scholarly journals Influence of Education on Sexual and Reproductive Health Service Utilization for Persons with Disabilities in Nationwide Bangladesh: An Explanatory Sequential Mixed-Methods Study

2021 ◽  
Author(s):  
Katherine Coral Du ◽  
Arifa Bente Mohosin ◽  
Amina Amin ◽  
Md Tanvir Hasan
Keyword(s):  
Service Utilization ◽  
Postnatal Care ◽  
Formal Education ◽  
Sexual And Reproductive Health ◽  
Service Use ◽  
Care Delivery ◽  
Delivery Care ◽  
Persons With Disabilities ◽  
Sequential Mixed Methods ◽  
Education Levels

Abstract Background: Persons with disabilities comprise more than one billion people in the world, yet they are one of the most discriminated groups and face significant health disparities. Particularly in developing countries, which contain 80% of the entire population with disabilities, these individuals experience major barriers in accessing sexual and reproductive health (SRH) services.Education is an important factor that greatly affects individuals’ SRH service utilization. Hence, we sought to investigate the relationship between education and SRH service utilization for persons with disabilities in Bangladesh.Methods: Using an explanatory sequential mixed-methods design, a total of 5,000 persons with disabilities were surveyed for the quantitative component and 15 mini-ethnographic case studies were conducted with persons with disabilities for the qualitative component. Chi-squared tests and logistic regression analyses were performed on the survey data, while the qualitative interviews were coded and their SRH themes synthesized accordingly.Results: Our quantitative findings show that education statistically significantly increases persons with disabilities’ SRH service utilization of antenatal care, delivery care, postnatal care, and family planning (P < 0.05). Interestingly, for persons with disabilities, primary education shows increased adjusted odds of family planning use but is likely not enough to increase antenatal care, delivery care, or postnatal care use; secondary or post-secondary education may be required to improve utilization of these latter services.Qualitative findings support the association between higher education levels and greater SRH service use. Persons with disabilities of lower educational attainment held misinformation and distrust in SRH services and experienced mistreatment by SRH healthcare providers, discouraging them from seeking future SRH services. Conclusions:We report that higher formal education level is associated with greater SRH service use for persons with disabilities in Bangladesh. Formally educating persons with disabilities expands their SRH knowledge and familiarity with SRH services, as well as leads to more economic opportunities so they can afford SRH services. Increasing formal education levels for persons with disabilities, paired with integrating comprehensive sexuality education (CSE) in their schools, will likely help close the gap in SRH health disparities for this vulnerable population.

scholarly journals Women's Satisfaction with Maternal care in Ghana : The Doctor's Behaviour as a Regulating Factor

2021 ◽  
pp. 332-344
Author(s):  
Fortune Afi Agbi ◽  
Professor Zhou Lvlin ◽  
Eric Owusu Asamoah
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Postnatal Care ◽  
Health Care Services ◽  
Positive Impact ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Delivery Care ◽  
Care Services

<p>The key element of human rights and the road to equity and dignity of women and children is the quality of care received. The provision of maternal health care is based on quality during pregnancy, and distinctly forty-eight hours after delivery, is an important contribution to saving women’s lives and preventing disabilities (Quah, 2016). Thus, the understanding of women's experiences and expectations through the continuum of prenatal care, delivery care and postnatal care is important for assessing the quality of maternal health care and the determination of problem areas requiring improvement. Women's satisfaction reflects women's judgment of various aspects of maternal health care, including organizational and interpersonal aspects. Multiple linear regression was used (IBM SPSS v.25) to test the main hypotheses for the present study. The ordinal regression was used to predict the value of a result variable (dependent variable) based on the value of two or more prediction variables (independent variables). This study identifies the relationship between maternal health services (prenatal & diagnostic care, delivery care and postnatal care) and women's satisfaction with the moderating role of doctor's behavior. The study finally determined the positive impact of health care services on women's satisfaction. The results also show that the doctor's behavior in health care services affect women's satisfaction and so, the alternate hypotheses are accepted. In this study, physicians were encouraged to give pregnant women thorough inspection and examination, treat them with courtesy and respect. The study also showed that, the government should focus on hiring additional employees to overcome workload.</p>

scholarly journals Postnatal care service utilization and its determinants in East Gojjam Zone, Northwest Ethiopia: A mixed-method study

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256176
Author(s):  
Liknaw Bewket Zeleke ◽  
Asmare Talie Wondie ◽  
Melaku Admas Tibebu ◽  
Addisu Alehegn Alemu ◽  
Mekuanint Taddele Tessema ◽  
...  
Keyword(s):  
Service Utilization ◽  
Postnatal Care ◽  
Qualitative Data ◽  
Service Use ◽  
Care Service ◽  
Northwest Ethiopia ◽  
World Health ◽  
Care Utilization ◽  
Health Extension Workers ◽  
Cross Sectional

Background The days and weeks after childbirth are crucial for both the mother and her newborn child leading for the majority of maternal and perinatal mortalities. The World Health Organization recommends at least three postnatal visits within 42 days after birth. However, postnatal care utilization remains low worldwide. Quantitative findings revealed low utilization of postnatal care in Ethiopia, however, no study explored the barriers for postnatal care. This study aimed to assess the barriers to postnatal care service utilization in East Gojjam Zone, Northwest Ethiopia. Methods A community-based, mixed type cross-sectional study was conducted from December 15, 2018, to February 15, 2019. The quantitative data was gathered using the interviewer-administered interviewing technique from 751 women who gave birth within one year prior to the study selected by multistage sampling. The qualitative data were collected from purposively sampled women, facility leaders, and health extension workers using in-depth interviews and focused group discussions. The quantitative and qualitative data were analyzed using logistic regression and by the thematic content analysis method, respectively. Results The study revealed that postnatal care service utilization was 34.6%. The odds of using PNC services were greater in women aged 25–34 years and used maternity waiting home. In contrast, women who were muslim religion followers, had normal or instrumental birth, not aware of the PNC services and whose partners were not supportive of the use of MCH services were less likely to use PNC services. According to the qualitative findings, lack of awareness, traditional beliefs and religious practices, distance and transportation, environmental exposure, and waiting time were identified as barriers to PNC service utilization. Conclusion and recommendation The study showed low utilization of PNC services in East Gojjam zone, northwest Ethiopia. Improvements in personal health education, in construction of relevant infrastructure, and to transport, are needed to remove or reduce barriers to PNC service use in East Gojjam Zone, Northwest Ethiopia.

scholarly journals Knowledge and use of contraceptive methods amongst deaf people in Ghana

2013 ◽  
Vol 2 (1) ◽  
Author(s):  
Wisdom K. Mprah
Keyword(s):  
Sexual And Reproductive Health ◽  
Deaf People ◽  
Mixed Methods Design ◽  
Contraceptive Methods ◽  
Two Phase ◽  
Persons With Disabilities ◽  
Attitudinal Barriers ◽  
Sequential Mixed Methods ◽  
Deaf Adults ◽  
Level Of Knowledge

Background: Persons with disabilities in general face serious barriers to sexual and reproductive health (SRH) information and services due to institutional and attitudinal barriers. However, because deaf people have unique communication and linguistic needs, which are often misunderstood or ignored, they face greater barriers than other persons with disabilities. Whilst available data indicated that there is a wide gap between knowledge and usage of contraceptive amongst Ghanaians, little is known about the level of contraceptive knowledge and usage amongst deaf people.Objectives: The objective of the study was to investigate the level of knowledge and use of contraceptive methods amongst deaf people in Ghana with the aim of understanding their contraceptive behaviour and to improve access.Method: The study was a participatory SRH needs assessment utilising a two-phase, sequential, mixed methods design. The study included 179 participants, consisting of focus groups with seven executives of Ghana National Association of the Deaf (GNAD), 10 male deaf adults, and 9 deaf female adults. A total of 152 deaf people, made up of students, women, and men participated in a survey, whilst one hearing person served as a key informant.Results: The findings of the study indicated that of the 13 methods shown in the survey, only three were known to about 70% of the adults and 60% of the students. Level of knowledge of the remaining nine methods was low.Conclusion: Clear and effective policies are needed to guide the provision of SRH information and services for deaf people in Ghana.

scholarly journals The Effect of Antenatal Care Service Utilization on Postnatal Care Service Utilization: A Systematic Review and Meta-analysis Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Alehegn Bishaw Geremew ◽  
Moges Muluneh Boke ◽  
Ayenew Engida Yismaw
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Postnatal Care ◽  
Service Use ◽  
Care Service ◽  
Meta Analysis ◽  
Random Effect Model ◽  
Cochrane Library ◽  
Forest Plot ◽  
Analysis Study

Introduction. Reduction of maternal and neonatal morbidity and mortality has continued to be a challenge in developing countries. The majority of maternal and neonatal mortality occurred during the early postpartum period. This is mostly due to low postnatal care service utilization. There is a discrepancy of evidence on the effect status of antenatal care on the improvement of postnatal care service utilization. Therefore, this review study is aimed at estimating the pooled effect of antenatal care on postnatal care service utilization. Methods. We searched from PubMed and Cochrane library database, Google Scholar, and Google. Initially, we found 265 articles; after duplication was removed and screened by the relevance of the titles and abstracts, 36 studies were considered for assessment of eligibility. Finally, 14 articles passed the inclusion and exclusion criteria and are included in the meta-analysis. Study quality assessment was done using Janna Briggs Institute (JBI) critical appraisal tools. The main information was extracted from each study. Heterogeneity of studies was assessed using I2=70% and more considered having high heterogeneity. The publication bias was checked using funnel plot and big test. Meta-analysis using a random effect model was conducted. A forest plot was used to show the estimated size effect of odds ratio with a 95% confidence interval. Results. A total of 14 articles were included with 15,765 participants for synthesis and meta-analysis. We found that a pooled estimate of women who had antenatal care was 1.53 times more likely to have postnatal care compared with those who had no antenatal care (AOR=1.53, 95% CI 1.38-1.70, I2=0%). Conclusions. This review results revealed a low utilization of postnatal care service. Antenatal care service utilization has a positive effect on postnatal care service utilization. Policymakers and programmers better considered more antenatal care service use as one strategy of enhancing the utilization of postnatal care service.

Magnitude and Determinants of Postnatal Care Service Utilization in Farta District, South Gondar Zone, Amhara Region, Ethiopia.

2020 ◽  
Author(s):  
Wondimu Girma Mengistu ◽  
Abrham Yeneneh Birhanu ◽  
Tadesse Wuletaw Demissie ◽  
Abaynew Honelgn Desalgn
Keyword(s):  
Health Facility ◽  
Service Utilization ◽  
Postnatal Care ◽  
Formal Education ◽  
Care Service ◽  
Emergency Obstetric Care ◽  
Sampling Technique ◽  
Amhara Region ◽  
Services Utilization ◽  
South Gondar

Abstract BackgroundThe low access to emergency obstetric care services in rural Ethiopia showed that maternal mortality was unlikely to significantly decline. Despite the prior attention given to MCH service to the rural communities, the achievements so far were not satisfactory.MethodsCross-sectional study was carried out among 737mothers in 11Keble’s and a multi-stage sampling technique was used to select the subjects and to assess the magnitude and determinants of postnatal care service utilization in Farta district, South Gondar Administrative Zone, Amhara Region, Ethiopia, in 2019.Binary logistic regression statistical model using the adjusted odds ratio (AOR) and 95% CI was used to identify determinants of PNC services utilization.ResultsThe magnitude of PNC services utilization in Farta District was 26.19 % [95% CI: (22.8-29.2)] with variations in between Kebeles. Having formal education of mother [95 % CI: 2.8(1.75-4.48)], birth at a health facility [95% CI: 3.18 (1.73-5.85)], counseling given during ANC visits [(95 %CI: 5.72(3.42-9.55)], complications during or after delivery [95%CI: 2.78(1.20-6.52)] and living within 5km of health facility [95 % CI: 2(1.29-3.10] were identified as determinants of PNC services utilization.ConclusionHaving formal education, counseling during ANC and facility delivery were positively associated whereas having no complications during or after delivery and residing far from a health facility were negatively associated with PNC services utilization. Tracing mechanisms for reaching pregnant women should be developed and strengthened to improve counseling services at home. Frequent support and supervision for remote Kebeles.

scholarly journals Challenges of health services related to the population displaced by violence in Mexico

2018 ◽  
Vol 52 ◽  
pp. 77 ◽  
Author(s):  
María Beatriz Duarte-Gómez ◽  
Silvia Magali Cuadra-Hernández ◽  
Myriam Ruiz-Rodríguez ◽  
Armando Arredondo ◽  
Jesús David Cortés-GilI
Keyword(s):  
Health Services ◽  
Sexual And Reproductive Health ◽  
Public Health Problem ◽  
Internal Displacement ◽  
Integral Approach ◽  
International Literature ◽  
Inclusion Criteria ◽  
Political Will ◽  
Persons With Disabilities ◽  
The Subject

OBJECTIVE: To analyze the impacts of the care to the population displaced by violence on the health system and the challenges that this entails. METHODS: This is a narrative review of the national and international literature in PubMed, SciELO, WHO/PAHO, and Bireme. Inclusion criteria were date of publication ( from 2000), relation with the subject, and language (Spanish or English). We found 292 documents, of which 91 met the inclusion criteria. RESULTS: The main challenges are the intersectoral, participatory, and integral approach (with emphasis on mental health and sexual and reproductive health), ensured accessibility to health services, the need for a reliable registration and information system of the population displaced by violence and its characteristics, and the addressing of the biopsychosocial problems of the different groups, especially women, persons with disabilities or infectious diseases, adolescents, children, ethnic minorities, older adults and the lesbian, gay, bisexual, transsexual, and intersexual population. CONCLUSIONS: The lack of political will to accept and see the internal displacement by violence and its importance as a humanitarian and public health problem is an obstacle to the adequate and timely care of the population displaced by violence in Mexico.

What Industry Wants: An Empirical Analysis of Health Informatics Job Postings

2021 ◽  
Vol 12 (02) ◽  
pp. 285-292
Author(s):  
Tara M. McLane ◽  
Robert Hoyt ◽  
Chad Hodge ◽  
Elizabeth Weinfurter ◽  
Erin E. Reardon ◽  
...  
Keyword(s):  
Empirical Analysis ◽  
Health Informatics ◽  
Formal Education ◽  
Practical Experience ◽  
The United States ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Education Levels ◽  
Clinical Background ◽  
Job Postings

Abstract Objectives To describe the education, experience, skills, and knowledge required for health informatics jobs in the United States. Methods Health informatics job postings (n = 206) from Indeed.com on April 14, 2020 were analyzed in an empirical analysis, with the abstraction of attributes relating to requirements for average years and types of experience, minimum and desired education, licensure, certification, and informatics skills. Results A large percentage (76.2%) of posts were for clinical informaticians, with 62.1% of posts requiring a minimum of a bachelor's education. Registered nurse (RN) licensure was required for 40.8% of posts, and only 7.3% required formal education in health informatics. The average experience overall was 1.6 years (standard deviation = 2.2), with bachelor's and master's education levels increasing mean experience to 3.5 and 5.8 years, respectively. Electronic health record support, training, and other clinical systems were the most sought-after skills. Conclusion This cross-sectional study revealed the importance of a clinical background as an entree into health informatics positions, with RN licensure and clinical experience as common requirements. The finding that informatics-specific graduate education was rarely required may indicate that there is a lack of alignment between academia and industry, with practical experience preferred over specific curricular components. Clarity and shared understanding of terms across academia and industry are needed for defining and advancing the preparation for and practice of health informatics.

scholarly journals Disabling stroke in persons already with a disability

Neurology ◽  
2020 ◽  
Vol 94 (7) ◽  
pp. 306-310 ◽  
Author(s):  
Michael J. Young ◽  
Robert W. Regenhardt ◽  
Thabele M. Leslie-Mazwi ◽  
Michael Ashley Stein
Keyword(s):  
Clinical Practice ◽  
Health Outcomes ◽  
Acute Stroke ◽  
Care Delivery ◽  
Stroke Care ◽  
Clinical Practices ◽  
Acute Stroke Care ◽  
Persons With Disabilities ◽  
Stroke Research ◽  
Scant Attention

Stroke is the second leading cause of death worldwide and a leading cause of adult disability worldwide. More than a third of individuals presenting with strokes are estimated to have a preexisting disability. Despite unprecedented advances in stroke research and clinical practice over the past decade, approaches to acute stroke care for persons with preexisting disability have received scant attention. Current standards of research and clinical practice are influenced by an underexplored range of biases that may hinder acute stroke care for persons with disability. These trends may exacerbate unequal health outcomes by rendering novel stroke therapies inaccessible to many persons with disabilities. Here, we explore the underpinnings and implications of biases involving persons with disability in stroke research and practice. Recent insights from bioethics, disability rights, and health law are explained and critically evaluated in the context of prevailing research and clinical practices. Allowing disability to drive decisions to withhold acute stroke interventions may perpetuate disparate health outcomes and undermine ethically resilient stroke care. Advocacy for inclusion of persons with disability in future stroke trials can improve equity in stroke care delivery.

scholarly journals Postnatal Care Service Utilization among Mothers in Eastern Region of Nepal

2013 ◽  
Vol 2 (2) ◽  
pp. 62-67
Author(s):  
Ishwari Sharma Paudel ◽  
Sailesh Bhattarai ◽  
Rajan Bikram Rayamajhi ◽  
Surya Bahadur Parajuli ◽  
Paras Kumar Pokharel
Keyword(s):  
Service Utilization ◽  
Postnatal Care ◽  
Care Service ◽  
Eastern Region ◽  
Medical College

Journal of Nobel Medical College Vol. 2, No.2 Issue 4 May-October 2013 Page 62-67 DOI: http://dx.doi.org/10.3126/jonmc.v2i2.8808

scholarly journals Magnitude and Factors Associated with Optimal Complementary Feeding Practices among Children Aged 6-23 Months in Bensa District, Sidama Zone, South Ethiopia

1970 ◽  
Vol 29 (2) ◽  
Author(s):  
Muntasha Birhanu ◽  
Teferi Abegaz ◽  
Rekiku Fikre
Keyword(s):  
Food Security ◽  
Service Utilization ◽  
Odds Ratio ◽  
Postnatal Care ◽  
Complementary Feeding ◽  
Care Service ◽  
Feeding Practices ◽  
Household Food Security ◽  
Factors Associated ◽  
Household Food

BACKGROUND: Prevalence of optimal complementary feeding practices are lower than expected. Undernutrition contributes 35% of children mortality. Our study was aimed to assess magnitude and factors associated with optimal complementary feeding practices among children 6-23 months in Bensa Dstrict, Sidama Zone, South Ethiopia, 2016.METHOD: A community based cross sectional study was conducted from January to February 2016 in (8) randomly selected kebles found in Bensa District. Respondents were selected by using simple random sampling technique after sampling frame was prepared from rapid survey. Pre-tested questionnaire was used to collect information. Then, data were entered into SPSS version 20, Then, crude odds ratio (COR) and adjusted odds ratio (AOR) with 95% confidence interval were computed to examine statistical significance.RESULT: This study revealed that only 8.6% (95%CI: 6.4, 10.7%) of 6-23 months children had optimal complementary feeding practices. Mother’s knowledge on optimal complementary feeding (AOR=5.4, 95%CI: 2.7, 11), postnatal care service utilization(AOR=3.4, 95%CI: 1.7, 7), and household food security (AOR=5, 95%CI: 2.5, 10.5) were positively associated with optimal complementary feeding practices.CONCLUSION: Mother’s knowledge, postnatal care utilization and household food security positively affected optimal complementary feeding practices.Thus, Bensa District Health Office, Sidama Zone Health Departiment and other respective stakeholders should cooperatively work to enhance knowledge of mothers/care takers on optimal complementary feeding practices, household food security and on advantages of postnatal care service utilization.

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