scholarly journals A cross sectional study to determine the reasons for non-utilization of reproductive and child health services in district Etawah

2020 ◽  
Vol 7 (3) ◽  
pp. 1178
Author(s):  
Vaibhav Singh ◽  
Dhiraj Kumar Srivastava ◽  
Pankaj Kumar Jain ◽  
Sandip Kumar ◽  
Sushil Kumar Shukla ◽  
...  
Keyword(s):  
Child Health ◽  
Health Services ◽  
Hospital Staff ◽  
Cross Sectional Study ◽  
Common Reason ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Poor ◽  
Reproductive And Child Health ◽  
And Child Health

Background: The utilization of social services, including health services, has never been equitably distributed in the society. Cost, distance, attitude of health providers, and other factors put the secondary care and private sector facilities out of reach of most of the poor residents. The socioeconomic factors also have a complex relationship with some of the supply factors, and often in the scarcity of good data, it is very difficult to explain the poor utilization of reproductive and child health (RCH) services.Methods: A cross sectional study conducted on 80 recently delivered women at home in the villages covered under the selected subcentre to interview all recently delivered women to find out the reasons for non-utilization of RCH services. The data was collected by using pre designed semi-structured questionnaire.Results: Most of the participants belong to age group of 20 to 24 (55%) and joint family (51.3%). Main reason for not having institutional delivery was found to be long waiting time in hospital/lack of proper facilities (50%) followed by non-cooperative hospital staff (36.2%). The study showed that most common reason for not getting money under JSY was found to be non-issuance of JSY card (33.3%) and non-cooperative hospital staff (33.3%). It was found that non utilisation of contraceptive services was mainly due to objection by husband (45.5%).Conclusions: This study revealed lack of knowledge, no felt need and financial constraints as the most common reason for not utilizing the different RCH services.

scholarly journals Socio-economic and demographic factors associated with reproductive and child health preventive care in Mozambique: a cross-sectional study

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Chanvo Daca ◽  
Miguel San Sebastian ◽  
Carlos Arnaldo ◽  
Barbara Schumann
Keyword(s):  
Health Care ◽  
Child Health ◽  
Cross Sectional Study ◽  
Health Coverage ◽  
Sectional Study ◽  
Cross Sectional ◽  
Modern Contraceptives ◽  
Reproductive And Child Health ◽  
Universal Health ◽  
And Child Health

Abstract Background Reproductive and child health interventions are essential to improving population health in Africa. In Mozambique, although some progress on reproductive and child health has been made, knowledge of social inequalities in health and health care is lacking. Objective To investigate socio-economic and demographic inequalities in reproductive and child preventive health care as a way to monitor progress towards universal health coverage. Methods A cross-sectional study was conducted, using data collected from the 2015 Immunization, AIDS and Malaria Indicators Survey (IMASIDA) in Mozambique. The sample included 6946 women aged 15 to 49 years. Outcomes variables were the use of insecticide treated nets (ITN) for children under 5 years, full child immunization and modern contraception use, while independent variables included age, marital status, place of residence, region, education, occupation, and household wealth index. Prevalence ratios (PR) with 95% confidence intervals (95% CI) were calculated by log binomial regression to assess the relationship between the socio-economic and demographic characteristics and the three outcomes of interest. Results The percentage of mothers with at least one child under 5 years that did not use ITN was 51.01, 46.25% of women had children aged 1 to 4 years who were not fully immunized, and 74.28% of women were not using modern contraceptives. Non-educated mothers (PR = 1.33; 95% CI: 1.16–1.51) and those living in the Southern region (PR = 1.36; 95% CI: 1.17–1.59) had higher risk of not using ITN, while the poorest quintile (PR = 1.34; 95% CI: 1.04–1.71) was more likely to have children who were not fully immunized. Similarly, non-educated women (PR = 1.17; 95% CI: 1.10–1.25), non-working women (PR = 1.09; 95% CI: 1.04–1.16), and those in the poorest quintile (PR = 1.13; 95% CI: 1.04–1.24) had a higher risk of not using modern contraceptives. Conclusion Our study showed a low rate of ITN utilization, immunization coverage of children, and modern contraceptive use among women of reproductive age. Several socio-economic and demographics factors (region, education, occupation, and wealth) were associated with these preventive measures. We recommend an equity-oriented resource allocation across regions, knowledge dissemination on the importance of ITN and contraceptives use, and an expansion of immunization services to reach socio-economically disadvantaged families in order to achieve universal health coverage in Mozambique.

scholarly journals Vitamin D status among infants attending Reproductive and Child Health Centre in Arusha, Tanzania; A cross-sectional study 

2021 ◽  
Author(s):  
Victor Zablon Urio ◽  
Kasirye Phillip ◽  
Victor Musiime ◽  
Theresa Piloya ◽  
Stephen Swanson
Keyword(s):  
Vitamin D ◽  
Child Health ◽  
Vitamin D Deficiency ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Reproductive And Child Health ◽  
And Child Health

Abstract Background: Globally there is a high burden of low serum vitamin D levels, with children being more at risk, due to low intake in breastmilk, few available foods and inadequate cutaneous synthesis of vitamin D. Even in countries with abundant sunshine, Vitamin D deficiency (VDD) remains a problem. The classical clinical effect of severe vitamin D deficiency is rickets. VDD is common in developing countries and may affect developmental outcomes of children. This study aimed to determine the prevalence and factors associated with vitamin D deficiency among infants attending the Reproductive and Child Health Clinic (RCH), in Arusha, Tanzania.Methods: This was a cross-sectional study of infants aged 6 weeks to 12 months attending RCH clinic at Arusha Lutheran Medical Centre (ALMC). We enrolled 304 infants from November 2018 to January 2019 after consent. A pre-coded questionnaire was used to collect data on sociodemographic characteristics of the infants. Physical examination was done for anthropometric measures and signs of rickets. Serum was drawn for assessment of 25-hydroxyvitamin D (25(OH) D),calcium, phosphorus, alkaline phosphate was assessed. Vitamin D deficiency was defined as 25(OH)D less than 20ng/ml. Multivariate analysis was done to determine factors associated with VDD. Statistical analysis was performed using STATA 14 version. P- value < 0.05 was significant. Results: A total of 67/ 304 infants had vitamin D deficiency. Another 50(16.5%) were found to have insufficiency level of vitamin D. Only 187(61.5%) had adequate vitamin D. Signs of rickets were observed in 11(3.6%) and hypocalcemia in 33(10.9%) infants. Factors independently associated with VDD include age < 6 months Adjusted Odds Ratio (AOR) 1.56 (95% CI 1.19-4.0) p value < 0.026, presence of signs of rickets and hypocalcemia p value <0.001 and <0.002 respectively. Conclusion and Recommendation: A high prevalence of VDD (22%) was observed among infants attending RCH clinic in Arusha Tanzania. Age <6 months and the presence of the clinical sign of rickets were associated with VDD. Clinicians should actively assess for VDD and vitamin D supplementation with special emphasis infants <6 months should be implemented.

scholarly journals Men’s knowledge and awareness of maternal, neonatal and child health care in rural Bangladesh: a comparative cross sectional study

2012 ◽  
Vol 9 (1) ◽  
Author(s):  
Hashima E Nasreen ◽  
Margaret Leppard ◽  
Mahfuz Al Mamun ◽  
Masuma Billah ◽  
Sabuj Kanti Mistry ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Cross Sectional Study ◽  
Child Health Care ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rural Bangladesh ◽  
Men’S Knowledge ◽  
And Child Health

scholarly journals Reproductive and Child Health Related Contents at undergraduate medical level in the Community Medicine - Teachers’ view

2012 ◽  
Vol 18 (1) ◽  
pp. 29-33
Author(s):  
Sharmin Jahan ◽  
Md Humayun Kabir Talukder
Keyword(s):  
Problem Solving ◽  
Child Health ◽  
Cross Sectional Study ◽  
Community Medicine ◽  
Group Discussions ◽  
Cross Sectional ◽  
Medical Undergraduate ◽  
Health Related ◽  
Reproductive And Child Health ◽  
And Child Health

Objectives: The objectives of this study were to assess the views of teachers regarding the reproductive and child health related contents at the medical undergraduate level in Bangladesh. Methodology: A descriptive type of cross-sectional study was carried out from January 2009 to June 2009 among 30 teachers of government and non government medical colleges in Bangladesh. Data were collected by pre tested self administered semi-structured questionnaire. Results: Results of the study shows that a total of 58% of the teachers feel that topics such as maternal health, infant and child care, family planning and adolescent health might be useful in future life. They have shown more interest towards problem solving class with scenario exercises, group discussions and brain storming sessions. They also feel that clinical oriented topics should be included more. It was also revealed that more than 65% of the teachers feel that RCH related contents are the most important or one of the most important topics in the Community Medicine. Conclusion and recommendation: Some of the non-traditional teaching methods like problem solving class with scenario exercises, group discussions and brain storming sessions may be practiced to improve the teaching and assessment in reproductive and child health related contents at the undergraduate medical level in Bangladesh. DOI: http://dx.doi.org/10.3329/jdnmch.v18i1.12236 J. Dhaka National Med. Coll. Hos. 2012; 18 (01): 29-33

scholarly journals Prevalence and risk factor analysis for post-partum depression in women: a cross-sectional study at tertiary care centre

2019 ◽  
Vol 9 (1) ◽  
pp. 266
Author(s):  
Kanchan Rani ◽  
Nupur Nandi ◽  
Seema Singh Parmar ◽  
Priyanka Rathore
Keyword(s):  
Risk Factors ◽  
Child Health ◽  
Postpartum Depression ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mother And Child Health ◽  
Mother And Child ◽  
And Child Health

Background: Postpartum depression (PPD) is non-psychotic depressive episode that occurs between postpartum to fourteen months of childhood. It has adverse effect on mother and child health. Aim of this study was to analyze prevalence and risk factors for postpartum depression at tertiary care centre.Methods: This cross-sectional study was done in obstetrics and gynaecology department where 175 women between 10 days to 1 year of delivery were assessed using Edinberg postpartum depression scale. A score of 10 or more were taken as sign of postpartum depression. Various socio-demographic and obstetrics variables were assessed using SPSS (Statistical Package for the Social Sciences).Results: Prevalence of PPD was found in 11.4% patients. Common risk factors associated were intrauterine death (IUD) or early neonatal death, postpartum complications and lack of family support.Conclusions: Postpartum is common among postnatal women and is associated with various factors which can be modified. So early detection of associated risk factors is needed for early intervention and prevents its impact on mother and child health. 

RICH–POOR GAP IN UTILIZATION OF REPRODUCTIVE AND CHILD HEALTH SERVICES IN INDIA, 1992–2005

2009 ◽  
Vol 41 (3) ◽  
pp. 381-398 ◽  
Author(s):  
S. K. MOHANTY ◽  
P. K. PATHAK
Keyword(s):  
Child Health ◽  
Health Services ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Wealth Index ◽  
Child Health Services ◽  
Medical Assistance ◽  
The Poor ◽  
Reproductive And Child Health ◽  
And Child Health

SummaryThis paper examines the trends in utilization of five indicators of reproductive and child health services, namely, childhood immunization, medical assistance at delivery, antenatal care, contraceptive use and unmet need for contraception, by wealth index of the household in India and two disparate states, Uttar Pradesh and Maharashtra. The data from three rounds of the National Family and Health Survey conducted during 1992–2005 are analysed. The wealth index is computed using principal component derived weights from a set of consumer durables, land size, housing quality and water and sanitation facilities of the household, and classified into quintiles for all three rounds. Bivariate analyses, rich–poor ratio and concentration index are used to understand the trends in utilization of, and inequality in, reproductive and child health services. The results indicate huge disparities in utilization of these services, largely to the disadvantage of the poor. Utilization of basic childhood immunization among the poorest and the poor stagnated in India, as well as in both states, during 1998–2005 compared with 1992–1998. The use of maternal care services such as medical assistance at delivery and antenatal care remained at a low level among the poor over this period. However, contraceptive use increased relatively faster among the poor, even with higher unmet need. Of all these services, the inequality in medical assistance at delivery is consistently large, while that of contraceptive use is small. The state-level differences in service coverage by wealth quintiles over time are large.

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