Maternal health care services in Nepal: A qualitative perspective based on the socio-ecological model

Nepal has a high Maternal Mortality Rates (MMR) in the South Asian region, partly due to the poor utilization of maternal and child healthcare services. The study aims to explore the influencing factors of maternal and child healthcare services among Nepalese women. Eighteen women, who had seven-days-old-children and those recently accessed maternal and child healthcare practices, were purposively selected. The face-to-face, In-depth-Interview (IDI) was applied to collect the information. The data were thematically analyzed, where Socio-Ecological Model (SEM) was applied as a theoretical framework. The study showed that the factors such as the knowledge of women, perception, and decision-making-autonomy at individual levels influenced maternal and child healthcare-seeking behaviors. Likewise, mothers-in-law and the role of husbands at intrapersonal levels, employment at institutional levels, peers and role of neighbors at community levels, and safe motherhood program at policy levels were significant factors for the utilization of maternal and child healthcare-seeking-behaviors. The negligence of women concerning pregnancy, inadequate health facilities, lack of specialist health workers with advanced equipment, and cultural taboos and beliefs were observed as score barriers for utilization of maternal and child health-seeking behaviors. The research strongly recommends that all women be aware of maternal and child healthcare and health-seeking behaviors at their initial ages.

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2. The Provision of HealthCare Services: The NHS, Resource Allocation, and Public Health

Medical Law ◽

10.1093/he/9780198825845.003.0002 ◽

2019 ◽

pp. 37-120

Author(s):

Emily Jackson

Keyword(s):

Public Health ◽

Health Care ◽

Resource Allocation ◽

Health Care Services ◽

Healthcare Services ◽

Health Law ◽

Care Services ◽

Role Of The State ◽

Healthy Behaviour

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing able students with a stand-alone resource. This chapter examines the provision of health care services. It first considers the way in which NHS services are commissioned. Secondly, it covers the issue of resource allocation or rationing. It examines different rationing strategies, and considers the role of the National Institute of Health and Care Excellence, and the use of judicial review to challenge funding decisions. Finally, it examines public health law, and role of the state in encouraging healthy behaviour and addressing health inequalities.

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Impact of Indigenous Language Media on Safe Motherhood Practices

Emerging Trends in Indigenous Language Media, Communication, Gender, and Health - Advances in Human Services and Public Health ◽

10.4018/978-1-7998-2091-8.ch005 ◽

2020 ◽

pp. 78-95

Author(s):

Funmi Falobi

Keyword(s):

Health Workers ◽

Safe Motherhood ◽

Indigenous Language ◽

Health Providers ◽

Radio Stations ◽

Lagos State ◽

Nursing Mothers ◽

Professional Health ◽

The Media

This chapter examines the role of indigenous language media and how it has impacted safe motherhood practices in Lagos State. The objectives are to know how the media using indigenous languages have been able to reach more women and inform them on best practices on safe motherhood practices and whether professional health providers communicate in indigenous language to women during ante natal sessions. A questionnaire was administered on pregnant women and nursing mothers at a public general hospital in the state while nurses were interviewed on the use of indigenous language. The research was also carried out in three indigenous radio stations in Lagos. The study found that for Nigeria in general, and Lagos State in particular, to reduce maternal mortality rate and advance in safe motherhood practices, involvement of indigenous language media is imperative in giving women necessary information. The majority of the respondents answered that they would prefer health workers to speak in the local language.

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The Role of Self-Efficacy in Women's Health-seeking Behaviors in Northwestern Botswana

Journal of Health Care for the Poor and Underserved ◽

10.1353/hpu.2019.0048 ◽

2019 ◽

Vol 30 (2) ◽

pp. 653-667

Author(s):

Francis Barchi ◽

Samantha C. Winter ◽

Peggie Ramaphane ◽

Danielle Dougherty

Keyword(s):

Women’S Health ◽

Women's Health ◽

Self Efficacy ◽

Health Seeking ◽

Health Seeking Behaviors

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Analysis of Healthcare Seeking Behavior

Online Journal of Public Health Informatics ◽

10.5210/ojphi.v7i1.5681 ◽

2015 ◽

Vol 7 (1) ◽

Author(s):

Chrissy Dangel ◽

Steven Allgeier ◽

Adam Haas ◽

Amanda Johnson

Keyword(s):

Emergency Department ◽

Water Contamination ◽

Poison Control ◽

Poison Control Center ◽

Health Seeking ◽

Control Center ◽

Healthcare Seeking ◽

Health Seeking Behaviors ◽

Seeking Behavior ◽

Healthcare Seeking Behavior

This paper describes analyses of health seeking behaviors from two surveillance datastreams: Poison Control Center (PCC) calls and Emergency Department (ED) visit records. These analyses were conducted in order to quantify behaviors following the development of symptoms after water contamination exposure and to understand the motivation, decision-making and timing behind healthcare seeking behaviors.

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Impact of COVID-19 on cancer diagnosis and management in Slovenia – preliminary results

Radiology and Oncology ◽

10.2478/raon-2020-0048 ◽

2020 ◽

Vol 54 (3) ◽

pp. 329-334 ◽

Cited By ~ 5

Author(s):

Vesna Zadnik ◽

Ana Mihor ◽

Sonja Tomsic ◽

Tina Zagar ◽

Nika Bric ◽

...

Keyword(s):

Cancer Diagnosis ◽

Health Care Services ◽

Cancer Control ◽

Routine Data ◽

Healthcare Services ◽

X Rays ◽

Health Seeking ◽

Diagnosis And Management ◽

Outpatient Visits ◽

And Control

AbstractBackgroundThe COVID-19 pandemic has disrupted the provision and use of healthcare services throughout the world. In Slovenia, an epidemic was officially declared between mid-March and mid-May 2020. Although all non-essential health care services were put on hold by government decree, oncological services were listed as an exception. Nevertheless, as cancer control depends also on other health services and additionally major changes in people’s behaviour likely occurred, we aimed to analyse whether cancer diagnosis and management were affected during the COVID-19 epidemic in Slovenia.MethodsWe analysed routine data for the period November 2019 through May 2020 from three sources: (1) from the Slovenian Cancer Registry we analysed data on pathohistological and clinical practice cancer notifications from two major cancer centres in Ljubljana and Maribor; (2) from the e-referral system we analysed data on all referrals in Slovenia issued for oncological services, stratified by type of referral; and (3) from the administrative data of the Institute of Oncology Ljubljana we analysed data on outpatient visits by type as well as on diagnostic imaging performed.ResultsCompared to the November 2019 – February 2020 average, the decrease in April 2020 was about 43% and 29% for pathohistological and clinical cancer notifications; 33%, 46% and 85% for first, control and genetic counselling referrals; 19% (53%), 43% (72%) and 20% (21%) for first (and control) outpatient visits at the radiotherapy, surgery and medical oncology sectors at the Institute of Oncology Ljubljana, and 48%, 76%, and 42% for X-rays, mammograms and ultrasounds performed at the Institute, respectively. The number of CT and MRI scans performed was not affected.ConclusionsSignificant drops in first referrals for oncological services, first visits and imaging studies performed at the Institute, as well as cancer notifications in April 2020 point to a possibility of a delayed cancer diagnosis for some patients during the first surge of SARS-CoV-2 cases in Slovenia. The reasons for the delay cannot be ascertained with certainty and could be linked to health-seeking behaviour of the patients, the beliefs and practices of doctors and/ or the health system management during the epidemic. Drops in control referrals and control visits were expected and are most likely due to the Institute of Oncology Ljubljana postponing non-essential follow-ups through May 2020.

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Pharmacists and telemedicine: an innovative model fulfilling Sustainable Development Goals (SDGs)

Journal of Pharmaceutical Policy and Practice ◽

10.1186/s40545-021-00378-9 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Nadia Bukhari ◽

Maryam Siddique ◽

Nazia Bilal ◽

Sobia Javed ◽

Arzu Moosvi ◽

...

Keyword(s):

Health Care ◽

Rural Areas ◽

Health Care Services ◽

Health Workers ◽

Access Point ◽

Healthcare Services ◽

Models Of Care ◽

Quality Healthcare ◽

Innovative Model ◽

Urban And Rural Areas

AbstractThe lack of access to safe medicines and quality healthcare services in peri-urban and rural areas is a major challenge driving a health system to innovate new models of care. This commentary will discuss the implementation and impact of the “Guddi baji” tele-pharmacy model, a project piloted by doctHERs, one of Pakistan’s leading telemedicine organizations. This innovative model has described the reintegration of women into the workforce by leveraging technology to improve the level of primary health care services and contributes to safe medication practice in a remote area. Our intervention proposed the deployment of technology-enabled, female frontline health workers known as the Guddi baji (meaning The Good Sister) in a rural village. They serve as an “access point to health care” that is linked to a remotely located health care professional; a licensed doctor or a pharmacist within this model.

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Borderline: The Ethics of Fat Stigma in Public Health

The Journal of Law Medicine & Ethics ◽

10.1177/1073110517750585 ◽

2017 ◽

Vol 45 (4) ◽

pp. 510-517 ◽

Cited By ~ 13

Author(s):

Cat Pausé

Keyword(s):

Public Health ◽

Social Determinant ◽

Health Campaigns ◽

Health Seeking ◽

Health Seeking Behaviors ◽

Negative Impacts ◽

Public Health Campaigns ◽

Social Determinant Of Health ◽

Fat Stigma

This article argues that public health campaigns have an ethical obligation to combat fat stigma, not mobilize it in the “war on obesity.” Fat stigma is conceptualized, and a review is undertaken of how pervasive fat stigma is across the world and across the lifespan. By reviewing the negative impacts of fat stigma on physical health, mental health, and health seeking behaviors, fat stigma is clearly identified as a social determinant of health. Considering the role of fat stigma in public health, and the arguments made for using stigmatisation in public health campaigns to promote population health, it is concluded that it is a violation of public health ethics to use stigma as a tool in combatting fatness. The article concludes by making recommendations of how public health in New Zealand can combat, rather than reinforce, fat stigma.

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The role of health services in encouraging disclosure of violence against women

Slovenian Journal of Public Health ◽

10.1515/sjph-2017-0030 ◽

2017 ◽

Vol 56 (4) ◽

pp. 220-226

Author(s):

Vesna Leskošek ◽

Miha Lučovnik ◽

Lucija Pavše ◽

Tanja Premru Sršen ◽

Megie Krajnc ◽

...

Keyword(s):

Health Care ◽

Health Services ◽

Health Care Services ◽

Health Workers ◽

Care Service ◽

Health Care Service ◽

Care Staff ◽

Health Care Staff ◽

Care Services

Abstract Introduction The aim of the survey was to assess the differences in disclosure by the type of violence to better plan the role of health services in identifying and disclosing violence. Methods A validated, anonymous screening questionnaire (NorAQ) for the identification of female victims of violence was offered to all postpartum women at a single maternity unit over a three-month period in 2014. Response rate was 80% (1018 respondents). Chi square test was used for statistical analysis (p<0.05 significant). Results There are differences in disclosure by type of violence. Nearly half (41.5%) of violence by health care services was not reported, compared to 33.7% physical, 23.4% psychological, and 32.5% sexual that was reported. The percentage of violence in intimate partnership reported to health care staff is low (9.3% to 20.8%), but almost half of the violence experienced by heath care services (44%) is reported. Intimate partnership violence is more often reported to the physician than to the psychologist or social worker. Violence in health care service is reported also to nurses. Conclusions Disclosure enables various institutions to start with the procedures aimed at protecting victims against violence. Health workers should continuously encourage women to speak about violence rather than asking about it only once. It is also important that such inquiries are made on different levels of health care system and by different health care professions, since there are differences to whom women are willing to disclose violence.

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