scholarly journals Factors of Having Difficulties Raising 3-Year-Old Children in Japan: Usefulness of Maternal and Child Health Information Accumulated by the Local Government

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1084
Author(s):  
Kimiko Tagawa ◽  
Miwako Tsunematsu ◽  
Masayuki Kakehashi

Background: Difficulties raising children may be associated with depressive tendencies and abuse by parents, for which maternal and child health information may be useful. We clarified factors related to difficulties in raising children at the time of the 3-year-old child health checkup. Method: This was a retrospective cohort study. We used maternal and child health information collected from the time of pregnancy notification until the 3-year-old child health checkup. The subjects were the parents of 507 children who were born and eligible for the 3-year-old child health checkup between September 2013 and October 2017. Logistic regression and ROC analyses were performed. The dependent variable was “having difficulties raising children at the 3-year-old health checkup”. Result: Eleven factors were clarified as risk factors. Three major factors among them were having difficulties raising children at the 18-month-old checkup (adOR, 6.3; 95%CI, 3.0–13.9), actions are at the child’s own pace and adult instructions are difficult to follow at the 18-month-old health checkup (adOR, 5.0; 95%CI, 1.3–25.4), and EPDS score ≥ 2 (adOR, 3.4; 95%CI, 1.5–8.1). The AUC of this predictive model was 0.86. At a cutoff value of 0.387, the sensitivity was 79.7% and the specificity was 77.6%. Conclusion: Having difficulties raising children at the 3-year-old health checkup has factors from the time of pregnancy and requires continued support. It was possible and useful to use maternal and child health information when screening high-risk parents.

Author(s):  
Rakhi Chowdhury ◽  
Leena Kumari ◽  
Subhamay Panda

Health information system deals with any system that helps in capturing, storing, transmitting, and managing health-related information of an individual or to demonstrate the activities or organizations working within health-care sector. In the developing countries, maternal and child health is gaining concern due to increasing cases of morbidity and mortality. The disparities among the maternal, infant, and child health are a growing concern in India and are governed by various determinants such as socioeconomic status, literacy, quality of health care, discrimination, and biological and genetic factors. Accurate and reliable health information and data are the basis for decision-making across the health-care sector and are crucial for the development and implementation of health system policy by the policy-makers. Strict monitoring and evaluation of the present program design and its implementation is required at the microlevel to effectively utilize the resources for the improvement of maternal and child health. Our present article focuses on evaluating the coverage gap at the different levels for the provision of health-care facilities to maternal, neonatal, and child health, immunization, and treatment of poor children. Big data plays a major role in providing sound and reliable health-related information and also help in managing and recording structured and unstructured data. More concrete plans are required further to reduce the inequalities in health-care interventions for providing better maternal and child health-care services in our nation.


2020 ◽  
pp. 136749352090966
Author(s):  
Rashidul Alam Mahumud ◽  
Jeff Gow ◽  
Abdur Razzaque Sarker ◽  
Marufa Sultana ◽  
Golam Hossain ◽  
...  

This study investigates the influence of household socioeconomic status and maternal risk factors and health-care service availability on changes in the under-five mortality rate (U5MR) in Bangladesh. Potential risk factors that influence U5MRs were investigated using multilevel logistic regression analysis and 29,697 data points from the Bangladesh Demographic and Health Surveys, 2004–2014. Maternal and child health parameters such as childhood morbidity, low vaccination coverage, poor utilization of perinatal care, and malnutrition were found to be more concentrated in poorer households. Pooled estimates indicated that the aggregate odds of U5MR risk declined by 18% to 2007 to 38% to 2014 compared to 2004. However, inadequate antenatal care, short birth interval, primiparity, illiteracy, delayed conception, and low socioeconomic status were significantly associated with a higher risk of under-five mortality. The magnitude of inequality using these measures were significantly associated with large variations in U5MR changes. Although a significant reduction in U5MR in Bangladesh was found in this study, substantial socioeconomic variations still persist. The analysis suggests that decreasing inequality in society is required for further reductions in child mortality. This will help to achieve a more equitable distribution of child and neonatal outcomes and assist the achievement of Sustainable Development Goals 3.2 by 2030.


2018 ◽  
Vol 35 (4) ◽  
pp. 524-534 ◽  
Author(s):  
Ngozi B Ukachi ◽  
Stella NI Anasi

Maternal and child mortality pose a great challenge in developing nations notwithstanding the robust initiatives instituted at both the global and national levels to ameliorate it. This study is aimed at ascertaining women’s perception of the impact of information and communication technologies on access to maternal and child health information and its implication on sustainable development. The descriptive research design was adopted for the study. Purposive sampling technique was used in selecting University of Lagos Teaching Hospital and subsequently, the three clinics (Obstetrics and Gynaecology, Paediatrics Outpatient, and Antenatal clinics) where the needed groups could be seen. Questionnaire was the instrument used for data collection while SPSS statistical package was used for data analysis. The study revealed that the women perceive information and communication technologies to have a positive impact on their access to maternal and child health information while the key technological facilities used by the respondents in accessing maternal and child health information were mobile phones and social media tools such as Facebook, YouTube, blogs and Twitter. It was also found that irregular power supply, poor Internet access, and ignorance of the media that transmit maternal and child health information were the key factors that militate against effective access to maternal and child health information using communication technologies. The implication of this result on sustainable development is discussed and recommendations made.


2021 ◽  
Vol 10 (1) ◽  
pp. 61
Author(s):  
Hafiza Ajeng Dianing Sukma ◽  
Sagar Tiwari

Indonesia is currently taking on the challenge of the relatively high number of neonatal deaths influencing maternal and child health. Premature birth is the most significant contributor to the number of neonatal deaths. The occurrence of premature birth is motivated by various risk factors. Knowing the magnitude of the relationship between several risks, namely maternal age, location, parity, and maternal smoking habits with preterm birth incidents was the aim of this study. The 2017 Indonesian Demographic and Health Survey (IDHS) was a source of data used. This study employed a cross-sectional approach and then processed the results with univariate and bivariate tests. The results showed a relationship between maternal age and residential area with the premature birth, where mothers under 20 years and over 35 years had a higher probability of giving birth prematurely. The area of residence, which was divided into rural and urban, also had a relationship with premature birth. The parity and smoking habits showed no association with preterm birth. Education, Antenatal Care (ANC), and other various efforts to emphasize maternal and child health care during pregnancy need to be continuously improved to reduce preterm birth rates in Indonesia.


2016 ◽  
Vol 5 (3) ◽  
pp. 280
Author(s):  
Heru Santoso Wahito Nugroho ◽  
Stefanus Supriyanto ◽  
Hari Basuki Notobroto

<p style="color: #000000; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 10px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Nowadays, the implementation of health informtion system in Indonesia still encounters a number of obstacles e.g. redundant data, activities duplication, data quality, data not in harmony with the necessities, report not submitted on time, unoptimized feedback, low information utilization, and inefficient resources. This research aimed to analyze the indicators of organizational support which were suspected as one of the obstacles of the implementation of Maternal and Child Health Information System in Health Office of Ngawi Regency. The population of this cross sectional research was all village midwives administratively in duty in the areas of Ngawi Regency in 2015. Data was taken from all member of populaton through questionnaire filling, which was then analyzed by using confirmatory factor analysis (CFA). The result of data analysis suggested that the coefficient value that has been standardized from each indicators were as follows: supervisor support = 0.82, work condition = 0.80, and reard = 0.90. Indicators of organizational support<br />in implementing Maternal and Child Health Information System at Ngawi Regency Health Office, respectively from the most important are: reward, supervisor support, and work condition.</p>


2018 ◽  
Vol 5 (6) ◽  
Author(s):  
Medeiros Bianca Karenina Brito de ◽  
Cornetta Maria da Conceição ◽  
Crispim Janaína de Oliveira ◽  
Cobucci Ricardo Ney

2017 ◽  
Vol 9 (01) ◽  
pp. 18
Author(s):  
Arif Kurniawan ◽  
Elviera Gamelia ◽  
Colti Sistiarani

Maternal and child health problems is a major problem in rural of Baturaden I public health centers,Banyumas disctrict. Rural communities in the region have no access to maternal and child health information that is adequate, and the present lack of health information. This study aims to determine the effectiveness of training through lecture and discussion on the improvement of health worker knowledge about maternal and child health. This research is a quasi experimental study with a sample of 30 health cadres numbering . Analysis of the data used in this study is the paired t test to test for differences in knowledge before and after the intervention. The results showed an average value of knowledge about maternal and child health before training ( 9.31 ) and after training ( 10.0 ). The results showed an average value of knowledge about maternal and child health promotion before training (3.31 ) and after training ( 5.58 ). The statistical results showed no difference in the increase in knowledge about maternal child health, maternal and child health promotion knowledge before and after the intervention. Advice given is the advanced training of health promoters education on health workers with the method of simulation and mentoring. .


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