scholarly journals PELATIHAN PIJAT BAYI KEPADA KADER POSYANDU DESA MABUNG KECAMATAN BARON KABUPATEN NGANJUK

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Dewi Kartika Sari ◽  
Halimatus Saidah
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Maternal And Child Health ◽  
Relaxation Technique ◽  
And Child Health ◽  
Lack Of Knowledge

ABSTRACTBaby massage is a relaxation technique that has been practiced for generations in Indonesia.The problem found in partners is the lack of knowledge of Posyandu activities about theimportance of baby massage and how to massage babies properly and correctly, while thePosyandu activities is an important person for the community because as one of the communitymobilizers in maternal and child health and family planning, therefore the cadre need to gettraining about baby massage. The objectives of this activity are to improve the quality of thebaby's health and increase Posyandu activities knowledge about baby massage. The methodthat will be carried out in this activity is the identification of Posyandu activities' knowledge ofinfant massage then training Posyandu activities on the importance of baby massage and theimplementation of baby massage properly and correctly with the number of participants is 23participants. Based on the results of the training, there was an increase in Posyandu activitiesknowledge about baby massage and Posyandu activities became aware of how to massagebabies properly. This is expected to be implemented in society so that the welfare of the babyincreases.Key word : Posyandu activities, baby, baby massageABSTRAKPijat bayi adalah sebuah teknik relaksasi yang telah turun temurun dipraktekkan diIndonesia. Permasalahan yang ditemukan pada mitra adalah masih rendahnya pengetahuankader tentang pentingnya pijat bayi serta cara memijat bayi dengan baik dan benar, sedangkankader merupakan orang yang penting bagi masyarakat karena sebagai salah satu penggerakmasyarakat dalam kesehatan ibu dan anak serta KB, maka dari dari itu kader perlumendapatkan pelatihan tentang pijat bayi. Tujuan yang ingin dicapai dari kegiatan ini adalahmeningkatkan kualitas kesehatan bayi dan meningkatkan pengetahuan kader tentang pijat bayi.Metode yang akan dilaksanakan pada kegiatan ini adalah identifikasi pengetahuan kadertentang pijat bayi kemudian melakukan pelatihan kepada kader tentang pentingnya pijat bayi.Berdasarkan hasil pelatihan, terdapat peningkatan pengetahuan kader tentang pijat bayi dankader menjadi mengerti tentang cara memijat bayi dengan baik dan benar. 

scholarly journals Quality of Family Planning Services in Maternal and Child Health Care Centers in Damanhour City

2018 ◽  
Vol 3 (2) ◽  
pp. 88
Author(s):  
Samiha Hamdi Sayed ◽  
Wafaa Taha Ibrahim Elgzar ◽  
Heba Abdel-Fatah Ibrahim
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Centers ◽  
Total Quality ◽  
Family Planning Services ◽  
Care Level ◽  
And Child Health ◽  
Child Health Centers

Background: Quality of family planning services is an ever-increasing worldwide issue which is basically deserted in the developing nations. Provision of high quality family planning services that satisfy clients’ needs can ensure continued services utilization and increase contraceptive prevalence rate, lowered fertility rate, and improved women and children’s health.Aim: this study intended to assess the quality of family planning services in maternal and child health care centers in Damanhour city.Design: this was a descriptive study that utilized Dounabedian model to assess quality of family planning services structure and process and clients’ satisfaction was used as an outcome indicator.Setting: the three available maternal and child health centers in Damanhour city.Participants: all health care providers and a convenience sample of 300 non pregnant women who utilized the family planning clinics at the selected maternal and child health centers.Tools of data collection: three tools were utilized; basic data structured interview schedule for clients and health care providers, structural quality is assessed through facility audit while the process of family planning services provision was measured by using an observational checklist. After the observation of the family planning care process, an exit interview was done with the clients to measure their satisfaction with the provided family planning services.Results: The study findings revealed that none of the studied family planning clinics had high total quality of care level (structure & process) where 66.7% of them had low level of the total quality of care. However, 74.3% of the studied family planning clients were moderately satisfied with the total quality of care level (structure & process) in the studied maternal and child health centers. Finally, a significant positive correlation was confirmed between the overall family planning clients’ satisfaction level and the total quality of family planning care level; total structure and total process quality of family planning services delivery.Conclusion and recommendations: it can be concluded that family planning services in maternal and child health centers at Damanhur had low total quality of care level with moderate clients’ satisfaction. This shed the light on the urgent need for numerous quality enhancement measures to promote all quality elements in the studied maternal and child health centers. In addition to, emphasizing clients' satisfaction as a high priority output of care.

Child Saving and Child Spacing in Africa: The Evolution of a Concept

1973 ◽  
Vol 3 (4) ◽  
pp. 765-768
Author(s):  
Robert D. Wright
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Maternal And Child Health ◽  
Child Death ◽  
Child Health Services ◽  
Tropical Africa ◽  
Low Visibility ◽  
Child Spacing ◽  
High Level ◽  
And Child Health

In tropical Africa the primordial presence of enormous young child death rates precludes a successful frontal attack on birth rates through specialized programs. Experience in Nigeria indicates that gradual, quiet pressure can influence the power structure to tolerate and eventually espouse child spacing as an integral part of a program of services for child saving. The approach involves four phases: a low visibility start; obtaining high level acceptance; establishment of a federal training center to train cadres for state training programs; and deployment of trained primary care auxiliaries as a local maternal and child health-family planning service. In tropical Africa governmental attitudes toward family planning range from positive policy, to neutrality, to strong opposition. At present most Anglophone countries are favorable. Most Francophone countries are opposed. The general trend is toward a more favorable attitude toward family planning when it is a part of maternal and child health services.

scholarly journals What mechanisms drive uptake of family planning when integrated with childhood immunisation in Ethiopia? A realist evaluation

2021 ◽  
Author(s):  
Shari Krishnaratne ◽  
Jessie K. Hamon ◽  
Jenna Hoyt ◽  
Tracey Chantler ◽  
Justine Landegger ◽  
...  
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Maternal And Child Health ◽  
Realist Evaluation ◽  
Religious Leaders ◽  
Community Members ◽  
Theoretical Frameworks ◽  
Programme Theory ◽  
Integrated Delivery ◽  
And Child Health

Abstract Background: Maternal and child health are key priorities among the Sustainable Development Goals, which include a particular focus on reducing morbidity and mortality among women of reproductive age, newborns, and children under the age of five. Two components of maternal and child health are family planning (FP) and immunisation. Providing these services through an integrated delivery system could increase the uptake of vaccines and modern contraceptive methods (MCMs) particularly during the post-partum period. Methods: A realist evaluation was conducted in two woredas in Ethiopia to determine the key mechanisms and their triggers that drive successful implementation and service uptake of an intervention of integrated delivery of immunisations and FP. The methodological approach included the development of an initial programme theory and the selection of relevant, published implementation related theoretical frameworks to aid organisation and cumulation of findings. Data from 23 semi-structured interviews were then analysed to determine key empirical mechanisms and drivers and to test the initial programme theory. These mechanisms were mapped against published theoretical frameworks and a revised programme theory comprised of context-mechanism-outcome configurations was developed. A critique of theoretical frameworks for abstracting empirical mechanisms was also conducted. Results: Key contextual factors identified were: the use of trained Health Extension Workers (HEWs) to deliver FP services; a strong belief in values that challenged FP among religious leaders and community members; and a lack of support for FP from male partners based on religious values. Within these contexts, empirical mechanisms of acceptability, access, and adoption of innovations that drove decision making and intervention outcomes among health workers, religious leaders, and community members were identified to describe intervention implementation. Conclusions: Linking context and intervention components to the mechanisms they triggered helped explain the intervention outcomes, and more broadly how and for whom the intervention worked. Linking empirical mechanisms to constructs of implementation related theoretical frameworks provided a level of abstraction through which findings could be cumulated across time, space, and conditions by theorising middle-range mechanisms.

scholarly journals What mechanisms drive uptake of family planning when integrated with childhood immunisation in Ethiopia? A realist evaluation

2020 ◽  
Author(s):  
Shari Krishnaratne ◽  
Jessie K. Hamon ◽  
Jenna Hoyt ◽  
Tracey Chantler ◽  
Justine Landegger ◽  
...  
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Maternal And Child Health ◽  
Realist Evaluation ◽  
Religious Leaders ◽  
Community Members ◽  
Theoretical Frameworks ◽  
Programme Theory ◽  
Integrated Delivery ◽  
And Child Health

Abstract Background:Maternal and child health are key priorities among the Sustainable Development Goals, which include a particular focus on reducing morbidity and mortality among women of reproductive age, newborns, and children under the age of five. Two components of maternal and child health are family planning (FP) and immunisation. Providing these services through an integrated delivery system could increase the uptake of vaccines and modern contraceptive methods (MCMs) particularly during the post-partum period. Methods:A realist evaluation was conducted in two woredas in Ethiopia to determine the key mechanisms and their triggers that drive successful implementation and service uptake of an intervention of integrated delivery of immunisations and FP. The methodological approach included the development of an initial programme theory and the selection of relevant, published implementation related theoretical frameworks to aid organisation and cumulation of findings. Data from 23 semi-structured interviews were then analysed to determine key empirical mechanisms and drivers and to test the initial programme theory. These mechanisms were mapped against published theoretical frameworks and a revised programme theory comprised of context-mechanism-outcome configurations was developed. A critique of theoretical frameworks for abstracting empirical mechanisms was also conducted. Results:Key contextual factors identified were: the use of trained Health Extension Workers (HEWs) to deliver FP services; a strong belief in values that challenged FP among religious leaders and community members; and a lack of support for FP from male partners based on religious values. Within these contexts, empirical mechanisms of acceptability, access, and adoption of innovations that drove decision making and intervention outcomes among health workers, religious leaders, and community members were identified to describe intervention implementation.Conclusions:Linking context and intervention components to the mechanisms they triggered helped explain the intervention outcomes, and more broadly how and for whom the intervention worked. Linking empirical mechanisms to constructs of implementation related theoretical frameworks provided a level of abstraction through which findings could be cumulated across time, space, and conditions by theorising middle-range mechanisms.

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.

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