Midwives' Acceptance of Using mHealth to Improve Data Quality of a Maternal and Child Health Program (Preprint)

2021 ◽  
Author(s):  
Kemal N Siregar ◽  
Budi Utomo ◽  
Rico Kurniawan ◽  
Retnowati Retnowati ◽  
Tris Eryando ◽  
...  
Keyword(s):  
Child Health ◽  
Data Quality ◽  
Maternal And Child Health ◽  
Maternal Mortality Ratio ◽  
Quality Data ◽  
Daily Work ◽  
Mortality Ratio ◽  
And Child Health ◽  
Mch Data

BACKGROUND Maternal and child health (MCH) remains an important agenda item in the Sustainable Development Goals (SDGs). Unfortunately, despite strong commitments, the maternal mortality ratio in Indonesia remains high. Program performance, particularly good midwife performance, is the main factor that can reduce the maternal mortality ratio. Improving midwife performance must be supported by the availability of data or evidence. However, midwives still experience problems with data collection in the MCH program. OBJECTIVE This study aimed to strengthen the quality of maternal and child health (MCH) data produced by mHealth. METHODS Three research avenues were evaluated: a) ensuring quality data are produced, b) building mHealth to fit the needs of midwives so that mHealth is acceptable to midwives, and c) identifying challenges midwives face when using mHealth RESULTS The MCH data generated by mHealth met the data quality criteria consisting of data completeness, correctness, currentness, and consistency. Midwives in the villages showed enthusiasm for using mHealth and accepted the mHealth which is supports their daily work. One of the challenges of using mHealth is the lack of integration with the Community Health Center information system. CONCLUSIONS The mHealth system produces quality data that can improve the current poor data quality, and this application can be easily used by midwives. The midwives generally accepted the application and agreed that mHealth helps with their daily work in MCH services CLINICALTRIAL This research has obtained ethical permission from the ethics commission of the Public Health Faculty Universitas Indonesia register number 477/UN2.F10/PPM.00.02/2019.

scholarly journals Assessing Access and Healthcare Quality of Maternal and Child Health Services in Facilities of Kasai Province in the Democratic Republic of the Congo (DRC)

2021 ◽  
Author(s):  
Britou Ndela ◽  
Philippe Ngwala ◽  
Adrien N’siala ◽  
Albert Kalonji ◽  
Felix Minuku ◽  
...  
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Democratic Republic ◽  
Maternal Mortality Ratio ◽  
Child Health Services ◽  
Geographical Access ◽  
Republic Of The Congo ◽  
And Child Health

Abstract Background: The Democratic Republic of the Congo (DRC) is classified among the 5 countries with the highest global maternal mortality ratio (MMR) and highest under-five mortality rate (U5MR) in the world. Kasai is one of 14 provinces of the DRC, which have a high U5MR and MMR. Despite this overriding concern, almost no studies have been conducted to assess maternal et child situation in this province. The aim of this study was to assess access, availability, and quality of maternal and child health services in Kasai Province in the DRC. Methods: A cross-sectional survey of 49 Health Facilities (HFs) integrating quantitative and qualitative data collection was conducted in 18 Health Zones in Kasai Province in the DRC. Documentary review, interviews and direct observation of HFs were performed to collect data. Pearson’s chi-squared test was performed to establish the relation between variables.Results: Nearly 54 % of visited HFs population had a geographical access to maternal and child health services and the majority of medical acts were unaffordable. Basic and comprehensive emergency obstetric care (EmOC) were offered respectively by only 11.8% and 7.6% of HF and none provided high quality basic or comprehensive EmOC. This low availability and quality of EmOC are due to the insufficiency of necessary inputs and personal for maternal and child health services in the majority of HFs. Conclusion: The situation of maternal and child health services is very precarious in Kasai Province. The improvement of EmOC coverage will require rehabilitation of infrastructure, dotation of equipment, regular supply of medicines and strengthening of human resource capacity.

mHealth in Maternal, Newborn, and Child Health Programs around the World

2019 ◽  
pp. 55-63
Author(s):  
Briana Britton ◽  
Laura Pugliese ◽  
Stan Kachnowski
Keyword(s):  
Health Education ◽  
Child Health ◽  
Maternal And Child Health ◽  
Quality Of Healthcare ◽  
Biometric Data ◽  
Middle Income ◽  
Access And Quality ◽  
Child Health Programs ◽  
And Child Health

The incorporation of mobile devices into the delivery of healthcare, known as mHealth, is changing the way care is delivered in the 21st century. The impact of mHealth is particularly salient in low and middle income countries (LMICs), where mHealth poses the opportunity to increase access and quality of healthcare in systems where supportive infrastructure is otherwise lacking. This approach is well-suited to target issues of maternal and child health, permitting an increase in health education, communication, monitoring, and care to what are often vulnerable and hard-to-access populations. Employing mHealth tactics that target such populations can improve the overall access and quality of maternal and child health in the developing world - a priority for the United Nations as reflected in the Millennium Development Goals (MDGs). While the field of mHealth is new and still developing, many programs and thought-leaders have already successfully applied mHealth strategies in interventions to improve maternal and child health through health education, preventive care, emergency response, biometric data collection, and training healthcare workers.

scholarly journals Quality of Maternity Care and Client Satisfaction

2019 ◽  
Vol 2 (1) ◽  
pp. 73-76
Author(s):  
Saraswoti Kumari Gautam Bhattarai ◽  
Kanchan Gautam
Keyword(s):  
Quality Of Care ◽  
Child Health ◽  
Pregnant Women ◽  
Maternal And Child Health ◽  
Maternity Care ◽  
Client Satisfaction ◽  
Care Service ◽  
Postnatal Period ◽  
And Child Health

Health service provided to pregnant women during antenatal, childbirth and postnatal period is essential for maternal and child health. Proper care during pregnancy, childbirth and postnatal period are important for the health of mother and baby. High maternal, infant and child morbidity and mortality demand improved healthcare which does not concern to coverage of health services alone. The health issues of pregnant women, mothers, infants and children need to be addressed with the attention to the quality of care (QoC).  The Nepal Health Sector Strategy (NHSS) also identifies equity and quality of care gaps as areas of concern for achieving the maternal health sustainable development goal (SDG) target. So this review aims to sensitize and draw attention to the quality of maternity care and client satisfaction to improve maternal and child health. For this article, different studies related to the quality of maternity care and satisfaction from care service received on maternity care are reviewed.

scholarly journals Indicators of Organizational Support in Implementing Maternal and Child Health Information System

2016 ◽  
Vol 5 (3) ◽  
pp. 280
Author(s):  
Heru Santoso Wahito Nugroho ◽  
Stefanus Supriyanto ◽  
Hari Basuki Notobroto
Keyword(s):  
Information System ◽  
Child Health ◽  
Health Information ◽  
Maternal And Child Health ◽  
Organizational Support ◽  
Health Information System ◽  
Supervisor Support ◽  
Quality Data ◽  
Work Condition ◽  
And Child Health

<p style="color: #000000; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 10px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Nowadays, the implementation of health informtion system in Indonesia still encounters a number of obstacles e.g. redundant data, activities duplication, data quality, data not in harmony with the necessities, report not submitted on time, unoptimized feedback, low information utilization, and inefficient resources. This research aimed to analyze the indicators of organizational support which were suspected as one of the obstacles of the implementation of Maternal and Child Health Information System in Health Office of Ngawi Regency. The population of this cross sectional research was all village midwives administratively in duty in the areas of Ngawi Regency in 2015. Data was taken from all member of populaton through questionnaire filling, which was then analyzed by using confirmatory factor analysis (CFA). The result of data analysis suggested that the coefficient value that has been standardized from each indicators were as follows: supervisor support = 0.82, work condition = 0.80, and reard = 0.90. Indicators of organizational support<br />in implementing Maternal and Child Health Information System at Ngawi Regency Health Office, respectively from the most important are: reward, supervisor support, and work condition.</p>

scholarly journals 1421Effects of the Colombian armed conflict on reproductive, maternal and child health

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Isabel Garcés-palacio ◽  
Mary Salazar-Barrientos ◽  
Edison Bedoya Bedoya ◽  
Ana Langer
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Armed Conflict ◽  
Maternal Mortality Ratio ◽  
Secondary Analysis ◽  
Health Indicators ◽  
Internally Displaced ◽  
And Child Health ◽  
Victimization Rates

Abstract Background Colombia has been affected by internal armed conflict for 70 years. About 7.3 million people have been internally displaced and nearly 50% of them were women. In conflict-afflicted areas, pregnant women and newborns have higher rates of adverse health outcomes. Methods Secondary analysis of public databases. We examined sixteen indicators from the Countdown to 2030 initiative, for which data from Colombia were available and reliable between 1998 and 2016. We also constructed a variable (victimization rate) to measure the intensity of the conflict for each municipality/year and grouped them into quintiles. We compared relative differences and confidence intervals using the Rothman and Greenland method. Results Across time, most indicators improved in all municipalities. However, four indicators were significantly different between municipalities with high versus low victimization rates. The maternal mortality ratio was higher in the municipalities with higher victimization rates in the periods 1998-2004, 2005-2011 and 2012-2016. The percentages of caesarean births and women who received four or more antenatal care visits were lower in settings with highest levels of victimization (1998-2000,) while the fertility rate among women 15-19 years old was higher in those municipalities between 2012 and 2016. Conclusions In Colombia, several maternal and child health indicators have improved during the years of the conflict; however, municipalities most affected by the armed conflict had poorer reproductive and maternal health outcomes. Key messages Maternal and reproductive health were negatively affected by protracted armed conflict in Colombia.

A History of Child Health Equity Legislation in the United States

PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_3) ◽  
pp. 727-730
Author(s):  
Peter C. van Dyck
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Child Health ◽  
Access To Care ◽  
Maternal And Child Health ◽  
Well Being ◽  
The United States ◽  
Pediatric Care ◽  
And Child Health

The Issue. The mission of the Maternal and Child Health Bureau (MCHB) is comprehensive in scope and establishes the capacity, structure, and function for the MCHB to continually improve the health and well-being of pregnant women and children. The MCHB works in partnership with states and has broad authority to improve access to care and ensure the provision of quality preventive and primary care services. Specific provisions of legislation establish the framework for accomplishing this mission. With the increasing recognition of the social, economic, and environmental determinants of child health and the inequities that exist in access and quality of care for children, the Maternal and Child Health Bureau (MCHB) has set the following 3 goals for year 2003: 1) To eliminate disparities in health status outcomes through the removal of economic, social, and cultural barriers to receiving comprehensive, timely, and appropriate health care; 2) To ensure the highest quality of care through the development of practice guidance and data monitoring and evaluation tools; the use of evidence-based research; and the availability of a well-trained, culturally diverse workforce; and 3) To facilitate access to care through the development and improvement of the maternal and child health infrastructure and systems of care to enhance the provision of necessary, coordinated, quality health care. Priority MCHB strategies to accomplish these goals include improving and expanding 1) the cultural competence of providers (in particular to decrease sudden infant death syndrome [SIDS] among minorities), 2) emergency medical services for children, 3) health and safety in child care, 4) quality of primary pediatric care, and 5) the providing of every child with a medical home.

Cash Transfers for Improved Maternal and Child Health Data: A Pilot Study Supporting Health Management Information System in Malawi

2021 ◽  
Author(s):  
Mariame O. Ouedraogo ◽  
Madalitso Tolani ◽  
Janet Mambulasa ◽  
Katie McLaughlin ◽  
Diego G. Bassani ◽  
...  
Keyword(s):  
Data Quality ◽  
Management Information System ◽  
Health Management ◽  
Cash Transfers ◽  
Health Management Information System ◽  
Management Information ◽  
Pilot Intervention ◽  
And Child Health ◽  
Mch Data

Abstract Background The health management information system (HMIS) is an integral component of a strong health care system. Despite its importance for decision-making, the quality of HMIS data remains of concern in low- and middle-income countries. To address challenges with the quality of maternal and child health (MCH) data gathered within Malawi's HMIS, we designed a pilot study consisting of performing regular cash transfers to district-level HMIS offices. We hypothesized that providing regular cash transfers to HMIS offices would empower staff to establish strategies and priorities based on local context, consequently obtaining and maintaining accurate, timely, and complete MCH data. Methods The pilot intervention was implemented in Mwanza district, while Chikwawa, Neno, and Ntchisi districts served as control sites. The intervention consisted of providing cash transfers to Mwanza's HMIS office following the submission of detailed budgets and lists of planned activities with their respective targets and outputs. In the control districts, we performed regular interviews with the HMIS officers to track the HMIS-related activities. We evaluated the intervention by comparing data quality between the post-intervention and pre-intervention periods in the intervention and control districts. Additionally, we conducted interviews with Mwanza's HMIS office staff to determine the acceptability and appropriateness of the intervention. Results Following the 10-month intervention period, we observed improvements in MCH data quality in the intervention district (Mwanza). The availability and completeness of MCH data collected in the registers increased by 22% and 18%, respectively. The consistency of MCH data between summary reports and electronic HMIS improved from 73–94%. The qualitative interviews confirmed that, despite some challenges, the intervention was well received by the participating HMIS office. Participants preferred our strategy to other conventional ways of supporting HMIS that fail to give HMIS offices the independence to make decisions. Conclusions This pilot intervention demonstrated an alternative approach to support HMIS offices in their daily efforts to improve data quality. Given the Ministry of Health (MoH)'s interest in strengthening its HMIS, our intervention provides a strategy that the MoH and local and international partners could consider to rapidly improve HMIS data with minimal oversight.

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