scholarly journals Women’s experiences of maternal and child health and family planning services in KwaZulu-Natal

Curationis ◽  
2008 ◽  
Vol 31 (2) ◽  
Author(s):  
S Gatsinzi

The increasing recognition that millions of women and children die every year as a result of the poor health of the mother coupled with inadequate care before, during, and after delivery, has highlighted the importance of seeking women’s views of health services in order to contribute to improving their health. The purpose of this paper is to shed more light on women’s views of health services by exploring their experiences of maternal and child health and family planning services in Cato Manor in KwaZulu- Natal. The findings suggest that the majority of women were unclear about the purpose of antenatal care. Most women had little or no knowledge about the required number of antenatal care visits. In addition, few women reported that they were offered a comprehensive range of contraceptive services during their visit. In most cases, they were only given information on a limited number of family planning methods. However, the majority of women expressed overall satisfaction with the services. Discontent mainly rose from the long waiting period, duration of the consultation and limited contraceptive counselling. In order to ensure sustainable improvements in women’s health increasing involvement of men is also important.

2022 ◽  
Author(s):  
DENISE KPEBO ◽  
Abou Coulibaly ◽  
Maurice Yameogo ◽  
Sujata Bijou ◽  
Lazoumar Ramatoulaye ◽  
...  

Abstract Background : Although several interventions integrating maternal, neonatal, child health and nutrition with family planning have been implemented and tested, there is still limited evidence on their effectiveness to guide program efforts and policy action,on health services integration. This study aims to assess the effectiveness of a service delivery model integrating maternal and child health services, nutrition and family planning services, compared with the general standard of care in Burkina Faso, Cote d'Ivoire, and Niger. Methods: This is a quasi experimental study with one intervention group and one control group of 3-4 health facilities in each country. Each facility was matched to a control facility of the same level of care and that had similar coverage on selected reproductive health indicators such as family planning and post-partum family planning. The study participants are pregnant women (with a 6 months pregnancy at maximum) coming for their first antenatal care visit. They will be followed up to 6 months after childbirth, and will be interviewed at each antenatal visit and also during visits for infant vaccines.The analyzes will be carried out by intention to treat, using generalized linear models (binomial log or log Poisson) to assess the effect of the intervention on the ratio of contraceptive use prevalence between the two groups of the study at a significance level of 5%, while taking into account the cluster effect and adjusting for potential confounding factors (socio-demographic characteristics of women, unevenly distributed at inclusion). Discussion :This longitudinal study, with the provision of family planning services integrated into the whole maternal care continuum, a sufficiently long observation time and repeated measurements, will make it possible to better appreciate the timeline and the factors influencing women's decision-making on the use of post-partum family planning services. The results will help in increasing the body of knowledge regarding the impact of maternal and child health services integration on the utilization of post-partum family planning, taking into account the specific context of sub-Saharan Africa French speaking countries where such information is very needed.


BMJ ◽  
1990 ◽  
Vol 301 (6743) ◽  
pp. 103-107 ◽  
Author(s):  
V Fauveau ◽  
B Wojtyniak ◽  
J Chakraborty ◽  
A M Sarder ◽  
A Briend

2021 ◽  
Vol 3 (10) ◽  
pp. 814-825
Author(s):  
Fadhila Tri Cahyanti ◽  
Supriyadi Supriyadi ◽  
Ema Novita Deniati

Abstract: Every marriage must experience various problems that occur especially in the wrong communication between husband and wife. A true communication must be well established, especially during the wife's pregnancy, especially for the husband. The East Java Provincial Health Office stated that the K4 coverage for East Java Province was 91.15 percent. Pamekasan Regency is a Regency in East Java that has less desire for visits to pregnant women's health services is 92,75 percent, while target MSS. This study uses an observational quantitative cross-sectional approach with a sample of 112 married couples determined using the technique Accidental Sampling. Data collection using questionnaires includes two parts, namely husband's discussion and wife's discussion, based on The results show that there is an influence between husband's discussion on ANC visits and there is no influence between wife's discussion on ANC visits with the meaning that there is a role for husband and wife discussions to encourage ANC visits. the health of the wife and fetus is healthy until the delivery is smooth. And improve and develop programs related to the promotion of maternal and child health (MCH). Abstrak: Setiap pernikahan pasti mengalami berbagai masalah yang terjadi terutama pada komunikasi yang salah antara suami istri. Suatu komunikasi sejatinya harus terjalin dengan baik terutama pada masa kehamilan istri, terutama bagi suami. Dinas Kesehatan Provinsi Jawa Timur menyatakan bahwa cakupan K4 untuk Provinsi Jawa Timur sebesar 91,15. Kabupaten Pamekasan merupakan Kabupaten di Jawa Timur yang mempunyai hasrat kunjungan yang kurang terhadap pelayanan kesehatan ibu hamil adalah 92,75 persen, sedangkan sasaran SPM Penelitian ini menggunakan kuantitatif observasional pendekatan Cross Sectional dengan jumlah sampel 112 pasangan suami istri yang ditentukan dengan menggunakan teknik Accidental Sampling. Pengumpulan data menggunakan penyebaran kuesioner meliputi dua bagian yaitu diskusi suami dan diskus istri, berdasarkan hasil bahwa ada pengaruh antara diskusi suami terhadap kunjungan ANC dan tidak ada pengaruh antara diskusi istri terhadap kunjungan ANC dengan makna ada peran diskusi suami dan istri terhadap mendorong melakukan kunjungan ANC. Dan diharapkan dapat meningkatkan komunikasi dan motivasi kepada sang istri terhadap kepatuhan kunjungan ANC agar kesehatan istri dan janin sehat hingga persalinannya pun lancar. Dan meningkatkan dan mengembangkan program-program terkait promosi kesehatan Ibu dan Anak (KIA).


2021 ◽  
Vol 9 (G) ◽  
pp. 8-13
Author(s):  
Sumiaty Sumiaty ◽  
Muhammad Nur Ali ◽  
Hasan Muhamad ◽  
Fahmi Hafid

Background: Stunting is caused by multi-dimensional factors and the most decisive intervention should be carried out in the first 1,000 days of life. Poor parenting practices, lack of knowledge about health and nutrition before and during pregnancy are some of the contributing factors and 60% of children aged 0-6 months do not receive exclusive breastfeeding. Aim: To assess the role of midwives and the Indonesian Midwives Association Professional Organization in reducing the risk of stunting in Indonesia.   Method: This type of descriptive research uses an exploratory study approach by assessing the role of midwives and the professional organization of the Indonesian Midwives Association (IBI) in reducing the risk of stunting in Central Sulawesi. The data of 288 midwives were collected using google form from 22 July 2020 to 22 August 2020. Data were analyzed by SPSS. Result: In general, midwives have provided maternal and child health books to pregnant women, recorded complete maternal and child health records, conducted antenatal care for pregnant women, provided nutritional food counseling for pregnant women, gave Fe 90 tablets to pregnant women, provided calcium tablets to pregnant women, conducting classes for pregnant women, delaying umbilical cord cutting (>30 minutes), providing vitamin A to postpartum mothers, conducting exclusive breastfeeding counseling, providing family planning services, providing IYCF counseling. However, for the activities of Implementing a special stunting prevention program, implementing postnatal care and initiating early breastfeeding still need improvement. Conclusion: The role of midwives in efforts to prevent stunting in Indonesia with midwives have provided maternal and child health books to pregnant women. Delaying umbilical cord cutting to 30 minutes, giving vitamin A to postpartum mothers, breastfeeding counseling, providing family planning services, providing IYCF counseling


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