scholarly journals Reproductive and Child Health Related Contents at undergraduate medical level in the Community Medicine - Teachers’ view

2012 ◽  
Vol 18 (1) ◽  
pp. 29-33
Author(s):  
Sharmin Jahan ◽  
Md Humayun Kabir Talukder
Keyword(s):  
Problem Solving ◽  
Child Health ◽  
Cross Sectional Study ◽  
Community Medicine ◽  
Group Discussions ◽  
Cross Sectional ◽  
Medical Undergraduate ◽  
Health Related ◽  
Reproductive And Child Health ◽  
And Child Health

Objectives: The objectives of this study were to assess the views of teachers regarding the reproductive and child health related contents at the medical undergraduate level in Bangladesh. Methodology: A descriptive type of cross-sectional study was carried out from January 2009 to June 2009 among 30 teachers of government and non government medical colleges in Bangladesh. Data were collected by pre tested self administered semi-structured questionnaire. Results: Results of the study shows that a total of 58% of the teachers feel that topics such as maternal health, infant and child care, family planning and adolescent health might be useful in future life. They have shown more interest towards problem solving class with scenario exercises, group discussions and brain storming sessions. They also feel that clinical oriented topics should be included more. It was also revealed that more than 65% of the teachers feel that RCH related contents are the most important or one of the most important topics in the Community Medicine. Conclusion and recommendation: Some of the non-traditional teaching methods like problem solving class with scenario exercises, group discussions and brain storming sessions may be practiced to improve the teaching and assessment in reproductive and child health related contents at the undergraduate medical level in Bangladesh. DOI: http://dx.doi.org/10.3329/jdnmch.v18i1.12236 J. Dhaka National Med. Coll. Hos. 2012; 18 (01): 29-33

scholarly journals Socio-economic and demographic factors associated with reproductive and child health preventive care in Mozambique: a cross-sectional study

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Chanvo Daca ◽  
Miguel San Sebastian ◽  
Carlos Arnaldo ◽  
Barbara Schumann
Keyword(s):  
Health Care ◽  
Child Health ◽  
Cross Sectional Study ◽  
Health Coverage ◽  
Sectional Study ◽  
Cross Sectional ◽  
Modern Contraceptives ◽  
Reproductive And Child Health ◽  
Universal Health ◽  
And Child Health

Abstract Background Reproductive and child health interventions are essential to improving population health in Africa. In Mozambique, although some progress on reproductive and child health has been made, knowledge of social inequalities in health and health care is lacking. Objective To investigate socio-economic and demographic inequalities in reproductive and child preventive health care as a way to monitor progress towards universal health coverage. Methods A cross-sectional study was conducted, using data collected from the 2015 Immunization, AIDS and Malaria Indicators Survey (IMASIDA) in Mozambique. The sample included 6946 women aged 15 to 49 years. Outcomes variables were the use of insecticide treated nets (ITN) for children under 5 years, full child immunization and modern contraception use, while independent variables included age, marital status, place of residence, region, education, occupation, and household wealth index. Prevalence ratios (PR) with 95% confidence intervals (95% CI) were calculated by log binomial regression to assess the relationship between the socio-economic and demographic characteristics and the three outcomes of interest. Results The percentage of mothers with at least one child under 5 years that did not use ITN was 51.01, 46.25% of women had children aged 1 to 4 years who were not fully immunized, and 74.28% of women were not using modern contraceptives. Non-educated mothers (PR = 1.33; 95% CI: 1.16–1.51) and those living in the Southern region (PR = 1.36; 95% CI: 1.17–1.59) had higher risk of not using ITN, while the poorest quintile (PR = 1.34; 95% CI: 1.04–1.71) was more likely to have children who were not fully immunized. Similarly, non-educated women (PR = 1.17; 95% CI: 1.10–1.25), non-working women (PR = 1.09; 95% CI: 1.04–1.16), and those in the poorest quintile (PR = 1.13; 95% CI: 1.04–1.24) had a higher risk of not using modern contraceptives. Conclusion Our study showed a low rate of ITN utilization, immunization coverage of children, and modern contraceptive use among women of reproductive age. Several socio-economic and demographics factors (region, education, occupation, and wealth) were associated with these preventive measures. We recommend an equity-oriented resource allocation across regions, knowledge dissemination on the importance of ITN and contraceptives use, and an expansion of immunization services to reach socio-economically disadvantaged families in order to achieve universal health coverage in Mozambique.

Utilisation of maternal and child health handbook in Mongolia: A cross-sectional study

2018 ◽  
Vol 77 (4) ◽  
pp. 458-469 ◽  
Author(s):  
Naoko Hikita ◽  
Megumi Haruna ◽  
Masayo Matsuzaki ◽  
Mie Shiraishi ◽  
Kenji Takehara ◽  
...  
Keyword(s):  
Child Health ◽  
Educational Attainment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Related Information ◽  
High Educational Attainment ◽  
Health Related ◽  
And Child Health ◽  
High Educational

Objective: This study investigated the use of a Maternal and Child Health (MCH) handbook, and related factors, in Mongolia. Design: Population-based cross-sectional study. Setting: Bulgan Province, Mongolia. Method: MCH handbook use was determined by examining whether participants had read it or recorded their health-related information into it. Multiple logistic regression analysis was performed to reveal factors related to MCH handbook utilisation. Results: Of the 716 participants, 631 (88.1%) read the MCH handbook and 428 (59.8%) recorded their health-related information in it. Mothers with middle or high educational attainment were more likely to have read it than were those with low educational attainment (adjusted odds ratio [AOR] = 2.52, 95% confidence interval [CI] = 1.41–4.50; AOR = 3.19, 95% CI = 1.29–7.93, respectively). Literate women and those who had been taught to use the handbook were more likely to read it (AOR = 3.19, 95% CI = 1.68–6.05; AOR = 2.42, 95% CI = 1.31–4.46, respectively). Mothers with a middle or very high wealth index were more likely to have read it than were those with a very low index. Mothers with middle or high educational attainment were more likely to make records in it than were those with low attainment. Mothers who were taught to use the handbook were more likely to make records in it, while those who had children with chronic diseases were less likely to do so. Conclusion: Women’s literacy levels, educational attainment, economic status and effective explanation of its usage must be considered in order to enhance the handbook’s effectiveness.

scholarly journals A cross sectional study to determine the reasons for non-utilization of reproductive and child health services in district Etawah

2020 ◽  
Vol 7 (3) ◽  
pp. 1178
Author(s):  
Vaibhav Singh ◽  
Dhiraj Kumar Srivastava ◽  
Pankaj Kumar Jain ◽  
Sandip Kumar ◽  
Sushil Kumar Shukla ◽  
...  
Keyword(s):  
Child Health ◽  
Health Services ◽  
Hospital Staff ◽  
Cross Sectional Study ◽  
Common Reason ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Poor ◽  
Reproductive And Child Health ◽  
And Child Health

Background: The utilization of social services, including health services, has never been equitably distributed in the society. Cost, distance, attitude of health providers, and other factors put the secondary care and private sector facilities out of reach of most of the poor residents. The socioeconomic factors also have a complex relationship with some of the supply factors, and often in the scarcity of good data, it is very difficult to explain the poor utilization of reproductive and child health (RCH) services.Methods: A cross sectional study conducted on 80 recently delivered women at home in the villages covered under the selected subcentre to interview all recently delivered women to find out the reasons for non-utilization of RCH services. The data was collected by using pre designed semi-structured questionnaire.Results: Most of the participants belong to age group of 20 to 24 (55%) and joint family (51.3%). Main reason for not having institutional delivery was found to be long waiting time in hospital/lack of proper facilities (50%) followed by non-cooperative hospital staff (36.2%). The study showed that most common reason for not getting money under JSY was found to be non-issuance of JSY card (33.3%) and non-cooperative hospital staff (33.3%). It was found that non utilisation of contraceptive services was mainly due to objection by husband (45.5%).Conclusions: This study revealed lack of knowledge, no felt need and financial constraints as the most common reason for not utilizing the different RCH services.

scholarly journals Vitamin D status among infants attending Reproductive and Child Health Centre in Arusha, Tanzania; A cross-sectional study 

2021 ◽  
Author(s):  
Victor Zablon Urio ◽  
Kasirye Phillip ◽  
Victor Musiime ◽  
Theresa Piloya ◽  
Stephen Swanson
Keyword(s):  
Vitamin D ◽  
Child Health ◽  
Vitamin D Deficiency ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Reproductive And Child Health ◽  
And Child Health

Abstract Background: Globally there is a high burden of low serum vitamin D levels, with children being more at risk, due to low intake in breastmilk, few available foods and inadequate cutaneous synthesis of vitamin D. Even in countries with abundant sunshine, Vitamin D deficiency (VDD) remains a problem. The classical clinical effect of severe vitamin D deficiency is rickets. VDD is common in developing countries and may affect developmental outcomes of children. This study aimed to determine the prevalence and factors associated with vitamin D deficiency among infants attending the Reproductive and Child Health Clinic (RCH), in Arusha, Tanzania.Methods: This was a cross-sectional study of infants aged 6 weeks to 12 months attending RCH clinic at Arusha Lutheran Medical Centre (ALMC). We enrolled 304 infants from November 2018 to January 2019 after consent. A pre-coded questionnaire was used to collect data on sociodemographic characteristics of the infants. Physical examination was done for anthropometric measures and signs of rickets. Serum was drawn for assessment of 25-hydroxyvitamin D (25(OH) D),calcium, phosphorus, alkaline phosphate was assessed. Vitamin D deficiency was defined as 25(OH)D less than 20ng/ml. Multivariate analysis was done to determine factors associated with VDD. Statistical analysis was performed using STATA 14 version. P- value < 0.05 was significant. Results: A total of 67/ 304 infants had vitamin D deficiency. Another 50(16.5%) were found to have insufficiency level of vitamin D. Only 187(61.5%) had adequate vitamin D. Signs of rickets were observed in 11(3.6%) and hypocalcemia in 33(10.9%) infants. Factors independently associated with VDD include age < 6 months Adjusted Odds Ratio (AOR) 1.56 (95% CI 1.19-4.0) p value < 0.026, presence of signs of rickets and hypocalcemia p value <0.001 and <0.002 respectively. Conclusion and Recommendation: A high prevalence of VDD (22%) was observed among infants attending RCH clinic in Arusha Tanzania. Age <6 months and the presence of the clinical sign of rickets were associated with VDD. Clinicians should actively assess for VDD and vitamin D supplementation with special emphasis infants <6 months should be implemented.

scholarly journals The coverage of continuum of care in maternal, newborn and child health: a cross-sectional study of woman-child pairs in Ghana

2018 ◽  
Vol 3 (4) ◽  
pp. e000786 ◽  
Author(s):  
Akira Shibanuma ◽  
Francis Yeji ◽  
Sumiyo Okawa ◽  
Emmanuel Mahama ◽  
Kimiyo Kikuchi ◽  
...  
Keyword(s):  
Child Health ◽  
Continuum Of Care ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Newborn And Child Health ◽  
Care Services ◽  
Women And Children ◽  
And Child Health ◽  
The Continuum

IntroductionThe continuum of care has recently received attention in maternal, newborn and child health. It can be an effective policy framework to ensure that every woman and child receives timely and appropriate services throughout the continuum. However, a commonly used measurement does not evaluate if a pair of woman and child complies with the continuum of care. This study assessed the continuum of care based on two measurements: continuous visits to health facilities (measurement 1) and receiving key components of services (measurement 2). It also explored individual-level and area-level factors associated with the continuum of care achievement and then investigated how the continuum of care differed across areas.MethodsIn this cross-sectional study in Ghana in 2013, the continuum of care achievement and other characteristics of 1401 pairs of randomly selected women and children were collected. Multilevel logistic regression was used to estimate the factors associated with the continuum of care and its divergence across 22 areas.ResultsThroughout the pregnancy, delivery and post-delivery stages, 7.9% of women and children achieved the continuum of care through continuous visits to health facilities (measurement 1). Meanwhile, 10.3% achieved the continuum of care by receiving all key components of maternal, newborn and child health services (measurement 2). Only 1.8% of them achieved it under both measurements. Women and children from wealthier households were more likely to achieve the continuum of care under both measurements. Women’s education and complications were associated with higher continuum of care services-based achievement. Variance of a random intercept was larger in the continuum of care services-based model than the visit-based model.ConclusionsMost women and children failed to achieve the continuum of care in maternal, newborn and child health. Those who consistently visited health facilities did not necessarily receive key components of services.

scholarly journals Men’s knowledge and awareness of maternal, neonatal and child health care in rural Bangladesh: a comparative cross sectional study

2012 ◽  
Vol 9 (1) ◽  
Author(s):  
Hashima E Nasreen ◽  
Margaret Leppard ◽  
Mahfuz Al Mamun ◽  
Masuma Billah ◽  
Sabuj Kanti Mistry ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Cross Sectional Study ◽  
Child Health Care ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rural Bangladesh ◽  
Men’S Knowledge ◽  
And Child Health

The Enhanced Maternal and Child Health nursing program in Victoria: a cross-sectional study of clinical practice

2019 ◽  
Vol 25 (3) ◽  
pp. 281
Author(s):  
Catina Adams ◽  
Leesa Hooker ◽  
Angela Taft
Keyword(s):  
Child Health ◽  
Data Collection ◽  
Maternal And Child Health ◽  
Online Survey ◽  
Program Effectiveness ◽  
Outcome Measurement ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Vulnerable Families ◽  
And Child Health

The Maternal and Child Health (MCH) service in Victoria comprises a universal service, an enhanced program providing additional support for vulnerable families (EMCH) and a 24-h MCH telephone line. There is anecdotal evidence of variation in EMCH programs between Local Government Areas, and this study aims to explore the variation in EMCH programs to inform future EMCH policy and practice. An online survey was sent to MCH coordinators in Victoria in December 2016 (n = 79), with a response rate of 70% (55/79). Quantitative data have been analysed using descriptive statistics, with open-ended questions examined using content analysis. The data confirms that EMCH programs vary significantly across the state. Differences include a variation in referral and intake criteria, different models of service and modes of delivery, differences in EMCH nurse working conditions, issues with data collection and a lack of systematic clinical tools. Variation in the EMCH program is greatest between urban and rural services and between advantaged and disadvantaged urban councils. Lack of consistent service delivery and data collection impairs program evaluation, including outcome measurement and evidence of program effectiveness.

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