scholarly journals Utilization of maternal and child health services in western rural Nepal: A cross-sectional community-based study

2014 ◽  
Vol 58 (1) ◽  
pp. 27 ◽  
Author(s):  
Ramjee Bhandari ◽  
Mandira Adhikari ◽  
Rajendra Karkee ◽  
Chandni Joshi ◽  
Vishnu Khanal
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Child Health Services ◽  
Community Based ◽  
Cross Sectional ◽  
Rural Nepal ◽  
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 Trust of community health workers influences the acceptance of community-based maternal and child health services

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Merridy Grant ◽  
Aurene Wilford ◽  
Lyn Haskins ◽  
Sifiso Phakathi ◽  
Ntokozo Mntambo ◽  
...  
Keyword(s):  
Child Health ◽  
Health Services ◽  
Health System ◽  
Maternal And Child Health ◽  
Health Workers ◽  
Child Health Services ◽  
Community Members ◽  
Community Based ◽  
Complex Relationships ◽  
And Child Health

Background: Community health workers (CHWs) are a component of the health system in many countries, providing effective community-based services to mothers and infants. However, implementation of CHW programmes at scale has been challenging in many settings.Aim: To explore the acceptability of CHWs conducting household visits to mothers and infants during pregnancy and after delivery, from the perspective of community members, professional nurses and CHWs themselves.Setting: Primary health care clinics in five rural districts in KwaZulu-Natal, South Africa.Methods: A qualitative exploratory study was conducted where participants were purposively selected to participate in 19 focus group discussions based on their experience with CHWs or child rearing.Results: Poor confidentiality and trust emerged as key barriers to CHW acceptability in delivering maternal and child health services in the home. Most community members felt that CHWs could not be trusted because of their lack of professionalism and inability to maintain confidentiality. Familiarity and the complex relationships between household members and CHWs caused difficulties in developing and maintaining a relationship of trust, particularly in high HIV prevalence settings. Professional staff at the clinic were crucial in supporting the CHW’s role; if they appeared to question the CHW’s competency or trustworthiness, this seriously undermined CHW credibility in the eyes of the community.Conclusion: Understanding the complex contextual challenges faced by CHWs and community members can strengthen community-based interventions. CHWs require training, support and supervision to develop competencies navigating complex relationships within the community and the health system to provide effective care in communities.

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 Evaluation of a community-based intervention for health and economic empowerment of marginalized women in India

2020 ◽  
Author(s):  
Shantanu Sharma ◽  
Devika Mehra ◽  
Faiyaz Akhtar ◽  
Sunil Mehra
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Qualitative Interviews ◽  
Child Health Services ◽  
Access To Health Services ◽  
Community Based ◽  
Access To Health ◽  
Marginalized Women ◽  
And Child Health

Abstract Background Empowered women have improved decision-making capacity and can demand equal access to health services. Community-based interventions (CBI) based on building women’s groups for awareness generation on maternal and child health (MCH) are the best and cost-effective approaches in improving their access to health services. The present endeavour evaluates a community-based intervention aimed at improving marginalized women’s awareness and utilization of maternal, and child health services, and access to livelihood and savings using the peer-led approach from two districts of India. Methods We used peer educators as mediators of knowledge transfer among women and for creating a supportive environment at the household and community levels. The intervention was implemented in two marginalized districts of Uttar Pradesh, namely Banda and Kaushambi. Two development blocks in each of the two districts were selected randomly, and twenty-four villages in each of the four blocks were selected based on the high percentage of a marginalized population. The evaluation of the intervention involved a non-experimental, pre- and post-research design, using a mixed-method approach. Data were collected at three points in time, including a rapid assessment (quantitative and qualitative interviews) at baseline, qualitative interviews at the end line and tracking data of the intervention population (n=37,324) through an online management information system. Results Most of the women in Banda (90%) and Kaushambi (85%) attended at least 60% of the education sessions. Around 39% of women in Banda and 35% of women in Kaushambi registered for the livelihood scheme, and 94% and 80% of them had worked in these two places, respectively under the scheme. Women during group discussions informed that their awareness about MCH increased post-intervention. The money earned after getting work under the livelihood scheme or from daily savings was deposited in the bank account by the women. These savings helped the women investing money at times of need, such as starting their work, in emergencies for the medical treatment of their family members, education of their children, etc. Conclusion Peer-led model of intervention can be explored to improve the combined health and economic outcomes of marginalized women.

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.

scholarly journals PENGARUH PENGETAHUAN DAN PELATIHAN KADER POSYANDU TERHADAP PELAYANAN KESEHATAN IBU DAN ANAK DI KABUPATEN PURWOREJO

2020 ◽  
Vol 11 (02) ◽  
pp. 214
Author(s):  
Nurma Ika Zuliyanti ◽  
Restu Pangestuti
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Simple Random Sampling ◽  
Child Health Services ◽  
Good Service ◽  
Chi Square ◽  
Cross Sectional ◽  
And Training ◽  
And Child Health

ABSTRAK            Latar Belakang: Kinerja kader merupakan salah satu indikator keberhasilan program Posyandu dalam pelayanan kesehatan ibu dan anak. Adanya faktor individu dan sosial dapat mempengaruhi kinerja kader dalam memberikan pelayanan kesehatan. Tingkat pengetahuan dan pelatihan yang diberikan kepada kader mampu menunjang kinerja dalam pelayanan Posyandu. Tujuan Penelitian: Mengetahui pengaruh pengetahuan dan pelatihan kader Posyandu terhadap pelayanan kesehatan ibu dan anak di Kabupaten Purworejo. Metode Penelitian: Jenis penelitian yang digunakan yaitu observasional analitik dengan pendekatan cross sectional. Penelitian dilakukan pada 25 Posyandu dari bulan Juni - Juli 2019 di Purworejo, Jawa Tengah. Subjek penelitian sebanyak 200 kader dengan teknik pengambilan sampel menggunakan simple random sampling. Variabel dependen dalam penelitian ini adalah pelayanan kesehatan. Variabel independen yang digunakan yaitu pengetahuan dan pelatihan. Pengumpulan data menggunakan kuesioner dan analisis data menggunakan uji Chi-Square dengan Stata 13. Hasil Penelitian: Kader dengan pengetahuan yang baik memiliki kemungkinan untuk melakukan pelayanan yang baik 24,56 kali daripada kader dengan pengetahuan yang kurang. Kader dengan pelatihan yang baik memiliki kemungkinan untuk melakukan pelayanan yang baik 35,55 kali daripada kader yang memiliki pelatihan kurang dalam memberikan pelayanan kesehatan ibu dan anak. Nilai signifikansi p yaitu <0.001. Kesimpulan: Pengetahuan kader yang baik dan pelatihan yang baik yang diberikan kepada kader dapat meningkatkan pelayanan kesehatan ibu dan anak dalam kegiatan Posyandu dengan nilai p<0.001. Hasil tersebut menunjukkan bahwa pengetahuan dan pelatihan sangat berpengaruh dalam meningkatkan pelayanan. Saran: Memberikan pelatihan untuk meningkatkan ketrampilan dan pengetahuan pada semua kader Posyandu secara berkala dan menyeluruh.Kata kunci : Kader Posyandu, Pelayanan Kesehatan, Kesehatan Ibu dan AnakTHE EFFECT OF POSYANDU CADRE KNOWLEDGE AND TRAINING ON MATERNAL CHILD HEALTH SERVICES IN PURWOREJO REGENCYABSTRACTBackground: Cadre performance is one of the indicators Posyandu program in maternal and child health services. The existence of individual and social factors can affect the performance of cadres in providing health services. The level of knowledge and training given to cadres is able to support the performance in Posyandu services. Purpose: Knowing the effect of posyandu cadre knowledge and training on maternal and child health services in Purworejo Regency. Subjects and Method: The type of research used is observational analytics with a cross sectional approach. The research was conducted on 25 Posyandu from June - July 2019 in Purworejo, Central Java. The study subjects were 200 cadres with sampling techniques using simple random sampling. The dependent variable in this study is the health service. Independent variables used are knowledge and training. Data collection using questionnaires and data analysis using Chi-Square test with Stata 13. Results: Cadres with good knowledge have the possibility to perform good service 24.56 times than cadres with less knowledge. Cadres with good training are more likely to perform good service 35.55 times than cadres who have less training in providing maternal and child health services. The value of p significance is <0.001. Conclusion: Good cadre knowledge and good training provided to cadres can improve maternal and child health services in Posyandu activities with p value <0.001. These results show that knowledge and training are very influential in improving services. Suggestions: Providing training to improve skills and knowledge to all Posyandu cadres periodically and comprehensive.Keywords: Posyandu Cadre, Health Services, Maternal and Child Health

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