality. The care for the mother during pregnancy, during delivery, and after delivery is important for the wellbeing of the mother and the child. Maternal health-care vary within developing countries, which shows differences between affluent and poor women, and between women living in urban and rural areas. Health care service provision in India is very diverse, with rural services achieving considerably less coverage than their urban counterparts. It was found that following factors affects the antenatal care utilization maternal education, husband’s education, marital status, availability, cost, household income, women’s employment, media exposure and having a history of obstetric complications. If a woman visited health centre three or more than three times, her chances were 31 percent higher to deliver in an institution. Poorer women may prefer home-based delivery care. Lack of affordability might explain the large poor–rich inequalities in professional delivery attendance within urban and rural areas. Traditional beliefs and ideas about pregnancy also influence on antenatal care use. Older women would have accumulated knowledge on maternal health care and therefore would likely have more self-confidence on pregnancy and childbirth and thus, may give less importance to obtaining institutional care. Incomplete access and underutilization of modern healthcare services are major causes for poor health in the developing countries. There is a need of enhancing community awareness about the importance for educating women about early detection of complications during pregnancy and promptly seeking care, and about the importance of giving birth in a health facility. Keywords: Antenatal Care, Developing Countries.

Feasibility and preliminary effectiveness of group antenatal care in Senegalese health posts: a pilot implementation trial

2020 ◽  
Vol 35 (5) ◽  
pp. 587-599 ◽  
Author(s):  
Britt McKinnon ◽  
Mohamadou Sall ◽  
Ashley Vandermorris ◽  
Mahamadou Traoré ◽  
Fatma Lamesse-Diedhiou ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Large Scale ◽  
Infant Health ◽  
Controlled Trial ◽  
Healthcare Delivery ◽  
Health Behaviours ◽  
World Health ◽  
Care Seeking ◽  
Relevant Evidence

Abstract Almost all pregnant women in Senegal receive some antenatal care (ANC), yet only around half receive four or more visits and provision of education and counselling during ANC is often inadequate and, in some cases, non-existent. This results in missed opportunities to provide support and to counsel women regarding appropriate care-seeking practices and health behaviours during pregnancy and across the continuum of care. This pilot effectiveness–implementation randomized controlled trial explored whether group ANC (G-ANC), a model that integrates standard individual pregnancy care with facilitated participatory group education activities and peer support, could potentially address some of these challenges. The G-ANC model adapted for Senegal builds on local healthcare delivery systems and aligns with World Health Organization recommendations for a shift towards women-centred models of maternity services. It was implemented at the health post level, and a total of 330 pregnant women participated in the study, of whom 85% were followed up at 6–10 weeks post-delivery. We assessed implementation outcomes (e.g. acceptability, cost) to establish the feasibility of the model in Senegal and explored effectiveness outcomes related to maternal and infant health for the planning of a large-scale trial. Results indicate that women and ANC providers were overwhelmingly enthusiastic about the G-ANC model, and exploratory analyses suggested improvements in exclusive breastfeeding, intention to use family planning, birth preparations and knowledge around maternal and newborn danger signs. This article provides timely and relevant evidence on the feasibility of G-ANC as an alternative model of care during pregnancy and a solid basis for recommending the conduct of a large-scale implementation study of G-ANC in Senegal.

scholarly journals The Bangladesh Maternal Health Voucher Scheme: impact on completeness of antenatal care provision

2021 ◽  
pp. 1-8
Author(s):  
Mohammad Nahid Mia ◽  
Shehrin Shaila Mahmood ◽  
Mohammad Iqbal ◽  
Abbas Bhuiya ◽  
Saseendran Pallikadavath ◽  
...  
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Newborn Health ◽  
Outcome Variable ◽  
Maternal And Newborn Health ◽  
Bivariate Analysis ◽  
Favourable Effect ◽  
Socioeconomic Group ◽  
Linear Regression Models ◽  
Voucher Scheme

Abstract This study aimed to assess completeness of antenatal care coverage following implementation of a voucher scheme for maternal health in Bangladesh. The investigation used interview data from a survey conducted in Bangladesh in 2017 of 2400 randomly selected women aged 15–49 with children aged 0–23 months in four geographical areas where voucher scheme implementation was underway. Of these women, 1944 had attended at least one antenatal clinic visit so were included in the analysis. A ‘completeness index’ for antenatal visits was constructed as an outcome variable based on recall of thirteen elements of care. Bivariate analysis against independent variables of interest was carried out and multivariate linear regression models developed to examine the influence of voucher scheme participation on completeness of antenatal care adjusting for socio-demographic characteristics. Voucher scheme membership was associated with higher ‘completeness index’ scores, with a mean score of 185.2±101.0 for voucher recipients and 139.6 ± 93.3 for non-recipients (p<0.001). Scheme membership reduced the differentials associated with health facility type and socioeconomic status. Women from the lowest socioeconomic group who were voucher recipients received substantially more components of antenatal care (mean score: 159.6±82.1) compared with non-recipients (mean score: 115.7±83.0). This favourable effect of voucher scheme membership on the most vulnerable socioeconomic group remained significant after adjusting for educational status. The Bangladesh voucher scheme model has the potential to maximize gains in maternal and newborn health through enhancing the completeness of service provision.

IS ANTENATAL CARE EFFECTIVE IN IMPROVING MATERNAL HEALTH IN RURAL UTTAR PRADESH? EVIDENCE FROM A DISTRICT LEVEL HOUSEHOLD SURVEY

2005 ◽  
Vol 38 (4) ◽  
pp. 433-448 ◽  
Author(s):  
FAUJDAR RAM ◽  
ABHISHEK SINGH
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Rural Areas ◽  
Uttar Pradesh ◽  
Household Survey ◽  
District Level ◽  
Related Services ◽  
Care Services ◽  
Socioeconomic And Demographic Factors ◽  
The Impact

Data from the District Level Household Survey (2002) conducted by the Reproductive and Child Health Project in India has been used to examine the impact of utilization of antenatal care services on improvement in maternal health in rural areas of Uttar Pradesh, India. Multilevel analysis shows that after controlling for other socioeconomic and demographic factors, utilization of antenatal care services may lead to the utilization of other maternal health related services such as institutional delivery, delivery assisted by trained professionals, seeking advice for pregnancy complications, and seeking advice for post-delivery complications. There is strong clustering of utilization of services within the primary sampling units (i.e. villages) and districts.

scholarly journals factors related to utilization of antenatal care in Nepal: A generalized linear approach

2014 ◽  
Vol 2 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Gauri Shrestha
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Rural Areas ◽  
Married Woman ◽  
Economic Status ◽  
Data File ◽  
Entry Point ◽  
Successful Implementation ◽  
Generalized Poisson Regression

Background: Antenatal care provides an entry point for pregnant women to the health care system. Proper utilization of available health services essential for successful implementation of health programmes. Objectives: This study investigates factors associated with the use of maternal health services in terms of number of antenatal care visits. Methods: For analyzing the use of antenatal care health services in Nepal, data was extracted from individual recodes of a data file of Nepal Demographic Health Survey 2006. The unit of analysis for this study was Ever Married Woman (who had at least one live birth in the five years preceding the survey). The sample of study consisted of 4182 Ever Married Woman. The response variable has numbers as its possible outcome therefore generalized Poisson regression model was selected for establishing linkage between number of antenatal care visits and several explanatory variables. Results: The result of this study shows that women with low education level, those residing in rural areas and those with low socio-economic status are less likely to attend antenatal care visits. Conclusion: This study confirms that antenatal care visit is indeed an effective entry point for delivery care. Programmes directed at improving and increasing the accessibility of antenatal care are important to improve maternal health, especially in developing countries like Nepal.DOI: http://dx.doi.org/10.3126/jkmc.v2i2.10629Journal of Kathmandu Medical College, Vol. 2, No. 2, Issue 4, Apr.-Jun., 2013, Page: 69-74

scholarly journals Male Partner Involvement in Promoting Antenatal Care and Skilled Delivery Attendance in Bumula Sub-County, Kenya

2021 ◽  
Vol 3 (5) ◽  
pp. 43-51
Author(s):  
Rose A. M. Nyang’au ◽  
Maximilla Wanzala ◽  
Tom Were
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Male Partner ◽  
Male Involvement ◽  
Male Partners ◽  
Skilled Delivery ◽  
Low Level ◽  
Male Partner Involvement ◽  
Delivery Services ◽  
Partner Involvement

Globally, male partner involvement in antenatal care and skilled delivery services remains a challenge to effective management of maternal health. Maternal morbidities and mortalities have been increasing due to the underutilization of antenatal care and skilled delivery attendance at a global level. However, developed countries have had a different story on male partner involvement in antenatal care and skilled delivery attendance – most male partners are involved in the process. But sub-Saharan Africa in the global south records the highest percentage of male partners who are never active in accompanying their female counterparts to visit antenatal care and skilled delivery. In Kenya male involvement in maternal services remains low despite it being recognized as one of the pillars of safe motherhood. Therefore, this study was conducted to investigate male partner involvement in promoting antenatal care and skilled delivery attendance in Bumula Sub-County of Bungoma County in Kenya. It focused on the level of male partners involvement in maternal health. The study adopted a cross-sectional design. The target populations were married men and community health volunteers. The study had a sample size of 427 persons. Data was collected using a pre-tested semi-structured questionnaire, key in-depth interview guides, focused group discussion guides and observation checklist. Data were analysed using descriptive statistics with the aid of the Statistical Package for Social Scientist version 25. Data were presented using tables, figures, narratives and direct quotes. The study found a low level of male involvement (18%) in promoting antenatal care and skilled delivery attendance. Most of the male partners (83.1%) did not plan with their partners for ANC and skilled delivery services, however, (54.1%) accompanied their partners to the clinics. The study concluded There was a low level of male partner involvement in ANC and skilled delivery attendance. About 18% of male partners were involvement in ANC and skilled delivery attendance. There was an improvement of male partner involvement in accompaniment and provision of support. The study recommended that the two levels of government through the Ministry of Health should create awareness campaigns and public education with a targeted massage on negative cultural practices/mindset that hinder male partner involvement in maternal health services in the Bumula sub-county.

Do urban areas still have advantages over rural areas in antenatal care discontinuity in Sub-Saharan Africa?

2021 ◽  
Vol 9 (2) ◽  
pp. 27-35
Author(s):  
Franklin Bouba Djourdebbé ◽  
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Sub Saharan Africa ◽  
Health Policies ◽  
Antenatal Visit ◽  
Urban Rural ◽  
Health Survey Data ◽  
Sub Saharan

In sub-Saharan Africa, among the small proportion of women who had at least one antenatal visit, many of them no longer return to ensure continuity of antenatal care. This antenatal care discontinuity is a matter of serious concern for maternal health. Using Demographic and Health Survey data collected between 2000 and 2016 in 26 sub-Saharan countries, this study aims to analyse urban/rural differences in antenatal care discontinuity. Although in the majority of countries, urban areas have considerable advantages in terms of antenatal care continuity, there are countries where urban/rural differences are not significant, as well as atypical countries (Rwanda, Gambia and Zambia) where antenatal care discontinuity is higher in urban areas compared to rural areas. This study is a contribution to tackle the complex disparities in the discontinuity of care during pregnancy in maternal health policies in sub-Saharan Africa. Keywords: Maternal health, antenatal care, urban, rural, sub-Saharan Africa.

Maternal Health Care Seeking Behavior of Nepalese Woman: A Perspective of Socio Ecological Model

2020 ◽  
Author(s):  
Mohan Kumar Sharma ◽  
Shanti Prasad Khanal ◽  
Jib Acharya ◽  
Ramesh Adhikari ◽  
Rabi Bista ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Rural Areas ◽  
Ecological Model ◽  
Maternal Health Services ◽  
Maternal Health Care ◽  
Health Facilities ◽  
Care Seeking ◽  
Care Seeking Behavior ◽  
Seeking Behavior

Abstract Background Nepal has a very high Maternal Mortality Ratio (MMR) in the South Asian region partly owing to the low utilization of maternal health services. One of the leading causes for maternal death in the rural areas of Nepal is lack of awareness about mental health. The prominent objective of this study is to explore the influencing factors utilization of maternal health care service among Nepalese women.Methods This is a qualitative study performed in Kathmandu district at Tribhuvan University Teaching Hospital, in Nepal. In-depth interviews (IDIs) were administrated with 18 women with recent delivery case (within seven days). Furthermore, five Key-informants interview (KIIs) with their husbands was conducted. The data was thematically analyzed using content analysis, where Social-Ecological Model (SEM) was applied as a theoretical framework to lead thematic content.Results Women's knowledge, perception, decision-making autonomy in interpersonal level, mother-in-law and husband's role in intrapersonal level, employment organization in institutional level, peer groups, and neighbors in community level, and safe-motherhood program in policy level were influencing factors to obey adequate Maternal Health Care Seeking Behavior (MHCSB). Also, negligence of women in MHC check-up, inadequate health facilities, health facilities without maternal requirement and non availability gynecologist were observed as a core barrier for utilization of MHCSB.Conclusions There were numerous causes for not utilizing MHCSB: inadequate health facilities, health facilities without maternal services, and unavailability of gynecologist especially in health facilities of rural areas in Nepal. More health facilities should be built especially in remote areas and adequately equipped with maternal health services, drugs, and specialist. Further, existing health facilities should be promoted with overall maternal health care requirement with its specialist. Free MHCS should cover the cost of items required for delivery in addition to ANC, PNC check-up and institutional delivery.

Rural Children's Time in Household Activities

1987 ◽  
Vol 61 (3) ◽  
pp. 927-937 ◽  
Author(s):  
Frances C. Lawrence ◽  
Patricia H. Wozniak
Keyword(s):  
Rural Areas ◽  
Developmental Theory ◽  
Rural Children ◽  
Time Data ◽  
Household Tasks ◽  
Use Of Time ◽  
The Family ◽  
Sources Of Variation ◽  
Household Activities ◽  
Education And Employment

Operating within the framework of Erikson's developmental theory, this research examined the amount of time rural children spent in household activities and several demographic factors related to that use of time. Data were obtained from a 1977–79 multistate survey of family use of time in which home interviews were conducted with 1,050 families from rural areas of 10 states. There were 1,045 children aged 6 through 17 yr. Findings indicated that children averaged 65 min. per day in household tasks. Children spent the most time in shopping and maintenance of home, yard, car, and pets. Age and sex of the child, education and employment of the mother, state of residence, and season of the year significantly affected the time spent on the tasks. Education of the father and income of the family were not significant sources of variation in the time spent.

scholarly journals Bypassing primary healthcare facilities for maternal healthcare in North West Ghana: socio-economic correlates and financial implications

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Valeria Avoayea Amoro ◽  
Gilbert Abotisem Abiiro ◽  
Kennedy A. Alatinga
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Postnatal Care ◽  
Tertiary Education ◽  
Maternal Health Care ◽  
Bivariate Analysis ◽  
Future Research ◽  
Maternal Healthcare ◽  
Cross Sectional

Abstract Background Bypassing primary health care (PHC) facilities for maternal health care is an increasing phenomenon. In Ghana, however, there is a dearth of systematic evidence on bypassing PHC facilities for maternal healthcare. This study investigated the prevalence of bypassing PHC facilities for maternal healthcare, and the socio-economic factors and financial costs associated with bypassing PHC facilities within two municipalities in Northwestern Ghana. Methods A quantitative cross-sectional design was implemented between December 2019 and March 2020. Multistage stratified sampling was used to select 385 mothers receiving postnatal care in health facilities for a survey. Using STATA 12 software, bivariate analysis with chi-square test and binary logistic regression models were run to determine the socio-economic and demographic factors associated with bypassing PHC facilities. The two-sample independent group t-test was used to estimate the mean differences in healthcare costs of those who bypassed their PHC facilities and those who did not. Results The results revealed the prevalence of bypassing PHC facilities as 19.35 % for antenatal care, 33.33 % for delivery, and 38.44 % for postnatal care. The municipality of residence, ethnicity, tertiary education, pregnancy complications, means of transport, nature of the residential location, days after childbirth, age, and income were statistically significantly (p < 0.05) associated with bypassing PHC facilities for various maternal care services. Compared to the non-bypassers, the bypassers incurred a statistically significantly (P < 0.001) higher mean extra financial cost of GH₵112.09 (US$19.73) for delivery, GH₵44.61 (US$7.85) for postnatal care and ₵43.34 (US$7.65) for antenatal care. This average extra expenditure was incurred on transportation, feeding, accommodation, medicine, and other non-receipted expenses. Conclusions The study found evidence of bypassing PHC facilities for maternal healthcare. Addressing this phenomenon of bypassing and its associated cost, will require effective policy reforms aimed at strengthening the service delivery capacities of PHC facilities. We recommend that the Ministry of Health and Ghana Health Service should embark on stakeholder engagement and sensitization campaigns on the financial consequences of bypassing PHC facilities for maternal health care. Future research, outside healthcare facility settings, is also required to understand the specific supply-side factors influencing bypassing of PHC facilities for maternal healthcare within the study area.

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