scholarly journals A study to assess maternal and child health care utilization by slum dwellers in Shivamogga

2021 ◽  
Vol 8 (4) ◽  
pp. 1646
Author(s):  
Sridevi N. H. ◽  
Praveen Kumar N. ◽  
Swathi H. N.
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Care Facilities ◽  
Care Utilization ◽  
Government Medical College ◽  
Health Seeking ◽  
Medical College ◽  
Slum Dwellers ◽  
And Child Health

Background: As per the WHO estimates, Slums are home to an estimated 8280 lakh people, representing around one third of the world’s urban population. Health is a major economic issue for slum residents. Objective of the study was to assess utilization of health care facilities by slum dwellers with special reference to maternal and child health.Methods: A list of all slums and the number of households therein was collected from city municipal corporation Shivamogga of which 10 slums were selected by simple random sampling all the households in the selected slums were included in the study. Quantitative data were collected from the households of selected slums after taking informed consent using a pretested semi-structured questionnaire. Information about health care seeking with reference to maternal and child health was obtained by checking the available medical records and as self-reported by the respondents. Data were analyzed by using SPSS software.Results: In this study, among the 339 households studied 93.5% of the women had more than 4 antenatal visits and 99.1% of the deliveries were institutional, the most frequently contacted healthcare facility was government medical college.  Conclusions: The availability of better healthcare facilities like government medical college in the proximity of these slums has led to good health seeking behaviour among them.

scholarly journals Trends in and determinants of visiting private health facilities for maternal and child health care in Nepal: Comparison of three Nepal Demographic Health Surveys, 2006, 2011, and 2016.

2020 ◽  
Author(s):  
Ramesh Prasad Adhikari ◽  
Manisha Laxmi Shrestha ◽  
Emily N. Satinsky ◽  
Nawaraj Upadhaya
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Surveys ◽  
Wealth Quintile ◽  
Health Facilities ◽  
Child Health Care ◽  
Health Seeking ◽  
And Child Health ◽  
Over Time

Abstract Background: Maternal and child health care services are available in both public and private facilities in Nepal. No study has yet looked at trends in maternal and child health service use over time in Nepal. This paper assesses trends in and determinants of visiting private health facilities for maternal and child health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods: Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and child health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of health-seeking at private facilities. Results: The results indicate an increase in the use of private facilities for maternal and child health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private health facilities (AOR=6.0, CI= 3.78 -9.52 in 2006; AOR=5.6, CI= 3.51 – 8.81 in 2011; AOR=3.0, CI= 1.53 -5.91 in 2016). Women from the highest wealth quintile (AOR=8.3 CI= 3.97 – 17.42 in 2006; AOR=7.3, CI= 3.91 – 13.54 in 2011; AOR=3.3, CI= 1.54 – 7.09 in 2016) and women with more years of schooling (AOR=1.1, CI= 1.07 – 1.16 in 2006; AOR=1.1, CI= 1.04 – 1.14 in 2011; AOR=1.2, CI= 1.17 -1.27 in 2016) were more likely to deliver in private health facilities. Likewise, children belonging to the highest wealth quintile (AOR=6.4, CI= 1.59 – 25.85 in 2006; AOR=8.0, CI= 2.43 – 26.54 in 2016) were more likely to receive diarrhoea treatment in private health facilities.Conclusions: Women are increasingly visiting private health facilities for maternal and child health care in Nepal. Household wealth quintile, and the mother’s years of schooling were the major determinants for selecting private health facilities for these services. These trends indicate the importance of collaboration between private and public health facilities in Nepal to foster a public private partnership approach in the Nepalese health care sector.

The Impact of Maternal Health Care Utilization on Probability of Child Survival in India

2020 ◽  
Vol 11 (7) ◽  
pp. 1006-1014
Author(s):  
Ajit Kumar Jaiswal
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Child Survival ◽  
Nutrient Deficiency ◽  
Household Wealth ◽  
Care Utilization ◽  
The Government ◽  
The Impact ◽  
And Child Health

Maternal and child health programmes plays a key role in reducing infant and child mortality in any population. The Government of India started maternal and child health care services in the first five year plan (1951-56). This study uses data from the fourth round of the National Family Health Survey (NFHS, 2015-16). We are interested to examine the effect of child delivery at a healthcare facility, on child survival. We are followed by Mosley and Chen’s framework (1884), according to the framework, several socioeconomic determinants are grouped into some categories, namely, maternal, environmental contamination, nutrient deficiency, and personal illness control. Consequently, we reduced the number of independent variables to women’s age at birth and education, birth order, low child birth weight, household wealth, and healthcare.

scholarly journals Trends in and determinants of visiting private health facilities for maternal and child health care in Nepal: comparison of three Nepal demographic health surveys, 2006, 2011, and 2016

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ramesh Prasad Adhikari ◽  
Manisha Laxmi Shrestha ◽  
Emily N. Satinsky ◽  
Nawaraj Upadhaya
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Surveys ◽  
Wealth Quintile ◽  
Health Facilities ◽  
Child Health Care ◽  
Health Seeking ◽  
And Child Health ◽  
Over Time

Abstract Background Maternal and child health care services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and child health service use over time in Nepal. This paper assesses trends in and determinants of visiting private health facilities for maternal and child health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and child health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of health-seeking at private facilities. Results The results indicate an increase in the use of private facilities for maternal and child health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private health facilities. Likewise, children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private health facilities. Conclusions Women are increasingly visiting private health facilities for maternal and child health care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private health facilities for these services. These trends indicate the importance of collaboration between private and public health facilities in Nepal to foster a public private partnership approach in the Nepalese health care sector.

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