SATISFECTION OF WOMEN REGARDING AVAILABILITY OF MATERNAL AND CHILD HEALTH SERVICES IN COMMUNITY HEALTH CENTRE, AMBALA HARYANA, INDIA

Author(s):  
Priyanka Kumari
Author(s):  
Shankar Reddy Dudala ◽  
Sathyendra Nath Ponna ◽  
Venkata Prasad Upadrasta ◽  
Hemalatha Bathina ◽  
Renuka Sadasivuni ◽  
...  

Background: The undernutrition status among the vulnerable groups in rural areas still persists, despite provision of Anganwadi services in villages. Assessment knowledge and practices about maternal and child health services of frontline workers, will identify knowledge and implementation gaps. Objective was to assess the knowledge, attitude and practices of community health workers of maternal and child health services for identifying gaps for designing and implementing intervention.Methods: In this community based prospective, pre and post intervention-based study, Knowledge, Attitude and Practices (KAP) of the community health workers, in 16 villages and 13 Anganwadi centres of Chandragiri Mandal, Chittoor district, Andhra Pradesh about maternal and child health services were collected. The basic infrastructure of the anganwadis and health centres of Auxiliary nurse midwifes were assessed using a prevalidated survey instrument. Descriptive analysis was used.Results: The knowledge of antenatal and postnatal care was least among Anganwadi workers. Awareness regarding need of colostrum feeding was high in AWW compared to ASHA. ANM and AWW had lesser knowledge about duration of the exclusive breast feeding to the infant. Only 57.1% of ANM had sufficient knowledge about protein energy malnutrition consequences. AWW, ASHA did not have knowledge of vitamin A deficiency signs and symptoms although providing massive dose of vitamin A to children. ASHAs did not have awareness about anaemia and the knowledge was below 50% in ANMs.Conclusions: The study emphasizes the need for proper training with interactive sessions to these frontline workers, which will enhance their knowledge and skills for provision of quality services.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Paulo Henrique das Neves Martins Pires ◽  
Cynthia Macaringue ◽  
Ahmed Abdirazak ◽  
Jaibo Rassul Mucufo ◽  
Martins Abudo Mupueleque ◽  
...  

Abstract Background The Covid-19 pandemic has so far infected more than 30 million people in the world, having major impact on global health with collateral damage. In Mozambique, a public state of emergency was declared at the end of March 2020. This has limited people’s movements and reduced public services, leading to a decrease in the number of people accessing health care facilities. An implementation research project, The Alert Community for a Prepared Hospital, has been promoting access to maternal and child health care, in Natikiri, Nampula, for the last four years. Nampula has the second highest incidence of Covid-19. The purpose of this study is to assess the impact of Covid-19 pandemic Government restrictions on access to maternal and child healthcare services. We compared health centres in Nampula city with healthcare centres in our research catchment area. We wanted to see if our previous research interventions have led to a more resilient response from the community. Methods Mixed-methods research, descriptive, cross-sectional, retrospective, using a review of patient visit documentation. We compared maternal and child health care unit statistical indicators from March–May 2019 to the same time-period in 2020. We tested for significant changes in access to maternal and child health services, using KrushKall Wallis, One-way Anova and mean and standard deviation tests. We compared interviews with health professionals, traditional birth attendants and patients in the two areas. We gathered data from a comparable city health centre and the main city referral hospital. The Marrere health centre and Marrere General Hospital were the two Alert Community for a Prepared Hospital intervention sites. Results Comparing 2019 quantitative maternal health services access indicators with those from 2020, showed decreases in most important indicators: family planning visits and elective C-sections dropped 28%; first antenatal visit occurring in the first trimester dropped 26%; hospital deliveries dropped a statistically significant 4% (p = 0.046), while home deliveries rose 74%; children vaccinated down 20%. Conclusion Our results demonstrated the negative collateral effects of Covid-19 pandemic Government restrictions, on access to maternal and child healthcare services, and highlighted the need to improve the health information system in Mozambique.


Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 88
Author(s):  
Bijaya Kumar Mishra ◽  
Srikanta Kanungo ◽  
Kripalini Patel ◽  
Swagatika Swain ◽  
Subhralaxmi Dwivedy ◽  
...  

Community health workers (CHW) faced increased challenges in delivering maternal and child health services during the current COVID-19 pandemic. In addition to routine services, they were also engaged in pandemic management. In view of a dearth of evidence, the current study explores the challenges faced by CHWs while rendering maternal and child health services. A qualitative study through in-depth interviews (IDI) and focus group discussions (FGD) in six districts of Odisha was conducted from February to April 2021. Data were analyzed using MAXQDA software. Personal-level challenges, like lack of family support, stress, and fear of contracting COVID-19; facility-level challenges, like transportation problems and inadequate personal protective measures; and community-level challenges, like stigma, resistance, and lack of community support were major hindrances in provisioning routine MCH services. Prevailing myths and misconceptions concerning COVID-19 were factors behind stigma and resistance. Sharing experiences with family, practicing yoga and pranayam, engaging ambulance bikes, financial assistance to mothers, counseling people, and involving community leaders were some effective strategies to address these challenges. Development and implementation of appropriate strategy guidelines for addressing the challenges of frontline warriors will improve their work performance and achieve uninterrupted MCH services during pandemics or similar health emergencies.


Author(s):  
Hamidah Bt Hussin ◽  
Roy Rillera Marzo ◽  
Nurazura Binti Mamat ◽  
Nor Faradilla Binti Safee ◽  
Norzita Binti Omar ◽  
...  

Introduction: Immunization is one of the most cost-effective strategies for reducing child mortality. There is a vital need to assess parents’ barriers involving child immunization completion to improve and increase vaccination coverage and completeness. Objective: To determine the barriers of child immunization completion among parents in the Community Health Centre of Johor Bahru. Methodology: The Maternal and Child Health Clinic, Jalan Abdul Samad providing primary immunization was selected via non-random and convenience sampling. Children between1 month to 2 years old who were immunized were identified. Data were obtained from parents who brought in their children for primary vaccination at the Maternal and Child Health Clinic, Jalan Abdul Samad. Results: The response rate for this study was 100% (n=306). All the eligible parents who were approached by the researchers agreed to participate in this research. Out of all respondents, 3 (1.0%) completely refused the immunization of their child, 23 (7.5%) defaulted with the immunization, and 280 (91.5%) completed the immunization. In terms of perception towards immunization, 60 or 19.6% of the total respondents stated that their preference for alternative treatments is their main reason if they decide not to have their children vaccinated. After adjusting for socio-demographic differences, the researchers discovered that parents who have significantly lower coverage for all 10 childhood vaccines themselves were less likely to agree that vaccines are necessary to protect the health of children, to believe that their child might get a disease if they aren't vaccinated, or to believe that vaccines are safe. Conclusion: This first systematic evaluation of immunization refusal in Malaysia showed that a small number of parents refused immunization.


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