Global Health Project for Maternal Child Health in a Developing Country: Case Study in Tigray, Ethiopia

2014 ◽  
Vol 11 (1) ◽  
pp. 1 ◽  
Author(s):  
Kyung-Sook Bang ◽  
Insook Lee ◽  
Young-Sook Park ◽  
Sun-Mi Chae ◽  
Hyunju Kang ◽  
...  
2007 ◽  
Vol 26 (6) ◽  
pp. 357-360 ◽  
Author(s):  
Yolanda Ogbolu

Almost all of the millions of babies who die worldwide in the first four weeks of life are in low- and middle-income countries. The socioeconomic status of developing countries adversely affects maternal-child health because it limits access to adequate nutrition, quality health care, medications, safe water, adequate sanitation, and other basic social services. The factors associated with high infant mortality rates transcend national boundaries, making infant mortality a critical global health problem. Poverty is one of the most important factors affecting the infant mortality rate in Nigeria. This examination of infant mortality in Nigeria exemplifies the multifactorial national and international issues underlying infant mortality in developing countries. Infant mortality in these countries will not improve without global attention and intervention. By finding creative ways to share expert knowledge about caring for neonates, neonatal nurses can contribute to global improvements in maternal-child health care.


BMC Nursing ◽  
2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Melissa T. Ojemeni ◽  
Paulomi Niles ◽  
Salum Mfaume ◽  
Ntuli A. Kapologwe ◽  
Linda Deng ◽  
...  

2020 ◽  
Vol 10 (1) ◽  
pp. 19-28
Author(s):  
Michelle Berlacher ◽  
Timothy Mercer ◽  
Edith O. Apondi ◽  
Winfred Mwangi ◽  
Edwin Were ◽  
...  

Background: Health systems integration is becoming increasingly important as the global health community transitions from acute, disease-specific health programming to models of care built for chronic diseases, primarily designed to strengthen public-sector health systems. In many countries across sub-Saharan Africa, including Kenya, prevention of mother-to-child transmission of HIV (pMTCT) services are being integrated into the general maternal child health (MCH) clinics. The objective of this study was to evaluate the benefits and challenges for integration of care within a developing health system, through the lens of an evaluative framework. Methods: A framework adapted from the World Health Organization’s six critical health systems functions was used to evaluate the integration of pMTCT services with general MCH clinics in western Kenya. Perspectives were collected from key stakeholders, including pMTCT and MCH program leadership and local health providers. The benefits and challenges of integration across each of the health system functions were evaluated to better understand this approach. Results: Key informants in leadership positions and MCH staff shared similar perspectives regarding benefits and challenges of integration. Benefits of integration included convenience for families through streamlining of services and reduced HIV stigma. Concerns and challenges included confidentiality issues related to HIV status, particularly in the context of high-volume, crowded clinical spaces. Conclusion and Global Health Implications: The results from this study highlight areas that need to be addressed to maximize the effectiveness and clinical flow of the pMTCT-MCH integration model. The lessons learned from this integration may be applied to other settings in sub-Saharan Africa attempting to integrate HIV care into the broader public-sector health system. Key words: • HIV prevention • Maternal-child health • Prevention of maternal-to-child transmission • Health services • Integration • Kenya • Sub-Saharan Africa Copyright © 2020 Berlacher et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rebecca Rich ◽  
Thomsen D’Hont ◽  
Kellie E. Murphy ◽  
Jeremy Veillard ◽  
Susan Chatwood

Abstract Background Meaningful performance measurement requires indicators to be scientifically robust and strategically focused. For many circumpolar states, indicators aligned with national strategies may ignore the priorities of northern, remote, or Indigenous populations. The aim of this project was to identify contextually appropriate performance indicators for maternity care in circumpolar regions. Methods Fourteen maternity care and health systems experts participated in a modified Delphi consensus process. The list of proposed indicators was derived from a previously published scoping review. Fourteen participants rated each proposed indicator according to importance, circumpolar relevance, validity, and reliability and suggested additional indicators for consideration. Results Consensus was achieved after two rounds, as measured by a Cronbach’s alpha of 0.87. Eleven indicators, many of which represented physical health outcomes, were ranked highly on all four criteria. Twenty-nine additional indicators, largely focused on social determinants of health, health care responsiveness, and accessibility, were identified for further research. Travel for care, cultural safety and upstream structural determinants of health were identified as important themes. Conclusions This study identified the important gaps between current performance measurement strategies and the context and values that permeate maternal-child health in circumpolar regions. The indicators identified in this study provide an important foundation for ongoing work. We recommend that future work encompass an appreciation for the intersectoral nature of social, structural, and colonial determinants of maternal-child health in circumpolar regions.


2006 ◽  
Vol 38 (3) ◽  
pp. 219-224 ◽  
Author(s):  
Sivia Barnoy ◽  
Dorit Appel ◽  
Chava Peretz ◽  
Hana Meiraz ◽  
Mally Ehrenfeld

2000 ◽  
Vol 32 (1) ◽  
pp. 1-15 ◽  
Author(s):  
ISAAC ADDAI

This study uses data from the Ghana Demographic and Health Survey (GDHS) of 1993 to examine factors determining the use of maternal–child health (MCH) services in rural Ghana. The MCH services under study are: (1) use of a doctor for prenatal care; (2) soliciting four or more antenatal check-ups; (3) place of delivery; (4) participation in family planning. Bivariate and multivariate techniques are employed in the analyses. The analyses reveal that the use of MCH services tends to be shaped mostly by level of education, religious background and region of residence, and partially by ethnicity and occupation. The implications of these results are discussed.


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