scholarly journals What is the Impact of Ante Natal Care (ANC) Attendance on the Subsequent Maternal Health Care Services Utilization in Conflict Affected Area

2021 ◽  
Author(s):  
Temesgen Bocher ◽  
Adam A Abdulkadir ◽  
Mashaka Lewela ◽  
Judy Korir ◽  
Ali Mohamed Magan
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Skilled Birth Attendance ◽  
Maternal Health Care ◽  
Care Services ◽  
Birth Attendance ◽  
The Impact

Abstract Background: Somalia has registered 732 maternal mortality every 100,000 live birth; the uptake of maternal health care service is lowest in the world. The purpose of study is to understand social and economic factors that hinder or facilitate the uptake of maternal health care service during the pregnancy in Somalia. Methods: Cross-sectional data was collected from 642 mothers of reproductive age in Mogadishu town through a community survey in November 2020. Descriptive data analysis and propensity score matching models were employed to measure association between the determinants of the uptake of required ANC, Skilled birth attendance and confounding factors. In addition, the impact of minimum ANC attendance on the uptake of mother health care services was evaluated Results: The study indicated that ANC is at its lowest level, only 10% women reported attending 4-ANC[1], 23% didn’t attend any ANC, and 61% attending 1 to 3 ANC; moreover, skilled birth attendance is low rate at 30%, against 67% average in Africa; 78% of women are unable to make decision to visit health clinic or hospital autonomously, rather the decision is made by other people, 44% decision is made by the husband and only 30% jointly by the woman and her husband. Contrary to the data on attendance, about 70% of the surveyed women were aware of health benefits of attending ANC. The cost associated with accessing health service at 31%, distance to health centers, 12%, and perception (ANC is not needed), 23% were the major reasons of not delivering at health institutions.Conclusions: Thus, the number of ANC visits has an incremental positive effect on the probability utilization of skilled birth attendance and delivery at health facility. Access related factors are the most hindering barriers for the poor utilization of health care service as evidently indicated by the negative correlation of distance from health center. Improving access to health education, interventions targeting improved income and women empowerment lead to better maternal health outcome.

scholarly journals Utilization and Predictors of Maternal Health Care Services among Women of Reproductive Age in Hawassa University Health and Demographic Surveillance System Site, South Ethiopia: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Elsabet Shudura ◽  
Amanuel Yoseph ◽  
Alemu Tamiso
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Care Services ◽  
Maternal Health Care Services

Background. Regular utilization of maternal health care services decreases maternal morbidity and mortality. However, major predictors that influence the utilization of the existing maternal health care services are complex and differ from place to place. Therefore, assessing these predictors assists health planners to prioritize promotion strategies and is a fundamental step for intervention. This study assessed the utilization and predictors of maternal health care services among women of the reproductive age in Hawassa Health and Demographic Surveillance System site, South Ethiopia, 2019. Methods. A community-based cross-sectional study was conducted among 682 women of the reproductive age from January to February, in 2019. A two-stage stratified sampling method was utilized. Data were collected using a structured, face-to-face interviewer-administered questionnaire. The data were entered using Epi Data 3.1 and analyzed using SPSS version 20. The variables were entered into the multivariable model using the backward stepwise regression approach. Multivariable logistic regression analysis was used to identify factors associated with utilization of the maternal health care. Adjusted odds ratios (AORs) with 95% confidence interval (CI) were computed to assess the presence and strength of associations. Result. The overall utilization of ANC, institutional delivery, and PNC was 69.1, 52.1, and 32.7%, respectively. The odds of utilizing ANC were 4.72 times higher for women who have a formal education (AOR: 4.72, 95% CI = 2.82–7.90) as compared to those who have no formal education. The odds of utilizing institutional delivery were 5.96 times higher for women who had ANC follow-up (AOR: 5.96; 95% CI = 3.88–9.18) as compared to those who had no ANC follow-up. Presence of information about the PNC (AOR: 3.66; 95% CI = 2.18–6.14) and autonomy of a woman to make decision on health issues (AOR: 6.13, 95% CI = 3.86–9.73) were positively associated with utilization of PNC. Conclusion. The utilization of maternal health care services is far below the national target in the study area. Maternal and paternal education status, autonomy of the woman to make decision on the health issues, wealth status, and having a plan on the current pregnancy were major predictors of the maternal health care service utilization. Providing information and training about the model household to the women about maternal health care service utilization using various methods of health education should be considered.

EFFECT OF INDIVIDUAL AND COMMUNITY FACTORS ON MATERNAL HEALTH CARE SERVICE USE IN INDIA: A MULTILEVEL APPROACH

2015 ◽  
Vol 48 (1) ◽  
pp. 1-19 ◽  
Author(s):  
AWDHESH YADAV ◽  
RANJANA KESARWANI
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Service Use ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Community Level ◽  
Care Services ◽  
Maternal Health Care Services

SummaryThis study aimed to assess empirically the influence of individual and community (neighbourhood) factors on the use of maternal health care services in India through three outcomes: utilization of full antenatal care (ANC) services, safe delivery and utilization of postnatal care services. Data were from the third round of the National Family Health Survey (2005–06). The study sample constituted ever-married women aged 15–49 from 29 Indian states. Multilevel logistic regression analysis was performed for the three outcomes of interest accounting for individual- and community-level factors associated with the use of maternal health care services. A substantial amount of variation was observed at the community level. About 45%, 51% and 62% of the total variance in the use of full ANC, safe delivery and postnatal care, respectively, could be attributed to differences across the community. There was significant variation in the use of maternal health care services at the individual level, with socioeconomic status and mother's education being the most prominent factors associated with the use of maternal health care services. At the community level, urban residence and poverty concentration were found to be significantly associated with maternal health care service use. The results suggest that an increased focus on community-level interventions could lead to an increase in the utilization of maternal health care services in India.

scholarly journals Utilization of Maternal Health Care Services in Kihun Village Development Committee of Tanahun District of Nepal

2017 ◽  
Vol 1 (1) ◽  
pp. 56-60
Author(s):  
B.R. Pokhrel ◽  
S.B. Parajuli ◽  
S. Khatiwada ◽  
C. Adhikari
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Care Services ◽  
Development Committee ◽  
Village Development Committee ◽  
Maternal Health Care Services

Introduction Nepal had significant improvement to reduce the maternal mortality ratio. Still, the maternal deaths are common in rural areas. The proper utilization of maternal health care services is important to reduce maternal death in Nepal.Objective This study was conducted to know current maternal health care service utilization at Kihun Village Development Committee (VDC) of Tanahu District.Methodology A community based cross- sectional study was conducted from st th 1 Nov 2014 to 30 Dec 2014 among 570 household of Kihun VDC. The pretested semi-strutured questionnaire was used to collect the required information. The obtained data was enter into Microsoft excel analyzed.Results The majority (65%) of the family was nuclear. Majority (90.90%) had Hindu as a common religion. The major occupation was agriculture (68.95%). Age of marriage before 18 years was 44.70% and pregnancy below 18 years was 25.5%. The knowledge of ante natal care (ANC) check up was reported from 96.3% but only 93.20 % went for ANC check up. Almost 41% had 4 times ANC visit as suggested by world health organization (WHO). Majority (69.40% ) had home delivery and 56.8% of them, family members were involved to conduct such delivery. Though 31.20% were aware about post natal care (PNC) visit but only 22% had visited for PNC.Conclusion The ANC and PNC care practices were not up to the mark. For improvement of maternal health, we need to improve maternal health care service utilization.Birat Journal of Health Sciences 2016 1(1): 56-60

Assessing Pharmacists’ Views and Barriers to Providing and Billing for Pharmacist-Provided Health Care Services

2021 ◽  
pp. 875512252110211
Author(s):  
Michael A. Biddle ◽  
Kailyn K. Cleveland ◽  
Shanna K. O’Connor ◽  
Hayli Hruza ◽  
Madeline Foster ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Pharmacy Practice ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Power Calculation ◽  
Care Services ◽  
The Impact

Background: The role of Idaho and Alaska pharmacists in providing health care services has steadily broadened over recent years. With many new pharmacist-provided health care service possibilities, this study assessed the impact of these advancements on community pharmacies. Objective: The objective of this study was to identify current pharmacist-provided health care services and pharmacist-perceived barriers to providing and billing for these services in Idaho and Alaska community pharmacies. Methods: A questionnaire was developed focusing on 2 areas: providing services and billing for services. Pharmacy students on experiential rotations administered the questionnaires to pharmacists at their rotation sites. Pharmacists at community pharmacy practice sites in Idaho and Alaska completed the questionnaire in an interview format conducted by students. Likert-type scale data were analyzed using descriptive statistics. Because the study did not include a comparator group, no power calculation was conducted. All open-response answers were analyzed independently by 2 researchers and discrepancies in coding open-ended questions were resolved by discussion with a group of 4 researchers. Results: Most pharmacists reported that they already provide non-dispensing services, desired to implement new services, and had confidence in their team’s ability to handle new services. Time and resources were the most cited barriers to providing new services; compensation, company support, and education were the most cited barriers to billing for services. Conclusions: Community pharmacists already provide non-dispensing services and many are looking to provide more services, but barriers of time, resources, compensation, company support, and education will need to be overcome to move forward.

scholarly journals Obstacles in the Utilisation of Maternal Health Care Services in Murarai-II C.D. Block, Birbhum District, West Bengal, India

2017 ◽  
Vol 4 (3) ◽  
pp. 40 ◽  
Author(s):  
Alokananda Ghosh ◽  
Dr.Biswaranjan Mistri
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Maternal Health Care ◽  
Empirical Observation ◽  
Care Services ◽  
Birbhum District ◽  
Development Goals ◽  
Maternal Health Care Services ◽  
The Impact

Improving maternal health was one of the eight Millennium Development Goals (MDGs) and now it is one of the targets of 17 point Sustainable Development Goals (SDGs). The utilisation of Maternal Health Care Services (MHCSs) is a complex phenomenon and it is influenced by several factors, like-health care seeking behaviour of the cohorts belonging to different socio-economic and cultural background, distance of the facility centres, type and conditions of the roads including undulating surface, transportation cost, type and availability of transportation mode along with the factors related to the accountability and surveillances of the health care services. Therefore, clear understanding and discussion is needed to draw an association between MHCSs and its influential factors. The objectives of the study are to estimate the impact of accessibility on the underserved status of MHCSs and on the utilisation of MHCSs through paucity index. In addition, the study aims to evaluate the causal relationships between underserved situation and obstacle score with the paucity index of MHCS utilisation.The empirical observation unfolds that the provision and utilisation of MHCSs are strongly dependent on accessibility and distance. The situation is aggravating for proper delivery of services, which is responsible for the increasing obstacle score and paucity index, especially in remote sub- centres of Murarai-II C.D. Block of Birbhum District. 

scholarly journals A Study on Utilisation of Maternal Health Care Services in Haryana

2017 ◽  
Vol 4 (01) ◽  
Author(s):  
Sonal Katyal
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Care Service ◽  
Health Care Service ◽  
Wealth Index ◽  
Maternal Health Care ◽  
Demographic And Health Surveys ◽  
Delivery Care ◽  
Care Services

Despite being a relatively smaller state, Haryana’s per capita Gross State Domestic Product (GSDP) is quite high. However, the statistical data on the status of women has a different story to share. This study analyses the maternal healthcare situation in Haryana to examine the differences in utilisation of maternal health care service, i.e. delivery care on the basis of socio-economic and socio-demographic indicators such as women’s age at birth, birth order, education, residence, religion, wealth index and caste. The study uses the third round of the National Family Health Survey (NFHS) data which is similar to the Demographic and Health Surveys (DHS). The findings reveal that women who have taken antenatal care utilise these services much more than women who have not taken antenatal care services. The utilisation pattern is in conjugation with the hypotheses. The results demonstrate that several socio-economic and demographic factors affect the utilisation of delivery care services in Haryana. Efforts need to be taken at community and household level to improve utilisation the utilisation of these services.

scholarly journals Barriers in Utilization of Maternal Health Care Services: Perceptions of Rural Women in Eastern Nepal

2015 ◽  
Vol 12 (4) ◽  
pp. 253-258 ◽  
Author(s):  
S Lama ◽  
AKI Krishna
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Rural Women ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Safe Motherhood ◽  
Care Services ◽  
Maternal Health Care Services

Background Nepal is promoting safe motherhood through maternity incentives schemes. Still about two-thirds of births take place at home. Inadequate access to health care and under utilization of services is the major reasons for poor health of women and children.Objectives The study aim to explore the barriers in utilization of maternal health care services in eastern Nepal specifically to explore the reasons for not availing the services and to assess the indigenous practices regarding maternal health.Methods An exploratory study design was adopted to elicit the information from the selected respondents from different villages. Focus group discussions and in-depth interviews were conducted. Data was transcribed and analyzed manually to identify themes.Results The barriers to maternal health care service utilization were identified as social factors like family pressure, superstition, shyness, misconception, negligence, illiteracy, alcoholism. Likewise, large family size, jobless, unnecessary expenditure on health services was identified as economic barrier. Some cultural practices were also found as barrier for not availing the health services.Conclusion The study explored factors that are contributing in not availing the maternal health care services. The elimination of these barriers will facilitate quality of care and health outcomes. Therefore, the interventions should be developed and implemented to improve the health status of women and children. The result of this study can be utilized to draw the attention of local government, in strategic planning related to maternal health interventions.Kathmandu University Medical Journal Vol.12(4) 2014; 253-258

scholarly journals Status And Utilization Of Maternal Health Care Services In A Selected Rural Area Of Bangladesh

1970 ◽  
Vol 5 (1) ◽  
pp. 17-20
Author(s):  
R Islam ◽  
M Rahman ◽  
G Sadhya ◽  
NU Ahmed ◽  
SK Biswas ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Rural Area ◽  
Health Care Services ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Age Group ◽  
Normal Delivery ◽  
Care Services ◽  
Maternal Health Care Services

Improvement of maternal health care services is regarded as an important component for achieving targets of MDGs by the year 2015. A cross-sectional community based study was carried out to find out the status and utilization of maternal health care services in Pangsa Upazilla of Rajbari District among 517 mothers who had at least one child up to 1 year of age. The study was conducted from June to August in the year 2008. Data were collected through face-to-face interview using purposive sampling technique. Most of the respondents were in the age group of 20-29 years (69.05%) and 35.01% of them had received primary education. Sixty seven percent of them had average monthly income of Taka 3001-5000. Eighty percent of the respondents were at the age group of 15-19 years when they got married. Most of the mothers (71.57%) got antenatal care during their last pregnancy and more than 80% of them had completed their TT vaccination schedule during pregnancy period. More than 80% of the deliveries were taken place at home. Eighty five percent of the deliveries were normal delivery and most of them (77.76%) were attended by the untrained traditional birth attendants (TBA). Hemorrhage was found to be the highest reported obstetric complication (37.50%). This study offered a picture of the maternal health care services in rural Bangladesh and detected the need for future work in this area. Key words: Maternal health care service; ante-natal care; delivery; rural area; Bangladesh DOI: 10.3329/fmcj.v5i1.6808Faridpur Med. Coll. J. 2010;5(1):17-20

Sign in / Sign up

Export Citation Format

Share Document