scholarly journals Maternal Health Care Practices and Factors Associated with Service Delivery at Sub-health Post in Dadeldhura District of Nepal

2019 ◽  
Vol 1 (1) ◽  
pp. 20-24
Author(s):  
Damaru Prasad Paneru

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Author(s):  
Faiza Anjum ◽  
Madieha Akram ◽  
Raja Shaharyar ◽  
Muhammad Yaseen ◽  
Zahira Batool ◽  
...  

The present study aims to access the role of maternal health care knowledge and practices in developing postpartum depressive symptoms among Pakistani women. The data was collected from 400 rural mothers, having a child up to one year of age in four rural towns of Faisalabad. An interview schedule approach was used for collection of data. Results showed that lack of education, income, maternal health care knowledge and health care practices were the most important predictors of postpartum depression. The values of chi-square (26.419) and (59.734) showed a highly significant association (P = 0.000) between lack of health care knowledge and postpartum depressive symptoms and health care practices as well as postpartum depressive symptoms, respectively. Additionally, the compulsion of social taboos (eat specific food, not allow to go outside home, infant care, spouse attachment) in the antenatal/postpartum period increased the level of emotional distress such as low mood, anxiety, poor concentration and stress. The study suggested that women’s consultancy with a health care professional to obtain postpartum instructions is beneficial for healthy mothers and their child.


2021 ◽  
Vol 47 (2) ◽  
pp. 847-861
Author(s):  
Elia Magwaja ◽  
Jacqueline Minja ◽  
Majige Selemani Budeba ◽  
Rocky R.J. Akarro

This study examined some factors associated with the utilization of maternal health care servicesby adolescent mothers (15-19 years) in Tanzania in order to provide advice accordingly. The studyused cross-sectional study of adolescent mothers aged 15-19 years using Demographic HealthSurvey and Malaria indicator Survey 2015/16 data. The dependent variables were number ofantenatal care visits, the place where an adolescent mother delivered and post-natal checkup(adolescent mother’s health checking after being discharged or after a home delivery). Theindependent variables were birth order, education level of a mother, marital status of a mother,media exposure, wealth index, distance to health facility. Multiple binary logistic regression wasused to examine an association between each dependent variable and their respective independentvariables. Data was analyzed using IBM SPSS statistics and STATA. This study used 550adolescent mothers in the analysis. Majority of the adolescent mothers had less than four AntenatalCare (ANC) visits (53.5%), while 68.5% of adolescent mothers delivered at a health facility.Adolescent mothers with two or more children had less odds of having at least four ANCscompared to those with one child, whereas adolescent mothers with at least secondary educationhad greater odds of delivering at a health facility compared to those who had no education.Adolescent mothers who had at least four antenatal care visits and those who are married hadgreater odds of checking their health after being discharged compared to adolescent mothers whohad less than 4 ANCs and single adolescent mothers. It was advised that provision of maternaleducation to young girls on the importance of safe delivery and health checking after delivery isvery important to reduce adolescent maternal morbidity and mortality in the country. Keywords: Adolescent; Maternal Health; Logistic regression; Chi-square


2021 ◽  
Vol 5 (2) ◽  
pp. 84-100
Author(s):  
Marinah Syovinya Muteti

The County Governments in Kenya are faced with poor service delivery especially in the provision of maternal health care services. Maternal health care services in public hospitals are not meeting up to the quality standard as outlined by the Ministry of Health in Kenya. The paper sought to determine the influence of leadership and universal health coverage on public health maternal health care in Kitui County. This study was guided by Transformational Leadership Theory and Theory X & Y. The study focused on 11 public hospitals providing maternity services in Kitui County. The target population of the study was 203 health officers that include 26 doctors, 10 specialists, 41 clinical officers and 126 nurses across the 13 level 4 hospitals providing maternity services in Kitui County. Data was collected by use of structured closed ended questionnaire. Data analysis was conducted using SPSS Version 25.0 Software. Pearson Correlation showed that leadership and universal health coverage have a positive correlation with public health maternal health care service delivery. Model summary results indicated that leadership and universal health coverage explain 52.1 percent of public health maternal health care service delivery. Coefficient regression revealed that coefficient of leadership has appositive and significant influence (β=.203, p=.001<0.05) on and public health maternal health care service delivery. It was also found that coefficient of Universal Health Coverage and public health maternal health care service delivery have a positive and significant relationship (β=.662, p=.000<0.05). The study concludes that leadership is one of the key health systems factors affecting the performance of maternal health services at facility level. Conclusion can be made further that universal health coverage improves public health maternal health care service delivery. The study recommends for the need of maternal health care providers to review their leadership guidelines and styles with aim of enhancing quality of leadership in the management of hospitals. Though universal health coverage is on trial, the study recommends for the need to adequately support the implementation of universal health coverage.


2001 ◽  
Vol 33 (1) ◽  
pp. 87-105 ◽  
Author(s):  
KUSHUM SHAKYA ◽  
CHRISTINE McMURRAY

This study explores the factors associated with neonatal mortality and maternal health care in Nepal. The subjects were 4375 births reported in the 1996 Nepal Family Health Survey. Maternal and child health care was found to have a significant association with neonatal mortality, although preceding birth interval and sex of child had stronger effects. Four aspects of maternal care were found to be highly associated with region, household ownership of assets, mother’s education and father’s education. This indicates that accessibility, affordability and availability of maternal health care are important factors to consider in future research on neonatal mortality.


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