scholarly journals Has the Public Health System Provided Adequate Financial Risk Protection for Child Birth Conditions – Evidences From an Eastern Indian State

2018 ◽  
Vol 8 (3) ◽  
pp. 145-149
Author(s):  
Sarit Kumar Rout ◽  
Sandeep Mahapatra
Keyword(s):  
Public Health ◽  
Child Health ◽  
Health System ◽  
Maternal And Child Health ◽  
Public Health System ◽  
Child Health Services ◽  
Financial Barriers ◽  
The Public ◽  
Resource Setting ◽  
And Child Health

Over the years, national and sub-national governments have introduced several initiatives to improve access to maternal and child health services in India. However, financial barriers have posed major constraints. Based upon the data of National Family Health Survey (NFHS) round 4 for Odisha state, our paper examines the out-of-pocket expenditure (OOPE) borne by households for accessing maternal and child healthcare services in a low resource setting of India. We have interpreted results of NFHS-4 by drawing inferences from literature for understanding the rising OOPE in the public health system. Findings suggests that OOPE is considerably high for maternal and child health conditions in Odisha and ranks fifth, despite the coverage of 72% women under Janani Suraksha Yojana (JSY), a condition cash transfer scheme with majority utilizing the public health system. The high OOPE on child delivery raises numerous pertinent questions about the effectiveness of the public health delivery system, and thus requires financial protection in the interest of the population that accesses public health systems in the state.

scholarly journals Challenges in Maternal and Child Health Services Delivery and Access during Pandemics or Public Health Disasters in Low-and Middle-Income Countries: A Systematic Review

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 828
Author(s):  
Krushna Chandra Sahoo ◽  
Sapna Negi ◽  
Kripalini Patel ◽  
Bijaya Kumar Mishra ◽  
Subrata Kumar Palo ◽  
...  
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Child Health ◽  
Maternal And Child Health ◽  
Child Health Services ◽  
Middle Income ◽  
Services Delivery ◽  
Mesh Terms ◽  
Search Approach ◽  
And Child Health

Maternal and child health (MCH) has been a global priority for many decades and is an essential public health service. Ensuring seamless delivery is vital for desirable MCH outcomes. This systematic review outlined the challenges in accessing and continuing MCH services during public health emergencies—pandemics and disasters. A comprehensive search approach was built based on keywords and MeSH terms relevant to ‘MCH services’ and ‘pandemics/disasters’. The online repositories Medline, CINAHL, Psyc INFO, and Epistemonikos were searched for studies. We included twenty studies—seven were on the Ebola outbreak, two on the Zika virus, five related to COVID-19, five on disasters, and one related to conflict situations. The findings indicate the potential impact of emergencies on MCH services. Low utilization and access to services have been described as common challenges. The unavailability of personal safety equipment and fear of infection were primary factors that affected service delivery. The available evidence, though limited, indicates the significant effect of disasters and pandemics on MCH. However, more primary in-depth studies are needed to understand better the overall impact of emergencies, especially the COVID-19 pandemic, on MCH. Our synthesis offers valuable insights to policymakers on ensuring the uninterrupted provision of MCH services during an emergency.

scholarly journals Pengaruh Pelayanan Kesehatan Ibu dan Anak terhadap Peningkatan Kesehatan Masyarakat (Studi pada Pusat Kesehatan Masyarakat Kibin Kecamatan Kibin Kabupaten Serang)

2018 ◽  
Vol 6 (2) ◽  
pp. 126-139
Author(s):  
Rosilawati Rosilawati
Keyword(s):  
Public Health ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Random Sampling ◽  
Research Data ◽  
Child Health Services ◽  
Scale Model ◽  
Stratified Random Sampling ◽  
And Child Health

This study aims to determine whether there is a significant influence between maternal and child health services on improving community health. This research is quantitative, as for the population and samples taken as many as 78 respondents with a randomly stratified random sampling. Instrument research data uses three types of tools, namely questionnaires using the Likers scale model. The questionnaire was prepared with the construction of various data analysis theories carried out at the level of 95%. The results were significant as long as the hypothesis existed. So that the results of this study tell that the variables of maternal and child health services can influence the level of public health.

scholarly journals Barriers in utilization of maternal and child health services among Musahar in Dudhauli Municipality of Sindhuli district, Nepal

2020 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Laxmi Gautam ◽  
Jwala Subedi
Keyword(s):  
Public Health ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Quantitative Methods ◽  
Health Workers ◽  
Child Health Services ◽  
Health Concern ◽  
P Value ◽  
And Child Health

Background: Maternal and Child Health remains a public health challenge in Nepal. This study explored information regarding barriers in the utilization of Maternal and Child Health services among women of Musahar community.Methods: A cross-sectional study was carried out in Dudhauli Municipality, Sindhuli using qualitative and quantitative methods. Qualitative data were obtained from, In Depth Interview among health workers and a Focus Group Discussion among FCHVs of Musahar community. Interview was carried out using questionnaire for quantitative study among 121 mothers of under 5 children. The data was analyzed using SPSS software version 21. Chi Square test was applied to test the associations while p value <0.05 was considered significant.Results: The average age and age at marriage of respondents were 24.6±5.7 years and 16.22±2.8 respectively, 76% were illiterate, 93.2% lies below poverty line and 73.6% were home maker. Among them, 29.8 did not have ANC while 47.1 had 4 or more ANC visits, 64.5% institutional delivery and 29.8% PNC visit. Social barriers and lack of information are major barriers contributing to more than half of no ANC visit and which contribute to >60% in case of PNC. Home delivery for first child was 56.2% while for last child was 33.9%. Almost 1/5th of the children were not vaccinated. Qualitative study identified social factors like negligence, family pressure, shyness, and unhealthy financial decisions as important barriers.Conclusions: Utilization of maternal and child health services was poor among Musahar mothers and children which indicates a serious public health concern.

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