scholarly journals Decision Making Capacity and Constraints Faced by Rural Women while Seeking Maternal and Child Health Care Services in Northeastern Bangladesh

2019 ◽  
pp. 1-11
Author(s):  
Eshita Deb ◽  
Mitu Chowdhury ◽  
Indrajit Kundu ◽  
Modhumita Bhattachirjee Pia ◽  
Kanij Fatema
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Child Health ◽  
Maternal And Child Health ◽  
Rural Women ◽  
Health Care Services ◽  
Child Health Care ◽  
Care Services ◽  
Study Results ◽  
And Child Health

The aim of the study was to determine the association between rural women’s decision-making power and the constraints faced by them while seeking Maternal and Child Health care services in northeastern Bangladesh. The study sample consisted of 150 mothers living in northeastern Bangladesh who had accessed institutional MCH care services during their pregnancy, childbirth and the postpartum period. Data were collected through a structured questionnaire using simple random sampling technique from January-April, 2018 and analyzed using descriptive statistics, decision making index and constraints facing indexing method through SPSS and Microsoft Excel. The study results showed that, decisions about treatment-seeking, consultation with the doctor during the prenatal and postnatal period, institutional birth preference and use/not use of contraceptives was always taken by the husband because the index was closer to the weighted value 200. But while making decisions about purchasing household daily needs, medicines, taking the first child or having more than two children, both husband and wife participated equally. On the other hands, constraint facing index showed that lack of medicine and vaccination, unhealthy environment and unprofessional behavior of the clinic’s people with CFI 651, 316 and 304 respectively, were the most commonly faced constraints by the rural women which discouraged them to seek institutional MCH care services. Though rural women were not completely suppressed in the northeastern region of Bangladesh, healthcare-seeking decisions were completely under the supervision of the men of families. Along with the socio-economic barriers, unprofessionalism, unavailability and mismanagement of the offered services also discouraged them to access institutional MCH care services. Awareness building among the rural people, especially in the recipients of this service along with Government and policy maker’s intervention to ensure a better quality of MCH care services can change the scenario of MCH care-seeking attitude of rural women in northeastern Bangladesh.

scholarly journals Role of Maternal and Child Health Care Services on Postpartum Contraceptive Adoption in India

SAGE Open ◽  
2017 ◽  
Vol 7 (3) ◽  
pp. 215824401773351 ◽  
Author(s):  
Priyanka Dixit ◽  
Laxmi Kant Dwivedi ◽  
Amrita Gupta
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Care Services ◽  
Child Health Care ◽  
Care Services ◽  
And Child Health

scholarly journals Empirical Analysis of Equity in Maternal and Child Health Services Delivery and Access in Ghana: A Cross-Sectional Study

2021 ◽  
Author(s):  
Samuel George Anarwat ◽  
Mubarik Salifu ◽  
Margaret Atosina Akuriba
Keyword(s):  
Health Care ◽  
Child Health ◽  
Educational Attainment ◽  
Maternal And Child Health ◽  
Health Care Services ◽  
Formal Education ◽  
Child Health Care ◽  
Care Services ◽  
Child Underweight ◽  
And Child Health

Abstract Background Inequities in the distribution of and access to maternal and child health care services is pervasive in Ghana. Understanding the drivers of inequity in maternal and child health (MCH) is important to achieving the universal health coverage component of the sustainable development goals and poverty reduction in Ghana and other developing countries. However, there is increasing disparities in MCH services, especially in rural -urban and income quintiles. The study aimed to examine the disparities in maternal and child health care services in Ghana for policy intervention. Methods Data for this study was extracted from the nationally representative Ghana Statistical Service (GSS) Multiple Indicator Cluster Survey (MICS) round 4, 2011. Respondents of this survey were women of reproductive age 15–49 years with a sample size of 10,627 households. The models were estimated using multivariate regression analysis together with concentration index (CI) and risk ratio (RR) to assess the distribution of MCH indicator groups across the household wealth index. Results Higher educational attainment played an important role in MCH. Women with secondary school level and above were more likely to receive family planning, prenatal care, and delivery by a skilled health professional than those without formal education. Mothers with low level of educational attainment were 87% more likely to have their first pregnancy before the age of 20 years, and 78% were more likely to have children with under-five mortality, and 45% more likely to have children who had diarrhoea. Teenage pregnancy, under five mortality, child underweight, reported diarrhoea, and suspected pneumonia were more concentrated in the poorer than in the richer households. The RR between the top and bottom quintiles ranged from 0.77 for child underweight to 0.82 for child wasting. Conclusion Geographic location, income status and formal education are key drivers of maternal and child health inequities in Ghana. Implementing health policies to address inequalities in MCH services through primary health care, and resource allocation skewed towards rural areas and the lower wealth quintile can bridge the inequality gaps and improve MCH outcomes in Ghana.

scholarly journals Can she make it? Transportation barriers to accessing maternal and child health care services in rural Ghana

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Kilian Nasung Atuoye ◽  
Jenna Dixon ◽  
Andrea Rishworth ◽  
Sylvester Zackaria Galaa ◽  
Sheila A. Boamah ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Care Services ◽  
Child Health Care ◽  
Rural Ghana ◽  
Care Services ◽  
Transportation Barriers ◽  
And Child Health

scholarly journals Maternal and Child Health Care Services in Albania

2016 ◽  
Vol 177 ◽  
pp. S11-S20 ◽  
Author(s):  
Donjeta Bali ◽  
Georgina Kuli-Lito ◽  
Nedime Ceka ◽  
Anila Godo
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Care Services ◽  
Child Health Care ◽  
Care Services ◽  
And Child Health

scholarly journals Equity and access to maternal and child health services in Ghana a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Samuel George Anarwat ◽  
Mubarik Salifu ◽  
Margaret Atosina Akuriba
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Care Services ◽  
Formal Education ◽  
Child Health Care ◽  
Care Services ◽  
Child Underweight ◽  
And Child Health ◽  
Skilled Health

Abstract Background Inequities in the distribution of and access to maternal and child health care services is pervasive in Ghana. Understanding the drivers of inequity in maternal and child health (MCH) is important to achieving the universal health coverage component of the Sustainable Development Goals (SDGs) and poverty reduction in developing countries. However, there is increasing disparities in MCH services, especially in rural -urban, and income quintiles. The study aimed to examine the disparities in maternal and child health care services in Ghana for policy intervention. Methods Data for this study was extracted from the nationally representative Ghana Statistical Service (GSS) Multiple Indicator Cluster Survey (MICS) round 4, 2011. Respondents of this survey were women of reproductive age 15–49 years with a sample size of 10,627 households. The models were estimated using multivariate regression analysis together with concentration index (CI) and risk ratio (RR) to assess the distribution of MCH indicator groups across the household wealth index. Results The results show that women with secondary school level and above were more likely to receive family planning, prenatal care, and delivery by a skilled health professional than those without formal education. Mothers with low level of educational attainment were 87% more likely to have their first pregnancy before the age of 20 years, and 78% were more likely to have children with under-five mortality, and 45% more likely to have children who had diarrhoea. teenage pregnancy (CI = − 0.133, RR =0.679), prenatal care by skilled health worker (CI = − 0.124, RR =0.713) under five mortality, child underweight, reported diarrhoea, and suspected pneumonia, though not statistically significant, were more concentrated in the poorer than in the richer households, The RR between the top and bottom quintiles ranged from 0.77 for child underweight to 0.82 for child wasting. Conclusion Geographic location, income status and formal education are key drivers of maternal and child health inequities in Ghana. Government can partner the private sector to implement health policies to address inequalities in MCH services through primary health care, and resource allocation skewed towards rural areas and the lower wealth quintile to bridge the inequality gaps and improve MCH outcomes. The government and the private sectors should prioritize female education, as that can improve maternal and child health.

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