scholarly journals Maternal and child health in the context of COVID-19 pandemic: evidence, recommendations and challenges

2021 ◽  
Vol 21 (suppl 1) ◽  
pp. 213-220
Author(s):  
Pollyanna Costa Cardoso ◽  
Taciana Maia de Sousa ◽  
Daniela da Silva Rocha ◽  
Laura Rangel Drummond de Menezes ◽  
Luana Caroline dos Santos
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Clinical Status ◽  
Well Being ◽  
Asymptomatic Group ◽  
Natural Childbirth ◽  
Risks And Benefits ◽  
Mother And Child ◽  
The Moment ◽  
And Child Health

Abstract Objectives: to present the main evidence, recommendations and challenges for maternal and child health in the context of COVID-19 pandemic. Methods: narrative review of national and international documents and reflections on the theme. Results: the coexistence ofpregnancy/puerperium and COVID-19 infection establishes many challenges. It is extremely important that the conduct should be individually adopted, covering all aspects of health in the mother-child binomial, estimating risks and benefits of each decision. Until now, it is recognized that natural childbirth should be encouraged and breastfeeding maintained, if adequate hygienic-sanitary care is ensured. Cesarean delivery and the isolation and separation of the mother-child contact without breastfeeding, will only be eligible when the clinical status of the mother or child is critical. The child must be included in all stages of health care, as this commonly asymptomatic group plays an important role in the family's transmissibility of the disease. Routine immunization should be provided, as well as clinical assistance when necessary, and families must be assisted in favor of their well-being. Conclusion: at the moment, it is not possible to measure the consequences of this new pandemic on maternal and child health, demanding attention to its evolution and new evidences about the implications in mother and child care.

scholarly journals Educational Strategy for Motherhood and Fatherhood: an Experience of Implementation in Soraca, Colombia

2021 ◽  
Author(s):  
Gina Paola Arocha Zuluaga ◽  
Paula Andrea Castro Prieto ◽  
Nancy Haydeé Millán Echeverría ◽  
Ana María Cárdenas ◽  
Zulma Yanira Fonseca Centeno ◽  
...  
Keyword(s):  
Child Health ◽  
Educational Intervention ◽  
Maternal And Child Health ◽  
Intervention Group ◽  
Well Being ◽  
Support Network ◽  
Control Group ◽  
Mother And Child ◽  
Quasi Experimental ◽  
And Child Health

Abstract Background Preconception education is one of the challenges in maternal and child health in Latin America, in countries such as Colombia. That is why the objective of the following research was to develop a pilot educational intervention aimed at pregnant and breastfeeding women, and their support network, to strengthen practices, skills and knowledge, for informed decision-making and the strengthening of self-care behaviors of women and childcare, beyond childbirth preparation in the municipality of Soraca, located in Boyacá, Colombia in 2017. Methods Quasi-experimental study with an intervention group (municipality of Soraca) and a control group (municipalities of Oicata and Sotaquira) which linked a process and impact evaluation to assess prioritized indicators in terms of maternal and child health and nutrition, before, during and after an educational intervention. Results The main results found that women considered the methodologies used in the educational sessions to be appropriate and relevant and recognized the importance of the call and home visit postpartum nurse. The strategy increased the involvement of the support network in training processes. In turn, the proportion of children who were breastfed was higher in the intervention group than in the control group (88% vs. 60% p = 0.037). The proportion of children who received a bottle was higher in the control group compared to the intervention group (57.1% vs. 16% p = 0.006). Conclusion Strategies such as the one developed in Soraca allow for improved health outcomes for the mother and child and their support network. The strategy 123 in Soraca was a clear example of how a prenatal educational intervention generates positive outcomes for mothers, infants, and their support networks in the areas of food and nutrition, emotional well-being, and physical health.

Complexity of Breastfeeding on Child/Maternal Health and Counseling Intervention

2020 ◽  
pp. 395-402
Author(s):  
Ogunlade Joseph Olurotimi
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
World Health ◽  
Maternal Behaviour ◽  
Research Approach ◽  
Counseling Intervention ◽  
Mother And Child ◽  
Health Organization ◽  
And Child Health ◽  
Counseling Approach

This chapter is a critical review of the complexities of breastfeeding and its attending effects on the health of the Mother and Child. The researcher employs a historical research approach to gather both theoretical and empirical facts on this issue. It was discovered that in spite of the pragmatic and frantic efforts by different individuals, organizations, governments and non-governmental bodies in establishing a universal, healthy and safest method of breastfeeding through research, publications, workshops and so on, based on the unavoidable and uncompromising importance and benefits to maternal and child health, it is on record that the maternal behaviour is still obviously at variance to the acceptability of full breastfeeding as promulgated and declared by World Health Organization (WHO). A serious, dedicated, pragmatic and coordinated counseling approach is therefore recommended to be adopted to revive and strengthening a positive behaviour in women to foster positive attitude towards breastfeeding to guarantee 100% morbidity and mortality rate in Maternal and Child health.

Maternal and Child Health

2013 ◽  
Author(s):  
Valire Carr Copeland ◽  
Daniel Hyung Jik Lee
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Social Reform ◽  
Multidisciplinary Approach ◽  
Critical Role ◽  
Well Being ◽  
Research Community ◽  
Policies And Programs ◽  
Health And Well Being ◽  
And Child Health

Social reform efforts of the settlement-house movement have provided, in part, the foundation for today’s Maternal and Child Health Bureau’s policies, programs, and services. Planning, implementing, and evaluating policies and programs that affect the health and well-being of mothers and children require a multidisciplinary approach. Social workers, whose skills encompass direct services, advocacy, planning and research, community development, and administration, have a critical role to play in improving the health outcomes of maternal and child populations.

A History of Child Health Equity Legislation in the United States

PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_3) ◽  
pp. 727-730
Author(s):  
Peter C. van Dyck
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Child Health ◽  
Access To Care ◽  
Maternal And Child Health ◽  
Well Being ◽  
The United States ◽  
Pediatric Care ◽  
And Child Health

The Issue. The mission of the Maternal and Child Health Bureau (MCHB) is comprehensive in scope and establishes the capacity, structure, and function for the MCHB to continually improve the health and well-being of pregnant women and children. The MCHB works in partnership with states and has broad authority to improve access to care and ensure the provision of quality preventive and primary care services. Specific provisions of legislation establish the framework for accomplishing this mission. With the increasing recognition of the social, economic, and environmental determinants of child health and the inequities that exist in access and quality of care for children, the Maternal and Child Health Bureau (MCHB) has set the following 3 goals for year 2003: 1) To eliminate disparities in health status outcomes through the removal of economic, social, and cultural barriers to receiving comprehensive, timely, and appropriate health care; 2) To ensure the highest quality of care through the development of practice guidance and data monitoring and evaluation tools; the use of evidence-based research; and the availability of a well-trained, culturally diverse workforce; and 3) To facilitate access to care through the development and improvement of the maternal and child health infrastructure and systems of care to enhance the provision of necessary, coordinated, quality health care. Priority MCHB strategies to accomplish these goals include improving and expanding 1) the cultural competence of providers (in particular to decrease sudden infant death syndrome [SIDS] among minorities), 2) emergency medical services for children, 3) health and safety in child care, 4) quality of primary pediatric care, and 5) the providing of every child with a medical home.

Restoring Human Connections to Health Care at the Pregnancy Aid Center

2013 ◽  
Vol 35 (4) ◽  
pp. 49-52
Author(s):  
Amanda Pike
Keyword(s):  
Child Health ◽  
Well Being ◽  
Postnatal Period ◽  
Reproductive Age ◽  
World Health ◽  
Maternal Child Health ◽  
Health Seeking ◽  
Mother And Child ◽  
Health And Well Being ◽  
And Child Health

Health seeking practices of the mother in the pre/postnatal period can serve as an indicator of future maternal child health, according to the World Health Organization's (WHO 2013) 11 indicators of maternal, newborn, and child health. Postnatal care and the initiation and maintenance of breastfeeding are important to the immediate health and well-being of both mother and child for many reasons, yet these findings are unconnected to the health seeking practices of women of reproductive age.

scholarly journals Thirty-five years later: Long-term effects of the Matlab maternal and child health/family planning program on older women’s well-being

2021 ◽  
Vol 118 (28) ◽  
pp. e2101160118
Author(s):  
Tania Barham ◽  
Brachel Champion ◽  
Andrew D. Foster ◽  
Jena D. Hamadani ◽  
Warren C. Jochem ◽  
...  
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Maternal And Child Health ◽  
Well Being ◽  
Economic Benefits ◽  
Economic Outcomes ◽  
Long Term Effects ◽  
And Child Health ◽  
Differential Access

Family planning programs are believed to have substantial long-term benefits for women’s health and well-being, yet few studies have established either extent or direction of long-term effects. The Matlab, Bangladesh, maternal and child health/family planning (MCH/FP) program afforded a 12-y period of well-documented differential access to services. We evaluate its impacts on women’s lifetime fertility, adult health, and economic outcomes 35 y after program initiation. We followed 1,820 women who were of reproductive age during the differential access period (born 1938–1973) from 1978 to 2012 using prospectively collected data from the Matlab Health and Demographic Surveillance System and the 1996 and 2012 Matlab Health and Socioeconomic Surveys. We estimated intent-to-treat single-difference models comparing treatment and comparison area women. MCH/FP significantly increased contraceptive use, reduced completed fertility, lengthened birth intervals, and reduced age at last birth, but had no significant positive impacts on health or economic outcomes. Treatment area women had modestly poorer overall health (+0.07 SD) and respiratory health (+0.12 SD), and those born 1950–1961 had significantly higher body mass index (BMI) in 1996 (0.76 kg/m2) and 2012 (0.57 kg/m2); fewer were underweight in 1996, but more were overweight or obese in 2012. Overall, there was a +2.5 kg/m2 secular increase in BMI. We found substantial changes in lifetime contraceptive and fertility behavior but no long-term health or economic benefits of the program. We observed modest negative health impacts that likely result from an accelerated nutritional transition among treated women, a transition that would, in an earlier context, have been beneficial.

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