Study of Local Wisdom on the Role of Culture in Maternal and Child Health in Ruteng Subdistrict, Manggarai District, NTT Province

Health problems are closely related to culture or tradition in society. Cultural values in the community of Manggarai is a cultural potential that can be used as a means of agreeing to various public health issues including finding solutions to problems in the field of maternal and child health. Until now, traditional cultural values (local wisdom) still play important role in the process of maternal and child health care in the practice of pregnancy and childbirth care, and some are still handled by a traditional midwife (ata pecing). This study aims at determining the role of culture in maternal and child health practices, how health care search behavior and cultural potential of maternal and child health care practices in Ruteng sub-district are. The study was conducted by using an ethnographic approach method as one of the variants of the qualitative approach. The research activities included field assessments to understand the condition of the research location, field data collection by using interview, observation, literature and document verification techniques. The data collected from various sources were then processed, analyzed, and then presented in the form of interpretative descriptive argumentation. Manggarai community still believes in local customs and some particular behaviors for pregnant and postpartum women. A cultural conception of abstinence is intended to safeguard the safety of the mother and baby. However, the reasons revealed related to the restrictions are only symbolic. Health care providers and health workers need to understand the symbolic meaning contained in the respective abstinence.

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Role of Maternal and Child Health Care Services on Postpartum Contraceptive Adoption in India

SAGE Open ◽

10.1177/2158244017733515 ◽

2017 ◽

Vol 7 (3) ◽

pp. 215824401773351 ◽

Cited By ~ 4

Author(s):

Priyanka Dixit ◽

Laxmi Kant Dwivedi ◽

Amrita Gupta

Keyword(s):

Health Care ◽

Child Health ◽

Maternal And Child Health ◽

Health Care Services ◽

Child Health Care ◽

Care Services ◽

And Child Health

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Explaining the impact of mHealth on maternal and child health care in low- and middle-income countries: A realist synthesis

10.21203/rs.2.19606/v3 ◽

2020 ◽

Author(s):

Eveline Muika Kabongo ◽

Ferdinand Mukumbang ◽

Peter N/A Delobelle ◽

Edward N/A Nicol

Keyword(s):

Health Care ◽

Child Health ◽

Health System ◽

Health Care Providers ◽

Maternal And Child Health ◽

Child Health Care ◽

Care Providers ◽

Middle Income ◽

Middle Income Countries ◽

And Child Health

Abstract Background: Despite the growing global application of mobile health (mHealth) technology in maternal and child health, contextual factors, and mechanisms by which interventional outcomes are generated, have not been subjected to a systematic examination. In this study, we sought to uncover context, mechanisms, and outcome elements of various mHealth interventions based on implementation and evaluation studies to formulate theories or models explicating how mHealth interventions work (or not) both for health care providers and for pregnant women and mothers.Method: We undertook a realist synthesis. An electronic search of six online databases (Medline, PubMed, Google Scholar, Scopus, Academic Search Premier, and Health Systems Evidence) was performed. Using appropriate Boolean phrases terms and selection procedures, 32 articles were identified. A theory-driven approach, narrative synthesis, was applied to synthesize the data. Thematic content analysis was used to delineate elements of the intervention, including its context, actors, mechanisms, and outcomes. Abduction and retroduction were applied using a realist evaluation heuristic tool to formulate generative theories.Results: We formulated two configurational models illustrating how and why mHealth impacts the implementation and uptake of maternal and child care services. Implementation-related mechanisms include buy-in from health care providers, perceived support of health care providers’ motivation, and perceived ease of use and usefulness. These mechanisms were influenced by adaptive health system conditions including organization, resource availability, policy implementation dynamics, experience with technology, network infrastructure, and connectivity. For pregnant women and mothers, mechanisms that trigger mHealth use and consequently uptake of maternal and child health care include perceived satisfaction, motivation, and positive psychological support. Information overload was identified as a potential negative mechanism impacting the uptake of maternal and child health care. These mechanisms were influenced by health system conditions, socio-cultural characteristics, socio-economic and demographics characteristics, network infrastructure and connectivity, and awareness.Conclusion: Models developed in this study provide a detailed understanding of the implementation and uptake of mHealth interventions and how and why they impact maternal and child health care in low- and middle-income countries. These models provide a foundation for the ‘white box’ of theory-driven evaluation of mHealth interventions and can improve rollout and implementation where required.

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Is the role of Health Extension Workers in the delivery of maternal and child health care services a significant attribute? The case of Dale district, southern Ethiopia

BMC Health Services Research ◽

10.1186/s12913-017-2590-8 ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 7

Author(s):

Abel Negussie ◽

Gedion Girma

Keyword(s):

Health Care ◽

Child Health ◽

Maternal And Child Health ◽

Health Care Services ◽

Southern Ethiopia ◽

Child Health Care ◽

Health Extension Workers ◽

Care Services ◽

And Child Health

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The Role of the Central and Kuibyshev Institutes of Maternal and Child Welfare in the Creation of Maternal and Child Health Care Service in the USSR (1922–1940)

Вопросы современной педиатрии ◽

10.15690/vsp.v15i1.1496 ◽

2016 ◽

Vol 15 (1) ◽

pp. 20-24

Author(s):

R. S. Serebryany ◽

S. A. Sher ◽

O. V. Yaremchuk

Keyword(s):

Health Care ◽

Child Welfare ◽

Child Health ◽

Maternal And Child Health ◽

Care Service ◽

Health Care Service ◽

Child Health Care ◽

The Creation ◽

And Child Health

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Explaining the impact of mHealth on maternal and child health care in low- and middle-income countries: a realist synthesis

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03684-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Eveline M. Kabongo ◽

Ferdinand C. Mukumbang ◽

Peter Delobelle ◽

Edward Nicol

Keyword(s):

Health Care ◽

Child Health ◽

Health System ◽

Health Care Providers ◽

Maternal And Child Health ◽

Child Health Care ◽

Care Providers ◽

Middle Income ◽

Middle Income Countries ◽

And Child Health

Abstract Background Despite the growing global application of mobile health (mHealth) technology in maternal and child health, contextual factors, and mechanisms by which interventional outcomes are generated, have not been subjected to a systematic examination. In this study, we sought to uncover context, mechanisms, and outcome elements of various mHealth interventions based on implementation and evaluation studies to formulate theories or models explicating how mHealth interventions work (or not) both for health care providers and for pregnant women and mothers. Method We undertook a realist synthesis. An electronic search of five online databases (PubMed/Medline, Google Scholar, Scopus, Academic Search Premier and Health Systems Evidence) was performed. Using appropriate Boolean phrases terms and selection procedures, 32 articles were identified. A theory-driven approach, narrative synthesis, was applied to synthesize the data. Thematic content analysis was used to delineate elements of the intervention, including its context, actors, mechanisms, and outcomes. Abduction and retroduction were applied using a realist evaluation heuristic tool to formulate generative theories. Results We formulated two configurational models illustrating how and why mHealth impacts implementation and uptake of maternal and child health care. Implementation-related mechanisms include buy-in from health care providers, perceived support of health care providers’ motivation and perceived ease of use and usefulness. These mechanisms are influenced by adaptive health system conditions including organization, resource availability, policy implementation dynamics, experience with technology, network infrastructure and connectivity. For pregnant women and mothers, mechanisms that trigger mHealth use and consequently uptake of maternal and child health care include perceived satisfaction, motivation and positive psychological support. Information overload was identified as a potential negative mechanism impacting the uptake of maternal and child health care. These mechanisms are influenced by health system conditions, socio-cultural characteristics, socio-economic and demographics characteristics, network infrastructure and connectivity and awareness. Conclusion Models developed in this study provide a detailed understanding of implementation and uptake of mHealth interventions and how and why they impact maternal and child health care in low- and middle-income countries. These models provide a foundation for the ‘white box’ of theory-driven evaluation of mHealth interventions and can improve rollout and implementation where required.

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