Associations between quality of water and sanitation and access to maternal and child health services in South Asia

Abstract Background: The Democratic Republic of the Congo (DRC) is classified among the 5 countries with the highest global maternal mortality ratio (MMR) and highest under-five mortality rate (U5MR) in the world. Kasai is one of 14 provinces of the DRC, which have a high U5MR and MMR. Despite this overriding concern, almost no studies have been conducted to assess maternal et child situation in this province. The aim of this study was to assess access, availability, and quality of maternal and child health services in Kasai Province in the DRC. Methods: A cross-sectional survey of 49 Health Facilities (HFs) integrating quantitative and qualitative data collection was conducted in 18 Health Zones in Kasai Province in the DRC. Documentary review, interviews and direct observation of HFs were performed to collect data. Pearson’s chi-squared test was performed to establish the relation between variables.Results: Nearly 54 % of visited HFs population had a geographical access to maternal and child health services and the majority of medical acts were unaffordable. Basic and comprehensive emergency obstetric care (EmOC) were offered respectively by only 11.8% and 7.6% of HF and none provided high quality basic or comprehensive EmOC. This low availability and quality of EmOC are due to the insufficiency of necessary inputs and personal for maternal and child health services in the majority of HFs. Conclusion: The situation of maternal and child health services is very precarious in Kasai Province. The improvement of EmOC coverage will require rehabilitation of infrastructure, dotation of equipment, regular supply of medicines and strengthening of human resource capacity.

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Quality of records for maternal and child health services at subcentre level in a rural block of Rohtak

Indian Journal of Community Medicine ◽

10.4103/0970-0218.53420 ◽

2007 ◽

Vol 32 (1) ◽

pp. 90

Author(s):

S Prinja ◽

R Verma

Keyword(s):

Child Health ◽

Health Services ◽

Maternal And Child Health ◽

Child Health Services ◽

And Child Health

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Improved Water or Sanitation and Utilization of Maternal and Child Health Services in South Asia—An Analysis of Demographic Health Surveys

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18147667 ◽

2021 ◽

Vol 18 (14) ◽

pp. 7667

Author(s):

Negar Omidakhsh ◽

Ondine S. von Ehrenstein

Keyword(s):

Drinking Water ◽

Child Health ◽

Antenatal Care ◽

South Asia ◽

Maternal And Child Health ◽

World Health ◽

Child Health Services ◽

Skilled Attendant ◽

Water And Sanitation ◽

And Child Health

Globally, many millions of people still lack access to safe drinking water and sanitation facilities. Here, we examined whether household availability of improved drinking water and sanitation, respectively, is associated with utilization of maternal and child health (MCH) services in South Asia. Demographic and Health Survey population-based data from Bangladesh, Nepal, India, and Pakistan were used, restricted to women with a child aged 0–36 months (n = 145,262). Types of households’ water source and sanitation facilities were categorized based on the World Health Organization and UNICEF’s definitions of “improved” and “unimproved”. We applied logistic regressions to estimate odds ratios (OR) and 95% confidence intervals (CI) for improved water and sanitation, respectively, in relation to reported antenatal care visits, having a skilled attendant at birth, and infant vaccination coverage, stratified by maternal education. Among lower educated women, access to improved water was associated with greater ORs for presence of a skilled attendant at delivery and their children having up-to-date immunizations (OR: 1.29; 95% CI: 1.17, 1.42). Among lower and higher educated women, improved sanitation (vs. unimproved) was associated with greater ORs for having had adequate antenatal care visits (OR: 1.74; 95% CI: 1.62, 1.88; OR: 1.71; 95% CI: 1.62, 1.80), and similarly for having had a skilled attendant at birth, and children with up-to-date immunizations. MCH services and water/sanitation should be addressed across sectors aiming at improvement of MCH.

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Pelaksanaan Permainan Ular Tangga dalam Kelas Ibu Hamil

Poltekita: Jurnal Pengabdian Masyarakat ◽

10.33860/pjpm.v1i1.73 ◽

2020 ◽

Vol 1 (1) ◽

pp. 23-28

Author(s):

Lisda Widianti Longgupa ◽

Nurfatimah Nurfatimah ◽

Nilda Yulita Siregar

Keyword(s):

Child Health ◽

Health Services ◽

Pregnant Women ◽

Maternal And Child Health ◽

Health Workers ◽

Child Health Services ◽

Flip Chart ◽

Post Test ◽

And Child Health

The efforts to reduce maternal and infant mortality can be done by increasing the coverage and quality of maternal and child health services. One effort is made to bring health services closer to the community through the pregnant mothers class program. Pregnant woman class is a study group of pregnant women with gestational age between 4 weeks to 36 weeks with a maximum number of 10 participants. In this class, pregnant women will learn together, discuss and exchange experiences on overal maternal and child health, facilitated by midwives or health workers by using the class package for pregnant women, namely flip chart, guidelines for implementing classes of pregnant women, class facilitator’s handbook pregnant women, exercise books for pregnant women and books on maternal and child health (MCH). Based on the results of community service activities with participants of 40 pregnant women there was an increase in correct answers to all participants after participating in class activities for snakes ladderss of pregnant women. From the pre-test result it turns out that most of the results obtained were less than 60. This shows that the knowledge ability of pregnant women is still lacking. However, after holding the snakes ladder pregnant class, there was an increase in the knowledge of pregnant women with an increase in the post-test score point in the range between 21-30 (47.5%).

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