Clients' satisfaction with maternal and child health services in primary health care centers in Sokoto metropolis, Nigeria

2020 ◽  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Child Health Services ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers ◽  
And Child Health

scholarly journals Inequalities in utilization of maternal and child health services in Ethiopia: the role of primary health care

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Solomon Tessema Memirie ◽  
Stéphane Verguet ◽  
Ole F. Norheim ◽  
Carol Levin ◽  
Kjell Arne Johansson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Child Health Services ◽  
Primary Health ◽  
And Child Health

scholarly journals Improving maternal and child health: a situational analysis of primary health care centres of Sokoto state, Nigeria

2018 ◽  
Vol 5 (12) ◽  
pp. 5052
Author(s):  
Aminu U. Kaoje ◽  
Sani Labaran ◽  
Aminu G. Magashi ◽  
Jessica T. Ango
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
The State ◽  
Current Form ◽  
Primary Health ◽  
Nurse Midwife ◽  
Care Facilities ◽  
And Child Health

Background: Primary health care facilities constitute the first point of contacts of public with healthcare and form integral part of the country’s health system.Methods: A descriptive cross sectional study was conducted among 88 primary care facilities in the State. A simple random sampling technique was used to select the facilities. Federal Ministry of Health integrated supportive supervision tool was adapted for data collection and analysis done using SPSS Version 20.0. The variables were summarised with frequency and percentage and results presented in tables.Results: Almost two-thirds (65%) of the facilities provide 24 hours service coverage for both maternal and child care services. Only 16% of the facilities had medical officers, 12.5% had required number of nurse/midwife while 27% had no single nurse/midwife. With respect to trainings, one third of the facilities had personnel trained on medium and extended lifesaving skills, 20% had a trained staff on emergency obstetrics and newborn care while 61% had no single trained personnel on integrated management of childhood illnesses. A large proportion of the facilities provide maternal services such as focused ANC and delivery but none use partograph to monitor labour. A good number of facilities were lacking basic equipment and medicine supply with about two third of facilities lacking misoprostol and magnesium sulphate, and only 15% had functional DRF.Conclusions: Health resources and the level of service provision in its current form may not lead to a significant improvement in maternal and child health in the state to guarantee universal coverage.

scholarly journals Effects of The Leadership, Management And Governance Intervention On Maternal And Child Health Service Performances In Ethiopia: A Propensity Score Matched Analysis

2021 ◽  
Author(s):  
Mesele Damte Argaw ◽  
Binyam Fekadu Desta ◽  
Sualiha Abdlkader Muktar ◽  
Wondwosen Shiferaw Abera ◽  
Ismael Ali Beshir ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Work Climate ◽  
Exposed Group ◽  
Health System Strengthening ◽  
Primary Health ◽  
New Challenges ◽  
And Child Health

Abstract Background: The maternal, neonatal and child mortality rates in Ethiopia are among the reported highest in Africa. Despite the reported alarming mortality rates, there are proven public health interventions in place to avoid preventable maternal and child deaths. Leadership, management, and governance (LMG) interventions play a significant role in improving management systems, enhancing the work climate, and creating responsive health systems. Hence, the Ethiopian Ministry of Health with the support of the USAID Transform: Primary Health Care Activity has been implementing LMG interventions to improve performance of primary health care entities. The LMG interventions include a six-day classroom training with an additional six to nine months of leadership project implementation, supplemented with three to four onsite coaching sessions. The purpose of this evaluation was to measure the effects of LMG interventions on maternal and child health service performances and on the overall health system strengthening measurement results of primary health care entities. Methods: The study used a cross-sectional study design with propensity matched score analysis and was conducted from August 28, 2017, to September 30, 2018, in Amhara, Oromia, Tigray, and Southern Nations, Nationalities, and Peoples’ (SNNP) regions. Data collection took place through interviewer and self-administered questionnaires among 227 LMG intervention exposed and 227 non-exposed health workers. Propensity score matched analysis was used to estimate the average treatment effects of LMG interventions on contraceptive acceptance rates, antenatal care, skilled birth attendance, postnatal care, full immunization services, growth monitoring services, management system, work climate and capacity to respond to new challenges. Results: The mean overall maternal and child health key performance indicator score with standard deviation (SD) for the LMG intervention exposed group was 63.86 ± 13.16 (SD) and 57.02 ± 13.71 (SD) for the non-exposed group. The overall health system strengthening score for the LMG intervention exposed group (mean rank =269.31) and non-exposed group (mean rank = 158.69) had statistically significant differences (U=10.145, z= -11.175, p=0.001). The average treatment effects of 3.54, 3.51, 2.64, 3.00, 1.073.34 percentage-points were observed for contraceptive acceptance rate, antenatal care, skilled birth attendance, postnatal care, full immunization, and growth monitoring services, respectively. In addition, with regards to health system strengthening measurements, we found an average treatment effect (ATE) of 12.46, 4.79 and 4.88 percentage points for strengthening management system, enhancing work climate and capacity to respond to new challenges, respectively. Conclusion: We found positive evidence of effects of the LMG intervention on increased maternal and child health services performances at primary healthcare entities. Moreover, health facilities with LMG intervention exposed health workers had a higher and statistically significant difference in management systems, work climate and readiness to face new challenges. Therefore, this study generates evidence for integrating LMG interventions to improve the performance of primary healthcare entities and maternal and child service uptake of community members, which contributes to the reduction maternal and child deaths.

Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance: an impact evaluation

The Lancet ◽  
2011 ◽  
Vol 377 (9775) ◽  
pp. 1421-1428 ◽  
Author(s):  
Paulin Basinga ◽  
Paul J Gertler ◽  
Agnes Binagwaho ◽  
Agnes LB Soucat ◽  
Jennifer Sturdy ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Child Health ◽  
Health Care Providers ◽  
Impact Evaluation ◽  
Child Health Services ◽  
Care Providers ◽  
Primary Health ◽  
Primary Health Care Providers ◽  
And Child Health

scholarly journals Utilization of maternal and child health services in Enugu, South East, Nigeria

2019 ◽  
Vol 6 (8) ◽  
pp. 3228
Author(s):  
Pat U. Okpala ◽  
Chinwendu L. Okoye ◽  
Florence O. Adeyemo ◽  
Peace N. Iheanacho ◽  
Anthonia C. Emesonwu ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Postnatal Care ◽  
Health Care Services ◽  
Antenatal Clinic ◽  
Child Health Services ◽  
Care Services ◽  
And Child Health

Background: Nigeria continues to have one of the highest rates of maternal mortality in the world at 814 deaths per 100,000 live births despite several efforts. Various factors can influence appropriate utilization of services during pregnancy, childbirth and postpartum. This study examined the perceived factors that influence the utilization of maternal and child-health services among mothers in Enugu, South-East Nigeria.Methods: A descriptive survey design was adopted for the study. The study population of 323 pregnant women was determined using the Power Analysis formula. The instrument used for data collection was a self-developed questionnaire. Demographic information of the women was also obtained for the study. The analysis was done with the software statistical package for Social Sciences (SPSS) Version 16.0. Study period was from April 2016 to August 2016.Results: There was high antenatal clinic attendance (93.1%) and utilization of postnatal care services (93.1%). Also, the major factors that influenced the utilization of maternal and child health services were professionally defined needs, accessibility of health care services and economic status.Conclusions: There was high utilization of maternal and child health care services which was influenced by some factors. There is a need for nurses and other health workers to be actively engaged in educating mothers during antenatal visits. Sustainable financial subsidies and community-based initiatives should be developed to encourage early antenatal clinic visits and to provide the necessary information on the importance of facility-based antenatal and postnatal care.

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