scholarly journals FACILITY ASSESSMENT FOR MATERNAL AND CHILD HEALTH SERVICES IN BANGLADESH USING SERVICE AVAILABILITY AND READINESS ASSESSMENT (SARA) TOOL: A CROSS-SECTIONAL PILOT STUDY

2017 ◽  
Vol 3 (3) ◽  
pp. 77-88
Author(s):  
Afzal Aftab ◽  
Mehedi Hasan ◽  
Rahmatul Bari ◽  
Mohammad Didar Hossain ◽  
Mehadi Hasan ◽  
...  
Keyword(s):  
Pilot Study ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Health Facilities ◽  
Child Health Services ◽  
Service Availability ◽  
Readiness Assessment ◽  
Cross Sectional ◽  
And Child Health

Background: To initiate journey towards the Universal Health Coverage (UHC) it is essential to assess the health facilities. Unfortunately, no health facility assessment has been conducted in Bangladesh so far using “Service Availability and Readiness Assessment (SARA)” tool. Therefore, we aimed to conduct a pilot study to assess health facilities for maternal and child health services using SARA tool so that we can scale-up this assessment throughout the country later.Aim: We aimed to assess the health facilities for maternal and child health services in Tangail, Bangladesh using service availability and readiness assessment (SARA) tool.Methods: A cross-sectional pilot study was conducted in Bashail and Shokhipur Upazilla of Tangail district. A sample of 14 health facilities was assessed purposefully for data collection using a modified version of the SARA tool. Data was collected from November 01 to November 15, 2013, using paper-based questionnaire. Finally, following data collection, data were documented into Microsoft Excel by data collectors. Data were analyzed using Microsoft Excel, version 2010.Results: General service readiness has been segregated into five domains and their readiness scores were basic amenities (53.06%), basic equipment (83.33%), standard precautions for infection prevention (55.56%), and basic equipment (58.93%) for included health facilities. Similarly, specific service readiness includes family planning (48.15%), child immunization (67.71%), preventive and curative care (71.43%), and basic surgery (93.33%).Conclusion: Since we are moving towards UHC, it is essential to know the current scenario of health facilities. This pilot study reveals the strength and weakness of the health facilities in providing the maternal and child health services. These findings will help us to resolve all the identified gaps through proper planning and action.

scholarly journals Service Availability and Readiness Assessment of Maternal, Newborn and Child Health Services at Public Health Facilities in Madagascar

2016 ◽  
Vol 20 (3) ◽  
pp. 149-158 ◽  
Author(s):  
Sandrine Andriantsimietry ◽  
Raymond Rakotomanga ◽  
Jean Pierre Rakotovao ◽  
Eliane Ramiandrison ◽  
Marc Eric Razakariasy ◽  
...  
Keyword(s):  
Public Health ◽  
Child Health ◽  
Health Services ◽  
Health Facilities ◽  
Child Health Services ◽  
Service Availability ◽  
Readiness Assessment ◽  
Newborn And Child Health ◽  
Public Health Facilities ◽  
And Child Health

scholarly journals Peran kader posyandu dalam melakukan pendampingan pemberian makan bayi dan anak usia 6-24 bulan

2020 ◽  
Vol 5 (2) ◽  
pp. 172
Author(s):  
Ahmad Faridi ◽  
Mohammad Furqan ◽  
Arif Setyawan ◽  
Falah Indriawati Barokah
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Sampling Technique ◽  
Feeding Practices ◽  
Active Role ◽  
Child Health Services ◽  
Cross Sectional ◽  
And Child Health

The prevalence of nutritional problems in Banten is very high, namely 27,8% stunting and less than 15% nutrition, one of the causes is improper feeding practices for babies and children. The practice of ICF and the activeness of maternal and child health services of cadres in providing assistance to mothers who have children is expected to be able to reduce nutritional problems. This study aims to identify the role of cadres in assisting mothers to practice Infant and Child Feeding (ICF). the research was conducted a cross-sectional study. The sample is cadres of maternal and child health services, who have received training on ICF as many as 30 cadres with a purposive sampling technique. Collecting data using a questionnaire related to the characteristics of cadres including age, education, occupation, length of time as a cadre, and level of knowledge of cadres. Data were analyzed using the chi-square test. As a result, there were 43,3% of cadres who were active in assisting mothers in feeding practices. There is no relationship between characteristics and the role of cadres in providing assistance to mothers of toddlers in providing food (p> 0,05). In conclusion, the characteristics of cadres have no relationship with their role in providing assistance to infant feeding. Cadres can play a more active role in mentoring mothers related to providing food to children.

scholarly journals Hubungan Kunjungan Trimester 1 dengan Screening Anemia pada Ibu Hamil di Era Peradaban Baru

2021 ◽  
Vol 8 (1) ◽  
pp. 50-56
Author(s):  
Yuni Waroh Khoirul Waroh
Keyword(s):  
Child Health ◽  
Health Services ◽  
Pregnant Women ◽  
Maternal And Child Health ◽  
Large Scale ◽  
First Trimester ◽  
Statistical Test ◽  
Child Health Services ◽  
Cross Sectional ◽  
And Child Health

The Covid-19 pandemic gave birth to a new civilization era where people were asked to adapt to this pandemic condition. This also applies to maternal and child health services, especially antenatal care. The highest cause of death in Indonesia in 2019 is due to bleeding, which can be influenced by low hemoglobin levels or what is commonly known as anemia. The purpose of this study was to analyze the relationship between first trimester visits and anemia screening in pregnant women. The research method used was cross sectional, using google form media to fill out questionnaires and screen shots of the MCH book. The statistical test in this study used Pearson. The results showed that there was no relationship between the first trimester visit and anemia screening, which was obtained by the Pearson statistical test value sig = 0.189> 0.05, which means that there was no relationship between the first trimester visit and the examination of hemoglobin levels in pregnant women. The conclusion that can be drawn is that even though we are now entering a new civilization era where there are several regions that implement Large-Scale Social Restrictions and which in Maternal and Child Health services, especially pregnancy examinations, can still be implemented, government policies in the new civilization era during the 1st trimester visit are focused on screening of maternal health conditions for complications in pregnancy, and especially regarding referrals if there are complications in her pregnancy and management of pregnant women with Covid-19, so that this can prevent transmission of Covid-19.

scholarly journals Utilization of maternal and child health services among migratory/slum dwellers in Udupi municipality area, Karnataka, India

2018 ◽  
Vol 5 (9) ◽  
pp. 3835 ◽  
Author(s):  
Divya V. Pai ◽  
Zari Anjum ◽  
Ashwini Kumar ◽  
Avinash Shetty ◽  
Surabhi Mishra ◽  
...  
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Child Protection ◽  
Infant Mortality Rate ◽  
Child Health Services ◽  
Cross Sectional ◽  
Slum Dwellers ◽  
And Child Health ◽  
Antenatal Services

Background: Irrespective of the tremendous efforts made by Government of India the utilization of MCH services continues to be very low among women belonging to lower socio economic status particularly among slum and migratory population. This significantly upsets country’s declining trend of maternal and infant mortality rate. Therefore a study was undertaken to assess the utilization of maternal and child health services among migratory/slum dwellers in a municipality area.Methods: A community based cross- sectional study was conducted for a period of one month among two hundred eligible women of the study population.Results: Study targeted 1200 households in 16 localities and we obtained information from 200 eligible mothers. Amongst them 74% availed antenatal services from government facilities and only 67% were registered in the first trimester. All mothers received antenatal services. Mother and child protection card was not received by 8.5% of women. 86.1% of them had institutional delivery. 13.9% of mothers delivered at home and 10% of the deliveries were unattended or assisted by friends and relatives. JSY benefits were not availed by 55% of the women.41.5% babies delivered had low birth weight. 14.7% of the children were either partially immunized or not immunized at all. Amongst women belonging to target couple 68% were not using any form of contraception.Conclusions: Utilization of Maternal and Child Health services among the migratory and slum dwellers living in the Municipality area is not satisfactory.

scholarly journals Rapid assessment on the utilization of maternal and child health services during COVID-19 in Rwanda

2021 ◽  
Vol 11 (1) ◽  
pp. 12-21
Author(s):  
D. Wanyana ◽  
R. Wong ◽  
D. Hakizimana
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Rapid Assessment ◽  
Child Health Services ◽  
Cross Sectional ◽  
Geographical Variations ◽  
Long Term Impact ◽  
And Child Health

SETTING: All public health facilities in Rwanda, East Africa.OBJECTIVE: To assess the change in the utilization of maternal and child health (MCH) services during the COVID-19 outbreak.DESIGN: This was a cross-sectional quantitative study.RESULTS: During the COVID-19 outbreak in Rwanda, the utilization of 15 MCH services in all four categories—antenatal care (ANC), deliveries, postnatal care (PNC) and vaccinations—significantly declined. The Northern and Western Provinces were affected the most, with significant decrease in respectively nine and 12 services. The Eastern Province showed no statistically significant utilization changes. Kigali was the only province with significant increase in the fourth PNC visits for babies and mothers, while the Southern Province showed significant increase in utilization of measles + rubella (MR) 1 vaccination.CONCLUSION: Access and utilization of basic MCH services were considerably affected during the COVID-19 outbreak in Rwanda. This study highlighted the need for pre-emptive measures to avoid disruptions in MCH service delivery and routine health services during outbreaks. In order for the reductions in MCH service utilization to be reversed, targeted resources and active promotion of ANC, institutional deliveries and vaccinations need to be prioritized. Further studies on long-term impact and geographical variations are needed.

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