Setting global research priorities for private sector child health service delivery: Results from a CHNRI exercise

BACKGROUND Despite laudable efforts and achievement, maternal and child mortality remains high in Africa. The region accounts for 97% of maternal and 94% of children less than five mortality in 2015. Limited resources, lack of infrastructures and shortage of healthcare workers have been identified as the main barriers towards healthcare outcomes improvement. Availability and use of mobile phones is increasing rapidly with 46% of African population having a mobile-cellular subscription in 2015. Mobile health (mHealth) interventions have proven to be beneficial in improving maternal and child health service delivery and outcomes in developed countries and elsewhere. In Africa, only few mhealth pilot research projects and small studies have been conducted, those limiting generalizability OBJECTIVE The objective of the project is to provide an overview about the current impact of mHealth applications and innovative strategies in improving large-scale (population-based) immunization coverage and maternal- child health service delivery in African countries METHODS Peer-reviewed papers were identified from Medline/PubMed, Google scholar and mHealthEvidence database via a combination of search terms RESULTS A total of 1217 articles were found of which only 17 met the inclusion criteria and were included in the project. Our findings indicates that there is some evidence on the potential of mHealth applications benefitsin increasing childhood immunization awareness, retention, coverage and effectiveness as well as maternal- child quality care delivery and outcomes CONCLUSIONS Building robust and resilient government and stakeholders leadership, committed partnerships and platform is crucial in investing on large-scale and sustainable ownership of mhealth policies and programs, adequate infrastructure, building capacity and mHealth/eHealth management implementation in strengthening health systems. Moreover, addressing inherent issues of mhealth interoperatibility, patient data privacy. confidentiality and security is needed for socio-economic benefits, cost-effective digital landscape public health solutions and gains across African countries

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Ebola-Related Complications for Maternal, Newborn, and Child Health Service Delivery and Utilization in Guinea

Global Maternal and Child Health - Pregnant in the Time of Ebola ◽

10.1007/978-3-319-97637-2_19 ◽

2019 ◽

pp. 279-291

Author(s):

Janine Barden-O’Fallon ◽

Paul Henry Brodish ◽

Mamadou Alimou Barry

Keyword(s):

Child Health ◽

Health Service ◽

Service Delivery ◽

Health Service Delivery ◽

Child Health Service ◽

Newborn And Child Health ◽

And Child Health

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Factors associated with child health service delivery by female community health volunteers in Nepal: Findings from a national survey

10.21203/rs.2.12555/v2 ◽

2020 ◽

Author(s):

Hari Krishna Bhattarai ◽

Pratik Khanal ◽

Vishnu Khanal ◽

Kiran Regmi ◽

Narendra Raj Paudel ◽

...

Keyword(s):

Child Health ◽

Health Service ◽

Health Services ◽

Service Delivery ◽

Health Service Delivery ◽

Child Health Services ◽

Child Health Service ◽

Factors Associated ◽

Community Health Volunteers ◽

Female Community Health Volunteers

Abstract Background: Nepal has made a significant improvement in child survival in the last few decades and the involvement of female community health volunteers (FCHVs) has been crucial in such achievement. While there have been a lot of documented studies and reports, rarely has been explored the status and factors associated with the child health service provided by these volunteers. The aim of this study was to identify the factors associated with the child health service delivery by FCHVs.Methods : A national survey was conducted in 2014 in Nepal that included 4,302 FCHVs using the structured questionnaire across the 13 geopolitical domains of the country. The data was extracted and the association of child health services with characteristics was examined using Chi-square test (χ2) followed by logistic regression. Results: Overall, 62.6% of FCHVs provided at least one child health service. Those FCHVs who utilized money from the FCHV fund, conducted health mothers’ group meeting, involved in local committees and those who supported antenatal care and outreach clinics related activities had higher odds of providing child health services. Similarly, FCHVs equipped with the stock of Cotrimoxazole tablet, Zinc tablet, Oral Rehydration Salt packets were more likely to provide child health services. The province-wise analysis showed that FCHVs from Province 5 and Sudur Paschim Province were more likely to provide child health services compared to their counterparts from province 1. Technology-wise, FCHVs who were using mobile were more likely to provide child health services.Conclusions : FCHVs are important human resource in providing child health services in Nepal. To improve child health service delivery by FCHVs, availability of key commodities, involvement of FCHVs in regular health mothers’ group meeting, use of mobile phone, involvement in other public health programs and social networks, and utilization of the FCHV fund need to be taken into consideration.

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