scholarly journals Barriers to men’s involvement in antenatal and postnatal care in Butula, western Kenya

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Fernandos K. Ongolly ◽  
Salome A. Bukachi
Keyword(s):  
Maternal Health ◽  
Low Income ◽  
Postnatal Care ◽  
Male Involvement ◽  
Maternal Health Services ◽  
Children's Health ◽  
Cultural Barriers ◽  
Children’S Health ◽  
Cultural Economic ◽  
Men’S Involvement

Background: Men have a lot of influence on their partners’ and children’s health. However, studies have shown their involvement in antenatal care (ANC) and postnatal care (PNC) is relatively low owing to several factors.Aim: To explore the barriers to men’s involvement in ANC and PNC in Butula sub-county, western Kenya.Setting: Butula sub-county, Busia county, western Kenya.Methods: A mixed methods study design, descriptive in nature, was used to collect both quantitative and qualitative data. A total of 96 men were selected to participate in the surveys. Also, four focus group discussions and four key informant interviews were conducted.Results: We found out that some men still participate in ANC and PNC despite the barriers. The perception that maternal health is a women’s domain and existence of alternative traditional maternal services were key cultural barriers. The men’s nature of work, low income and expenses incurred at ANC/PNC clinics were significant economic barriers. The lack of services targeting men, provider attitude, non-invitation to the clinic, time spent at the clinic and lack of privacy at the clinics were key facility-based barriers.Conclusion: A myriad of cultural, economic and health-facility barriers hinder men from active involvement in ANC and PNC. Awareness creation among men on ANC and PNC services and creating a client-friendly environment at the clinics is key in enhancing their involvement. This should be a concerted effort of all stake holders in maternal health services, as male involvement is a strong influencer to their partners’ and children’s health outcomes.

Water, Wastes, and Children’s Health in Low-Income Neighbourhoods of Yaoundé

2011 ◽  
pp. 215-227 ◽  
Author(s):  
Emmanuel Ngnikam ◽  
Benoît Mougoué ◽  
Roger Feumba ◽  
Isidore Noumba ◽  
Ghislain Tabue ◽  
...  
Keyword(s):  
Low Income ◽  
Children's Health ◽  
Children’S Health

scholarly journals Association between male involvement during antenatal care and use of maternal health services in Mwanza City, Northwestern Tanzania: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036211
Author(s):  
Clara C Natai ◽  
Neema Gervas ◽  
Frybert M Sikira ◽  
Beatrice J Leyaro ◽  
Juma Mfanga ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Male Involvement ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Growth Monitoring ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mwanza City

BackgroundMale involvement in antenatal care (ANC) is among interventions to improve maternal health. Globally male involvement in ANC is low and varies in low-income and middle-income countries including Tanzania where most maternal deaths occur. In Sub-Sahara, men are chief decision makers and highly influence maternal health. In Tanzania information is limited regarding influence of male involvement during ANC on utilisation of maternal health services.ObjectivesTo determine the effect of male involvement during ANC on use of maternal health services in Mwanza, Tanzania.DesignA cross-sectional study conducted from June to July 2019.SettingThis study was conducted at seven randomly selected health facilities providing reproductive, maternal and child health (RCH) services in Mwanza City.ParticipantsIncluded 430 postpartum women who delivered 1 year prior to the study and attending for RCH services (growth monitoring, vaccination, postpartum care).Outcome measures4 or more ANC visits, skilled birth attendant (SBA) use during childbirth and postnatal care (PNC) utilisation 48 hours after delivery.MethodsInterviews and observation of the women’s ANC card were used to collect data. Data was entered, cleaned and analysed by SPSS.ResultsThe mean age of participants was 25.7 years. Of 430 women, 54.4% reported their partners attended ANC at least once, 69.7% reported they attended for four or more ANC visits during last pregnancy, 95% used SBAs during childbirth and 9.2% attended PNC within 48 hours after delivery. Male involvement during ANC was significantly associated with four or more ANC visits (Crude Odds Ratio (COR): 1.90; 95% CI: 1.08–3.35) but not with SBA use or PNC utilisation.ConclusionMale involvement in ANC is still low in Mwanza, as 46% of the partners had not attended with partners at ANC. Alternative strategies are needed to improve participation. Studies among men are required to explore the barriers of participation in overall RCH services.

scholarly journals The impact of the low-income housing tax credit on children's health and wellbeing in Georgia

2018 ◽  
Vol 93 ◽  
pp. 390-396
Author(s):  
Katie A. Ports ◽  
Whitney L. Rostad ◽  
Feijun Luo ◽  
Michelle Putnam ◽  
Elizabeth Zurick
Keyword(s):  
Low Income ◽  
Children's Health ◽  
Children’S Health ◽  
Tax Credit ◽  
Health And Wellbeing ◽  
The Impact ◽  
Low Income Housing

scholarly journals Determinants of newborn care utilization in Pakistan: Findings from the Demographic and Health Surveys

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1061
Author(s):  
Sathirakorn Pongpanich ◽  
Abdul Ghaffar ◽  
Najma Ghaffar ◽  
Hafiz Abdul Majid
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Postnatal Care ◽  
Health Surveys ◽  
Newborn Care ◽  
Wealth Index ◽  
Maternal Health Services ◽  
Care Utilization ◽  
Demographic And Health Surveys ◽  
Cross Sectional

Background: Information on determinants of postnatal care is essential for maternal health services, and this information is scarce in Pakistan. This study aimed to determine the factors of newborn postnatal care utilization from the Pakistan Demographic and Health Surveys (PDHS) conducted from 2006–2018. Methods: We analyzed data from three rounds of cross-sectional, nationally representative PDHS 2006–07, 2012–13, and 2017–18. Multivariable logistic regression models were applied to explore factors associated with utilization of newborn postnatal care within two months. Results: This study included 5724 women from the 2006–07 PDHS, 7461 from the 2012–13 survey, and 8287 from the 2017–18 survey. The proportion of women receiving newborn postnatal care within the first two months of delivery increased from 13% in 2006–07 to 43% in 2012–13 but dropped to 27% in 2017–18. Respondent’s occupation and prenatal care utilization of maternal health services were common factors that significantly influenced newborn postnatal care utilization within two months. The utilization of postnatal care was greater among women having educated husbands and where the first child was a male in PDHS 2007 round. Higher wealth index and educated respondent had higher postnatal care utilization odds in DHS 2012 and DHS 2018. However, the odds of using postnatal care decreased with the number of household members and total number of children ever born in DHS 2012 and 2018 rounds. Conclusions: There was a general increase in the proportion of women who utilized postnatal care for their newborns during 2006–2013 but a decrease in 2018. The decreased utilization in 2018 warrants further investigation. Improving women’s economic status, education, employment, and antenatal care attendance and reducing parity may increase newborn postnatal care utilization.

scholarly journals Maternal education level and maternal healthcare utilization in the Democratic Republic of the Congo: an analysis of the multiple indicator cluster survey 2017/18

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hanyu Wang ◽  
Eric Frasco ◽  
Rie Takesue ◽  
Kun Tang
Keyword(s):  
Maternal Health ◽  
Prenatal Care ◽  
Health Services ◽  
Primary School ◽  
Postnatal Care ◽  
Maternal Education ◽  
Maternal Health Services ◽  
Education Level ◽  
Cesarean Sections ◽  
Maternal Healthcare

Abstract Background Understanding how socioeconomic factors influence maternal health services utilization is crucial to reducing preventable maternal deaths in the DRC. Maternal education is considered an important associate of maternal health service utilization. This study aims to investigate the association between maternal education and the utilization of maternal health services, as well as present geographical and socio-economic disparities in the utilization. Methods The MICS survey was employed as the data source, which is a nationally representative survey conducted from 2017 to 2018 in the DRC. The exposure for this study was the maternal education level, which was categorized into three groups: (1) below primary and none, (2) primary and (3) secondary and above. Prenatal care indicators included: if the mother ever received prenatal care, if the mother had antenatal checks no less than four times, and if a skilled attendant was present at birth. Postnatal care indicators included: if the mother received postnatal care and if the baby was checked after birth. Emergency obstetric interventions were indicted by cesarean sections. Descriptive analyses and logistic regressions were used as analytical methods. Results Of all 8,560 participants included, 21.88 % had below primary school or no education, 39.81 % had primary school education, and 38.31 % had secondary education or above. The majority of participants were from rural areas, except for Kinshasa. Overall, a better education was associated with higher utilization of antenatal care. A dose-response effect was also observed. Compared to women with below primary or no education, women with secondary and above education were more likely to receive cesarean sections. Wealth status, as well as rural and urban division, modified the associations. Conclusions Mothers’ education level is an important associate for utilizing appropriate maternal healthcare, with wealth and region as modifying factors. Educational levels should be considered when designing public health interventions and women’s empowerment programs in the DRC. For example, relevant programs need to stratify the interventions according to educational attainment.

scholarly journals Predictors of skilled maternal health services utilizations: A case of rural women in Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246237
Author(s):  
Berhan Tsegaye ◽  
Elsabet Shudura ◽  
Amanuel Yoseph ◽  
Alemu Tamiso
Keyword(s):  
Regression Analysis ◽  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Postnatal Care ◽  
Institutional Delivery ◽  
Care Service ◽  
Maternal Health Services ◽  
P Value ◽  
Services Utilization

Background Maternal health services are affected by complex factors from one setting to another. Consequently, health planners should prioritize different interventions and design appropriate programs to enhance maternal health services utilization. Results of prior studies are conflicting. Furthermore, only few studies were done from antenatal to postnatal continuum of care in Ethiopia. Objectives This study aimed to assess prevalence and predictors of skilled maternal health services utilization at Dale-Wonsho health and demographic surveillance site of the Hawassa University, South Ethiopia, in 2019. Methods A community based cross sectional study was conducted from January 1–30; 2019. A total of 682 women who gave birth in the last twelve months were selected by using a two stage sampling technique. Data were collected through face to face interview. Data were entered into Epidata version 3.1. Then, they were exported and analyzed by SPSS version 22. Bi-variable logistic regression analysis was done and variables with p-value less than 0.05 were considered as candidate for multivariable logistic regression analysis. Adjusted Odds Ratios (AOR) with 95% CI were computed, and p-value less than 0.01 was computed to determine the level of significance. Result Prevalence of antenatal care, institutional delivery and postnatal care utilizations were 69.1%, 52.1% and 32.7% respectively. Educated women (AOR = 4.72, 95%CI,2.82,7.9), household training (AOR = 8.52,95%CI = 5.5,13.1), middle wealth quantile(AOR = 0.8,95%CI,0.4–0.7), being richest wealth quantile (AOR = 0.16;95%CI = 0.06,0.41) and pregnancy plan (AOR = 3.65,95%CI,1.67–8.0) were factors positively associated with antenatal care utilization. Husband education (AOR = 4.96,95CI,3.08–8.0), and antenatal care (AOR = 5.9; 95%CI,3.87,9.1) were factors associated with institutional delivery. Maternal education (AOR = 2.5,95CI,1.4–4.4), information about postnatal care service utilization (AOR = 3.6,95CI,2.1,6.2) and women autonomy(AOR = 6.1,95CI,3.8,9.7) were positively associated with postnatal care service. Conclusion Prevalence of antenatal care, institutional delivery and postnatal care services were lower than the targeted plan. Policy makers should focus on capacity building of women both economically and academically. So, women should be more autonomous to utilize health services effectively. Moreover, awareness creation among women should be enhanced about maternal health service.

scholarly journals Perceived Physical Barriers to Maternal Health Seeking Behavior among Rural Women: The Case of Raya-Alamata District, Southern Tigray, Ethiopia

2018 ◽  
pp. 47-52
Author(s):  
Hayelom Abadi Mesele
Keyword(s):  
Maternal Health ◽  
Rural Women ◽  
Postnatal Care ◽  
Maternal Health Services ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Care Services ◽  
Maternal Morbidity And Mortality ◽  
Seeking Behavior ◽  
Physical Barriers

Introduction: Maternal health is a state of complete physical, mental and social well-being of the mother; it is a resource for everyday life of the mother. It encompasses the health care dimensions of family planning, preconception, prenatal, and postnatal care in order to reduce maternal morbidity and mortality. The use of antenatal, delivery and postnatal care services can be accessed through the number and timing of ANC visits, proportion of births delivered in health centers, attendants during delivery and antenatal care and number of postnatal visits. Health care services during pregnancy and after delivery are important for the survival and wellbeing of both the mother and the infant. Objective: The overall objective of this study is to investigate the perceived physical barriers to maternal health seeking behavior of rural women in Raya Alamata district. Methods: The researcher employed mixed research methods (both qualitative and quantitative). The study populations were reproductive women in the age category of 15-49. In doing so, a sample of 359 reproductive women was selected from three ‘Tabias’ by using simple random sampling techniques. The qualitative data analyzed using thematic analysis whereas the quantitative data analyzed using descriptive statistics. Result: Based on the finding this study, the majority of the respondents 31% were found between the age category of 25- 34 years, 87.5% were married, 93.6% belongs to Tigrian ethnic groups, 71.6% are followers of orthodox Christian, 60.7% were illiterate; and the majority 44.7% of the respondents earned an average monthly income of 501-1000 birr. Rural women also travelled 3.87 km, 5 km, 10 km and 6.4 km in average to get maternal health services from health posts, health centers, hospitals and private clinics respectively. Moreover, long distance and lack of transportation, inequitable distribution of health facilities, inconvenient topography and weather related problems were the major barriers for rural women to get maternal health services. These perceived physical barriers have affected the treatment seeking behavior of rural women especially throughout pregnancy, delivery and postnatal stages. Conclusion: The findings of this study give much emphasis into the perceived physical barriers to maternal health seeking behavior among rural women. The physical barriers restrained rural women from getting antenatal, delivery and postnatal care services which led to pregnancy complications, home delivery, and post-delivery problems which resulted in maternal morbidity and mortality.

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