scholarly journals Multiple Indicator Cluster Survey 2003 in Afghanistan: Outdated Sampling Frame and the Effect of Sampling Weights on Estimates of Maternal and Child Health Coverage

2011 ◽  
Vol 29 (4) ◽  
Author(s):  
Shivam Gupta ◽  
Muhammad Shuaib ◽  
Stan Becker ◽  
Md Mokhlesur Rahman ◽  
David H Peters
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Health Coverage ◽  
Sampling Frame ◽  
Sampling Weights ◽  
Cluster Survey ◽  
Multiple Indicator Cluster Survey ◽  
Multiple Indicator ◽  
And Child Health

scholarly journals Exploring socioeconomic inequalities in maternal and child health coverage in Latin America and the Caribbean

2020 ◽  
Author(s):  
Manuel Colomé-Hidalgo ◽  
Juan Donado Campos ◽  
Ángel Gil De Miguel
Keyword(s):  
Latin America ◽  
Child Health ◽  
Maternal And Child Health ◽  
Newborn Care ◽  
Weighted Average ◽  
Wealth Quintile ◽  
Socioeconomic Inequalities ◽  
Maternal Child Health ◽  
Health Coverage ◽  
And Child Health

Abstract Background. Maternal and child health have shown important advances in the world in recent years. However, national averages indicators hide large inequalities in access and quality of care in population subgroups. We explore socioeconomic inequalities affecting health coverage and interventions in reproductive, maternal, newborn, and child health in Latin America and the Caribbean.Methods. We analyzed representative national surveys from 15 countries conducted between 2001 and 2016. We estimated maternal-child health coverage gaps using the Composite Coverage Index – a weighted average of interventions that include family planning, maternal and newborn care, immunizations, and treatment of sick children. We measured absolute and relative inequality to assess gaps by wealth quintile. Pearson’s correlation coefficient was used to test the association between the coverage gap and population attributable risk.Results. The Composite Coverage Index showed patterns of inequality favoring the wealthiest subgroups. In eight countries the national coverage was higher than the global median (78.4%; 95% CI: 73.1-83.6) and increased significantly as inequality decreased (Pearson r = 0.9; p <0.01).Conclusions. There are substantial inequalities between socioeconomic groups. Reducing inequalities will improve coverage indicators for women and children. Additional health policies, programs, and practices are required to promote equity.

scholarly journals Willingness to Pay for Universal Health Coverage Scheme for Maternal and Child Health Care and Services in Benin

2021 ◽  
Vol 7 (3) ◽  
pp. 111
Author(s):  
Adanmavokin Justin Sossou ◽  
Gilles Armand Sossou ◽  
Alphonse Kpozehoue ◽  
Babatounde Charlemagne Igue ◽  
Edgard-Marius Ouendo
Keyword(s):  
Health Care ◽  
Child Health ◽  
Willingness To Pay ◽  
Maternal And Child Health ◽  
Universal Health Coverage ◽  
Child Health Care ◽  
Health Coverage ◽  
Universal Health ◽  
And Child Health

scholarly journals Exploring wealth-related inequalities in maternal and child health coverage in Latin America and the Caribbean

2020 ◽  
Author(s):  
Manuel Colomé-Hidalgo ◽  
Juan Donado Campos ◽  
Ángel Gil De Miguel
Keyword(s):  
Latin America ◽  
Child Health ◽  
Maternal And Child Health ◽  
Population Attributable Risk ◽  
Newborn Care ◽  
Weighted Average ◽  
Maternal Child Health ◽  
Health Coverage ◽  
The Caribbean ◽  
And Child Health

Abstract Background. Maternal and child health have shown important advances in the world in recent years. However, national averages indicators hide large inequalities in access and quality of care in population subgroups. We explore wealth-related inequalities affecting health coverage and interventions in reproductive, maternal, newborn, and child health in Latin America and the Caribbean.Methods. We analyzed representative national surveys from 15 countries conducted between 2001 and 2016. We estimated maternal-child health coverage gaps using the Composite Coverage Index – a weighted average of interventions that include family planning, maternal and newborn care, immunizations, and treatment of sick children. We measured absolute and relative inequality to assess gaps by wealth quintile. Pearson’s correlation coefficient was used to test the association between the coverage gap and population attributable risk.Results. The Composite Coverage Index showed patterns of inequality favoring the wealthiest subgroups. In eight countries the national coverage was higher than the global median (78.4%; 95% CI: 73.1-83.6) and increased significantly as inequality decreased (Pearson r = 0.9; p <0.01).Conclusions. There are substantial inequalities between socioeconomic groups. Reducing inequalities will improve coverage indicators for women and children. Additional health policies, programs, and practices are required to promote equity.

scholarly journals Which mechanisms explain motivation the of primary health workers? Insights from the realist evaluation of a maternal and child health programme in Nigeria

2020 ◽  
Vol 5 (8) ◽  
pp. e002408
Author(s):  
Bassey Ebenso ◽  
Chinyere Mbachu ◽  
Enyi Etiaba ◽  
Reinhard Huss ◽  
Ana Manzano ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Health Workers ◽  
Healthcare Delivery ◽  
Realist Evaluation ◽  
Future Research ◽  
Health Coverage ◽  
Worker Motivation ◽  
The Impact ◽  
And Child Health

IntroductionWell-trained, adequately skilled and motivated primary healthcare (PHC) workers are essential for attaining universal health coverage (UHC). While there is abundant literature on the drivers of workforce motivation, published knowledge on the mechanisms of motivation within different contexts is limited, particularly in resource-limited countries. This paper contributes to health workforce literature by reporting on how motivation works among PHC workers in a maternal and child health (MCH) programme in Nigeria.MethodsWe adopted a realist evaluation design combining document review with 56 in-depth interviews of PHC workers, facility managers and policy-makers to assess the impact of the MCH programme in Anambra State, Nigeria. A realist process of theory development, testing and consolidation was used to understand how and under what circumstances the MCH programme impacted on workers’ motivation and which mechanisms explain how motivation works. We drew on Herzberg’s two-factor and Adam’s equity theories to unpack how context shapes worker motivation.ResultsA complex and dynamic interaction between the MCH programme and organisational and wider contexts triggered five mechanisms which explain PHC worker motivation: (1) feeling supported, (2) feeling comfortable with work environment, (3) feeling valued, (4) morale and confidence to perform tasks and (5) companionship. Some mechanisms were mutually reinforcing while others operated in parallel. Other conditions that enabled worker motivation were organisational values of fairness, recognition of workers’ contributions and culture of task-sharing and teamwork.ConclusionsPolicy designs and management strategies for improving workforce performance, particularly in resource-constrained settings should create working environments that foster feelings of being valued and supported while enabling workers to apply their knowledge and skills to improve healthcare delivery and promote UHC. Future research can test the explanatory framework generated by this study and explore differences in motivational mechanisms among different cadres of PHC workers to inform cadre-related motivational interventions.

scholarly journals Exploring wealth-related inequalities in maternal and child health coverage in Latin America and the Caribbean

2020 ◽  
Author(s):  
Manuel Colomé-Hidalgo ◽  
Juan Donado Campos ◽  
Ángel Gil De Miguel
Keyword(s):  
Latin America ◽  
Child Health ◽  
Maternal And Child Health ◽  
Population Attributable Risk ◽  
Newborn Care ◽  
Weighted Average ◽  
Maternal Child Health ◽  
Health Coverage ◽  
The Caribbean ◽  
And Child Health

Abstract Background. Maternal and child health have shown important advances in the world in recent years. However, national averages indicators hide large inequalities in access and quality of care in population subgroups. We explore wealth-related inequalities affecting health coverage and interventions in reproductive, maternal, newborn, and child health in Latin America and the Caribbean.Methods. We analyzed representative national surveys from 15 countries conducted between 2001 and 2016. We estimated maternal-child health coverage gaps using the Composite Coverage Index – a weighted average of interventions that include family planning, maternal and newborn care, immunizations, and treatment of sick children. We measured absolute and relative inequality to assess gaps by wealth quintile. Pearson’s correlation coefficient was used to test the association between the coverage gap and population attributable risk.Results. The Composite Coverage Index showed patterns of inequality favoring the wealthiest subgroups. In eight countries the national coverage was higher than the global median (78.4%; 95% CI: 73.1-83.6) and increased significantly as inequality decreased (Pearson r = 0.9; p <0.01).Conclusions. There are substantial inequalities between socioeconomic groups. Reducing inequalities will improve coverage indicators for women and children. Additional health policies, programs, and practices are required to promote equity.

Sign in / Sign up

Export Citation Format

Share Document