scholarly journals Masalah Kesehatan Ibu Dan Anak Pada Pernikahan Usia Dini Di Beberapa Etnis Indonesia; Dampak Dan Pencegahannya

2020 ◽  
Vol 23 (4) ◽  
pp. 275-283
Author(s):  
Herti Windya Puspasari ◽  
Indah Pawitaningtyas
Keyword(s):  
Child Health ◽  
Ethnic Groups ◽  
Maternal And Child Health ◽  
Negative Impact ◽  
Early Marriage ◽  
Early Age ◽  
Mortality And Morbidity ◽  
Reliable Source ◽  
The Impact ◽  
And Child Health

The negative impact of early age marriage in Indonesia is the risk maternal and infant mortality by 30%, as many as 56% of adolescent girls experienced domestic violence, only 5.6% of adolescents with early marriage still continue schooling after marriage. This article arrange by further analysis and literature review of the ethnographic research book series on the Center for Research and Development in Humanities and Management Health, NIHRD. This article aim to determine the impact of early marriage on the maternal and child health in several ethnic groups in Indonesia and about the prevention. Cases of early marriage still occur in many ethnic groups in Indonesia and contribute to mortality and morbidity for mothers and children. The impact of early marriage on maternal and child health includes miscarriage, premature, bleeding and maternal death. They must get a education health about repoduction health from reliable source. It is necessary for the government’s role to provide education about reproductive health and positive activities to avoid early age marriage. Especially in districs that have high rates of early age marriage. Abstrak Dampak negatif dari pernikahan dini di Indonesia  adalah risiko kematian ibu dan bayi sebesar 30 %, 56% remaja perempuan mengalami Kekerasan Dalam Rumah Tangga, dan hanya 5,6% remaja dengan pernikahan dini yang masih melanjutkan sekolah setelah kawin.  Tujuan penulisan artikel ini adalah untuk mengetahui dampak pernikahan usia dini terhadap kesehatan ibu dan anak di beberapa etnis di Indonesia serta pencegahannya. Artikel dibuat berdasarkan analisis lanjut dan kajian literatur dari buku seri riset etnografi Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan, Badan Litbang Kesehatan. Kasus pernikahan dini masih banyak terjadi di berbagai etnis di Indonesia dan menyumbang angka kematian dan kesakitan bagi Ibu dan Anak. Dampak pernikahan dini terhadap kesehatan ibu dan anak antara lain, terjadinya keguguran, kelahiran premature, perdarahan hingga kematian ibu. Sebaiknya remaja memiliki pengetahuan mengenai pentingnya kesehatan reproduksi dan mendapatkan pendidikan kesehatan reproduksi yang benar dan layak dari sumber yang terpercaya. Perlu peran pemerintah untuk memberikan edukasi tentang kesehatan reproduksi dan kegiatan-kegiatan yang positif untuk menghindari pernikahan dini.  Edukaski tersebut khususnya untuk masyarakat di daerah yang memiliki angka pernikahan dini yang cukup tinggi.

The Impact of Maternal Health Care Utilization on Probability of Child Survival in India

2020 ◽  
Vol 11 (7) ◽  
pp. 1006-1014
Author(s):  
Ajit Kumar Jaiswal
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Child Survival ◽  
Nutrient Deficiency ◽  
Household Wealth ◽  
Care Utilization ◽  
The Government ◽  
The Impact ◽  
And Child Health

Maternal and child health programmes plays a key role in reducing infant and child mortality in any population. The Government of India started maternal and child health care services in the first five year plan (1951-56). This study uses data from the fourth round of the National Family Health Survey (NFHS, 2015-16). We are interested to examine the effect of child delivery at a healthcare facility, on child survival. We are followed by Mosley and Chen’s framework (1884), according to the framework, several socioeconomic determinants are grouped into some categories, namely, maternal, environmental contamination, nutrient deficiency, and personal illness control. Consequently, we reduced the number of independent variables to women’s age at birth and education, birth order, low child birth weight, household wealth, and healthcare.

No effects of pilot performance-based intervention implementation and withdrawal on the coverage of maternal and child health services in the Koulikoro region, Mali: an interrupted time series analysis

2020 ◽  
Vol 35 (4) ◽  
pp. 379-387
Author(s):  
David Zombré ◽  
Manuela De Allegri ◽  
Valéry Ridde
Keyword(s):  
Time Series ◽  
Child Health ◽  
Health Service ◽  
Maternal And Child Health ◽  
Interrupted Time Series ◽  
Child Health Services ◽  
Child Health Service ◽  
Health Centres ◽  
The Impact ◽  
And Child Health

Abstract Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Thus, further rigorous investigation is needed to be able to draw broader conclusions about the effects of this health financing reform. We examined the effects of the implementation and subsequent withdrawal of the PBF pilot programme in the Koulikoro region of Mali on a range of relevant maternal and child health indicators targeted by the programme. We relied on a control interrupted time series design to examine the trend in maternal and child health service utilization rates prior to the PBF intervention, during its implementation and after its withdrawal in 26 intervention health centres. The results for these 26 intervention centres were compared with those for 95 control health centres, with an observation window that covered 27 quarters. Using a mixed-effects negative binomial model combined with a linear spline regression model and covariates adjustment, we found that neither the introduction nor the withdrawal of the pilot PBF programme bore a significant impact in the trend of maternal and child health service use indicators in the Koulikoro region of Mali. The absence of significant effects in the health facilities could be explained by the context, by the weaknesses in the intervention design and by the causal hypothesis and implementation. Further inquiry is required in order to provide policymakers and practitioners with vital information about the lack of effects detected by our quantitative analysis.

Information and communication technologies and access to maternal and child health information: Implications for sustainable development

2018 ◽  
Vol 35 (4) ◽  
pp. 524-534 ◽  
Author(s):  
Ngozi B Ukachi ◽  
Stella NI Anasi
Keyword(s):  
Sustainable Development ◽  
Child Health ◽  
Health Information ◽  
Information And Communication Technologies ◽  
Maternal And Child Health ◽  
Positive Impact ◽  
Communication Technologies ◽  
Information And Communication ◽  
The Impact ◽  
And Child Health

Maternal and child mortality pose a great challenge in developing nations notwithstanding the robust initiatives instituted at both the global and national levels to ameliorate it. This study is aimed at ascertaining women’s perception of the impact of information and communication technologies on access to maternal and child health information and its implication on sustainable development. The descriptive research design was adopted for the study. Purposive sampling technique was used in selecting University of Lagos Teaching Hospital and subsequently, the three clinics (Obstetrics and Gynaecology, Paediatrics Outpatient, and Antenatal clinics) where the needed groups could be seen. Questionnaire was the instrument used for data collection while SPSS statistical package was used for data analysis. The study revealed that the women perceive information and communication technologies to have a positive impact on their access to maternal and child health information while the key technological facilities used by the respondents in accessing maternal and child health information were mobile phones and social media tools such as Facebook, YouTube, blogs and Twitter. It was also found that irregular power supply, poor Internet access, and ignorance of the media that transmit maternal and child health information were the key factors that militate against effective access to maternal and child health information using communication technologies. The implication of this result on sustainable development is discussed and recommendations made.

scholarly journals Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China

2020 ◽  
Author(s):  
Huan Zhou ◽  
Yuju Wu ◽  
Chengfang Liu ◽  
Chang Sun ◽  
Yaojiang Shi ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Breast Feeding ◽  
Maternal And Child Health ◽  
Rural Areas ◽  
Cash Transfers ◽  
Conditional Cash Transfers ◽  
Child Health Outcomes ◽  
The Impact ◽  
And Child Health

Abstract Background: Empirical evidence suggests that the uptake of maternal and child health (MCH) services is still low in poor rural areas of China. There is concern that the low uptake of MCH services may detrimentally affect child health outcomes. Previous studies have not yet identified the exact nature of the impact that conditional cash transfers (CCT) have on the uptake of MCH services and ultimately, on child health outcomes. The objective of this study is to examine the relationship between CCT, uptake of MCH services, and health outcomes among children in poor rural areas of western China.Methods: We designated two different sets of comparison villages and households that were used as comparison against which outcomes of the treated households could be assessed. In 2014 we conducted a large-scale survey of 1,522 households at 75 villages (including 25 treatment and 50 comparison) from nine nationally-designated poverty counties in two provinces of China. In each village, 21 households were selected based on their eligibility status for the CCT program. Difference-in-difference analyses were used to assess the impact of CCT on outcomes in terms of both Intention-to-treat (ITT) and average-treatment-effects-on-the-treated (ATT). Results: Overall, the uptake of MCH services in the sample households were low, especially in terms of post-partum care visits, early breast feeding, exclusive breast feeding, and physical examination of the baby. The uptake of the seven types of MCH services in the CCT treatment villages were significantly higher than that in the comparison villages. Results from both the ITT and ATT analyses showed the CCT program had a positive, although small, impact on the uptake of MCH services and the knowledge of mothers about MCH health issues. Nonetheless, the CCT program had no noticeable effect on child health outcomes.Conclusions: The CCT program generated modest improvements in the uptake of MCH services and mothers' knowledge of MCH services in poor rural areas of Western China. These improvements, however, did not translate into substantial improvements in child health outcomes for two possible reasons: poor CCT implementation and the low quality of rural health facilities.

scholarly journals COVID-19 and Health Sector Development Plans in Africa: The Impact on Maternal and Child Health Outcomes in Uganda

2021 ◽  
Vol Volume 14 ◽  
pp. 4353-4360
Author(s):  
Mary Gorret Atim ◽  
Violet Dismas Kajogoo ◽  
Demeke Amare ◽  
Bibie Said ◽  
Melka Geleta ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Health Sector ◽  
Child Health Outcomes ◽  
Development Plans ◽  
The Impact ◽  
And Child Health

scholarly journals Increasing the Knowledge and Confidence of Mothers in Caring for Low Birth Weight Babies Through Education from the Maternal and Child Health Handbook

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Sugiarti Sugiarti ◽  
Yeni Rustina ◽  
Defi Efendi
Keyword(s):  
Birth Weight ◽  
Child Health ◽  
Low Birth Weight ◽  
Maternal And Child Health ◽  
Mobile Application ◽  
Instructional Medium ◽  
Audiovisual Media ◽  
Based Instruction ◽  
The Impact ◽  
And Child Health

<p>Having a Low Birth Weight (LBW) is one of the risk factors that may lead to stunting in children under five years old. An education program based on the Maternal and Child Health handbook (MCH) for the first 1000 days of a child’s life is one way to prevent the impact of stunting by improving the mothers’ knowledge and self-confidence to look after LBWB. The study is designed along the line of pre-post quasi-experimental research with a control group, involving 69 samples of mothers with LBWB that match the predetermined criteria. Twenty three of these mothers whose babies were cared for in the perinatology ward were provided with instructions from the MCH handbook, another group of 23 mothers received the same instructions with additional audiovisual media from a mobile application, and the remaining 23 mothers only received verbal instructions in the ward. The data were analyzed using the Paired t-test/Wilcoxon and Kruskall-Wallis tests. The analysis revealed that the MCH handbook based instruction provided a significant boost on the score of mother’s knowledge and confidence, before and after they have received the instructions, both in the group that received the MCH handbook based instruction (p&lt;0.001) and the group that received their instructions from a mobile application (p&lt;0.001). Additional instructions using audiovisual media from a mobile application also provided a significant boost to the knowledge score, and therefore the post-education score of the mothers in this group was higher than in the other two groups (p&lt;0.001). Mother’s knowledge of the provision of care for LBWB can therefore be optimized through education, discussion, and the use of technology as an instructional medium to complement the use of the MCH handbook.</p>

scholarly journals Improving Maternal and Child Health in Bangladesh: The Integration of Midwives in Conjunction With the United Nations Millenium Development Goals Initiative

2015 ◽  
Vol 3 ◽  
Author(s):  
Elizabeth Casto
Keyword(s):  
Child Health ◽  
United Nations ◽  
Maternal And Child Health ◽  
Millennium Development Goals ◽  
Cost Effective ◽  
Cost Effective Method ◽  
Development Goals ◽  
The United Nations ◽  
The Impact ◽  
And Child Health

As the United Nations Millennium Development Goals initiative comes to a close, it is important to examine what has been effective in combating disparities in developing nations. In this paper I explore the impact midwives have on improving maternal and child health in Bangladesh by focusing on how the United Nations Millennium Development Goals initiative has helped to change societal views on women and birth as midwives become more integrated into improving maternal and child health. It is a quantitative and qualitative approach analyzing the statistics of implementing midwives as these impact cost-effectiveness and change in mortality rates in addition to social changes that have occurred in the culture towards maternal and child health. The paper further analyzes programs implemented by countries such as India and Sri Lanka comparatively. Data have been collected from published United Nations and governmental reports, media, and research articles. The paper concludes that the implementation of midwives has provided a cost-effective method of reducing maternal and child health in Bangladesh, and will be increasingly efficient as governmental programs continue to improve various aspects and laws of the country. It is important to analyze what is working in order to further improve maternal and child health on both a regional and global level. The use of midwives can provide a fundamental framework in communities that can aid in reducing health disparities as well as all improve all facets of reproductive wellness, providing the support needed at all stages to improve maternal and child health.

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