scholarly journals Trends of Maternal Health Service Coverage in the Democratic Republic of the Congo: A Pooled Cross-Sectional Study of MICS 2010 to 2018

2021 ◽  
Author(s):  
Fuyu Guo ◽  
Xinran Qi ◽  
Huayi Xiong ◽  
Qiwei He ◽  
Tingkai Zhang ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Service ◽  
Democratic Republic ◽  
Skilled Birth Attendance ◽  
Maternal Health Service ◽  
Maternal Healthcare ◽  
Cross Sectional ◽  
Birth Attendance ◽  
Republic Of The Congo ◽  
The Impact

Abstract Background Maternal health service is essential for reducing maternal and newborn mortality. However, maternal health service status in the Democratic Republic of the Congo (DRC) remains poorly understood. This study aims to explore the trends of antenatal care (ANC) and skilled birth attendance coverage in the past decade in the DRC.Methods The 13,313 participants were from two rounds of Multiple Indicators Cluster Survey (MICS) conducted by the National Institute of Statistics of the Ministry of Planning of the DRC, in collaboration with the United Nations Children’s Fund (UNICEF), in 2010 and 2017-2018. A regression-based method was adopted to calculate the adjusted coverages of ANC and skilled birth attendance. Subgroup analysis based on different socioeconomic status (SES) was conducted to explore the impact of domestic conflicts.Results From 2010 to 2018, the overall weighted ANC coverage declined from 87.3% (95% CI 84.1% to 86.0%) to 82.4% (95% CI 81.1% to 84.0%), while the overall weighted skilled birth attendance coverage increased from 74.2% (95% CI 72.5% to 76.0%) to 85.2% (95% CI 84.1% to 86.0%) in the DRC. The adjusted ANC coverage and adjusted skilled birth attendance coverage both declined in the Kasai Oriental, but both increased in the Nord Kivu and Sud Kivu. In the Kasai region, the largest decline for the adjusted coverages of ANC and skilled birth attendance was found among the poorest women. Nevertheless, in the Kivu region, both the adjusted coverages of ANC and the skilled birth attendance increased for the poorest women. Conclusions With lasting domestic conflicts, there was a systemic deterioration of maternal healthcare coverage in some regions, particularly among people with low SES. While in some other regions, maternal healthcare service was not severely disrupted due possibly to the substantial international health assistance.

scholarly journals Effect of power outages on the use of maternal health services: evidence from Maharashtra, India

2019 ◽  
Vol 4 (3) ◽  
pp. e001372 ◽  
Author(s):  
Mustafa Koroglu ◽  
Bridget R Irwin ◽  
Karen A Grépin
Keyword(s):  
Maternal Health ◽  
Caesarean Section ◽  
Health Services ◽  
Skilled Birth Attendance ◽  
Maternal Health Service ◽  
Power Outage ◽  
Lower Odds ◽  
Birth Attendance ◽  
Low Middle Income Countries ◽  
Caesarean Section Delivery

IntroductionElectricity outages are common in low/middle-income countries and have been shown to adversely affect the operation of health facilities; however, little is known about the effect of outages on the utilisation of health services.MethodsUsing data from the 2015–2016 India Demographic Health Survey, combined with information on electricity outages as reported by the state electricity provider, we explore the associations between outage duration and frequency and delivery in an institution, skilled birth attendance, and caesarean section delivery in Maharashtra State, India. We employ multivariable logistic regression, adjusting for individual and household-level covariates as well as month and district-level fixed effects.ResultsPower outage frequency was associated with a significantly lower odds of delivering in an institution (OR 0.98; 95% CI 0.96 to 0.99), and the average number of 8.5 electricity interruptions per month was found to yield a 2.08% lower likelihood of delivering in a facility, which translates to an almost 18% increase in home births. Both power outage frequency and duration were associated with a significantly lower odds of skilled birth attendance (OR 0.97; 95% CI 0.95 to 0.99, and OR 0.99; 95% CI 0.992 to 0.999, respectively), while neither power outage frequency nor duration was a significant predictor of caesarean section delivery.ConclusionPower outage frequency and duration are important determinants of maternal health service usage in Maharashtra State, India. Improving electricity services may lead to improved maternal and newborn health outcomes.

scholarly journals Initiation and continuity of maternal healthcare: examining the role of vouchers and user-fee removal on maternal health service use in Kenya

2019 ◽  
Vol 34 (2) ◽  
pp. 120-131 ◽  
Author(s):  
Mardieh L Dennis ◽  
Lenka Benova ◽  
Timothy Abuya ◽  
Matteo Quartagno ◽  
Ben Bellows ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Service ◽  
Service Use ◽  
Maternal Health Service ◽  
Health Service Use ◽  
Maternal Healthcare ◽  
User Fee

scholarly journals Syphilis screening and treatment in pregnant women in Kinshasa, Democratic Republic of the Congo and in Lusaka, Zambia: a cross-sectional study

2017 ◽  
Vol 1 ◽  
pp. 13 ◽  
Author(s):  
Mabel Berrueta ◽  
Maria Luisa Cafferata ◽  
Musaku Mwenechanya ◽  
Dalau Nkamba Mukadi ◽  
Fernando Althabe ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Democratic Republic ◽  
Congenital Syphilis ◽  
Preterm Births ◽  
Health Providers ◽  
Syphilis Infection ◽  
Cross Sectional ◽  
Republic Of The Congo ◽  
Syphilis Screening ◽  
The Impact

Background: Congenital syphilis is associated with perinatal deaths, preterm births and congenital malformations. Low rates of syphilis screening during pregnancy and treatment of those found seropositive have been reported in the Democratic Republic of the Congo (DRC) and Zambia. We report the rates on antenatal syphilis screening, the seroprevalence of syphilis infection, and the frequency of antibiotic treatment in pregnant women screened positive for syphilis during their attendance at antenatal care (ANC) clinics in Kinshasa, DRC and Lusaka, Zambia. Methods: Women attending their first ANC were enrolled consecutively during a 9-month period in 16 and 13 ANC clinics in Kinshasa and Lusaka respectively, in the context of the baseline period of a cluster trial. Study personnel collected data on women’s characteristics, the syphilis screening practices, the test results, and the frequency of treatment, that were done under routine ANC conditions and registered in the clinic records. Results: 4,153 women in Kinshasa and 18,097 women in Lusaka were enrolled. The frequency of screening at the first visit was 59.7% (n= 2,479) in Kinshasa, and 27.8% (n=5,025) in Lusaka. Screening test availability varied. In the periods in which tests were available the screening rates were 92.8% in Kinshasa and 52.0% in Lusaka. The frequency of women screened seropositive was 0.4% (n=10) in Kinshasa and 2.2% (n=109) in Lusaka. Respectively, 10% (n=1) and 11.9% (n= 13) among seropositive women received treatment at the first visit. Conclusions: The results of the study show that screening for syphilis in pregnancy is not universal even when supplies are available. Our ongoing trial will evaluate the impact of a behavioral intervention on changing health providers’ practices to increase screening and treatment rates when supplies are available.

scholarly journals Impact of the COVID-19 pandemic and response on the utilisation of health services in public facilities during the first wave in Kinshasa, the Democratic Republic of the Congo

2021 ◽  
Vol 6 (7) ◽  
pp. e005955
Author(s):  
Celestin Hategeka ◽  
Simone E Carter ◽  
Faustin Mukalenge Chenge ◽  
Eric Nyambu Katanga ◽  
Grégoire Lurton ◽  
...  
Keyword(s):  
Time Series ◽  
Maternal Health ◽  
Health Service ◽  
Health Services ◽  
Infectious Diseases ◽  
Service Use ◽  
Democratic Republic ◽  
Health Service Use ◽  
Outpatient Visits ◽  
Republic Of The Congo

IntroductionHealth service use among the public can decline during outbreaks and had been predicted among low and middle-income countries during the COVID-19 pandemic. In March 2020, the government of the Democratic Republic of the Congo (DRC) started implementing public health measures across Kinshasa, including strict lockdown measures in the Gombe health zone.MethodsUsing monthly time series data from the DRC Health Management Information System (January 2018 to December 2020) and interrupted time series with mixed effects segmented Poisson regression models, we evaluated the impact of the pandemic on the use of essential health services (outpatient visits, maternal health, vaccinations, visits for common infectious diseases and non-communicable diseases) during the first wave of the pandemic in Kinshasa. Analyses were stratified by age, sex, health facility and lockdown policy (ie, Gombe vs other health zones).ResultsHealth service use dropped rapidly following the start of the pandemic and ranged from 16% for visits for hypertension to 39% for visits for diabetes. However, reductions were highly concentrated in Gombe (81% decline in outpatient visits) relative to other health zones. When the lockdown was lifted, total visits and visits for infectious diseases and non-communicable diseases increased approximately twofold. Hospitals were more affected than health centres. Overall, the use of maternal health services and vaccinations was not significantly affected.ConclusionThe COVID-19 pandemic resulted in important reductions in health service utilisation in Kinshasa, particularly Gombe. Lifting of lockdown led to a rebound in the level of health service use but it remained lower than prepandemic levels.

scholarly journals Adopting Andersen’s behavior model to identify factors influencing maternal healthcare service utilization in Bangladesh

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260502
Author(s):  
Md. Ruhul Kabir
Keyword(s):  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Healthcare Service ◽  
Service Use ◽  
Multinomial Logistic Regression ◽  
Wealth Index ◽  
Maternal Health Service ◽  
Behavior Model ◽  
Maternal Healthcare

Background Equitable maternal healthcare service access and it’s optimum utilization remains a challenge for many developing countries like Bangladesh, and different predisposing, enabling, and need-based factors affect the level of maternal healthcare use. The evidently poor maternal healthcare service utilization and disparities among groups in Bangladesh are concerning considering its effect on maternal health outcomes. The study aimed to identify the factors that influence maternal healthcare service (MHS) utilization in Bangladesh by adopting Andersen’s behavior model of health service use as the theoretical framework. Methods The 2017–18 Bangladesh Demographic Health Survey (2017–18 BDHS) data were used which is nationally representative. The survey study used two-stage stratified sampling to select study households, and data were collected through face-to-face interviews. The desirable, moderate, and undesirable maternal health service (MHS) package was developed based on antenatal, and delivery care services use during pregnancy and childbirth. Multinomial logistic regression and discriminant analysis were performed to analyze the factors that affect MHS use. Results Out of 5,011 ever-married women, only 31.2% of women utilized the desirable level of MHS. The likelihood of using the desirable level of MHS package, relative to the undesirable category, was 9.38 times (OR: 9.38, 95% CI: 4.30–20.44) higher for women with a higher level of education compared to illiterate women, and the same trend was noticed for husband’s education. The wealth index had the highest standardized function coefficients (Beta coefficient: 0.49) in discriminatory function. Women with the richest wealth index were more than 23 times (OR: 23.27, 95% CI: 12.69–42.68) likely to have utilized desirable MHS than their poorest counterparts. The likelihood of service uses also varied according to the child’s birth order, administrative regions, and area of residence (rural vs. urban). Conclusions Policies and interventions directed towards poverty reduction, universal education, and diminishing geographical disparities of healthcare access might influence the desirable use of maternal healthcare services in Bangladesh.

scholarly journals Maternal Health Service Utilization and Associated Factors among Mothers with Children under one Year in Ambo District, West Shoa Zone, Central Ethiopia, 2018

2019 ◽  
Author(s):  
Mulugeta Mekuria Mengistu ◽  
Tesfaye Beyene ◽  
Habtamu oljira Desta ◽  
Adamu Birhanu Bayeta
Keyword(s):  
Decision Making ◽  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Associated Factors ◽  
Maternal Health Service ◽  
P Value ◽  
Cross Sectional ◽  
One Year

Abstract Background: Maternal health service is the service provided to mothers during pregnancy, delivery and postpartum. It is a useful indicator in assessing women’s health status and the accessibility, adequacy and effectiveness of a country’s health service system. The aim of this study was to assess the proportion of maternal health service utilization and factors influence it in Ambo district, West Ethiopia.Methods: Community based cross-sectional study design with quantitative and qualitative methods of data collection was employed place from 15 th August to15th October, 2018 at Ambo District among 561 women with children less than one year. Single population proportion formula was utilized to calculate the sample size and simple random sampling technique was employed to select the study subjects. Data were collected by trained data collectors using a pretested structured questionnaire. The data was entered into Epi Data version 3.1 and transported to SPSS version 21 for analysis. Bivariate and multivariate logistic regression was done at 95 % confident interval and variables with P value < 0.05 to shows significant association. Qualitative data was transcribed carefully and analyzed thematically.Result: All 561 study subjects were participated in the survey and considered for analysis. The proportion of mothers who used ANC at least once was 89%., 64% of them delivered at health institutional and 47.2% of the mothers used early postnatal care. Mothers occupation [AOR=0.24(95% CI: 0.08-0.69)] and mother and her husband’s decision making power [AOR=4.12(95% CI: 2.12-8.00)] were significantly associated with ANC use. Mother’s education level [AOR=1.56(95% CI: 1.03-2.38)], time of traveling to health facilities, decision making power [AOR=5.91(95% CI: 3.79-9.22)] of both mother and husband, and having ANC follow up [AOR=14.54(95% CI: 6.23-33.96)] were factors significantly associated to institutional delivery whereas mothers age [AOR=2.65(95% CI: 1.29-5.46)], marital status [AOR=0.14(95% CI: 0.03-0.69)], attending ANC service [AOR=3.51(95% CI: 1.15-10.71)] and place of delivery [AOR=14.98(95% CI: 4.23-52.88)] were significantly associated factors for PNC utilization. Conclusion: The prevalence of maternal health services utilization were far behind the national target to be achieved by the end of 2020. Therefore, much work is expected from stakeholders in order to achieve the national target.

scholarly journals Women’s autonomy and maternal health service utilization among the women’s having less than two years age children in Rautahat district, Nepal

2021 ◽  
Vol 7 (9) ◽  
pp. 427
Author(s):  
Sanjaya Kumar Shah ◽  
Neelima Yadav ◽  
Richa Shah ◽  
Ramesh Bhatta ◽  
Rajesh Karki ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Service ◽  
Antenatal Care ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Maternal Health Service ◽  
Cross Sectional ◽  
Care Visit

<p class="abstract"><strong>Background:</strong> Maternal health refers to the health of women during pregnancy, childbirth and the postpartum period. Despite various attempts and schemes made by government. maternal mortality remains as one of the biggest public health challenges in Nepal. The aim of the study was to assess the association of women autonomy with maternal health service utilization among the women having 2 years children in Paroha municipality ward no. 3 and 4, Rautahat, Nepal.</p><p class="abstract"><strong>Methods:</strong> Cross sectional study was conducted. Simple random sampling was used to select respondents. Data were collected through face to face interview. Data were entered in Epi data and analyzed using SPSS. Chi square test was applied to test the significance of association at 95% confidence interval.  </p><p class="abstract"><strong>Results:</strong> Majority (76.8%) of the respondents had antenatal care visit and more than half of them had four or more antenatal care visits. similarly, overwhelming majority (88.4%) of the birth were institutional delivery. Almost (91%) of the women had postnatal care visit for their last child. The study indicates that almost (95.5%) of the decisions were made without the involvement of the women. Most of women had medium level autonomy in all aspect (score= 17-32). Autonomy was positively associated with use of maternal health services i.e.; ANC visit (p=0.000), place of delivery (p=0.036), PNC visit (p=0.045).</p><p class="abstract"><strong>Conclusions:</strong> Findings of the study show that if women autonomy will be higher, there will be increase in maternal service utilization. Whereas autonomy has link with better education and employment opportunity of the women.</p>

scholarly journals Impact of the COVID-19 pandemic and response on the utilisation of health services during the first wave in Kinshasa, the Democratic Republic of the Congo

2021 ◽  
Author(s):  
Celestin Hategeka ◽  
Simone Elyse Carter ◽  
Faustin Mukalenge Chenge ◽  
Eric Nyambu Katanga ◽  
Gregoire Lurton ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Service ◽  
Health Services ◽  
Infectious Diseases ◽  
Service Use ◽  
Democratic Republic ◽  
Communicable Diseases ◽  
Health Service Use ◽  
Non Communicable Diseases ◽  
Republic Of The Congo

Introduction: Health service use among the general public can decline during infectious disease outbreaks and has been predicted among low and middle-income countries during the COVID-19 pandemic. In March 2020, the government of the Democratic Republic of the Congo (DRC) implemented public health measures across Kinshasa, including strict lockdown measures in the Gombe health zone, to mitigate impact of the pandemic. Methods: Using data from the Health Management Information System (January 2018 - December 2020), we evaluated the impact of the pandemic on the use of essential health services (total visits, maternal health, vaccinations, visits for common infectious diseases, and diagnosis of non-communicable diseases) using interrupted time series with mixed effects segmented Poisson regression models during the first wave of the pandemic. Analyses were stratified by age, sex, health facility, and neighbourhood. Results: Health service use dropped rapidly following the start of the pandemic and ranged from 16% for hypertension diagnoses to 39% for diabetes diagnoses. However, reductions were highly concentrated in Gombe (81% decline in total visits) relative to health zones without lockdown. When the lockdown was lifted, total visits, visits for infectious diseases, and diagnoses for non-communicable diseases increased approximately two-fold. Hospitals were more affected than health centres. Overall, the use of maternal health services and vaccinations was not significantly affected. Conclusion: The COVID-19 pandemic resulted in important reductions in health service utilisation in Kinshasa, particularly Gombe. Lifting of lockdown led to a rebound in the level of health service use but it remained lower than pre-pandemic levels.

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