Factors Affecting the Utilization of Antenatal Care Visit in Nepal

The antenatal care is an entry point for maternal and child health care service utilization through which pregnancy risk can be detected and managed and contributes to reducing both the maternal and neonatal mortality. This study is an attempt to identify the factors affecting on the utilization of antenatal care in Nepal. It is based on data of Nepal Demographic and Health Survey (2016) that covered 3,998 currently married women, aged 15-49 years who had a live birth in the 5 years preceding the survey. In this study, ANC visit is dependent variables is defined by women who attend ANC as 4 or more visits and the women who attend ANC as less than 4 times visits. Information on socio-demography characteristics and the utilization of antenatal care (ANC) visits are collected. Findings of this study show that different demographic, socio-economic factors are responsible for the utilization of antenatal care services in Nepal. Despite the need and the efforts made by the government of Nepal through different policies to improve access to antenatal care service, complete ANC utilization has been inadequate.

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THE CORRELATION BETWEEN DEMAND FACTORS AND HEALTH CARE SERVICE UTILIZATION BY CONTRIBUTION BENEFICIARY PATIENTS

Jurnal Administrasi Kesehatan Indonesia ◽

10.20473/jaki.v7i2.2019.185-191 ◽

2019 ◽

Vol 7 (2) ◽

pp. 185

Author(s):

Leli Rachmawati ◽

Isma Faridatus Sholihah

Keyword(s):

Health Care ◽

Health Care Utilization ◽

General Hospital ◽

Health Care Services ◽

Care Service ◽

Health Care Service ◽

Care Utilization ◽

Care Services ◽

Outpatient Unit ◽

Health Care Service Utilization

Background: National Health Insurance is the government's effort to increase public access to health care services. As the implementer of the National Health Insurance, the Outpatient Unit of Haji General Hospital, Surabaya has undergone the decrease of contribution beneficiaries’ visits from 2010-2013. This condition indicates a decrease in health care utilization by the low-income community.Aim: This study aims to identify the correlation between health care demands and health care utilization by the contribution beneficiary patients.Method: The study was an observational analytic using a cross-sectional design. A systematic random sampling technique was used to determine the sample of the study. The respondents were 74 contribution beneficiary patients who possessed a district government free care scheme and had ever utilized the health care services at the Outpatient Unit of Haji General Hospital, Surabaya, and at least 13 years old. The data were collected through questionnaires and analyzed with Spearman and Chi-Square tests (α =0.05).Results: Health status, insurance needs, additional costs, gender, ethnicity, education, and income did not have a significant correlation with the health care service utilization by the contribution beneficiary patients at the Outpatient Unit of Haji General Hospital. It was identified that the older the people are, the higher the frequency of health care utilization is. Besides, service time was proven to be the determinants of health care utilization (p = 0.006).Conclusion: The most influential factors in utilizing the health care services by contribution beneficiary patients are service time and age. Based on those factors, the Haji General Hospital requires to improve its services and service timeliness for the elderly contribution beneficiary patients.Keywords: demand, contribution beneficiary patients, utilization.

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A Study on Utilisation of Maternal Health Care Services in Haryana

MANTHAN Journal of Commerce and Management ◽

10.17492/manthan.v4i01.9610 ◽

2017 ◽

Vol 4 (01) ◽

Author(s):

Sonal Katyal

Keyword(s):

Health Care ◽

Maternal Health ◽

Antenatal Care ◽

Care Service ◽

Health Care Service ◽

Wealth Index ◽

Maternal Health Care ◽

Demographic And Health Surveys ◽

Delivery Care ◽

Care Services

Despite being a relatively smaller state, Haryana’s per capita Gross State Domestic Product (GSDP) is quite high. However, the statistical data on the status of women has a different story to share. This study analyses the maternal healthcare situation in Haryana to examine the differences in utilisation of maternal health care service, i.e. delivery care on the basis of socio-economic and socio-demographic indicators such as women’s age at birth, birth order, education, residence, religion, wealth index and caste. The study uses the third round of the National Family Health Survey (NFHS) data which is similar to the Demographic and Health Surveys (DHS). The findings reveal that women who have taken antenatal care utilise these services much more than women who have not taken antenatal care services. The utilisation pattern is in conjugation with the hypotheses. The results demonstrate that several socio-economic and demographic factors affect the utilisation of delivery care services in Haryana. Efforts need to be taken at community and household level to improve utilisation the utilisation of these services.

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Conventional health care service utilization among cancer survivors that visit traditional and complementary providers in the Tromsø study: a cross-sectional study

BMC Health Services Research ◽

10.1186/s12913-021-07445-6 ◽

2022 ◽

Vol 22 (1) ◽

Author(s):

Kiwumulo Nakandi ◽

Dana Mora ◽

Trine Stub ◽

Agnete E. Kristoffersen

Keyword(s):

Health Care ◽

Cancer Survivors ◽

Cancer Patients ◽

Service Utilization ◽

Health Care Services ◽

Care Service ◽

Health Care Service ◽

Care Services ◽

Conventional Health Care ◽

Health Care Service Utilization

Abstract Background Traditional and complementary medicine (T&CM) is commonly used among cancer patients worldwide. Cancer patients in Norway mainly visit T&CM providers in addition to conventional health care services. It is not known how their utilization of T&CM providers influences their use of conventional health care services. The aim of this study was to investigate the difference between the utilization of conventional health care services among cancer survivors that visit T&CM providers and those that do not, and their associated factors. Method Health care service utilization data were obtained from cancer survivors 40 years and above participating in the Tromsø Study: Tromsø 7 conducted in 2015–2016. Data were collected from self-administered questionnaires. Pearson chi-square tests, Fisher exact tests, t-test, and logistic regression were used, with the significance level considered at p < 0.05. Results Of 1553 individuals, 10% (n = 155) reported visiting T&CM providers in the past 12 months. As both cancer survivors visiting and not visiting T&CM providers were frequent users of conventional health care, no significant differences were found in the overall use of conventional health care (98.1vs.94.5%, p = .056). Users of T&CM providers were however more likely to visit physiotherapists (40.1% vs 25%, p < .001), emergency rooms (29.2% vs 16.5%, p < .001), chiropractors (17% vs 6%, p < .001), and psychologist/psychiatrist (8.9% vs 3.4%, p < .001). They also had more frequent visits to conventional health care (11.45 vs 8.31 yearly visits, p = 0.014), particularly to general practitioners (5.21 visits vs. 3.94 visits, p = .002). Conclusion Results from this study show that visits to T&CM providers are associated with more visits to conventional health care services among cancer survivors. Further studies are needed to investigate the reasons for this high use behavior.

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Demographic and Socio-economic Factors Affecting Antenatal Care Services Utilization in Nepal

Journal of Development and Administrative Studies ◽

10.3126/jodas.v24i1-2.19668 ◽

2018 ◽

Vol 24 (1-2) ◽

pp. 71-87

Author(s):

Sunil Kumar Acharya

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Economic Status ◽

Economic Factors ◽

Data Set ◽

Factors Affecting ◽

Services Utilization ◽

Care Services ◽

Seeking Behavior ◽

The Government

In Nepal, Antenatal care (ANC) services seeking behavior has improved since the 1990s. More pregnant women are seeking the services now than ever. Still a relatively high percentage does not seek even a onetime ANC care and the percentage of women who seek 4 or more ANC care from a skilled service provider is still low. Research in developing countries shows that various demographic, social and economic factors influence the utilization of ANC services and the number of times the care is sought by pregnant women. This paper examines the likelihood of utilization of ANC services 4 or more times in relation to women’s demographic, social and economic status in Nepal. The 2011 Nepal Demographic and Health Survey (NDHS) data set has been utilized by applying bivariate logistics regression analysis technique to examine the effects of these variables in 4 or more ANC use in Nepal. The analysis findings show large variations and gaps in the utilization of ANC care based on demographic, social and economic status of women. Against this finding, the study recommends implementation of appropriate policy and program measures by the government and other agencies to address the existing variations and gaps in ANC services utilization among different sub-groups of women in Nepal. Further research studies focusing on the existing barriers in ANC services utilization need to be conducted in Nepal especially among the women who are disadvantaged and marginalized. The Journal of Development and Administrative Studies (JODAS)Vol. 24 (1-2), pp. 71-87

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Developing and Launching the Government Social Franchise Model of Reproductive Health Care Service Delivery in Vietnam

Social Marketing Quarterly ◽

10.1080/15245000802632417 ◽

2009 ◽

Vol 15 (1) ◽

pp. 71-89 ◽

Cited By ~ 15

Author(s):

Anh D. Ngo ◽

Dana L. Alden ◽

Nguyen Hang ◽

Nhuan Dinh

Keyword(s):

Health Care ◽

Reproductive Health ◽

Health Care Services ◽

Care Service ◽

Health Care Service ◽

Care Services ◽

Social Franchise ◽

The Social ◽

The Government

Social franchising, an effective social marketing business model, has increased the quality of health care services in developing and developed countries. Typically, private sector physicians and pharmacies are recruited by local or international nonprofit organizations into branded networks of clinics that benefit from economies of scale, a standardized business model, higher quality services, and sophisticated social marketing. While generally effective in the private sector, social franchising of public government operated clinics is very limited. As a result, the social franchise model is relatively untested as a means of enhancing the capacity and quality of public health care services for individuals with limited financial resources. Addressing the need for additional study, this case analysis traces development and launch of a social franchise network of reproductive health services through community public health clinics in two provinces in central Vietnam. Improvement of the clinic infrastructure, increased standardization of quality services, staff instruction on proactive relationship management, and promotion of a culturally relevant brand all appear to have contributed to the successful launch of the network in this case study. The decision to implement a standardized schedule of affordable service fees in one of the two provinces also appears to have improved perceived service quality. Implementation of planned staff incentives has proven to be the most challenging aspect of what is referred to as the government social franchise (GSF) model. Overall, initial evaluation suggests that significant improvement in reproductive health care service quality can be achieved through adaptation of the social franchise model to public sector context.

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Utilization of antenatal care services in a selected rural area in Bangladesh

Northern International Medical College Journal ◽

10.3329/nimcj.v6i1.23157 ◽

2015 ◽

Vol 6 (1) ◽

pp. 25-28 ◽

Cited By ~ 1

Author(s):

Nasreen Begum ◽

Mumtaz Rahman ◽

Md Mahbubar Rahman ◽

Shafia Khatun Nayan ◽

Sumsun Nahar Zinia ◽

...

Keyword(s):

Health Care ◽

Antenatal Care ◽

Rural Area ◽

Care Service ◽

Health Care Service ◽

Health Centre ◽

Reproductive Age ◽

Walking Distance ◽

Birth Preparedness ◽

Care Services

Background : Antenatal care, the care that a woman receives during pregnancy, helps to ensure healthy outcomes for mother and newborns. Utilization of antenatal care services is the basic component of maternal care on which the life of mothers and babies depend.Objectives : To find out the utilization of antenatal care services in a selected rural area in Bangladesh.Methodology : Descriptive cross-sectional study was conducted between January to June 2014 A total 199 married women of reproductive age who had a live baby below 5years of age, were selected purposively from village Islampur in Dhamrai Upzilla under Dhaka district. Data were collected by face to face interview using a pre-tested structured questionnaire.Result : The study revealed that 94.97% utilized ANC services among them 44.72% visited for ANC more than 4 times, 20.10% for 4 times and 30.15% less than 4 times during pregnancy. Health care centre was within walking distance. Most of them were young women aged between 23-27 years (45.72%) and 18-22 years (36.18%). Majority (33.16%) was educated up to secondary level but 83.42% were house wife. Economic status was lower economic group. Half of the respondents (52%) took ANC on their own and permission of husband and 95.97% received special care from their family during pregnancy. For birth planning 86.83% planned health provider to conduct delivery and 71.36% wanted hospital delivery. Majority (97.98%) took birth preparedness during pregnancy and 55% received antenatal care from qualified doctor. About 87% found them available on duty and good behavior was found by 70.90% respondents. Information about danger signs during pregnancy were received by 77.89% of the respondents.Conclusion : Utilization of Antenatal care service was higher in the study area. Most of the mothers had idea about benefit of ANC. Mother's education, family support, behaviour, availability of health care service provider and distance of health centre influence higher utilization. Therefore, to strengthen and intensify the ANC service at all level of health care delivery throughout the country is necessary for sustainability and targeting suboptimum ANC utilization group.Northern International Medical College Journal Vol.6(1) 2014: 25-28

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EPA Guidance on Building Trust in Mental Health Services

European Psychiatry ◽

10.1016/j.eurpsy.2014.01.001 ◽

2014 ◽

Vol 29 (2) ◽

pp. 83-100 ◽

Cited By ~ 27

Author(s):

W. Gaebel ◽

M. Muijen ◽

A.E. Baumann ◽

D. Bhugra ◽

D. Wasserman ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Service Utilization ◽

Health Care Services ◽

Care Service ◽

Health Care Service ◽

Mental Health Care Service ◽

Care Services ◽

Health Care Service Utilization

AbstractPurposeTo advance mental health care use by developing recommendations to increase trust from the general public and patients, those who have been in contact with services, those who have never been in contact and those who care for their families in the mental health care system.MethodsWe performed a systematic literature search and the retrieved documents were evaluated by two independent reviewers. Evidence tables were generated and recommendations were developed in an expert and stakeholder consensus process.ResultsWe developed five recommendations which may increase trust in mental health care services and advance mental health care service utilization.DiscussionTrust is a mutual, complex, multidimensional and dynamic interrelationship of a multitude of factors. Its components may vary between individuals and over time. They may include, among others, age, place of residence, ethnicity, culture, experiences as a service user, and type of disorder. For mental health care services, issues of knowledge about mental health services, confidentiality, continuity of treatment, dignity, safety and avoidance of stigma and coercion are central elements to increase trust.ConclusionEvidence-based recommendations to increase mutual trust of service users and psychiatrists have been developed and may help to increase mental health care service utilization.

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