Community satisfaction with the quality of maternal and child health services in Southeast Nigeria

Abstract Background: The Democratic Republic of the Congo (DRC) is classified among the 5 countries with the highest global maternal mortality ratio (MMR) and highest under-five mortality rate (U5MR) in the world. Kasai is one of 14 provinces of the DRC, which have a high U5MR and MMR. Despite this overriding concern, almost no studies have been conducted to assess maternal et child situation in this province. The aim of this study was to assess access, availability, and quality of maternal and child health services in Kasai Province in the DRC. Methods: A cross-sectional survey of 49 Health Facilities (HFs) integrating quantitative and qualitative data collection was conducted in 18 Health Zones in Kasai Province in the DRC. Documentary review, interviews and direct observation of HFs were performed to collect data. Pearson’s chi-squared test was performed to establish the relation between variables.Results: Nearly 54 % of visited HFs population had a geographical access to maternal and child health services and the majority of medical acts were unaffordable. Basic and comprehensive emergency obstetric care (EmOC) were offered respectively by only 11.8% and 7.6% of HF and none provided high quality basic or comprehensive EmOC. This low availability and quality of EmOC are due to the insufficiency of necessary inputs and personal for maternal and child health services in the majority of HFs. Conclusion: The situation of maternal and child health services is very precarious in Kasai Province. The improvement of EmOC coverage will require rehabilitation of infrastructure, dotation of equipment, regular supply of medicines and strengthening of human resource capacity.

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Quality of records for maternal and child health services at subcentre level in a rural block of Rohtak

Indian Journal of Community Medicine ◽

10.4103/0970-0218.53420 ◽

2007 ◽

Vol 32 (1) ◽

pp. 90

Author(s):

S Prinja ◽

R Verma

Keyword(s):

Child Health ◽

Health Services ◽

Maternal And Child Health ◽

Child Health Services ◽

And Child Health

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Pelaksanaan Permainan Ular Tangga dalam Kelas Ibu Hamil

Poltekita: Jurnal Pengabdian Masyarakat ◽

10.33860/pjpm.v1i1.73 ◽

2020 ◽

Vol 1 (1) ◽

pp. 23-28

Author(s):

Lisda Widianti Longgupa ◽

Nurfatimah Nurfatimah ◽

Nilda Yulita Siregar

Keyword(s):

Child Health ◽

Health Services ◽

Pregnant Women ◽

Maternal And Child Health ◽

Health Workers ◽

Child Health Services ◽

Flip Chart ◽

Post Test ◽

And Child Health

The efforts to reduce maternal and infant mortality can be done by increasing the coverage and quality of maternal and child health services. One effort is made to bring health services closer to the community through the pregnant mothers class program. Pregnant woman class is a study group of pregnant women with gestational age between 4 weeks to 36 weeks with a maximum number of 10 participants. In this class, pregnant women will learn together, discuss and exchange experiences on overal maternal and child health, facilitated by midwives or health workers by using the class package for pregnant women, namely flip chart, guidelines for implementing classes of pregnant women, class facilitator’s handbook pregnant women, exercise books for pregnant women and books on maternal and child health (MCH). Based on the results of community service activities with participants of 40 pregnant women there was an increase in correct answers to all participants after participating in class activities for snakes ladderss of pregnant women. From the pre-test result it turns out that most of the results obtained were less than 60. This shows that the knowledge ability of pregnant women is still lacking. However, after holding the snakes ladder pregnant class, there was an increase in the knowledge of pregnant women with an increase in the post-test score point in the range between 21-30 (47.5%).

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