scholarly journals Availability, Price and Affordability of WHO Priority Maternal and Child Health Medicine in Public Health Facilities of Dessie, North-East Ethiopia

2020 ◽  
Author(s):  
Abel Demerew Hailu ◽  
Solomon Ahmed Mohammed
Keyword(s):  
Public Health ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Facilities ◽  
Public Hospitals ◽  
Price Ratio ◽  
Public Health Facilities ◽  
North East ◽  
The Mean ◽  
And Child Health

Abstract Background: Access to health care is a fundamental human right and the provision of affordable, high quality and appropriate medicines for Maternal and child health is a vital component of a well-functioning health system. The study assessed the availability, price and affordability of WHO priority maternal and child medicines in public health facilities, Dessie, North – East Ethiopia.Methods: Retrospective cross-sectional study design was conducted in Dessie town from November 2018 to February 2019. A standard checklist adapted from Logistics Indicator Assessment Tool and WHO/HAI was used to collect data on the availability, affordability, and price of 45 priority life-saving medicines from eight public health centers and two public hospitals. Descriptive statistics (percent and median) were computed for availability and prices. Affordability was reported in terms of the daily wage of the lowest-paid unskilled government worker.Results: Twenty-two medicines were not completely managed. The overall availability of WHO priority maternal and child medicines was 34.02%. The mean numbers of stock outs was 3.9 and mean number of 128.9 days. The mean average point availability was 33.5 % and 7 medicines stock out on the days of assessment. From WHO priority maternal and child medicines, 4 (40%) of the products were unaffordable and 5 (55.5%) had higher price compared to international prices. Ceftriaxone 1gm, ceftriaxone 500mg and hydralazine 20mg injection requires wages of 6.58, 8.01, and 5.02 to cover specific maternal health problems respectively. Median price ratio of priority lifesaving maternal and child medicines in public health facility ranged from 0.65 to 3.19. Conclusions: The average mean period and point mean availability was very low. The availed products were encountered with high number of stock outs and unaffordable. Strict control of inventory is recommended to have steady supply of these essential medicines and improve quality of health service. Keywords: Availability, Affordability, Price, Medicines and Maternal and child.

scholarly journals Availability, price, and affordability of WHO priority maternal and child health medicine in public health facilities of Dessie, north-East Ethiopia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Abel Demerew Hailu ◽  
Solomon Ahmed Mohammed
Keyword(s):  
Public Health ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Facilities ◽  
Public Hospitals ◽  
Price Ratio ◽  
Public Health Facilities ◽  
North East ◽  
The Mean ◽  
And Child Health

Abstract Background Access to health care is a fundamental human right, and the provision of affordable, high-quality, and appropriate medicines for maternal and child health is a vital component of a well-functioning health system. The study assessed the availability, price, and affordability of WHO priority maternal and child medicines in public health facilities, Dessie, North-East Ethiopia. Methods A retrospective cross-sectional study design was conducted in Dessie town from November 2018 to February 2019. A standard checklist adapted from the Logistics Indicator Assessment Tool and WHO/HAI was used to collecting data on the availability, affordability, and price of 45 priority life-saving medicines from eight public health centers and two public hospitals. Descriptive statistics (percent and median) were computed for availability and prices. Affordability was reported in terms of the daily wage of the lowest-paid unskilled government worker. Results Twenty-two medicines were not found at all in public health facilities. The overall availability of WHO priority maternal and child medicines was 34.02%. The mean number of stock-outs was 3.9, and the mean number was 128.9 days. The mean average point availability was 33.5%, and 7 medicines stock out on the days of assessment. From WHO priority maternal and child medicines, 4 (40%) of the products were unaffordable and 5 (55.5%) had higher prices than international prices. Ceftriaxone 1 g, ceftriaxone 500 mg, and hydralazine 20 mg injection required wages of 6.58, 8.01, and 5.02 to cover specific maternal health problems respectively. The median price ratio of priority lifesaving maternal and child medicines in public health facilities ranged from 0.65 to 3.19. Conclusions The average mean period and point mean availability was very low. The available products were encountered with a high number of stock-outs and unaffordable. The strict control of inventory is recommended to have a steady supply of these essential medicines and improve the quality of health services.

scholarly journals Inventory management performance for family planning, maternal and child health medicines in public health facilities of West Wollega zone, Ethiopia

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Oliyad Kebede ◽  
Gizachew Tilahun
Keyword(s):  
Public Health ◽  
Family Planning ◽  
Child Health ◽  
Inventory Management ◽  
Maternal And Child Health ◽  
Supply System ◽  
Health Facilities ◽  
Management Performance ◽  
Public Health Facilities ◽  
And Child Health

Abstract Background Inventory management is the heart of the supply system in improving availability of medicines, reducing the cost, and improving patient care quality. However, in the government facilities’ supply system, inventory management is poor. So, the purpose of this research is to assess inventory management performance for family planning, maternal and child health medicines in public health facilities of West Wollega zone, Oromia region, Ethiopia. Method Facility-based descriptive cross-sectional quantitative study was conducted using checklist, structured and semi-structured questionnaire, and triangulated with qualitative method. Quantitative data were coded and analyzed using SPSS Version 20 and Microsoft excel spreadsheet. Qualitative data were analyzed manually, using thematic analysis technique. Different indicators were used to measure variables. Results Among 23 health facilities assessed, availability of family planning/maternal and child health medicines ranged from 0 to 100%. Average availability of medicines was 14 (61.30%) with mean stock-out duration of 70.71 days. Bin cards were available for 559 (78.40%) of medicines, and 374 (52.45%) bin cards were accurate. Report submission rate was 116 (84.06%), with 47 (40.52%) report and resupply forms reported on time, 73 (62.93%) of them were complete and 69 (59.48%) were accurate. Supplier-related problem, lack of human resource, administrative problem, and lack of computer infrastructure were inventory management challenges identified. Conclusion Inventory management performance for Family planning/maternal and child health medicines was poor as indicated by low availability, high stock-out duration, and poor LMIS performance. Efforts should be undertaken by concerned bodies to improve it.

scholarly journals Service Availability and Readiness Assessment of Maternal, Newborn and Child Health Services at Public Health Facilities in Madagascar

2016 ◽  
Vol 20 (3) ◽  
pp. 149-158 ◽  
Author(s):  
Sandrine Andriantsimietry ◽  
Raymond Rakotomanga ◽  
Jean Pierre Rakotovao ◽  
Eliane Ramiandrison ◽  
Marc Eric Razakariasy ◽  
...  
Keyword(s):  
Public Health ◽  
Child Health ◽  
Health Services ◽  
Health Facilities ◽  
Child Health Services ◽  
Service Availability ◽  
Readiness Assessment ◽  
Newborn And Child Health ◽  
Public Health Facilities ◽  
And Child Health

scholarly journals Client’s satisfaction with maternal child health services in tier three public health facilities, Kisumu county, Kenya

2020 ◽  
Vol 2 (1) ◽  
pp. 19-30
Author(s):  
Vincent O. Ibworo ◽  
Dickens Omondi ◽  
Bernard Guyah
Keyword(s):  
Public Health ◽  
Child Health ◽  
Health Services ◽  
Health Facilities ◽  
Child Health Services ◽  
P Value ◽  
Maternal Child Health ◽  
Public Health Facilities ◽  
And Child Health ◽  
Maternal Child

Purpose: The declaration of free maternal and child Health services by the government of Kenya was meant to address some of the systemic service access challenges and increase the number of clients using MNCH services, consequently reducing maternal and neonatal deaths. However, persistent poor maternal and child health indicators in Kenya even with free MNCH services as evident in Kisumu County portends considerable concern hence the reason for this study.  There was need to identify factors or factor combinations that affect MNCH service quality in Kisumu County.Methodology: This was a descriptive analytical study whereby data was collected from a sample of 284 mothers seeking MNCH services in Kisumu tier three public health facilities using structured questionnaires and data was analyzed using the Statistical Package for the Social Sciences. Univariate statistics was used to assess patterns of responses to the client satisfaction questionnaire items. Bivariate logistic regression was used to assess association between client satisfaction and dimensions of their characteristics; p-values of less than 0.05 were considered significant.Results: Mothers aged 30-39 years were more likely to report being satisfied with maternal, newborn and child health services as compared to those aged 15-19 years (aOR=0.52, 95%CI=0.28-0.96, p-Value=0.035). The clients who had 1 pregnancy (aOR=2.29, 95%CI=1.04-5.05, p-value=0.040) and 2 pregnancies (aOR=3.22, 95%CI=1.54-6.70, p-Value=0.002) were more likely to report being satisfied with maternal child health services in public health facilities. Similarly, there was significant increased odds of being satisfied among those who resided in rural areas (aOR=2.24, 95%CI=1.05-4.79, p-Value=0.037), those who use vehicles as means of transport (aOR=6.87, 95%CI=1.38-34.28, p-Value=0.019) and those who use motorbike as means of transport (aOR=7.79, 95%CI=1.61-37.77, p-Value=0.011) and maternal child health services satisfaction.Unique contribution to practice and policy: The feedback from this study can be used by national and county governments, state agencies and other health stakeholders in designing communication and advocacy strategies for targeted groups or populations both at the community and health facilities to increase access and acceptability of MNCH services.

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.

scholarly journals The Maternal and Child Health Handbook for Improving the Continuum of Care and Other Maternal and Child Health Indicators in Angola: An Implementation Study Protocol

2021 ◽  
Vol 2 ◽  
Author(s):  
Ai Aoki ◽  
Keiji Mochida ◽  
Michiru Kuramata ◽  
Toru Sadamori ◽  
Helga Reis Freitas ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Intervention Group ◽  
Health Indicators ◽  
Continuum Of Care ◽  
Health Facilities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Implementation Status ◽  
And Child Health

Background: Reducing maternal, neonatal, and infant mortality tops the health targets of sustainable development goals. Many lifesaving interventions are being introduced in antenatal, delivery, and postnatal care. However, many low- and middle-income countries (LMICs) have not reached maternal and child health targets. The Maternal and Child Health Handbook (MCH-HB) is recommended as a home-based record to promote a continuum of care from pregnancy to early childhood, and is gaining increasing attention among LMICs. Several countries have adopted it as national health policy. To effectively utilize the MCH-HB in LMICs, implementation needs to be considered. Angola is an LIMC in Sub-Saharan Africa, where maternal and child health indicators are among the poorest. The Angolan Ministry of Health adopted the MCH-HB program in its national health policy and is currently conducting a cluster randomized controlled trial (MCH-HB RCT) to evaluate its impact on the continuum of care. This study aimed to evaluate implementation status, and barriers and facilitators of MCH-HB program implementation in Angola.Methods: To evaluate implementation status comprehensively, the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework will be used. Four components other than effectiveness will be investigated. A cross-sectional survey will be conducted targeting all health facilities and officers in charge of the MCH-HB at the municipality health office in the intervention group after the MCH-HB RCT. Data from the cross-sectional survey, secondary MCH-HB RCT data, and operational MCH-HB RCT records will be analyzed. Health facilities will be classified into good-implementation and poor-implementation groups using RE-AIM indicators. To identify barriers to and facilitators of MCH-HB implementation, semi-structured interviews/focus group discussions will be conducted among health workers at a sub-sample of health facilities and all municipality health officers in charge of MCH-HB in the intervention group. The Consolidated Framework for Implementation Research will be adopted to develop interview items. Thematic analysis will be performed. By comparing good-implementation and poor-implementation health facilities, factors that differ between groups that contribute to successful implementation can be identified.Discussion: This study's findings are expected to inform MCH-HB implementation policy and guidelines in Angola and in other countries that plan to adopt the MCH-HB program.

Maternal and Child Health and Public Health Core Competencies Scale

2015 ◽  
Author(s):  
Harolyn M. E. Belcher ◽  
Jacqueline D. Stone ◽  
Jenese A. McFadden ◽  
Tyler A. Hemmingson ◽  
Cary Kreutzer ◽  
...  
Keyword(s):  
Public Health ◽  
Child Health ◽  
Maternal And Child Health ◽  
Core Competencies ◽  
And Child Health
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