scholarly journals A study on extent of utilization of maternal health care services through community health workers among rural women in Ruhango district at Rwanda

ASIAN SCIENCE ◽  
2014 ◽  
Vol 9 (1and2) ◽  
pp. 1-6
Author(s):  
MUVANDIMWE EMMANUEL ◽  
J. VIJAYALAKSHMI
2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Desalew Zelalem Ayele ◽  
Bekele Belayihun ◽  
Kedir Teji ◽  
Desalegn Admassu Ayana

Introduction. World health organization estimates that more than half a million women lose their lives in the process of reproduction worldwide every year and most of these mortalities are avoidable if mothers have access to maternal health care services. Objectives. This study was conducted with objectives of determining the prevalence of utilization of maternal health care services and identifying factors affecting it. Methodology. A community based cross-sectional survey was conducted in six kebeles of Kombolcha district. A total of 495 women of reproductive age participated in the study and their selection was made using simple random sampling technique and data was collected using an interviewer-administered structured questionnaire. The data was analyzed using SPSS version 16. Results. A total of 495 women were included in this study and from these women about 86.1% had at least one ANC visit during their last pregnancy. About 61.7% of mothers had less than four visits which is less than the recommended and 46.2% started it in the second trimester. Only 25.3% of respondents gave birth in health institutions and rural women were less likely to use institutional delivery 20.9% compared to urban women 35.9%. Recommendations. More efforts should be given to educate society in general and mothers in particular, to strengthen community participation and to increase the accessibility of maternal health care services. Moreover, providing accurate information about the services provided in the health institutions is required from the concerned governmental and nongovernmental organizations.


2015 ◽  
Vol 12 (4) ◽  
pp. 253-258 ◽  
Author(s):  
S Lama ◽  
AKI Krishna

Background Nepal is promoting safe motherhood through maternity incentives schemes. Still about two-thirds of births take place at home. Inadequate access to health care and under utilization of services is the major reasons for poor health of women and children.Objectives The study aim to explore the barriers in utilization of maternal health care services in eastern Nepal specifically to explore the reasons for not availing the services and to assess the indigenous practices regarding maternal health.Methods An exploratory study design was adopted to elicit the information from the selected respondents from different villages. Focus group discussions and in-depth interviews were conducted. Data was transcribed and analyzed manually to identify themes.Results The barriers to maternal health care service utilization were identified as social factors like family pressure, superstition, shyness, misconception, negligence, illiteracy, alcoholism. Likewise, large family size, jobless, unnecessary expenditure on health services was identified as economic barrier. Some cultural practices were also found as barrier for not availing the health services.Conclusion The study explored factors that are contributing in not availing the maternal health care services. The elimination of these barriers will facilitate quality of care and health outcomes. Therefore, the interventions should be developed and implemented to improve the health status of women and children. The result of this study can be utilized to draw the attention of local government, in strategic planning related to maternal health interventions.Kathmandu University Medical Journal Vol.12(4) 2014; 253-258


Author(s):  
Shinjini Ray ◽  
Pravat Bhandari ◽  
Jang Bahadur Prasad

Background: Maternal health was one of the most important millennium development goals (MDGs), India didn’t achieve by the year 2015. Since, India is a multicultural, social and multiregional country, where some of the regions have good social and demographic achievement while some are poor. Haryana is one of them, which has 146 maternal mortality ratio. The level of receiving antenatal care (ANC) in Haryana is quite low as compared to other states of India. Objective of present study was to Understand the extent of use of maternal health care services in Haryana as well as examining the role of antenatal care and other socio-economic factors on the utilization of maternal health services.Methods: Bivariate analysis, chi-square test, and binary logistic regression have been used based on district level household and facility survey-4 data.Results: The utilization of ANC (any and full), institutional delivery and post-delivery treatment seeking varies among women by literacy, age at first marriage, age at women and place of residence. Literate women are two times more likely to access ANC [odds ratio (OR)=1.97 (any ANC), 1.95 (full ANC), p<0.01] and 1.52 times more likely to prefer institutional delivery [OR=1.52, p<0.01].Conclusions: Empowering women through the encouragement of mother’s education should be one of the most fundamental strategies to promote maternal health care services and reduce inequalities.


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