scholarly journals Utilization of Institutional Delivery Service in a Predominantly Pastoralist Community of Northeast Ethiopia

1970 ◽  
Vol 28 (4) ◽  
Author(s):  
Mohammed Ahmed ◽  
Meaza Demissie ◽  
Araya Abrha Medhanyie ◽  
Alemayehu Worku ◽  
Yemane Berhane
Keyword(s):  
Secondary School ◽  
Health Facility ◽  
Institutional Delivery ◽  
Home Delivery ◽  
Sub Saharan Africa ◽  
Cultural Barriers ◽  
School Level ◽  
Multivariable Logistic Regression Analysis ◽  
Skilled Delivery ◽  
Sub Saharan

BACKGROUND: Maternal mortality is high in sub-Saharan Africa, and most deaths occur around childbirth. In Ethiopia, most births happen at home without skilled delivery attendants, and particularly, the least utilization of skilled delivery is recorded in Afar Region. The factors that influence this utilization are not well documented in the region where utilization has been low. The aim of this study was to determine the prevalence of utilization of institutional delivery and associated factors.METHODS: A cross-section study with pretested structural questionnaire was conducted from August 5 to September 27, 2015, among women who gave birth within 24 months preceding the survey. A multivariable logistic regression analysis was done to identify factors associated with utilization of institutional delivery.RESULTS: Out of the total 1842 women, only 339(18.4%) of mothers reported having delivered their youngest child at a health facility. Home delivery was preferred due to cultural norms, lowrisk perception, and distance from a health facility. The odds of delivering in a health facility were higher for mothers who attended at least four antenatal visits during the index pregnancy (AOR=3.08,95%CI=1.91-4.96), those whose husbands were educated to secondary school (AOR= 1.86, 95% CI=1.34-2.60), and those that had at least secondary school level education themselves (AOR=1.52, 95% CI=1.03-2.23).CONCLUSION: Utilization of institution delivery among Afar communities is very low, and less educated mothers are lagging behind. Women’s education and full attendance to antenatal care can help increase utilization of skilled delivery services. Qualitativestudies to identify socio-cultural barriers are also essential.

scholarly journals Correlates of and Barriers to the Utilization of Health Services for Delivery in South Asia and Sub-Saharan Africa

2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Nai-Peng Tey ◽  
Siow-li Lai
Keyword(s):  
Health Services ◽  
South Asia ◽  
Health Facility ◽  
Rural Women ◽  
Institutional Delivery ◽  
Unmet Need ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Utilization Of Health Services ◽  
Sub Saharan

The high maternal and neonatal mortality rates in South Asia and Sub-Saharan Africa can be attributed to the lack of access and utilization of health services for delivery. Data from the Demographic and Health Surveys conducted in Bangladesh, India, Pakistan, Kenya, Nigeria, and Tanzania show that more than half of the births in these countries were delivered outside a health facility. Institutional delivery was closely associated with educational level, family wealth, place of residence, and women’s media exposure status, but it was not influenced by women’s work status and their roles in decision-making (with the exception of Nigeria). Controlling for other variables, higher parity and younger women were less likely to use a health facility for delivery. Within each country, the poorer, less educated and rural women had higher unmet need for maternal care services. Service related factors (accessibility in terms of cost and distance) and sociocultural factors (e.g., did not perceive the need for the services and objections from husband and family) also posed as barriers to institutional delivery. The paper concludes with some suggestions to increase institutional delivery.

scholarly journals Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Shewayiref Geremew Gebremichael ◽  
Setegn Muche Fenta
Keyword(s):  
Rural Health ◽  
Health Facility ◽  
Health Survey ◽  
Institutional Delivery ◽  
Media Exposure ◽  
Health Facilities ◽  
Health Centers ◽  
Sub Saharan Africa ◽  
Urban Rural ◽  
Sub Saharan

Abstract Introduction Institutional delivery is a major concern for a country’s long-term growth. Rapid population development, analphabetism, big families, and a wider range of urban-rural health facilities have had a negative impact on institutional services in Sub-Saharan Africa (SSA) countries. The aim of this study was to look into the factors that influence women’s decision to use an institutional delivery service in SSA. Methods The most recent Demographic and Health Survey (DHS), which was conducted in nine countries (Senegal, Ethiopia, Malawi, Rwanda, Tanzania, Zambia, Namibia, Ghana, the Democratic Republic of Congo) was used. The service’s distribution outcome (home delivery or institutional delivery) was used as an outcome predictor. Logistic regression models were used to determine the combination of delivery chances and different covariates. Results The odds ratio of the experience of institutional delivery for women living in rural areas vs urban area was 0.44 (95% confidence interval (CI) 0.41–0.48). Primary educated women were 1.98 (95% CI 1.85–2.12) times more likely to deliver in health institutes than non-educated women, and secondary and higher educated women were 3.17 (95% CI 2.88–3.50) times more likely to deliver in health centers with facilities. Women aged 35–49 years were 1.17 (95% CI 1.05–1.29) times more likely than women aged under 24 years to give birth in health centers. The number of ANC visits: women who visited four or more times were 2.98 (95% CI 2.77–3.22) times, while women who visited three or less times were twice (OR = 2.03; 95% CI 1.88–2.18) more likely to deliver in health institutes. Distance from home to health facility were 1.18 (95% CI 1.11–1.25) times; media exposure had 1.28 (95% CI 1.20–1.36) times more likely than non-media-exposed women to delivery in health institutions. Conclusions Women over 24, primary education at least, urban residents, fewer children, never married (living alone), higher number of prenatal care visits, higher economic level, have a possibility of mass-media exposure and live with educated husbands are more likely to provide health care in institutions. Additionally, the distance from home to a health facility is not observed widely as a problem in the preference of place of child delivery. Therefore, due attention needs to be given to address the challenges related to narrowing the gap of urban-rural health facilities, educational level of women improvement, increasing the number of health facilities, and create awareness on the advantage of visiting and giving birth in health facilities.

scholarly journals Prospective assessment of the risk of obstructive sleep apnea in patients attending a tertiary health facility in Sub-Saharan Africa

2014 ◽  
Vol 17 ◽  
Author(s):  
Obianuju Beatrice Ozoh ◽  
Njideka Ulunma Okubadejo ◽  
Ayesha Omolara Akinkugbe ◽  
Oluwadamilola Omolara Ojo ◽  
Chinyere Nkiru Asoegwu ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Health Facility ◽  
Sub Saharan Africa ◽  
Obstructive Sleep ◽  
Prospective Assessment ◽  
Sub Saharan

Scaling Up HIV/AIDS Care Among Women in Sub-Saharan Africa: Cross-Cultural Barriers

2013 ◽  
pp. 249-265 ◽  
Author(s):  
Damalie Nakanjako ◽  
Florence Maureen Mirembe ◽  
Jolly Beyeza-Kashesya ◽  
Alex Coutinho
Keyword(s):  
Scaling Up ◽  
Cross Cultural ◽  
Sub Saharan Africa ◽  
Cultural Barriers ◽  
Sub Saharan ◽  
Hiv Aids

Uses of Information and Communication Technology (ICT) in Agriculture and Rural Development in Sub-Saharan Africa

2010 ◽  
Vol 1 (1) ◽  
pp. 1-22 ◽  
Author(s):  
Blessing M. Maumbe ◽  
Julius Okello
Keyword(s):  
Rural Development ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Policy Design ◽  
Sub Saharan Africa ◽  
Cultural Barriers ◽  
Design Development ◽  
Low Literacy ◽  
Information And Communication ◽  
Sub Saharan

This paper presents a framework of the evolution of information and communication technology (ICT) applications in agriculture and rural development based on comparative experiences of South Africa and Kenya. The framework posits that full deployment of ICT in agriculture and rural development will be a culmination of several phases of changes that starts with e-government policy design, development and implementation. The paper argues that ICT use in agriculture and rural development is a powerful instrument for improving agricultural and rural development and standards of living throughout Sub-Saharan Africa. However, success in greater application of ICT in agriculture will require addressing impediments to adoption and diffusion. Such impediments include the lack of awareness, low literacy, infrastructure deficiencies (e.g. lack of electricity to charge electronic gadgets), language and cultural barriers in ICT usage, the low e-inclusivity and the need to cater for the special needs of some users. The paper reviews successful applications of ICT in agriculture and urges greater use of ICT-based interventions in agriculture as a vehicle for spurring rural development in Africa.

scholarly journals Supplying Basic Education and Learning to Sub-Saharan Africa in the Twenty-First Century

2018 ◽  
Vol 8 (2) ◽  
pp. 181
Author(s):  
Idowu Biao
Keyword(s):  
Secondary School ◽  
Basic Education ◽  
First Century ◽  
Sub Saharan Africa ◽  
School Age Children ◽  
School Age ◽  
School Students ◽  
Twenty First Century ◽  
Sub Saharan ◽  
Primary School Age

This article posits that schooling in Sub-Saharan Africa has so far failed to yield the results expected of it on twogrounds. First, the population of persons accessing both basic education and other levels of education is negligible incomparison with those who ought to access them (1 out of every 4 primary school age children; less than half of thequalified secondary school students; about 7% gross enrolment within higher education). Second, schooling hasfailed to deliver the kind of socio-economic development expected in the case of Sub-Saharan Africa as a highprevalence of poverty still exists and incongruity continues to exist between the education provided and thelivelihoods of Sub-Saharan Africans. Using this poor educational and development performance as justification, amore utilitarian, relevant and sustainable approach to basic education and learning is recommended for Africa goingforward. This recommended approach combines both the current school system with a special non-formal educationsystem for the purpose of delivering basic education and learning in Sub-Saharan Africa in the twenty-first century.

scholarly journals Delays Experienced by Patients With Pediatric Cancer During the Health Facility Referral Process: A Study in Northern Tanzania

2020 ◽  
pp. 1757-1765
Author(s):  
Luke Maillie ◽  
Nestory Masalu ◽  
Judy Mafwimbo ◽  
Mastidia Maxmilian ◽  
Kristin Schroeder
Keyword(s):  
Health Facility ◽  
Pediatric Cancer ◽  
Sub Saharan Africa ◽  
Cancer Center ◽  
Referral Process ◽  
Care Seeking ◽  
Total Delay ◽  
Northern Tanzania ◽  
District Hospitals ◽  
Sub Saharan

PURPOSE It is estimated that 50%-80% of patients with pediatric cancer in sub-Saharan Africa present at an advanced stage. Delays can occur at any time during the care-seeking process from symptom onset to treatment initiation. Referral delay, the time from first presentation at a health facility to oncologist evaluation, is a key component of total delay that has not been evaluated in sub-Saharan Africa. METHODS Over a 3-month period, caregivers of children diagnosed with cancer at a regional cancer center (Bugando Medical Centre [BMC]) in Tanzania were consecutively surveyed to determine the number and type of health facilities visited before presentation, interventions received, and transportation used to reach each facility. RESULTS Forty-nine caregivers were consented and included in the review. A total of 124 facilities were visited before BMC, with 31% of visits (n = 38) resulting in a referral. The median referral delay was 89 days (mean, 122 days), with a median of two facilities (mean, 2.5 facilities) visited before presentation to BMC. Visiting a traditional healer first significantly increased the time taken to reach BMC compared with starting at a health center/dispensary (103 v 236 days; P = .02). Facility visits in which a patient received a referral to a higher-level facility led to significantly decreased time to reach BMC ( P < .0001). Only 36% of visits to district hospitals and 20.6% of visits to health centers/dispensaries yielded a referral, however. CONCLUSION The majority of patients were delayed during the referral process, but receipt of a referral to a higher-level facility significantly shortened delay time. Referral delay for pediatric patients with cancer could be decreased by raising awareness of cancer and strengthening the referral process from lower-level to higher-level facilities.

scholarly journals A study to assess receipt and utilization of janani suraksha yojana cash incentive among mothers in urban slums of Raipur city, Chhattisgarh, India

2019 ◽  
Vol 7 (12) ◽  
pp. 4768
Author(s):  
Divya Sahu ◽  
Shanta P. Khes Beck ◽  
G. P. Soni ◽  
Abha Ekka ◽  
Srishti Dixit ◽  
...  
Keyword(s):  
Health Facility ◽  
Institutional Delivery ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Cross Sectional ◽  
Janani Suraksha Yojana ◽  
Private Health Facility ◽  
Cash Incentive ◽  
The Government

Background: Janani Suraksha Yojana (JSY) replaces the National Maternity Benefit Scheme. It was launched by the Government of India in April 2005. The aim was to reduce maternal and neonatal mortality by increasing institutional delivery by providing cash incentive to the beneficiaries as well as the link worker ASHA. Objectives of this study was to assess receipt of Janani Suraksha Yojana (JSY) cash incentive and to assess fields of utilization of Janani Suraksha Yojana (JSY) cash incentive.Methods: A Community based cross-sectional study was conducted among 384 mothers delivered within last one year in urban slum of Raipur city. Study centre was department of community medicine, Pt. J.N.M. medical college Raipur, Chhattisgarh. A pre-designed and pre-tested questionnaire was used to interview the study subjects.Results: Out of total 384 study subject’s cheque of JSY cash incentive was received by 70.83%. All (100%) beneficiaries who received cheque was stipulated amount as per JSY guideline. Reasons for not receiving cheque was no availability of BPL card for those who delivered in accredited private health facility. Other reasons were absconded after delivery, unaware of cash incentive, did not go back to get the cheque when called later, patient shifted to another ward. None of the study subjects who delivered at home received the cash incentive cheque. Realization of cheque was not done by 22.79% of study subjects due to complex procedure to open an account in bank. Cash incentive money was utilized in neonatal care, drugs, food, household activities and some deposited in bank.Conclusions: JSY scheme is definitely functioning well in terms of providing cash incentive cheque of JSY on delivery in Government Health facility. There is need to simplify the procedure to open an account so that beneficiaries can avail cash incentive money. There is need to address the problems to receive cheque in home delivery and accredited Private health facility in addition to motivation for institutional delivery.

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