Health Facility Staff Training for Improving Breastfeeding Outcome: A Systematic Review for Step 2 of the Baby-Friendly Hospital Initiative

2017 ◽  
Vol 12 (9) ◽  
pp. 537-546 ◽  
Author(s):  
Olukunmi O. Balogun ◽  
Amarjargal Dagvadorj ◽  
Jennifer Yourkavitch ◽  
Katharina da Silva Lopes ◽  
Maiko Suto ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Facility ◽  
Staff Training ◽  
Baby Friendly Hospital Initiative ◽  
Health Facility Staff ◽  
Facility Staff

scholarly journals Exploring the Use of Mobile Health to Improve Community-Based Health and Nutrition Service Utilization in the Hills of Nepal: Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Ajay Acharya ◽  
Kenda Cunningham ◽  
Shraddha Manandhar ◽  
Niva Shrestha ◽  
Mario Chen ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Health Facility ◽  
Text Message ◽  
Text Messages ◽  
Decision Makers ◽  
Mhealth Intervention ◽  
Health And Nutrition ◽  
Nutrition Service ◽  
Health Facility Staff ◽  
Facility Staff

BACKGROUND With mobile phone coverage and ownership expanding globally, mobile health (mHealth) interventions are increasingly being used to improve coverage and quality of health and nutrition services. However, evidence on mHealth intervention feasibility and factors to consider during program design is limited in low- and middle-income countries like Nepal. OBJECTIVE This study aimed to examine the potential of using text messages to improve health and nutrition services by exploring mobile phone ownership and sharing; mobile phone use and skills; and interest, preferences, and limitations regarding mHealth interventions. METHODS We conducted 35 in-depth interviews with 1000-day women (the period from conception to a child’s second birthday), health facility staff, and female community health volunteers (FCHVs), as well as eight focus group discussions with health facility staff, FCHVs, and 1000-day household decision-makers (ie, husbands, mothers-in-law, and fathers-in-law). We also conducted a mobile phone skills test. We employed thematic analysis using framework matrices and analytical memos. RESULTS The study included 70 study participants, of whom 68 (97%) had a mobile phone, and phone sharing was uncommon. Use of text messages was most commonly reported by 1000-day women and health facility staff than household decision-makers and FCHVs. More than 8 in 10 participants (54/64, 84%) could dial numbers, and the majority (28/34, 82%) of 1000-day women, health facility staff, and male decision-makers could also read and write text messages. We found that 1000-day women preferred educational and reminder messages, whereas health facility staff and FCHVs desired educational and motivational messages. Participants suggested different types of texts for 1000-day women, families, FCHVs, and health facility staff, and reported less value for texts received from unknown phone numbers. CONCLUSIONS A text message–based mHealth intervention is acceptable in the hills of Nepal and has the potential to improve community health and nutrition service utilization, particularly by sending meeting reminders and by providing information. Our findings contribute to text message–based mHealth intervention design in under-resourced settings.

scholarly journals Analysis of Obstetric Near Miss Cases of Different Health Facilities of Electoral Constituency Two of Arghakhanchi District

2014 ◽  
Vol 9 (2) ◽  
pp. 38-41
Author(s):  
S R Manandhar ◽  
D S Manandhar ◽  
D Adhikari ◽  
J R Shrestha ◽  
C Rai ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Health Facility ◽  
Post Partum ◽  
Placental Tissue ◽  
Health Facilities ◽  
Near Miss ◽  
Common Complication ◽  
Obstructed Labor ◽  
Health Facility Staff ◽  
Facility Staff

Aims: This study was done to identify and analyze obstetric near miss cases at health facilities of electoral constituency number 2 (EC 2) of Arghakhanchi district, Nepal. Methods: After receiving one day training on identifying obstetric near miss cases, health facility staff of EC 2 of Arghakhanchi district filled up WHO derived obstetric near miss forms for eight months duration. Causes of obstetric near miss cases were identified and analyzed in SPSS 16. Results: There were 31 obstetric near miss cases reported from different health facilities of EC 2 of Arghakhanchi. The commonest cause of obstetric near miss was Post-partum Hemorrhage (85%, n=26) followed by obstructed labor and ante partum hemorrhage (6%, n= 2) each. The leading cause of PPH was retained placenta/placental tissue in 55% cases (14) followed by atonic uterus (27%, n= 7). Two fifth of the mothers (39%, n=12) developed complication during labor. The most common complication developed after labor was hemorrhage. Conclusions: This study highlighted PPH as the most common serious obstetric problem in the health facilities and indicates the need for provision of blood transfusion at the health facility at least at Arghakhanchi. DOI: http://dx.doi.org/10.3126/njog.v9i2.11760

scholarly journals HIV Stigma Reduction for Health Facility Staff: Development of a Blended- Learning Intervention

2018 ◽  
Vol 6 ◽  
Author(s):  
Laura Nyblade ◽  
Krishnamachari Srinivasan ◽  
Amanda Mazur ◽  
Tony Raj ◽  
Divya S. Patil ◽  
...  
Keyword(s):  
Staff Development ◽  
Blended Learning ◽  
Health Facility ◽  
Hiv Stigma ◽  
Stigma Reduction ◽  
Learning Intervention ◽  
Health Facility Staff ◽  
Facility Staff

scholarly journals Acceptability of community-based adherence clubs among health facility staff in South Africa: a qualitative study

2017 ◽  
Vol Volume 11 ◽  
pp. 1523-1531 ◽  
Author(s):  
Ndumiso Tshuma ◽  
Ofentse Mosikare ◽  
Jessica A Yun ◽  
Olufunke A Alaba ◽  
Meera S Maheedhariah ◽  
...  
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Health Facility ◽  
Community Based ◽  
Health Facility Staff ◽  
Facility Staff

scholarly journals Exploring the Use of Mobile Health to Improve Community-Based Health and Nutrition Service Utilization in the Hills of Nepal: Qualitative Study

10.2196/17659 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e17659
Author(s):  
Ajay Acharya ◽  
Kenda Cunningham ◽  
Shraddha Manandhar ◽  
Niva Shrestha ◽  
Mario Chen ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Health Facility ◽  
Text Message ◽  
Text Messages ◽  
Decision Makers ◽  
Mhealth Intervention ◽  
Health And Nutrition ◽  
Nutrition Service ◽  
Health Facility Staff ◽  
Facility Staff

Background With mobile phone coverage and ownership expanding globally, mobile health (mHealth) interventions are increasingly being used to improve coverage and quality of health and nutrition services. However, evidence on mHealth intervention feasibility and factors to consider during program design is limited in low- and middle-income countries like Nepal. Objective This study aimed to examine the potential of using text messages to improve health and nutrition services by exploring mobile phone ownership and sharing; mobile phone use and skills; and interest, preferences, and limitations regarding mHealth interventions. Methods We conducted 35 in-depth interviews with 1000-day women (the period from conception to a child’s second birthday), health facility staff, and female community health volunteers (FCHVs), as well as eight focus group discussions with health facility staff, FCHVs, and 1000-day household decision-makers (ie, husbands, mothers-in-law, and fathers-in-law). We also conducted a mobile phone skills test. We employed thematic analysis using framework matrices and analytical memos. Results The study included 70 study participants, of whom 68 (97%) had a mobile phone, and phone sharing was uncommon. Use of text messages was most commonly reported by 1000-day women and health facility staff than household decision-makers and FCHVs. More than 8 in 10 participants (54/64, 84%) could dial numbers, and the majority (28/34, 82%) of 1000-day women, health facility staff, and male decision-makers could also read and write text messages. We found that 1000-day women preferred educational and reminder messages, whereas health facility staff and FCHVs desired educational and motivational messages. Participants suggested different types of texts for 1000-day women, families, FCHVs, and health facility staff, and reported less value for texts received from unknown phone numbers. Conclusions A text message–based mHealth intervention is acceptable in the hills of Nepal and has the potential to improve community health and nutrition service utilization, particularly by sending meeting reminders and by providing information. Our findings contribute to text message–based mHealth intervention design in under-resourced settings.

scholarly journals Tetanus Toxoid Vaccination Coverage and Associated Factors among Childbearing Women in Ethiopia: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Jemberu Nigussie ◽  
Bekahegn Girma ◽  
Alemayehu Molla ◽  
Moges Mareg
Keyword(s):  
Systematic Review ◽  
Health Facility ◽  
Tetanus Toxoid ◽  
Associated Factors ◽  
Meta Analysis ◽  
Immunization Coverage ◽  
Educational Status ◽  
Maternal Health Service ◽  
Childbearing Women ◽  
Tetanus Toxoid Immunization

Background. Tetanus is a bacterial disease caused by the Clostridium tetani, which is a highly fatal, noncommunicable, and toxin-mediated disease. Globally, maternal and neonatal tetanus is a public health problem due to low maternal tetanus toxoid immunization. Ethiopia has the highest neonatal mortality and morbidity related to tetanus due to low tetanus toxoid immunization and the high number of home deliveries. The main objective of this systematic review and meta-analysis was to estimate the pooled coverage of at least two doses of tetanus toxoid immunization, and the pooled effect sizes of associated factors in Ethiopia. Methods. Primary studies for this review were searched from the PubMed/MEDLINE online, ScienceDirect, Hinari, Google, and Google Scholar databases. Primary articles published from 2010 up to August 30, 2020, were included in this meta-analysis. Data were extracted in Microsoft Excel format and exported to STATA Version 14.0. A random-effects meta-analysis model was used to estimate the pooled coverage of two or more tetanus toxoid immunizations and its associated factors. Heterogeneity was evaluated by the I 2 test. Egger’s weighted regression test was used to assess publication bias. Results. We retrieved 212 records; of these, 199 articles were excluded for reasons. Finally, 14 studies were included in this meta-analysis. The pooled estimate of receiving at least two doses of tetanus toxoid immunization coverage in Ethiopia was 52.2% (95% CI: 42.47-61.93, I 2 = 98.4 % ). Antenatal care ( OR = 7.8 (95% CI: 3.2, 19.2), I 2 = 96.3 % ), media exposure ( OR = 8.3 (95% CI: 2.1, 33.3), I 2 = 98.1 % ), distance from the health facility ( OR = 2.64 (95% CI: 1.1, 6.6), I 2 = 94.1 % ), educational status of women ( OR = 4.7 (95% CI: 2.07, 9.56), I 2 = 94.2 % ), and educational status of husbands ( OR = 2.995 (95% CI: 1.194, 7.512), I 2 = 92.5 % ) were factors significantly associated with receiving at least two doses of tetanus toxoid immunization coverage in Ethiopia. Conclusions. The coverage of tetanus toxoid immunization among childbearing women was low in Ethiopia. Strengthening maternal health service utilization (antinatal care and institutional delivery) to the nearest health facility even in health posts and empowering education for both women and their husbands is recommended to increase tetanus toxoid immunization coverage in Ethiopia.

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