scholarly journals Assessment of Maternal Health Services Quality at Juba Teaching Hospital, South Sudan

2020 ◽  
Vol 4 (1) ◽  
pp. 41-50
Author(s):  
Ezbon W Apary ◽  
Dinah Amongin
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Teaching Hospital ◽  
Services Quality ◽  
South Sudan ◽  
Maternal Health Services

scholarly journals Knowledge of danger signals of pregnancy among clients of maternal health services in tertiary care teaching hospital, Pune

2021 ◽  
Vol 12 (11) ◽  
pp. 85-89
Author(s):  
Arunesh Kumar ◽  
Sachin Gupta ◽  
Prasad Pore
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Maternal Health Services ◽  
Care Hospital ◽  
Danger Signal ◽  
Tertiary Care Teaching Hospital ◽  
Danger Signals ◽  
Care Teaching

Background: India is among countries with a high maternal mortality rate. Every pregnant woman is at risk of developing pregnancy-related complication. It is not understood if and how the information and education on danger signals of pregnancy; translates into appropriate actions when a woman experiences a danger signal. Knowledge and recognition of danger signals during pregnancy would result in timely emergency obstetric care. Aims and Objectives: This study aims to determine the knowledge of key danger signals of pregnancy and its associated factors among the clients of maternal health services in tertiary care teaching hospital, Pune. Materials and Methods: This was a cross-sectional study conducted in obs. and gyne. dept. of tertiary care hospital for a period of 1 month that enrolled 55 eligible women who attended ANC and PNC clinic within study period. Ethical approval for the study was obtained from the IEC. The women were interviewed using a pre-tested questionnaire. All the women attending ANC and PNC clinic with a minimum of four ANC visits qualified the women for the inclusion in the study. Data analysis was performed using SPSS Version 20. The analyzed data were presented in suitable tabular format. Results: Out of 55 mothers, 43.6% know about four or more danger signals whereas 56.4% have knowledge of <4. The most recalled danger signals by the clients was labor pain before 8 months (70.9%), while no one is aware about the danger signal failure of placenta to come out (0%). Conclusion: This study indicated that the knowledge level of women regarding danger signals of pregnancy was low and affected by education level. Therefore, the identified deficiencies in awareness should be addressed through maternal and child health services.

scholarly journals Too afraid to go: fears of dignity violations as reasons for non-use of maternal health services in South Sudan

2018 ◽  
Vol 15 (1) ◽  
Author(s):  
Sumit Kane ◽  
Matilda Rial ◽  
Maryse Kok ◽  
Anthony Matere ◽  
Marjolein Dieleman ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
South Sudan ◽  
Maternal Health Services

scholarly journals Improving maternal health services through social accountability interventions in Nepal: an analytical review of existing literature

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Adweeti Nepal ◽  
Santa Kumar Dangol ◽  
Anke van der Kwaak
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Health System ◽  
Maternal Health Services ◽  
Policy Formulation ◽  
Social Accountability ◽  
The Social ◽  
The Government ◽  
The Impact

Abstract Background The persistent quality gap in maternal health services in Nepal has resulted in poor maternal health outcomes. Accordingly, the Government of Nepal (GoN) has placed emphasis on responsive and accountable maternal health services and initiated social accountability interventions as a strategical approach simultaneously. This review critically explores the social accountability interventions in maternal health services in Nepal and its outcomes by analyzing existing evidence to contribute to the informed policy formulation process. Methods A literature review and desk study undertaken between December 2018 and May 2019. An adapted framework of social accountability by Lodenstein et al. was used for critical analysis of the existing literature between January 2000 and May 2019 from Nepal and other low-and-middle-income countries (LMICs) that have similar operational context to Nepal. The literature was searched and extracted from database such as PubMed and ScienceDirect, and web search engines such as Google Scholar using defined keywords. Results The study found various social accountability interventions that have been initiated by GoN and external development partners in maternal health services in Nepal. Evidence from Nepal and other LMICs showed that the social accountability interventions improved the quality of maternal health services by improving health system responsiveness, enhancing community ownership, addressing inequalities and enabling the community to influence the policy decision-making process. Strong gender norms, caste-hierarchy system, socio-political and economic context and weak enforceability mechanism in the health system are found to be the major contextual factors influencing community engagement in social accountability interventions in Nepal. Conclusions Social accountability interventions have potential to improve the quality of maternal health services in Nepal. The critical factor for successful outcomes in maternal health services is quality implementation of interventions. Similarly, continuous effort is needed from policymakers to strengthen monitoring and regulatory mechanism of the health system and decentralization process, to improve access to the information and to establish proper complaints and feedback system from the community to ensure the effectiveness and sustainability of the interventions. Furthermore, more study needs to be conducted to evaluate the impact of the existing social accountability interventions in improving maternal health services in Nepal.

Maternal health services in China’s western rural areas: uptake and correlates

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Chengfang Liu ◽  
Linxiu Zhang ◽  
Yaojiang Shi ◽  
Huan ZHOU ◽  
Alexis Medina ◽  
...  
Keyword(s):  
Public Health ◽  
Maternal Health ◽  
Health Services ◽  
Health Systems ◽  
Uptake Rate ◽  
Rural Areas ◽  
Design Methodology ◽  
Maternal Health Services ◽  
Western China ◽  
Public Health Systems

Purpose Many public health systems have struggled with the dual questions of (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it. The objective of this study is to assess the uptake rate of a new set of maternal health services in poor rural areas of China. Design/methodology/approach The analysis is based on the survey responses of women’s representatives and village cadres from almost 1000 villages in June 2012 as part of a wide-scale public health survey in Sichuan, Gansu and Yunnan provinces in the western part of China. Findings We find that the uptake rate of maternal health services (including in-hospital delivery, antenatal care visits and post-partum care visits) in poor rural areas of western China are far below average in China, and that the rates vary across provinces and ethnic groups. Our analyses demonstrate that distance, income, ethnicity and availability appear to be systematically correlated with low uptake rates of all maternal health services. Demand-side factors seem to be by far the most important sources of the differences between subpopulations. We also find that there is potential for creating a Conditional Cash Transfer program to improve the usage of maternal health services. Originality/value We believe that our results will contribute positively to the exploration of answers to the dual questions that many public health systems have struggled with (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it.

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