scholarly journals Preventive health service coverage among infants and children at six maternal-child health clinics in western Kenya: A cross-sectional assessment

2020 ◽  
Author(s):  
Andrew Deathe ◽  
Eren Oyungu ◽  
Samuel O. Ayaya ◽  
Ananda R. Ombitsa ◽  
Carole I. McAteer ◽  
...  

Abstract BackgroundDespite the substantial reduction of child mortality in recent decades, Kenya still strives to provide universal healthcare access and to meet other international benchmarks for child health. This study aimed to describe child health service coverage among children visiting six Maternal and Child Health (MCH) clinics in western Kenya. MethodsIn a cross-sectional study of Kenyan young children (≤5 years) presenting to MCH clinics, child health records were reviewed to determine coverage of immunizations, growth monitoring, vitamin A supplementation, and deworming. Among 78 children and their caregivers, nearly 70% of children were fully vaccinated for their age. ResultsWe found a significant disparity in full vaccination coverage by gender (p = .017), as males had 3.5x higher odds of being fully vaccinated compared to females. Further, full vaccination coverage also varied across MCH clinic sites ranging from 43.8% to 92.9%. ConclusionsHealth service coverage for Kenyan children in this study is consistent with national and sub-national findings; however, our study found a significant gender equity gap in coverage at these six clinics that warrants further investigation to ensure that all children receive critical preventative services.

2017 ◽  
Author(s):  
Adama Kazienga ◽  
Ernest Tambo ◽  
Stefano Giordano

BACKGROUND Despite laudable efforts and achievement, maternal and child mortality remains high in Africa. The region accounts for 97% of maternal and 94% of children less than five mortality in 2015. Limited resources, lack of infrastructures and shortage of healthcare workers have been identified as the main barriers towards healthcare outcomes improvement. Availability and use of mobile phones is increasing rapidly with 46% of African population having a mobile-cellular subscription in 2015. Mobile health (mHealth) interventions have proven to be beneficial in improving maternal and child health service delivery and outcomes in developed countries and elsewhere. In Africa, only few mhealth pilot research projects and small studies have been conducted, those limiting generalizability OBJECTIVE The objective of the project is to provide an overview about the current impact of mHealth applications and innovative strategies in improving large-scale (population-based) immunization coverage and maternal- child health service delivery in African countries METHODS Peer-reviewed papers were identified from Medline/PubMed, Google scholar and mHealthEvidence database via a combination of search terms RESULTS A total of 1217 articles were found of which only 17 met the inclusion criteria and were included in the project. Our findings indicates that there is some evidence on the potential of mHealth applications benefitsin increasing childhood immunization awareness, retention, coverage and effectiveness as well as maternal- child quality care delivery and outcomes CONCLUSIONS Building robust and resilient government and stakeholders leadership, committed partnerships and platform is crucial in investing on large-scale and sustainable ownership of mhealth policies and programs, adequate infrastructure, building capacity and mHealth/eHealth management implementation in strengthening health systems. Moreover, addressing inherent issues of mhealth interoperatibility, patient data privacy. confidentiality and security is needed for socio-economic benefits, cost-effective digital landscape public health solutions and gains across African countries


2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Hannah Tappis ◽  
Sarah Elaraby ◽  
Shatha Elnakib ◽  
Nagiba A. Abdulghani AlShawafi ◽  
Huda BaSaleem ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Dario Consonni ◽  
Marina Margarida Montenegro Agorostos Karagianis ◽  
Giuseppe Bufardeci

Objectives. We evaluated immunisation with Bacille Calmette-Guérin (BCG) among newborns in 2011 in the Maringue District, Sofala Province, Mozambique, which includes seven health units. The study was motivated by the fact that in official reports, immunisation coverage was unreliable (more than 100%).Methods. The office of maternal-child health of the central Maringué-Sede health unit provided the number of live newborns in 2011 at the maternal clinics of the seven health units and an estimate of the number of home deliveries. From vaccination registers, we abstracted records of BCG vaccinations administered in the period 01/01/2011–30/06/2012 to children born in 2011.Results. The number of live newborns was 3,353. Overall, the number of BCG vaccinations administered was 2,893, with a coverage of 86.3%.Conclusion. In this study, we could only calculate an approximate coverage estimate, because of unavailability of adequate individual information. Recording practices should be changed in order to allow use of individual information and linkage across different information sources and thus a more precise vaccination coverage assessment.


BMJ ◽  
1979 ◽  
Vol 1 (6158) ◽  
pp. 242-245 ◽  
Author(s):  
K Whitmore ◽  
M Bax ◽  
S Tyrrell

2021 ◽  
Vol 9 (1) ◽  
pp. 123-135
Author(s):  
Mesele D. Argaw ◽  
Binyam D. Fekadu ◽  
Elias Mamo ◽  
Melkamu G. Abebe ◽  
Deirdre Rogers ◽  
...  

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