scholarly journals Social Determinant of Home Delivery among Ever-Married Women in Khyber Pakhtunkhwa Pakistan

2020 ◽  
Vol 20 (1) ◽  
pp. 55-72
Author(s):  
Dr. Hussain Ali
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Rural Women ◽  
Home Delivery ◽  
Married Women ◽  
Maternal Health Care ◽  
Decision Makers ◽  
Domestic Sphere ◽  
Khyber Pakhtunkhwa

The poor maternal health is one of the public health issues facing by rural women in Pakistan. There are various socio-demographic and cultural factors which confine women to domestic sphere. The main objective of this research is to study various social factors as determinants of home delivery among ever-married women in Khyber Pakhtunkhwa province of Pakistan. In the present study researchers used the quantitative research design in which the data are collected through household survey in the pakhtun society. The data are collected from 503 ever married women in District Malakand, from May 1, to November 30, 2016. The results show that nearly two third 62.3 percent men’s are key decision maker about antenatal care utilization, more than third forth 76 percent of the husbands are key decision makers about the home delivery due to their women subordinate position within household. The researchers concluded that men’s are key decision makers and their decision affect women maternal health care. In order to achieve Sustainable Development Goal No. 3, the study recommends mainstreaming women in the decision making process in domestic sphere as well as their involvement is decision making about accessing and utilizing of maternal health care services. Keywords: Home delivery, men’s decision, subordinate position, women

scholarly journals Knowledge, attitude and practice of maternal health care amongst the married women in a rural area of Bangladesh

1970 ◽  
Vol 5 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Sonia Shirin
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Rural Women ◽  
Home Delivery ◽  
Married Women ◽  
Maternal Health Care ◽  
Physical Work ◽  
Monthly Income ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Bangladesh is facing a big challenge in reducing maternal and neonatal mortality. Addressing maternal health issues is now on the global social agenda in the new millennium. This cross sectional descriptive study was conducted in the unions of Sreepur Upazilla in March 2010 among 300 rural married women having at least one living child. Data were collected by face to face interviews using a semi-structured questionnaire to assess the knowledge, attitude and practice on maternal health care of married women in Sreepur Upazilla. The mean ± SD age of women was 33.5 ± 10.4 years and monthly income was Tk. 6,518.3 ± 5,142.4. Reproductive history of the women reveals that mean ± SD age at marriage, age at first child, and parity were 15.3 ± 2.9, 18.2 ± 3, 3 ± 2 years respectively. Only 42.3% of the respondents knew about swelling of the foot, 36.3% were aware of fits, 25.7% knew about severe headache and 24.7% knew about unusual bleeding as warning signs of pregnancy. About 84.3% respondents knew that the first meal of the baby should be colostrum. Among the participants 57%, 70.7% and 62.3% had average knowledge on ANC, INC and PNC respectively. Rural married women having a positive attitude towards maternal health care was 96.3% in ANC, 80% in home delivery, 61.3% in hospital delivery and 95.3% in PNC. It was found that 35.6% and 27.1% respondents were taking ANC 3 and 4 times respectively. Among the respondents 66.7% had done their laboratory examination and 84.7% took vitamins adequately. About 67.2% respondents performed normal physical work as before during pregnancy and 30.5% took more food than before. Home delivery was practiced by 88.3% respondents and 10.3% women delivered their baby at the hospital. Among the respondents who delivered their baby at home, 64.9% of them practiced few of the features of safe home delivery. Practice was good on ANC among 55.3% respondents where poor practice was found 69.3% on INC and 72.3% on PNC. Age and monthly income were related to knowledge on ANC (P<.001, P<.05) and PNC (P<.01, P<.05) respectively. Practice on maternal health care also related to socio-economic condition of the rural women. Women in rural settings are vulnerable due to poor maternal health care and exposed to risk of pregnancy and child birth. Appropriate health education activities, encouraging institutional delivery and development of socio-economic status are key factors to improve our maternal health.Ibrahim Med. Coll. J. 2011; 5(1): 13-16 Key Words: Knowledge; attitude; practice; maternal health care; Bangladesh.DOI: http://dx.doi.org/10.3329/imcj.v5i1.9855

Gender Analysis of Decision Making on Maternal Health Care among Rural Farmers in Southwestern Nigeria: Implications for Food Security

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Oluwatoyin J. Oluwasusi ◽  
Abolade O. Adeyemo ◽  
Funmilayo O. Bamigboye ◽  
Babatunde J. Olusipe
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Food Security ◽  
Rural Communities ◽  
Maternal Health ◽  
Maternal Health Care ◽  
Safe Motherhood ◽  
Rural Farmers ◽  
Significant Difference ◽  
Males And Females

Safe childbirth is crucial to farmers’ productivity and food security as farm labour plays a pivotal role for farming in most rural communities. Analysing gender roles on maternal health care (MHC) decision is of major concern in ensuring safe motherhood and poverty reduction in rural homes. Therefore, this study analysed gender concerns of MHC among rural farmers. Multistage sampling procedure was used to select 124 respondents for the study; data were collected using structured interview schedule, Focus Group Discussion, descriptive and inferential statistics. Respondents (χ = 29 years) were in their youthful and procreating stage with average family size of 4 members. Husbands (64.5%) mainly decided the MHC utilised for childbirth. More females (54.8%) belonged to cooperative society. About (56.5%) of males and females (53.2%), respectively were crop producers having average monthly earning of #19,000. Most predicating factors to MHC decision were family tradition ( χ= 2.21) and social capital (χ = 2.18). Males (61.3%) had high level of MHC decision unlike the females (54.8%) with low contribution to MHC decision. Monthly income (r=0.521), responsibility for decision making (r=0.668) were significantly related to respondents decision on MHC. There was a significant difference in the level of decision making between males and females (t=5.28, df =31). Hence, it is recommended that non-governmental organisation should collaborate with the government to aggressively sensitise rural communities on safe motherhood and men should sufficiently empower women to contribute and participate actively in decisions on maternal health care in rural families for sustainable food production and supply.

scholarly journals Traditional and Skilled Birth Attendants in Zimbabwe: A Situational Analysis and Some Policy Considerations

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Naume Zorodzai Choguya
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Rural Women ◽  
Urban Areas ◽  
Care Service ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Situational Analysis ◽  
Skilled Birth Attendants ◽  
Birth Attendants

The paper focuses on the situational analysis of traditional birth attendants (TBAs) and skilled birth attendants (SBAs) in Zimbabwe. Against a background of a frail health care system, characterised by a shortage in skilled professionals, increased cost of medical care, and geographic and economic inaccessibility of health care centres among others, TBAs have remained a life-line for especially many rural women in maternal health care provision. Moreover, TBAs have also found their way into the urban areas of Zimbabwe. The shift in international policy and health funding toward skilled birth attendants (i.e., an accredited health professional) has materialized into concerted government efforts to increase numbers of both midwifery training institutions and midwives themselves. The call for SBAs, though a worthy ideal, is out of touch with the lived realities of pregnant women in low resource settings such as Zimbabwe. The study is concerned with situational analysis of TBAs and SBAs in maternal health care service provision in Zimbabwe analysing and evaluating policy considerations.

scholarly journals Two-fifths of women are not autonomous in maternal health service utilization: A community-based cross-sectional study

2021 ◽  
Author(s):  
Asmamaw Kassahun ◽  
Asrat Zewdie
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Maternal Health Care ◽  
Maternal Health Service ◽  
Health Care Decision ◽  
Care Decision

Abstract Background: Autonomy of women in health care decision-making is tremendously crucial for improved maternal health outcomes and women’s empowerment. Women with greater freedom of movement are more likely to receive maternal health services. However, little has been investigated about women’s autonomy in maternal health care decision-making and contributing factors in Ethiopia. The aim of this study was to assess decision-making autonomy on maternal health care services utilization and associated factors among women.Methods: A community-based cross-sectional study was conducted in Mettu rural Woreda, Ilu Aba Bor zone, southwest Ethiopia from June 19 to August 20, 2021. Data was collected using a pretested interviewer-administered questionnaire from 541 randomly selected women. The collected data was entered into Epi-Data version 3.1 and exported to SPSS version 22 for analysis. Bivariate and multivariate logistic regression was used to identify factors associated with women's decision-making autonomy on maternal health service utilization. The significance of association was declared by using the odds ratio with a 95% confidence interval and a p-value less than 0.05 in the multivariable model.Results: Out of 522 women included in the analysis, 322 (60.5%) (95% CI: 56.2%-64.7%) were found to be autonomous on maternal health service utilization. Age category from 30-39 years, AOR=4.27 (95%CI: 1.59-11.43), attending primary education and above, AOR=3.87 (95%CI: 2.15-6.99), greater than five family size, AOR=0.25 (95%CI: 0.15-0.41), and distance from the health facility, AOR=5.33 (95%CI: 2.50-11.33) were significantly associated with women's decision-making autonomy on maternal health care services utilization.Conclusion: Even though every woman has the right to participate in her own health care decision-making, around two fifths of them have no role in making health care decisions about their own health. Socio-demographic factors like age and education were found to influence women’s autonomy. Special attention has to be given to women living in rural areas in order to reduce their dependency through education.

scholarly journals Factors affecting the initiation and continuation of maternal health service utilization among women who delivered in the past one year in Enemay district, East Gojjam, Ethiopia

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Anguach Shitie ◽  
Zelalem Nigussie Azene
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Educational Status ◽  
Maternal Health Care ◽  
Health Care Decision ◽  
Maternal Health Care Services ◽  
Care Decision

Abstract Background Maternity continuum of care is the continuity of maternal healthcare services that a woman uses, which includes antenatal care (ANC 4+), skilled birth attendant (SBA), and postnatal care (PNC) within 48 h of delivery. It is one of the essential strategies for reducing maternal and newborn morbidity and mortality. Therefore, this study aimed to assess the prevalence and factors affecting the initiation and continuation of maternal health service utilization among women who delivered in the past one year in Enemay district, East Gojjam zone, Ethiopia. Methods A community-based cross-sectional study was conducted among six hundred twenty-one (621) women who gave birth in the last one year in Enemay district from February 25 to March 10, 2019. A simple random sampling technique was used to select the study participants. Data were collected by face-to-face interviewer-administered, pretested, and semi-structured questionnaire. Binary logistic regressions (bi-variable and multivariable) were fitted to identify statistically significant variables. Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was used to declare statistically significant variables on the basis of p-value < 0.05 in the multivariable binary logistic regression. Results In this study, around 61% of women had antenatal care follow-up. Out of those women having ante natal care follow-up, about 77.5% (95% CI 73, 81.7%) had continued to receiving skilled birth delivery service. Age (AOR = 1.7 95% CI: (1.0, 2.88)), marital status (AOR = 1.6, 95% CI: (1.01, 2.76)), women’s educational status (AOR = 2.9, 95% CI: (1.30, 6.72)), autonomy for health care decision-making (AOR = 3.71, 95%CI: (2.36, 6.02)), exposure to media (AOR = 2.8, 95% CI: (1.78, 4.6)), wanted pregnancy (AOR = 3.6 95% CI: (2.2, 5.95)), and parity (AOR = 0.34, 95%CI: (0.16, 0.71)) were statistically significant variables associated with initiation of antenatal care, whereas educational status of women (AOR = 4.65, 95% CI: (1.37, 15.7)), autonomy for health care decision making (AOR = 2.62, 95% CI:(1.0, 6.82)), and had counseled during antenatal care (AOR = 2.88 95% CI: (1.21, 6.83)) were statistically significant variables associated with the continuation of maternal health care services. Conclusions This study demonstrated that the initiation and continuity of maternal health care services are low in the study area. Age, marital status, residence, women’s educational status, health care decision-making autonomy, exposure to media, wanted pregnancy, and parity were factors significantly affecting the initiation of antenatal care. Whereas, women’s educational status, health care decision-making autonomy, and counseling during antenatal care were predictors influencing the continuation of maternal health care services (antenatal care to skilled birth delivery).

scholarly journals Maternal Health Care Service utilization among Young Married Women in India, 1992-2016: Trends and determinants

2021 ◽  
Author(s):  
Pooja Singh ◽  
Kaushalendra Kumar Singh ◽  
Pragya Singh
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Young Women ◽  
Health Care Services ◽  
Married Women ◽  
Maternal Health Care ◽  
Care Services ◽  
Maternal Health Care Services ◽  
Eag States ◽  
Women In India

Abstract Background: Maternal deaths among young women (15-24 years) shares 38% of total maternal mortality in India. Utilizing maternal health care services can reduce a substantial proportion of maternal mortality. However, there is a paucity of studies focusing on young women in this context. This paper therefore aimed to examine the trends and determinants of full antenatal care (ANC) and skilled birth attendance (SBA) utilization among young married women in India.Methods: The study analysed data from the four rounds of National Family Health Surveys conducted in India during the years 1992–93, 1998–99, 2005–06 and 2015–16. Young married women aged 15-24 years with at least one live birth in the three years preceding the survey were considered for analysis in each survey round. We used descriptive statistics to assess the prevalence and trends in full ANC and SBA use. Pooled multivariate logistic regression was conducted to identify the demographic and socioeconomic determinants of the selected maternity care services.Results: The use of full ANC among young mothers increased from 27% to 46% in India, and from 9% to 28% in EAG (Empowered Action Group) states during 1992-2016. SBA utilization was 88% and 83% during 2015-16 by showing an increment of 20% and 50% since 1992 in India and EAG states, respectively. Findings from multivariate analysis revealed significant difference in the use of selected maternal health care services by maternal age, residence, education, birth order and wealth quintile. Additionally, Muslim women, women belonging to scheduled caste (SC)/ scheduled tribe (ST) social group, and women unexposed to mass media were less likely to utilize both the maternal health care services. Concerning the time effect, the odds of the utilization of full ANC and SBA among young women was found to increase over time.Conclusions: Utilization of full ANC remained unacceptably low, specifically in EAG states. Programmatic interventions, targeting women residing in EAG states, adolescents, illiterate, poor and Muslim and SC/ST women would help to increase full ANC utilization and to maintain the increasing trend of SBA use.

Maternal health care decision-making process at the family level in Geita Region, Tanzania: A qualitative study

2020 ◽  
Author(s):  
Thecla W. Kohi ◽  
Jasintha S. Boniphace ◽  
Justine Dol
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Qualitative Study ◽  
Maternal Health Care ◽  
Health Care Facilities ◽  
Decision Making Process ◽  
Obstetric Danger Signs ◽  
Danger Signs ◽  
Family Level

Abstract Background : Most maternal deaths are preventable if a woman is able to identity danger signs and seek obstetric health care without delay. However, lack of knowledge on obstetric danger signs and a prolonged decision-making process at family level may contribute to the high maternal mortality. Currently, there is little known on how the process of decision-making at family level in seeking obstetric care is being made in Tanzania. Therefore, this study aimed to describe the process on decision-making at family level in seeking maternal health care during pregnancy, delivery and postpartum period in the Geita Region, Tanzania. Methods : A qualitative study using in-depth semi-structured interview was conducted at Chato District Hospital in the Geita Region with seven fathers and seven mothers who were attending the Reproductive Child Health Clinic.Participants were recruited using purposeful sampling and interviews were analyzed using content analysis. Results: Three themes emerged from this study, including recognition of danger signs, decision-making process, and perceived influencers for seeking maternal health care. Almost all participants were aware of obstetric danger signs, yet some gaps remained among husbands. The process of decision-making starts with the woman herself who then communicates to others for discussion but the final decision-making in seeking care is dominated by husbands, parents, or neighbors, rather than mothers alone. Observing danger signs and perceived quality of care available from the health facilities were the most predominate influencers for seeking maternal health care. Conclusion: While the process of decision-making in every family starts with the woman herself, others are consulted for discussion prior to reaching a decision about seeking maternal health care, resulting in delays in accessing care. It is positive that most of the decision makers had good understanding of obstetric danger signs and that observation of those danger signs encourage access of maternal health care. However, continued education on obstetric danger signs in the community is needed as well as quality care needs to be available and known to be provided at health care facilities to encourage early seeking of maternal health care. Keywords : maternal health; decision-making; Tanzania

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