scholarly journals Access to Maternal Health Services during COVID-19

2020 ◽  
Vol 2 (2) ◽  
pp. 48-52 ◽  
Author(s):  
Smriti Pant ◽  
Saugat Koirala ◽  
Madhusudan Subedi
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Services ◽  
Pregnant Women ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Maternal Health Services ◽  
Global Scale ◽  
Health Care Facilities ◽  
Movement Restriction

Most causes of maternal morbidity and mortality can be prevented by giving prompt, suitable treatment to the women by qualified health practitioners. Maternal health services (MHS), which include antenatal care, delivery care, and postnatal care, can play a crucial role in preventing maternal health problems. The recent coronavirus disease (COVID-19) pandemic has had a disastrous effect on the health care delivery system of people of all ages, on a global scale but pregnant women face particular challenges. The aim of this review is to assess the effect of COVID-19 on access to MHS. For writing this narrative review, national and international reports on maternal health services during COVID-19, along with journal articles on the related topic were reviewed. Due to this pandemic, women worldwide are facing more barriers to accessing maternal health care, including restrictions, transport challenges, and anxiety over possibly being exposed to coronavirus. Many women preferred not to seek healthcare due to the fear of themselves being infected with the virus or transmitting it to their unborn babies. Additionally, movement restriction has made it difficult for many pregnant women to reach health care facilities. Even those who managed to reach health facilities have reported not receiving timely care. As a result, a considerable rise in maternal mortality globally has been estimated over the next six months. Despite the circumstances, efforts have been made to boost maternal health in both developed and developing countries. This pandemic has highlighted the importance of health preparedness with special attention given to vulnerable people like pregnant women and newborns while planning for such events. Keywords: Childbirth, COVID19, Maternal Health, Pandemic, Pregnancy, Women’s health

scholarly journals Assessment of Tribal Healthcare Infrastructure for Delivery of Maternal Health Program in Balasore District, Odisha, India

2021 ◽  
Vol 16 (3) ◽  
pp. 165-173
Author(s):  
Ranjit Kumar Dehury
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Services ◽  
Pregnant Women ◽  
Health Program ◽  
Health Information System ◽  
Maternal Health Services ◽  
Health Care Facilities ◽  
Clinical Practices ◽  
District Hospitals

Introduction: There are still large number of maternal deaths in India nearing up to 50,000 deaths in a year which is one sixth of the world in recent years. Odisha (India) is also not performing well in maternal health care management despite its commitment in MDG and SDG. Odisha constitute 23% of tribal population, where the maternal mortality is very high and difficult to provide health services, particularly maternal health services. The study aims to assess provision of necessary health services for pregnant women in an inaccessible tribal pockets. Methods: The study was conducted in Balasore district, Odisha (India) where a sizable population is consisting of various indigenous tribes, particularly in some blocks. The Parijata tool was used to assess various health care facilities which was developed by UNICEF and ARTH, Rajasthan. By this, availability of basic things like manpower, drugs and consumables are assessed along with laid down clinical practices and procedures. Results: The study found that there is lack of provisioning of health services in healthcare facilities. Both District hospital at Balasore and Sub-district hospitals lack basic services recommended by WHO for taking care of women. Further, the effort of government to implement a uniform program across the state hinder the tailoring of services for tribal pockets. Conclusion: The study provides remedial measures for improving the role and functioning of grass roots workers, integrating indigenous medicine with biomedicine, and revamping health information system to incorporate cultural features, thereby improving its utilization in the study area. The study raised critical issues about potential of maternal health program to deliver effective care of pregnant women in tribal dominated areas.

scholarly journals Traditional practices influencing the use of maternal health care services in Indonesia

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257032
Author(s):  
Ni Ketut Aryastami ◽  
Rofingatul Mubasyiroh
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Maternal Health Services ◽  
Community Empowerment ◽  
Maternal Health Care ◽  
Health Care Facilities ◽  
Traditional Practices ◽  
Birth Attendance

Background Maternal Mortality Ratio (MMR) in Indonesia is still high, 305, compared to 240 deaths per 100,000 in South East Asian Region. The use of Traditional Birth Attendance (TBA) as a cascade for maternal health and delivery, suspected to be the pocket of the MMR problem. The study aimed to assess the influence of traditional practices on maternal health services in Indonesia. Methods We used two data sets of national surveys for this secondary data analysis. The samples included 14,798 mothers whose final delivery was between January 2005 and August 2010. The dependent variables were utilization of maternal healthcare, including receiving antenatal care (ANC≥4), attended by skilled birth attendance (SBA), and having a facility-based delivery (FBD). The independent variables were the use of traditional practices, type of family structure, and TBA density. We run a Multivariate logistic regression for the analysis by controlling all the covariates. Results Traditional practices and high TBA density have significantly inhibited the mother’s access to maternal health services. Mothers who completed antenatal care were 15.6% lost the cascade of facility-based delivery. The higher the TBA population, the lower cascade of the use of Maternal Health Services irrespective of the economic quintile. Mothers in villages with a high TBA density had significantly lower odds (AOR = 0.30; CI = 0.24–0.38; p<0.01) than mothers in towns with low TBA density. Moreover, mothers who lived in an extended family had positively significantly higher odds (AOR = 1.33, CI = 1.17–1.52; p<0.01) of using maternal health services. Discussion Not all mothers who have received proper antenatal delivered the baby in health care facilities or preferred a traditional birth attendance instead. Traditional practices influenced the ideal utilization of maternal health care. Maternal health care utilization can be improved by community empowerment through the maternal health policy to easier mothers get delivery in a health care facility.

scholarly journals Savings ownership and the use of maternal health services in Indonesia

2019 ◽  
Vol 34 (10) ◽  
pp. 752-761
Author(s):  
Soyoon Weon ◽  
David W Rothwell ◽  
Shailen Nandy ◽  
Arijit Nandi
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Health Facility ◽  
Care Delivery ◽  
Maternal Health Services ◽  
Reproductive Age ◽  
Percentage Points ◽  
The Impact ◽  
Use Of Health Services

Abstract In low- and middle-income countries (LMICs), many women of reproductive age experience morbidity and mortality attributable to inadequate access to and use of health services. Access to personal savings has been identified as a potential instrument for empowering women and improving access to and use of health services. Few studies, however, have examined the relation between savings ownership and use of maternal health services. In this study, we used data from the Indonesian Family Life Survey to examine the relation between women’s savings ownership and use of maternal health services. To estimate the effect of obtaining savings ownership on our primary outcomes, specifically receipt of antenatal care, delivery in a health facility and delivery assisted by a skilled attendant, we used a propensity score weighted difference-in-differences approach. Our findings showed that acquiring savings ownership increased the proportion of women who reported delivering in a health facility by 22 percentage points [risk difference (RD) = 0.22, 95%CI = 0.08–0.37)] and skilled birth attendance by 14 percentage points (RD = 0.14, 95%CI = 0.03–0.25). Conclusions were qualitatively similar across a range of model specifications used to assess the robustness of our main findings. Results, however, did not suggest that savings ownership increased the receipt of antenatal care, which was nearly universal in the sample. Our findings suggest that under certain conditions, savings ownership may facilitate the use of maternal health services, although further quasi-experimental and experimental research is needed to address threats to internal validity and strengthen causal inference, and to examine the impact of savings ownership across different contexts.

Artificial Intelligence guided citizen-centric approach to enhance uptake of maternal health services among pregnant women living in urban slum settings in India. (Preprint)

2021 ◽  
Author(s):  
Rahul Shrivastava ◽  
Manmohan Singhal ◽  
Mansi Gupta ◽  
Ashish Joshi
Keyword(s):  
Artificial Intelligence ◽  
Decision Support ◽  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Resource Planning ◽  
Urban Slum ◽  
Maternal Health Services ◽  
Urban Slums

BACKGROUND Pregnant women are considered to be a “high risk” group with limited access to health facilities in urban slums. Barriers to utilization of health services may lead to maternal and child mortality, morbidity, low birth weight, and children with stunted growth. Application of artificial intelligence (AI) can provide substantial improvements in all areas of healthcare from diagnostics to treatment. There have been several technological advances within the field of AI, however, AI not merely driven by what is technically feasible, but by what is humanly desirable is the need of the hour. OBJECTIVE The objective of our study is to develop and evaluate the AI guided citizen centric platform to enhance the uptake of maternal health services (antenatal care) amongst the pregnant women living in urban slum settings. METHODS A cross-sectional mixed method approach employed to collect data among pregnant women, aged 18-44 years, living in urban slums of South Delhi. A convenience sampling used to recruit 225 participants at the Anganwadi centres (AWC) after obtaining consent from the eligible participants. Inclusion criteria includes pregnant individuals residing in urban slums for more than 3 months, having smartphones, visiting AWC for seeking antenatal care. Quantitative and qualitative data will be collected electronically using Open Data Kit (ODK) based opensource tool from eligible participants. Data will be collected on clinical as well as socio-demographic parameters (based on existing literature). We aim to develop an innovative AI guided citizen centric decision support platform to effectively manage pregnancy and its outcomes among urban poor populations. The proposed research will help policymakers to prioritize resource planning, resource allocation and development of programs and policies to enhance maternal health outcomes. RESULTS The AI guided citizen centric decision support platform will be designed, developed, implemented and evaluated using principles of human centred design and findings of the study will be reported to diverse stakeholders. The tested and revised platform will be deployed for use across various stakeholders such as pregnant women, healthcare professionals, frontline workers, and policymakers. CONCLUSIONS With the understanding, use and adoption of emerging and innovative technologies such as AI, maternal health informatics can be at the forefront to help pregnant women in crisis. The proposed platform will potentially be scaled up to different geographic locations for adoption for similar and other health conditions.

scholarly journals Adequacy of resources for provision of maternal health services at the primary health care level in Nnewi, Nigeria

2014 ◽  
Vol 55 (3) ◽  
pp. 235 ◽  
Author(s):  
ChinomnsoC Nnebue ◽  
UzoE Ebenebe ◽  
ProsperOU Adogu ◽  
EchenduD Adinma ◽  
ChigozieO Ifeadike ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Maternal Health ◽  
Health Services ◽  
Maternal Health Services ◽  
Care Level ◽  
Primary Health ◽  
Primary Health Care Level

scholarly journals Upaya penurunan jumlah kematian ibu dan bayi melalui peran stakeholder

Inovasi ◽  
2020 ◽  
Vol 17 (2) ◽  
pp. 141-150
Author(s):  
Jonni Sitorus
Keyword(s):  
Mortality Rate ◽  
Maternal Health ◽  
Infant Mortality ◽  
Health Services ◽  
Maternal Health Services ◽  
Health Care Facilities ◽  
Infant Mortality Rate ◽  
Cultural Perspective ◽  
Services Delivery ◽  
North Sumatra

The number of maternal deaths in North Sumatra in 2017 was recorded in Labuhanbatu Regency and Deli Serdang Regency as many as 15 deaths, Langkat Regency with 13 deaths, and Batubara Regency with 11 deaths. Efforts to accelerate the reduction of Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are carried out to ensure that every mother is able to access quality maternal health services, such as maternal health services, delivery assistance by trained health personnel in health care facilities, postpartum care for mothers and babies, special care and referrals if complications occur, the ease of obtaining maternity and childbirth leave and family planning services. Efforts to reduce MMR and IMR are not only the responsibility of one sector, but need the involvement and roles of other stakeholders to accelerate the reduction of MMR/IMR. This study aims to provide recommendations for the reduction of MMR/IMR through the role of stakeholders in North Sumatra. The study used a qualitative method with a phenomenological approach which was conducted from May to September 2019. The research locations were: Mandailing Natal Regency, Deli Serdang Regency, Simalungun Regency, and Sibolga City. The research subjects consisted of 3 (three) elements, namely: Government, Private and Community. Data collection was carried out through observation and through Focus Group Discussion (FGD). This study concludes that the model of efforts to reduce maternal and infant mortality rates must be carried out in a holistic and integrative manner with medical, social, and cultural approaches, starting from health services for adolescent girls, women of productive age, pregnant women, maternity, newborns and toddlers. Efforts to reduce MMR and IMR are the responsibility of all DPOs and elements of academia, business and community, whose programs and activities are integrated. Efforts to reduce MMR and IMR must be viewed from various perspectives, including from a medical, social and cultural perspective.

scholarly journals A study on reproductive health of adolescent girls of Dongria Kondh tribe

2017 ◽  
Vol 4 (4) ◽  
pp. 1207
Author(s):  
Sikata Nanda ◽  
Rabi Narayan Dhar
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Adolescent Girls ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
General Information ◽  
Health Care Facilities ◽  
Menstrual Hygiene ◽  
Limited Health ◽  
Physical Changes

Background: Health problem in adolescent girls are different from the younger children and older adults. In the tribal population they are more neglected    because of limited health care facilities and lack of education. In the present study we have done   assessment of reproductive health status of adolescent girls in the Dongria Kondh tribe in Odisha. Methods: Dongria Kondh’ residing in Rayagada district of Odisha having its maximum concentration was studied. Bissam Cuttack block was selected randomly as the study area. Moreover, coincidently majority of the study population resided in the block having villages like Kurli, Khambesi, Hundijali, Muthesi, Khajuri, Mundabali and Uppar Gandatallli which are situated as a distance of 5000 ft height above sea level. 89 adolescent  girls were considered Schedule of general information of the family, schedule cum questionnaire on KAP on reproductive health and Lab investigation done among study subjects for prevalence of HIV/AIDS was done. Results: About 75% of adolescent girls had regular menstruation. Dysmenorhoea was present in 13% of girls. All girls are poor menstrual hygiene.84% of adolescent girls knew about menstruation from their friends. About 61% were not aware about physical changes in pregnancy. Conclusions: Counseling of adolescent girls and their mothers on sexual hygiene should be done by AWW/HWF. Health care delivery system to be strengthened by training and capacity building of AWW/HWF. 

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