scholarly journals Effect of Integrating Maternal and Child Health Services, Nutrition and Family Planning Services on Postpartum Family Planning Uptake at 6 Months Post-partum in Burkina Faso, Cote d’Ivoire and Niger: Protocol of a Longitudinal Quasi-experimental Study

2022 ◽  
Author(s):  
DENISE KPEBO ◽  
Abou Coulibaly ◽  
Maurice Yameogo ◽  
Sujata Bijou ◽  
Lazoumar Ramatoulaye ◽  
...  
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Post Partum ◽  
Child Health Services ◽  
Family Planning Services ◽  
Services Integration ◽  
Quasi Experimental ◽  
And Child Health

Abstract Background : Although several interventions integrating maternal, neonatal, child health and nutrition with family planning have been implemented and tested, there is still limited evidence on their effectiveness to guide program efforts and policy action,on health services integration. This study aims to assess the effectiveness of a service delivery model integrating maternal and child health services, nutrition and family planning services, compared with the general standard of care in Burkina Faso, Cote d'Ivoire, and Niger. Methods: This is a quasi experimental study with one intervention group and one control group of 3-4 health facilities in each country. Each facility was matched to a control facility of the same level of care and that had similar coverage on selected reproductive health indicators such as family planning and post-partum family planning. The study participants are pregnant women (with a 6 months pregnancy at maximum) coming for their first antenatal care visit. They will be followed up to 6 months after childbirth, and will be interviewed at each antenatal visit and also during visits for infant vaccines.The analyzes will be carried out by intention to treat, using generalized linear models (binomial log or log Poisson) to assess the effect of the intervention on the ratio of contraceptive use prevalence between the two groups of the study at a significance level of 5%, while taking into account the cluster effect and adjusting for potential confounding factors (socio-demographic characteristics of women, unevenly distributed at inclusion). Discussion :This longitudinal study, with the provision of family planning services integrated into the whole maternal care continuum, a sufficiently long observation time and repeated measurements, will make it possible to better appreciate the timeline and the factors influencing women's decision-making on the use of post-partum family planning services. The results will help in increasing the body of knowledge regarding the impact of maternal and child health services integration on the utilization of post-partum family planning, taking into account the specific context of sub-Saharan Africa French speaking countries where such information is very needed.

scholarly journals Norms and Practices of Gewata Community Toward Maternal and Child Health Services.

2021 ◽  
Author(s):  
Mesfin Beharu ◽  
Lalisa Ayele
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Post Partum ◽  
Child Health Services ◽  
Medical Services ◽  
Religious Leader ◽  
Infrastructure Development ◽  
Assisted Delivery ◽  
And Child Health

Abstract Background: World Vision Ethiopia is now implementing timely and targeted Counseling, Channel of Hope, Information, Education and communication on Basic Health Service Package using Faith Based Organization with the goal of Contribution in reduction of mothers and New born morbidity and death through further strengthening of the Supportive Supervision and Primary Health Care Unit. The community’s norms, practice, knowledge, accessibility and attitude towards of excellence of service delivered were significant to making choice on utilization of Maternal and Neonate health services. These social gradients apply across family planning, antenatal care assisted delivery and post delivery services.Objective: To assess the norms and practices of Gewata communities toward MCH services during pregnancy, labour and post-partum, South West Ethiopia from March 29- April 20, 2019.Methods: Ethnography study design was employed to describe the norms and practices of Gewata communities toward MCH services during pregnancy, labour and post-partum time. Data were collected through non- probability technique namely in-depth interviews and FGDs. A Total of 14 in-depth interview were and 4 FGD were employed each have 8 members/participants among (Pregnant mothers, Lactating mothers, Health Extension Workers (HEWs) and Health Development Agent Leader (HDAL). Study participants were selected purposively based on maximum variation criteria-based selection. Findings: Currently, it is unhidden reality that the qualities of services, Religious principles, Educational level, Accessibilities of the services, Infrastructure facilities, religious leader perceptions and traditional views have an impact on norms and practice MCH services during pregnancy, delivery and post partum period. On the other hand, the Weradas’ Maternal and Child services are showing some improvements from previous with the improvement of Gewata woreda transportation which mainly indicate impact of infrastructure development on services utilizations. The main tasks ahead include integrating and networking religious healing with modern medical services, improving the underdeveloped medical service infrastructures, improving under developed transportation/road infrastructures and networks, make fit medical services with culture of the community and rising the community’s consciousness of the advantages of Maternal and Child health services.

scholarly journals Women’s experiences of maternal and child health and family planning services in KwaZulu-Natal

Curationis ◽  
2008 ◽  
Vol 31 (2) ◽  
Author(s):  
S Gatsinzi
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Health Services ◽  
Antenatal Care ◽  
Maternal And Child Health ◽  
Family Planning Services ◽  
Contraceptive Counselling ◽  
Kwazulu Natal ◽  
And Child Health ◽  
Women’S Views

The increasing recognition that millions of women and children die every year as a result of the poor health of the mother coupled with inadequate care before, during, and after delivery, has highlighted the importance of seeking women’s views of health services in order to contribute to improving their health. The purpose of this paper is to shed more light on women’s views of health services by exploring their experiences of maternal and child health and family planning services in Cato Manor in KwaZulu- Natal. The findings suggest that the majority of women were unclear about the purpose of antenatal care. Most women had little or no knowledge about the required number of antenatal care visits. In addition, few women reported that they were offered a comprehensive range of contraceptive services during their visit. In most cases, they were only given information on a limited number of family planning methods. However, the majority of women expressed overall satisfaction with the services. Discontent mainly rose from the long waiting period, duration of the consultation and limited contraceptive counselling. In order to ensure sustainable improvements in women’s health increasing involvement of men is also important.

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