scholarly journals Avaliação de maternidades: uma revisão integrativa da literatura

2021 ◽  
Vol 11 (66) ◽  
pp. 6543-6554
Author(s):  
Juliano Teixeira Moraes ◽  
Mateus Oliveira Marcelino ◽  
Rafaela Das Graças Santiago Faria
Keyword(s):  
Health Care ◽  
Program Evaluation ◽  
Child Health ◽  
Health Services ◽  
Outcome Assessment ◽  
Maternal And Child Health ◽  
Recursos Humanos ◽  
Delivery Rooms ◽  
And Child Health ◽  
Health Hospital

Objetivo: Analisar a produção científica sobre a avaliação das maternidades incluindo elementos de estrutura, processos e resultados. Métodos: revisão integrativa da literatura a partir das bases MEDLINE, SciELO, CINAHL e LILACS entre os anos de 2008 e 2018. Os descritores utilizados foram: delivery rooms; maternal and child health; hospital maternity; birthing centers; program evaluation; health services; outcome assessment (health care). Resultados: A amostra final foi constituída por 17 artigos científicos. A maioria dos estudos atribuíram a estrutura como forma de avaliação por meio de domínios como infraestrutura adequada, disponibilidade de equipamentos, medicamentos e recursos humanos capacitados e avaliaram ambientes neonatais. Em segundo lugar, a qualidade das maternidades foi atribuída à satisfação das mulheres. Conclusão: indicadores de estrutura, processos e resultados são elementos constitutivos da avaliação em saúde nas maternidades, que podem ser avaliados de forma multidimensional e considerar a satisfação das mulheres.

scholarly journals Utilization of maternal and child health services in Enugu, South East, Nigeria

2019 ◽  
Vol 6 (8) ◽  
pp. 3228
Author(s):  
Pat U. Okpala ◽  
Chinwendu L. Okoye ◽  
Florence O. Adeyemo ◽  
Peace N. Iheanacho ◽  
Anthonia C. Emesonwu ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Postnatal Care ◽  
Health Care Services ◽  
Antenatal Clinic ◽  
Child Health Services ◽  
Care Services ◽  
And Child Health

Background: Nigeria continues to have one of the highest rates of maternal mortality in the world at 814 deaths per 100,000 live births despite several efforts. Various factors can influence appropriate utilization of services during pregnancy, childbirth and postpartum. This study examined the perceived factors that influence the utilization of maternal and child-health services among mothers in Enugu, South-East Nigeria.Methods: A descriptive survey design was adopted for the study. The study population of 323 pregnant women was determined using the Power Analysis formula. The instrument used for data collection was a self-developed questionnaire. Demographic information of the women was also obtained for the study. The analysis was done with the software statistical package for Social Sciences (SPSS) Version 16.0. Study period was from April 2016 to August 2016.Results: There was high antenatal clinic attendance (93.1%) and utilization of postnatal care services (93.1%). Also, the major factors that influenced the utilization of maternal and child health services were professionally defined needs, accessibility of health care services and economic status.Conclusions: There was high utilization of maternal and child health care services which was influenced by some factors. There is a need for nurses and other health workers to be actively engaged in educating mothers during antenatal visits. Sustainable financial subsidies and community-based initiatives should be developed to encourage early antenatal clinic visits and to provide the necessary information on the importance of facility-based antenatal and postnatal care.

scholarly journals Assessment of Maternal and Child Health Care Services Performance in The Context of COVID-19 Pandemic in Addis Ababa, Ethiopia: Evidence From Routine Service Data

2021 ◽  
Author(s):  
Senedu Bekele Gebreegziabher ◽  
Solomon Sisay Marrye ◽  
Tsegaye Hailu Kumssa ◽  
Kassa Haile Merga ◽  
Alemu Kibret Feleke ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Addis Ababa ◽  
Child Health Services ◽  
P Value ◽  
Health Management Information System ◽  
Under Five ◽  
And Child Health

Abstract Background In many settings, health care service provision has been modified to managing COVID-19 cases, and this has been affecting the provision of maternal and child health services. The aim of this study was to assess trends in selected maternal and child health services performance in the context of COVID-19 pandemic. Methods A cross-sectional data review was conducted in Addis Ababa, Ethiopia from April to May 2021. Routine health management information system database was reviewed from Addis Ababa Health Bureau for the period from July 2019 to March 2021 across all quarters. Proportions and mean with standard deviations were computed. T-test was used to assess statistically significant differences in services mean performance. Results PNC visit, new contraceptives accepters, safe abortion care and number of under-five years old children treated for pneumonia significantly decreased by 9.3% (p-value 0.04), 20.3% (p-value 0.004), 23.7% (p-value 0.01) and 77.2% (P-value < 0.001), respectively during the first eight months of the COVID-19 pandemic compared to the previous eight months’ average performance. The trends in ANC first visit, new contraceptive accepters, pentavalent-3 vaccination and under-five children treated for pneumonia began to decline between January-March 2020 when the COVID-19 pandemic began; with accelerated declines between April-June 2020 following national lockdown. The trends for the stated services began to increase during July-September 2020, during the last quarter of national lockdown. Contraceptive accepters and pentavalent-1 vaccination continued to decline and showed no recovery until January-March 2021when this study was completed. Conclusions Most of the maternal and child health services performance declined following the onset of COVID-19 pandemic and national lockdown, and most of the services began recovering during July-September 2020, the last quarter of national lockdown. However, new and repeat contraceptive accepters and pentavalent-1 recipients continue to decline and show no recovery during end of the study period. Implementing COVID-19 prevention measures and assuring the community about the safety of service delivery is imperative to ensure continuity of the maternal and child health services. Regular monitoring and evaluation of services performance is required to identify slowly recovering services and respond to potentially volatile changes during the COVID-19 pandemic.

scholarly journals Maternal and Child Health Services in The Border Area of Indonesia-East Timor-Based on Community Empowerment

2019 ◽  
Vol 3 (2) ◽  
pp. 43
Author(s):  
Aplonia PALA ◽  
Endang LARASATI ◽  
Sri SUWITRI ◽  
Ngalimun NGALIMUN
Keyword(s):  
Public Health ◽  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Community Empowerment ◽  
Child Health Services ◽  
Health Development ◽  
North Central ◽  
And Child Health

Health care is a human right for communities who arranged mandatory organized by government mandate bases on Constitution 1945. Maternal health services include antenatal, childbirth services and parturition. While children's services are, include the ministries of the newborn, baby and toddlers. In North Central Timor Regency (TTU) in the last five years maternal mortality (AKI), infant mortality (AKB) and Mortality Toddler (AKABA) is very fluctuating. This illustrates that the district health degree requires revamping TTU Regency thoroughly of all aspects related to it. The acceleration of the decline in the mortality rate of mothers, babies and toddlers will improve public health degrees in North Central Timor. This done through community empowerment approach in the field of maternal and child health in which the community does not placed as health development destinations but placed as subjects of health development to enhance the knowledge, attitudes and behavior as well as self-reliance community for healthy living. Community empowerment in the health field can be encouraged through the Health Efforts Resource of Community (UKBM) such as the village health post, a postal village, the construction of an integrated, unified service and post maternity huts are scattered in the whole area villages of North Central Timor. Through community empowerment in the health community field, getting involved is active in the health service because the public join the plan, monitor, evaluate and keep maternal and child health services According to applicable minimum service standard. It can also increase public awareness in the mindset and behave clean living and healthy because of the maternal and child health issues in North Central Timor Regency not only just the responsibility of the Department of Health of North Central Timor, but also be the responsibility of all elements in society. Therefore it takes cooperation of cross-program and cross-sector, i.e. Government Sectors, Private Sector, Community and Health Care in this area so as able to increase the degree of maternal and child health in North Central Timor Regency. Key words: Public Health, North Central Timor Regency,Empowerment, Community HealthHealth Resources.

scholarly journals Covid-19 pandemic impact on maternal and child health services access in Nampula, Mozambique: a mixed methods research

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Paulo Henrique das Neves Martins Pires ◽  
Cynthia Macaringue ◽  
Ahmed Abdirazak ◽  
Jaibo Rassul Mucufo ◽  
Martins Abudo Mupueleque ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Mixed Methods Research ◽  
Health Centre ◽  
Healthcare Services ◽  
Child Health Services ◽  
Child Healthcare ◽  
And Child Health

Abstract Background The Covid-19 pandemic has so far infected more than 30 million people in the world, having major impact on global health with collateral damage. In Mozambique, a public state of emergency was declared at the end of March 2020. This has limited people’s movements and reduced public services, leading to a decrease in the number of people accessing health care facilities. An implementation research project, The Alert Community for a Prepared Hospital, has been promoting access to maternal and child health care, in Natikiri, Nampula, for the last four years. Nampula has the second highest incidence of Covid-19. The purpose of this study is to assess the impact of Covid-19 pandemic Government restrictions on access to maternal and child healthcare services. We compared health centres in Nampula city with healthcare centres in our research catchment area. We wanted to see if our previous research interventions have led to a more resilient response from the community. Methods Mixed-methods research, descriptive, cross-sectional, retrospective, using a review of patient visit documentation. We compared maternal and child health care unit statistical indicators from March–May 2019 to the same time-period in 2020. We tested for significant changes in access to maternal and child health services, using KrushKall Wallis, One-way Anova and mean and standard deviation tests. We compared interviews with health professionals, traditional birth attendants and patients in the two areas. We gathered data from a comparable city health centre and the main city referral hospital. The Marrere health centre and Marrere General Hospital were the two Alert Community for a Prepared Hospital intervention sites. Results Comparing 2019 quantitative maternal health services access indicators with those from 2020, showed decreases in most important indicators: family planning visits and elective C-sections dropped 28%; first antenatal visit occurring in the first trimester dropped 26%; hospital deliveries dropped a statistically significant 4% (p = 0.046), while home deliveries rose 74%; children vaccinated down 20%. Conclusion Our results demonstrated the negative collateral effects of Covid-19 pandemic Government restrictions, on access to maternal and child healthcare services, and highlighted the need to improve the health information system in Mozambique.

scholarly journals Investment case approach for equitable access to maternal neonatal and child health services: Stakeholders’ perspective in Nepal

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0255231
Author(s):  
Janak Kumar Thapa ◽  
Doris Stöckl ◽  
Raj Kumar Sangroula ◽  
Asha Pun ◽  
Meena Thapa ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Health Planning ◽  
Participatory Approach ◽  
Child Health Services ◽  
Local Stakeholders ◽  
Equity In Access ◽  
And Child Health

Background Investment Case is a participatory approach that has been used over the years for better strategic actions and planning in the health sector. Based on this approach, a District Investment Case (DIC) program was launched to improve maternal, neonatal and child health services in partnership with government, non-government sectors and UNICEF Nepal. In the meantime, this study aimed to explore perceptions and experiences of local stakeholders regarding health planning and budgeting and explore the role of the DIC program in ensuring equity in access to maternal and child health services. Methods This study adopted an exploratory phenomenography design with a purposive sampling technique for data collection. Three DIC implemented districts and three comparison districts were selected and total 30 key informant interviews with district level stakeholders and six focus groups with community stakeholders were carried out. A deductive approach was used to explore the perception of local stakeholders of health planning and budgeting of the health care expenses on the local level. Results Investment Case approach helped stakeholders in planning systematically based on evidence through collaborative and participatory approach while in comparison areas previous year plan was mainly primarily considered as reference. Resource constraints and geographical difficulty were key barriers in executing the desired plan in both intervention and comparison districts. Positive changes were observed in coverage of maternal and child health services in both groups. A few participants reported no difference due to the DIC program. The participants specified the improvement in access to information, access and utilization of health services by women. This has influenced the positive health care seeking behavior. Conclusions The decentralized planning and management approach at the district level helps to ensure equity in access to maternal, newborn and child health care. However, quality evidence, inclusiveness, functional feedback and support system and local resource utilization should be the key consideration.

scholarly journals Effect of Gender on the Utilization of Maternal and Child Health Services among Pastoralist Caregivers in Somali Region of Ethiopia

2021 ◽  
pp. 73-81
Author(s):  
Olusola Oladeji ◽  
Bibilola Oladeji ◽  
Dick Chamla ◽  
Ann Robins ◽  
Vololomanitra Belalahy
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Level Of Education ◽  
Almost All ◽  
And Child Health

Ethiopia has made great effort in recent years to improve maternal and child health outcomes, however the uptake of services by women in the pastoralist communities of the country is still very low. This study was a cross-sectional study aimed to identify the effect of gender on the utilization of health services among pastoralists women. The study was conducted in Somali Region of Ethiopia between February and March 2020. A mix of qualitative and quantitative methods was used, and study population were married caregivers aged 15years and above. Bivariate analysis was done using t test and chi-square to test association among variables and p value was set at significant level of 5%. Husbands were reported as the main influence of the respondents’ decision about almost all the key households’ activities including health care seeking and financial decision making. Almost all caregivers (93.6%) who used the health facility took permission from their husbands and the test of association shows significant relationship between level of education and permission from respondents’ husbands which decreases with increasing level of education, p<0.05) but not affected by age. The care givers visited the health facilities because of their children more than themselves(58 per cent compared to 49.5 per cent for themselves) due to fear of being attended to by male health work. The study demonstrated the negative effect of gender inequities on health care seeking behaviours with women having limited control over family resources and decision-making over their health or that of their children.

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