scholarly journals Fatherhood, egalitarianism, and child health in two small‐scale societies in the Republic of the Congo

2019 ◽  
Vol 32 (4) ◽  
Author(s):  
Adam H. Boyette ◽  
Sheina Lew‐Levy ◽  
Mallika S. Sarma ◽  
Miegakanda Valchy ◽  
Lee T. Gettler
2019 ◽  
Vol 107 ◽  
pp. 35-45 ◽  
Author(s):  
Adam H. Boyette ◽  
Sheina Lew-Levy ◽  
Mallika S. Sarma ◽  
Lee T. Gettler

2021 ◽  
Author(s):  
Britou Ndela ◽  
Philippe Ngwala ◽  
Adrien N’siala ◽  
Albert Kalonji ◽  
Felix Minuku ◽  
...  

Abstract Background: The Democratic Republic of the Congo (DRC) is classified among the 5 countries with the highest global maternal mortality ratio (MMR) and highest under-five mortality rate (U5MR) in the world. Kasai is one of 14 provinces of the DRC, which have a high U5MR and MMR. Despite this overriding concern, almost no studies have been conducted to assess maternal et child situation in this province. The aim of this study was to assess access, availability, and quality of maternal and child health services in Kasai Province in the DRC. Methods: A cross-sectional survey of 49 Health Facilities (HFs) integrating quantitative and qualitative data collection was conducted in 18 Health Zones in Kasai Province in the DRC. Documentary review, interviews and direct observation of HFs were performed to collect data. Pearson’s chi-squared test was performed to establish the relation between variables.Results: Nearly 54 % of visited HFs population had a geographical access to maternal and child health services and the majority of medical acts were unaffordable. Basic and comprehensive emergency obstetric care (EmOC) were offered respectively by only 11.8% and 7.6% of HF and none provided high quality basic or comprehensive EmOC. This low availability and quality of EmOC are due to the insufficiency of necessary inputs and personal for maternal and child health services in the majority of HFs. Conclusion: The situation of maternal and child health services is very precarious in Kasai Province. The improvement of EmOC coverage will require rehabilitation of infrastructure, dotation of equipment, regular supply of medicines and strengthening of human resource capacity.


2019 ◽  
Vol 6 (2) ◽  
pp. 33-43
Author(s):  
Judith Siambe Opiyo ◽  
Paul Shetler Fast

In many places in Africa, progress on maternal and child health has been slow and uneven, with widening geographic and socio-economic disparities, despite economic growth and continued investments in health systems. In Kenya, modest national-level gains mask wide disparities in progress, with near stagnation among the very poor, those with the least education, and those living in either extremely rural contexts or dense informal urban slums. Progress toward Kenya’s maternal and child health Sustainable Development Goals (SDGs) will depend on finding new ways to work effectively in dense urban slums, where poverty and ill-health are increasingly concentrated, and older program models have failed to deliver. Effective approaches will require addressing significant knowledge, behavior, and trust gaps, especially with the poorest and most vulnerable residents of slum communities like Nairobi’s Mathare. Care Groups were designed to address these specific types of gaps but have only been effectively tested and scaled in rural and peri-urban environments. The Kenya Mennonite Church’s Center for Peacebuilding and Nationhood’s maternal and child health Care Group project in Mathare, Nairobi, one of the largest informal settlements in Kenya, is the first to adapt the Care Group model to an urban slum environment. However, significant adaptation of the model was required by the uniquely challenging nature of a context characterized by high population density, crowding, extremely transient and unstable populations, low social trust, lack of traditional social structures, high vulnerability to crime, political disruption, and frequent rapid onset disasters. This case study explores the contextual complexity of adapting a model like Care Groups to the realities of a dense African urban slum, the innovative strategies the project has used, its successes, challenges, and the unique benefits of doing this work on a small scale rooted in a local church organization.


2017 ◽  
Vol 72 ◽  
pp. 50
Author(s):  
Rusudani Tsiklauri ◽  
Tamar Naroushvili ◽  
Ketevan Dadiani ◽  
Darejan Dughashvili ◽  
Manana Grdzelishvili

2021 ◽  
Vol 72 (3) ◽  
pp. 199-212
Author(s):  
My Nguyen

Abstract This study assesses the extent to which the invasions of desert locust swarms affect child health in the Republic of the Niger. We discover that children exposed to the invasions tend to be shorter for their age, thinner for their age, and thinner for their height. In particular, a one standard deviation increase in the affected area (around 200 ha) is associated with a 0.019 standard deviation reduction in height-for-age, 0.029 standard deviation decrease in weight-for-age, and 0.020 standard deviation decrease in weight-for-height z-score. Given the long-lasting irreparable consequences of poor health in early life throughout the life cycle, the study calls for prompt and effective efforts to prevent the adverse effects of the desert locust swarm invasions.


Author(s):  
Ashish Giri ◽  
Abdul Wassey ◽  
Vishal Dogra

Background: Nearly 104 million (9%) of the total Indian population live in tribal areas. For the tribal population, in the recent past, many organizations initiated health programs. However, there is little understanding of the work they do in the health and nutrition area. In this scoping study, the study aimed to review NGO based models of healthcare delivery with an emphasis on reproductive, maternal health, neonatal and child health, and nutrition (RMNCHN) related interventions in tribal areas of India.Methods: A list of NGOs, in districts having 35% tribal population, was made. NGOs with functional websites, RMNCHN related interventions and registered with the Government of India online portal “NGO darpan” were selected using multistage search criteria. NGO types, their approaches for RMNCHN and intervention models were studied.Results: A total of 1503 NGOs were working on tribal health in 115 districts having >35% tribal population. Out of these, only 103 NGOs had an active health intervention and provided information freely in open public access. Only 36 NGOs had a well-structured program in reproductive, maternal, child health and nutrition area. A compendium of good practices by 12 NGOs working in RMNCHN was prepared.Conclusions: A limited number of NGOs in tribal India works on reproductive, maternal health, neonatal and child health, and nutrition issues. The health-related interventions are primarily at a small scale, community-based, lacks continuum of care and are present in districts with a lesser tribal population.


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