scholarly journals Effects of Tobacco Consumption and Anxiety or Depression during Pregnancy on Maternal and Neonatal Health

2020 ◽  
Vol 17 (21) ◽  
pp. 8138
Author(s):  
Beatriz Pereira ◽  
Bárbara Figueiredo ◽  
Tiago Miguel Pinto ◽  
M. Carmen Míguez
Keyword(s):  
First Trimester ◽  
Healthcare Services ◽  
Tobacco Consumption ◽  
Interaction Effects ◽  
Public Healthcare ◽  
Neonatal Health ◽  
High Anxiety ◽  
Delivery Complications ◽  
Maternal And Neonatal Health ◽  
Health Complications

This study analyzed the possible interaction effects between tobacco consumption and anxiety or depression during pregnancy on maternal and neonatal health. We recruited a sample of 807 pregnant Spanish women from public healthcare services. Women completed a questionnaire on sociodemographic variables, health status and tobacco consumption (continuous, quitting or no consumption) in the first and third trimester of pregnancy and at 2 months postpartum, and self-reported measures of anxiety and depression in the first trimester. Abstinence of tobacco consumption was verified through biochemical measurements. Interaction effects between tobacco consumption and anxiety were found for delivery (p < 0.001), neonatal health complications (p = 0.026) and gestational age at birth (p = 0.029). Interaction effects between tobacco consumption and depression were found for pregnancy (p = 0.032), delivery complications (p < 0.001) and weeks of gestation at birth (p = 0.031). This study suggests that there are different kinds of interaction effects between tobacco consumption and anxiety or depression. Smokers with high anxiety presented more delivery complications compared to quitters and non-smokers with high anxiety. There is a cumulative effect of anxiety on the effects of tobacco consumption on maternal health. The results highlighted the beneficial impact of quitting smoking during pregnancy to reduce the risk of suffering anxiety, depression and health complications.

scholarly journals Effectiveness of Cadres Training in Improving Maternal and Neonatal Health in Soreang Subdistrict

2019 ◽  
Vol 7 (3) ◽  
Author(s):  
Merry Wijaya ◽  
Fardila Elba ◽  
Ariyati Mandiri ◽  
Wenny Friska ◽  
Balkis Fitriani Faozi ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Infant Health ◽  
Health Workers ◽  
Healthcare Services ◽  
Neonatal Health ◽  
Health Counseling ◽  
Knowledge And Skills ◽  
Quasi Experimental ◽  
Maternal And Neonatal Health

The high maternal mortality rate (MMR) and neonatal mortality rate (NMR) are indicators of low health quality in society. Most maternal and neonatal mortality cases prevented through early detection and quick and accurate responses. Other factors that contribute to maternal and neonatal mortality are the quality of health care, the uneven distribution of health workers, and the inadequate health-supporting facilities. The government’s efforts in improving fair health workers distribution and quality of healthcare services by involving integrated health service post (pos pelayanan terpadu/posyandu) cadres, as the front-liners of health care programs (especially concerning maternal and neonatal health), should be able to provide better healthcare services to the people. Hence, cadres training is crucial for improving the cadres’ knowledge and skills in healthcare services. This study aims to analyze the effect of cadres training implementation on the development of cadres’ knowledge and skills in giving maternal and neonatal (infant) health counseling. This study used a quasi-experimental pretest-posttest design conducted from July to November 2017. The sample consists of 32 active cadres from 12 villages in Soreang sub-district who satisfy the inclusion criteria. Data is collected through questionnaires to measure knowledge improvement and checklists to measure cadres’ skills development. The findings show that cadres training implementation can improve cadres’ knowledge and skills in maternal and neonatal (infant) health counseling. EFEKTIVITAS PELATIHAN KADER DALAM MENINGKATKAN KESEHATAN IBU DAN BAYI DI KECAMATAN SOREANGAngka kematian ibu (AKI) dan angka kematian bayi (AKB) yang tinggi menjadi indikator status kesehatan masyarakat yang rendah. Sebagian besar kasus kematian ibu dan bayi dapat dicegah melalui deteksi dini dan penanganan yang cepat dan tepat. Faktor lain yang memengaruhi kematian ibu dan bayi adalah kualitas pelayanan kesehatan, distribusi tenaga kesehatan belum merata, dan sarana pendukung pelayanan kesehatan yang belum memadai. Upaya pemerintah dalam meningkatkan pemerataan tenaga kesehatan dan pelayanan kesehatan dengan melibatkan kader pos pelayanan terpadu (posyandu) sebagai ujung tombak program kesehatan, khususnya ibu dan anak, seyogianya mampu memberikan pelayanan kesehatan yang baik kepada masyarakat. Oleh karena itu, pelatihan kader untuk meningkatkan pengetahuan dan keterampilan dalam penanganan kesehatan mutlak diperlukan. Penelitian ini bertujuan menganalisis pengaruh implementasi pelatihan kader terhadap peningkatan pengetahuan dan keterampilan dalam melakukan penyuluhan kesehatan ibu dan anak. Penelitian ini menggunakan desain quasi-experimental pretest-posttest yang dilakukan dari Juli hingga November 2017. Sampel penelitian adalah 32 kader aktif dari 12 desa di Kecamatan Soreang yang memenuhi kriteria inklusi. Pengumpulan data menggunakan kuesioner untuk menilai perubahan pengetahuan dan daftar tilik untuk mengukur perubahan keterampilan kader. Hasil penelitian menunjukkan bahwa implementasi pelatihan kader mampu meningkatkan pengetahuan dan keterampilan kader dalam melakukan penyuluhan kesehatan ibu dan anak.

scholarly journals Maternal and neonatal health expenditure in mumbai slums (India): A cross sectional study

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Jolene Skordis-Worrall ◽  
Noemi Pace ◽  
Ujwala Bapat ◽  
Sushmita Das ◽  
Neena S More ◽  
...  
Keyword(s):  
Health Expenditure ◽  
Cross Sectional Study ◽  
Neonatal Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal And Neonatal Health

Caring for care: Online feedback in the context of public healthcare services

2021 ◽  
pp. 114280
Author(s):  
Fadhila Mazanderani ◽  
Susan F. Kirkpatrick ◽  
Sue Ziebland ◽  
Louise Locock ◽  
John Powell
Keyword(s):  
Healthcare Services ◽  
Public Healthcare ◽  
Online Feedback

PUBLIC HEALTHCARE IN THE EUROPEAN UNION: STILL A SERVICE OF GENERAL INTEREST?

2008 ◽  
Vol 57 (3) ◽  
pp. 529-560 ◽  
Author(s):  
Adam Cygan
Keyword(s):  
Healthcare Services ◽  
Public Healthcare ◽  
General Interest ◽  
The European Union ◽  
Patient Mobility ◽  
Member States ◽  
Universal Healthcare ◽  
Court Of Justice ◽  
European Court ◽  
Competition Rules

AbstractThis article examines how recent judgments of the European Court of Justice have interpreted the concept of a service of general interest in Article 86(2) EC in the delivery of healthcare services. The article explores how and why the Court has afforded greater latitude to Member States in organizational matters by not applying competition rules. By contrast, the Court has actively promoted patient mobility and has not applied the derogation in Article 86(2) EC where it would restrict the free movement of services. Does the Court's policy of protecting individual rights undermine the ability of Member States to deliver a universal healthcare service within finite resources?

scholarly journals Innovation in healthcare services: notes on the limits of field research

2016 ◽  
Vol 32 (suppl 2) ◽  
Author(s):  
Laís Silveira Costa
Keyword(s):  
Population Aging ◽  
Field Research ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Public Healthcare ◽  
Social Changes ◽  
Public And Private ◽  
Disease Characteristics ◽  
Health And Disease ◽  
Current Article

Abstract: The contemporary context of population aging, itsthe population's different health and disease characteristics, and the growing incorporation of technologies by healthcare systems have highlighted the need to adjust the healthcare structure as a whole. The defense of a democratic and sustainable system reveals the importance of understanding how changes in healthcare take place. The current article aims to contribute to the understanding of innovation in healthcare services. The study's results indicate that the existence of certain knowledge gaps means that public policies tend to overlook a whole rangeseries of innovations normally associated with social changes, with a consequentwith an impact on human development, social cohesion, equality, and equity, allcentral issues that are central toin the field of collective public healthcare field. The article concludes that the lack of a mature theoretical framework negatively impacts the formulation of such policies, further aggravated in Brazil by growing differences in quality and access between population segments that depend on the public and private healthcare systems.

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