scholarly journals The Effect of Selected Socio-Economic Determinants of Health on Maternal/ Child Health in Nigeria

2021 ◽  
Vol 04 (01) ◽  
Author(s):  
Atayi Abraham Vincent ◽  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Gender Equity ◽  
Maternal Health Services ◽  
Determinants Of Health ◽  
Health Determinants ◽  
Maternal Child Health ◽  
Nigerian Women ◽  
Economic Determinants ◽  
Maternal Child

The research examines the effect of socio-economic determinants of health on maternal / child health in Nigeria. Some level of improvement has been seen in every part of the world, while maternal mortality rates remain unacceptably high in Nigeria. This qualitative study was conducted in order to examine selected socioeconomic determinants of health and ways of dealing with mechanisms for improving maternal / child health among Nigerian women. A narrative literature review design was implemented using a variety of search engines that use a Boolean search technique to retrieve research publications. In the study, selected socio-economic health determinants that adversely affect maternal / child health were recognized. The determinants chosen include the health care provider's attitude, economic/financial inequality, regional (transport issues), vulnerability, marital status and age, education, gender equality, material and human capital, socio-cultural factors, and health care system delivery. Whereas good footwear, good dependency on social networks, education in maternal/child health, gender equity and involvement of men in reproductive health activities have been found to be common strategies for addressing maternal health services

scholarly journals Selecting contextually appropriate performance indicators in a circumpolar context: a modified Delphi approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rebecca Rich ◽  
Thomsen D’Hont ◽  
Kellie E. Murphy ◽  
Jeremy Veillard ◽  
Susan Chatwood
Keyword(s):  
Child Health ◽  
Performance Measurement ◽  
Performance Indicators ◽  
Maternity Care ◽  
Cultural Safety ◽  
Determinants Of Health ◽  
Maternal Child Health ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Maternal Child

Abstract Background Meaningful performance measurement requires indicators to be scientifically robust and strategically focused. For many circumpolar states, indicators aligned with national strategies may ignore the priorities of northern, remote, or Indigenous populations. The aim of this project was to identify contextually appropriate performance indicators for maternity care in circumpolar regions. Methods Fourteen maternity care and health systems experts participated in a modified Delphi consensus process. The list of proposed indicators was derived from a previously published scoping review. Fourteen participants rated each proposed indicator according to importance, circumpolar relevance, validity, and reliability and suggested additional indicators for consideration. Results Consensus was achieved after two rounds, as measured by a Cronbach’s alpha of 0.87. Eleven indicators, many of which represented physical health outcomes, were ranked highly on all four criteria. Twenty-nine additional indicators, largely focused on social determinants of health, health care responsiveness, and accessibility, were identified for further research. Travel for care, cultural safety and upstream structural determinants of health were identified as important themes. Conclusions This study identified the important gaps between current performance measurement strategies and the context and values that permeate maternal-child health in circumpolar regions. The indicators identified in this study provide an important foundation for ongoing work. We recommend that future work encompass an appreciation for the intersectoral nature of social, structural, and colonial determinants of maternal-child health in circumpolar regions.

Neonatal Mortality: A Critical Global Health Issue

2007 ◽  
Vol 26 (6) ◽  
pp. 357-360 ◽  
Author(s):  
Yolanda Ogbolu
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Child Health ◽  
Infant Mortality ◽  
Global Health ◽  
Social Services ◽  
Expert Knowledge ◽  
Infant Mortality Rate ◽  
Maternal Child Health ◽  
Maternal Child

Almost all of the millions of babies who die worldwide in the first four weeks of life are in low- and middle-income countries. The socioeconomic status of developing countries adversely affects maternal-child health because it limits access to adequate nutrition, quality health care, medications, safe water, adequate sanitation, and other basic social services. The factors associated with high infant mortality rates transcend national boundaries, making infant mortality a critical global health problem. Poverty is one of the most important factors affecting the infant mortality rate in Nigeria. This examination of infant mortality in Nigeria exemplifies the multifactorial national and international issues underlying infant mortality in developing countries. Infant mortality in these countries will not improve without global attention and intervention. By finding creative ways to share expert knowledge about caring for neonates, neonatal nurses can contribute to global improvements in maternal-child health care.

Use of maternal–child health services and contraception in Guatemala and Panama

1987 ◽  
Vol 19 (2) ◽  
pp. 229-243 ◽  
Author(s):  
Charles W. Warren ◽  
Richard S. Monteith ◽  
J. Timothy Johnson ◽  
Roberto Santiso ◽  
Federico Guerra ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Child Health ◽  
Health Care Services ◽  
Child Health Services ◽  
Maternal Child Health ◽  
Family Planning Services ◽  
High Parity ◽  
Care Services ◽  
Maternal Child

SummaryThis paper presents data from two recent maternal–child health (MCH) and family planning surveys in Guatemala and Panama and examines the extent to which the use of contraception is influenced by the use of MCH services as compared with the influence of an increase in parity. The findings suggest that utilization of MCH services and parity independently are associated with a woman's decision to use contraception. The study also found two groups that appear to be particularly in need of both MCH and family planning services: high parity women and Indians. In both Guatemala and Panama, improved health care services for these two groups should be a priority.

scholarly journals Assessment the Relationship of Maternal Child Health Accessibility, Infant Mortality and Fertility in Sagar district, Madhya Pradesh

2019 ◽  
Vol 51 (1) ◽  
pp. 88
Author(s):  
Kalyan Sundar Som
Keyword(s):  
Health Care ◽  
Child Health ◽  
Infant Mortality ◽  
Buffer Zone ◽  
Service Area ◽  
Geographical Information ◽  
Child Health Services ◽  
Maternal Child Health ◽  
Health Care Planning ◽  
Maternal Child

Equitable provision of health care services and full coverage of health accessibility are the major challenge for developing countries to achieve the sustainable development goal (SDG 3 and 10). A geographical information system (GIS) is an effective platform for knowing how much area and population are covered by the existing MCH (maternal child health) services network for better health care planning. The aim of this study is to assess the geographical accessibility of MCH services and how they give impact on infant mortality and fertility in Sagar District. To uncover the answer, this study used buffer zone analysis, service area analysis, and multiple regression analysis. The findings highlight lower accessibility has prevailed in the study area in which 41 percent village was underserved by the buffer zone analysis while 62 percent was underserved by the service area analysis out of 2075 village. It is diversified from higher accessibility in north western Khurai plain region to lower in the central upland exclude the Sagar community development Block. We also find that health accessibility can explain 53 percent of the infant mortality of the district and IMR may control 33 percent of the children ever born in the district.The service area and buffer mapped output may have policy implication for the future establishment of the health center and road network. This policy can be helpful for reducing infant mortality and fertility through this they achieved SDG target.

scholarly journals Improving the effective maternal-child health care coverage through synergies between supply and demand-side interventions: evidence from Mexico

2019 ◽  
Vol 9 (2) ◽  
Author(s):  
Edson Serván-Mori ◽  
Diego Cerecero-García ◽  
Ileana B Heredia-Pi ◽  
Carlos Pineda-Antúnez ◽  
Sandra G Sosa-Rubí ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Supply And Demand ◽  
Child Health Care ◽  
Maternal Child Health ◽  
Demand Side ◽  
Health Care Coverage ◽  
Maternal Child

scholarly journals Peran Perawat Dalam Penerapan ‘PHC’ Pada Pelayanan Kesehatan Ibu dan Anak – Keluarga Berencana

2014 ◽  
Vol 1 (1) ◽  
pp. 6-12
Author(s):  
Junaiti Sahar
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Child Health ◽  
Health Center ◽  
Educational Background ◽  
Child Growth ◽  
Child Health Care ◽  
Maternal Child Health ◽  
Family Planning Services ◽  
Maternal Child

Penelitian ini menggunakan desain penelitian eksploratif yang bertujuan menguraikan kegiatan yang dilakukan perawat dan mengindentifikasi faktor yang mempengaruhi kegiatan perawatan dalam pelayanan KIA dan KB di Puskesmas dan di masyarakat.Penelitian dilakukan terhadap empat perawat yang masing-masing bekerja di Puskesmas Induk dan Puskesmas Pembantu di Bogor dan Puskesmas Induk dan Puskesmas Pembantu di Depok. Tiap perawat diamati oleh dua orang peneliti selama jam kerja untuk mengetahui jumlah waktu yang digunakan untuk kegiatan KIA dan KB.Hasil penelitian menunjukkan bahwa prosentase waktu rata-rata yang digunakan perawat untuk pelayanan KIA dan KB adalah 29,6% dari total waktu pelayanan Puskesmas. Waktu yang lain digunakan oleh perawat untuk melaksanakan kegiatan pemeriksaan, penyuntikan, pengisian kartu pemanggil pasien dan menyiapkan obat. Perawat yang bekerja pada Puskesmas di Bogor menunjukkan bobot kegiatan paling tinggi dalam pelayanan KIA dan KB, sedangkan tiga perawat lainnya, hanya melakukan kegiatan pada Balai Pengobatan, depot obat dan kegiatan non keperawatan lain. Kegiatan perawat tertinggi di Posyandu adalah pemberian imunisasi dan pemantauan pertumbuhan yaitu 89,3% dari kegiatan lain. Puskesmas yang memberikan kewenangan yang lebih besar kepada perawat dan perawat dengan kemampuan lebih untuk melakukan pelayanan KB, ternyata menunjukkan cakupan KB yang cukup tinggi, yaitu 82,4%.Beberapa faktor yang menyebabkan perawat kurang berperan dalam pelayanan KIA dan KB antara lain karena perawat tidak diberikan kewenangan untuk memberikan pelayanan KIA dan KB, serta uraian tugas yang kurang jelas dan tidak sesuai dengan latar belakang pendidikan perawat. This resort utilized exploratif descriptive design with the purpose of describing the nurse’s activities and identification of factor affective nursing activities in maternal child healt care and family planning services in health center and community.For nurses working at twograin health center and to subdistrict health center located in Bogor and Depok were included in this study. Each nurse was observed by two observers throughout the working in hours to collect data on time spent bu nurses for maternal child health care and family planning services.The result of study revealed that the average of presentage time spent by nurses to provide maternal child health care and family planning sevices was 26,6% of total time spent in health center. The rest of time was spent by nurses for non-nursing activities such as examination parenteral medication, filling out frames, calling for patients and preparing the madication. The nurse who worked at health center in Bogor. Showed the most time spent for maternal child health care and family planning services, while another three nurses only worked at medical room, and drug counter and did non-nursing activities. Imunization and mentoring of child growth were reported as the most activities done (89,3%) at integrated health post (Posyandu) compared to another nurses’s activities. The health center with more autonomy giren to the nurses and asses with more competencies to provide family planning services that infact had an high coverage of family planning which was 82,4%.Several factors affecting the low contributing of nurses on mater hal child health care of family planning have been identified in this study were that those nurses were not authorized to offer maternal child health care of family planning, and the unclear job descriptions, as well ad inadequate educational background of nurses.

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