Statewide program to promote institutional delivery in Gujarat, India: who participates and the degree of financial subsidy provided by the Chiranjeevi Yojana program

Indonesian health insurance (BPJS Kesehatan) has been facing financial deficit and during the coverage of its deficit, media frequently use many medical terms metaphor to describe the financial condition of BPJS Kesehatan. This study aims to examine the medical terms metaphor used to describe the financial deficit of BPJS Kesehatan to further identify the entailments and to pin point what is the cause of sickness and what could cure the sickness. Qualitative method is used in this study with conceptual metaphor theory (Lakoff and Johnson, 1980) as the conceptual framework. There 10 headlines from various online media outlet that are collected as the source of the data. The study examines the particular terms which described BPJS Kesehatan as a sick patient and further analysis is conducted to identify the closest entailments of metaphor, which are to identify who will be the doctor and what cause its sickness. The results shows that the particular conditions as metaphor used to describe the financial condition of BPJS Kesehatan is dying (sekarat), critical (kritis), swell (bengkak), and wound (luka). From the analysis of entailments, the doctor is the government equipped with medical supplies and procedures to cure the patient which is the financial subsidy and the second entailment is the cause of the sickness which is the lack of awareness from the member to pay the premium regularly on time.

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EFFECT OF ANTENATAL CARE ON INSTITUTIONAL DELIVERY IN DEVELOPING COUNTRIES: A SYSTEMATIC REVIEW

JBI Library of Systematic Reviews ◽

10.11124/jbisrir-2011-817 ◽

2011 ◽

Vol 9 (Supplement) ◽

pp. 1-15

Keyword(s):

Systematic Review ◽

Developing Countries ◽

Antenatal Care ◽

Institutional Delivery

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Intersectional (in) equities in contact coverage of maternal and newborn health services in Nepal: insights from a nationwide cross-sectional household survey

BMC Public Health ◽

10.1186/s12889-021-11142-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Resham B. Khatri ◽

Yibeltal Alemu ◽

Melinda M. Protani ◽

Rajendra Karkee ◽

Jo Durham

Keyword(s):

Institutional Delivery ◽

Secondary Analysis ◽

Newborn Health ◽

Household Survey ◽

Universal Coverage ◽

Maternal And Newborn Health ◽

Multiple Forms ◽

Wealth Status ◽

Cross Sectional ◽

Maternal And Newborn

Abstract Background Persistent inequities in coverage of maternal and newborn health (MNH) services continue to pose a major challenge to the health-care system in Nepal. This paper uses a novel composite indicator of intersectional (dis) advantages to examine how different (in) equity markers intersect to create (in) equities in contact coverage of MNH services across the continuum of care (CoC) in Nepal. Methods A secondary analysis was conducted among 1978 women aged 15–49 years who had a live birth in the two years preceding the survey. Data were derived from the Nepal Demographic and Health Survey (NDHS) 2016. The three outcome variables included were 1) at least four antenatal care (4ANC) visits, 2) institutional delivery, and 3) postnatal care (PNC) consult for newborns and mothers within 48 h of childbirth. Independent variables were wealth status, education, ethnicity, languages, residence, and marginalisation status. Intersectional (dis) advantages were created using three socioeconomic variables (wealth status, level of education and ethnicity of women). Binomial logistic regression analysis was employed to identify the patterns of (in) equities in contact coverage of MNH services across the CoC. Results The contact coverage of 4ANC visits, institutional delivery, and PNC visit was 72, 64, and 51% respectively. Relative to women with triple disadvantage, the odds of contact coverage of 4ANC visits was more than five-fold higher (Adjusted Odds Ratio (aOR) = 5.51; 95% CI: 2.85, 10.64) among women with triple forms of advantages (literate and advantaged ethnicity and higher wealth status). Women with triple advantages were seven-fold more likely to give birth in a health institution (aOR = 7.32; 95% CI: 3.66, 14.63). They were also four times more likely (aOR = 4.18; 95% CI: 2.40, 7.28) to receive PNC visit compared to their triple disadvantaged counterparts. Conclusions The contact coverage of routine MNH visits was low among women with social disadvantages and lowest among women with multiple forms of socioeconomic disadvantages. Tracking health service coverage among women with multiple forms of (dis) advantage can provide crucial information for designing contextual and targeted approaches to actions towards universal coverage of MNH services and improving health equity.

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A qualitative study of factors impacting accessing of institutional delivery care in the context of India's cash incentive program

Social Science & Medicine ◽

10.1016/j.socscimed.2017.01.059 ◽

2017 ◽

Vol 178 ◽

pp. 55-65 ◽

Cited By ~ 24

Author(s):

Sukumar Vellakkal ◽

Hanimi Reddy ◽

Adyya Gupta ◽

Anil Chandran ◽

Jasmine Fledderjohann ◽

...

Keyword(s):

Qualitative Study ◽

Institutional Delivery ◽

Delivery Care ◽

Incentive Program ◽

Cash Incentive

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Dimensions of antenatal care service and the alacrity of mothers towards institutional delivery in South and South East Asia

PLoS ONE ◽

10.1371/journal.pone.0181793 ◽

2017 ◽

Vol 12 (7) ◽

pp. e0181793 ◽

Cited By ~ 10

Author(s):

Priyanka Dixit ◽

Junaid Khan ◽

Laxmi Kant Dwivedi ◽

Amrita Gupta

Keyword(s):

Antenatal Care ◽

East Asia ◽

Institutional Delivery ◽

Care Service ◽

South East Asia

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Association between Male Involvement in Birth Preparedness and Complication Readiness and women’s use of institutional delivery in West Arsi Zone South Ethiopia: Cross-sectional study

10.21203/rs.3.rs-17143/v1 ◽

2020 ◽

Author(s):

Bikila Lencha Gemechu ◽

Kassahun Ketema ◽

Girma Beresa ◽

Bonso Ami ◽

Aman Urgessa

Keyword(s):

Decision Making ◽

Institutional Delivery ◽

Male Partner ◽

Male Involvement ◽

Birth Preparedness ◽

Male Partners ◽

Complication Readiness ◽

Joint Decision ◽

South Ethiopia ◽

Arsi Zone

Abstract Background: In sub-Saharan Africa (SSA), pregnancy and childbirth continue to be viewed as solely a woman’s issues. Increasing partner participation and encouraging joint decision making in maternal health care may provide an important strategy in reducing maternal mortality and morbidity.Objective: To assess the level of male partner involvement in Birth Preparedness and Complication Readiness (BPCR) and its association with women’s use of institutional delivery among mothers who had a child less than 12 months in West Arsi Zone, South Ethiopia Methods: Institutional based cross-sectional study was conducted in West Arsi Zone South Ethiopia in 2019. Systematic random sampling technique was used to select the study subjects. Data was collected using interviewer administered structured questionnaire. Binary and multivariable logistic regression was applied for the analysis of each of the independent variables against the dependent variable. The association between male involvement in BPCR and women’s use of institutional delivery was done. The results were reported using crude and adjusted odds ratio (OR) with their 95% confidence interval. Results: More than half of male partners, 407 (54.3%) accompanied their wife during ANC follow up at least ones for the last pregnancy. Slightly more than three fourth, 571 (76.1%) of male partners involved in BPCR for the last pregnancy. Fife hundred fifty-four (73.9%) of the mothers gave birth in the health institution for the most recent child. Male involvement in BPCR (aOR = 18.7, 95% CI (11.1 – 31.6), joint decision making about place of delivery (aOR = 3.2, 95% CI: 1.76 – 5.7), urban residence (aOR = 2.2, 95% CI: 1.32 – 3.7) and having two or less under-five children (aOR, 95% CI: 2.7 (1.4 – 5.3) were associated with women’s use of institutional delivery. Conclusion: More than three fourth of male partners involved BPCR. Male involvement in BPCR, joint decision making about place of delivery, urban residence and having ≤ 2 under-five children were associated with women’s use of institutional delivery. Designing and implementing health education on the role of male partner in maternal health care is mandatory. Empowering rural mothers to use health institutions for delivery and birth spacing may improve the magnitude of institutional delivery.

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Non-use of Janani Avam Bal Suraksha Yojana in a district of Bihar: ensuring safe deliveries needs strategy modification

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20182969 ◽

2018 ◽

Vol 5 (8) ◽

pp. 3311 ◽

Cited By ~ 1

Author(s):

Madhumita Mukherjee ◽

Rashmi Singh ◽

Amrita Mukherjee ◽

Madhulekha Bhattacharya

Keyword(s):

Institutional Delivery ◽

Conditional Cash Transfer ◽

Home Delivery ◽

Cash Transfer ◽

Health Staff ◽

Cross Sectional ◽

Emergency Transport ◽

The Status ◽

Home Deliveries ◽

One Year

Background: India’s Janany Surakhsha Yojana (JSY) is the largest conditional cash transfer (CCT) program in the world in terms of the number of beneficiaries - covering about 9·5 million (36%) of 26 million women giving birth in India. Eleven States/UTs including Bihar, are still below the National estimate for institutional delivery of 78.9% (NFHS 4). In this study we attempted to find out the status of institutional and home deliveries in district Arwal of Bihar and reasons why in spite of cash incentives a proportion of mothers are opting for home delivery.Methods: A cross sectional descriptive design was used to interview 407 women, who had given birth to a child in previous one year. Focuss group discussions was held with community and health staff to corroborate the interview data.Results: Fifty nine percent of mothers were found to have preferred home delivery over institutional one. Reasons which came to light were home deliveries are cheaper (24.1%), unawareness about JSY (22%), unavailability of transport to reach hospital (22%) and better care being taken at home delivery (20.1%) variables. Older age, having a BPL card, and literacy of husband were found as favoring institutional delivery whereas dissatisfaction during a previous abortion or a livebirth in hospital were both associated with non-use.Conclusions: Better client awareness, strengthening of public health infrastructure, availability of skilled birth attendants at health subcentres (HSCs) and emergency transport in time can reduce number of home deliveries and lead to success of JBSY programme and subsequent reduction in maternal morbidity and mortality.

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Inequality in institutional delivery of the recent birth among married women in Nepal: a trend analysis

10.21203/rs.3.rs-27816/v2 ◽

2020 ◽

Author(s):

Ramesh Adhikari ◽

Aakriti Wagle

Keyword(s):

Developing Countries ◽

Maternal Mortality ◽

Rural Women ◽

Institutional Delivery ◽

Maternal Mortality Ratio ◽

Binary Logistic Regression ◽

Bivariate Analysis ◽

Demographic And Health Surveys ◽

Chi Square ◽

Safe Delivery

Abstract Background The huge discrepancy in health statistics between developed and developing countries occur in the area of maternal mortality, with developing countries contributing most of the figures. Nepal has higher maternal mortality ratio than its South Asian neighbors. This study assesses the trend of institutional delivery of recent birth and compared the inequalities with associated factors that affect institutional delivery in Nepal.Methods The data for this study was obtained from three sequential Nepal Demographic and Health Surveys [NDHS] of 2006, 2011, and 2016. The information was collected from mothers having a child within last five years preceding the survey years. The total number of such mothers was 4066, 4148, and 3998 respectively in the survey of 2006, 2011, and 2016.The association between institutional delivery and the explanatory variables was assessed via bivariate analysis (chi-square test) and multivariate analysis (binary logistic regression).Results The utilization of health service during delivery stepped up from 21% in 2006 to 62% in 2016.Although the proportion of delivery in health facility increased among poorest over the period of 10 years, the disparity between richest and poorest still persisted from 2006 to 2016 and the association was highly significant in all the surveys. Although, government of Nepal has launched the maternity incentive scheme through safe delivery incentive program in 2005, poor women are still deprived from utilizing the service. Poorest and poorer women were 78 percent (aOR=0.22, 95% CI 0.17-0.27) and 71 Percent (aOR=0.23, 95%CI 0.23-0.35) respectively less likely to have institutional delivery than the richest women after controlling the other socio-demographic and culture factors. Furthermore, this study found that education, place of residence, women’s autonomy, religion, number of ANC visits, exposure to newspaper and TV were significant predicators for place of delivery. Conclusion Although there has been three-fold increment in utilization of health services during delivery over the period of 10 years, the discrepancy between rich and poor, educated and uneducated and urban and rural area is highly evident. Overall, our study highlights the necessity of interventions to promote institutional delivery with greater focus on poor, uneducated, and rural women.

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Professional Commitment and Its Associated Factors among Institutional Delivery Services Providers in Public Health Facilities, In Shone District, Southern Ethiopia

Women Health Care and Issues ◽

10.31579/2642-9756/102 ◽

2022 ◽

Vol 5 (1) ◽

pp. 01-08

Author(s):

Melaku Wolde Anshebo ◽

Tesfaye Gobeana Tessema ◽

Yosef Haile Gebremariam

Keyword(s):

Public Health ◽

Institutional Delivery ◽

Personal Characteristics ◽

Obstetric Care ◽

Health Facilities ◽

Professional Commitment ◽

Southern Ethiopia ◽

Care Providers ◽

Public Health Facilities ◽

Delivery Services

Background: There is paucity of information on level of commitment among health professionals attending delivery service in public health facilities of low-income countries including Ethiopia. Hence, the aim of this study is to assess the level and factors associated with professional commitment among institutional delivery services providers at public health facilities in Shone District, Southern Ethiopia. Methods: A facility-based cross-sectional study design was conducted at primary level public health facilities in Shone District. All health facilities (one primary hospital and 7 health centers) were included in the study. Five hundred three study participants who fulfilled inclusion criteria in proportion to obstetric care providers in each public health facilities were selected by applying simple random sampling method. Self-administered Likert scale type of questionnaire was used. Data were analyzed using SPSS version 20. Bivariate and multivariable logistic regression analyses were done to see the association between dependent and explanatory variables. Results: The magnitude of professional commitment for obstetric care providers working in public health facilities of Shone district was 69.4%. In this study, those who worked at hospital, those who had positive attitude toward organizational commitment, and those who had positive attitude toward personal characteristics were 2.4, 2.3 and 1.76 times more likely committed to profession compared with their counterparts respectively. Conclusion: The professional commitment among institutional delivery service provision was medium as compared to other study finding. All health professional should manage their own personal characteristics to behave in good way to be committed for their profession. Organizational commitment had great influence on professional commitment.

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