Flooding: what is the impact on pregnancy and child health?

Disasters ◽  
2017 ◽  
Vol 42 (3) ◽  
pp. 432-458 ◽  
Author(s):  
Lea H. Mallett ◽  
Ruth A. Etzel
2004 ◽  
Author(s):  

In 1996, the government of India decided to provide a package of reproductive and child health services through the existing family welfare program, adopting a community needs assessment approach (CNAA). To implement this approach, the government abolished its practice of setting contraceptive targets centrally and introduced a decentralized planning strategy whereby health workers assessed the reproductive health needs of women in their respective areas and prepared local plans to meet those needs. They also involved community leaders to promote community participation in the reproductive and child health program. Since 1998, several evaluation studies have assessed the impact of CNAA on the program’s performance and community participation. These studies showed that the performance of the maternal health-care program improved, whereas the functioning of the family planning program initially declined but later recovered. The approach achieved little in boosting community involvement. This project tested a new model of health committee to help stimulate community participation in reproductive and child health activities at the village level. The experiment, described in this report, was conducted in the Hunsur block of the Mysore District in Karnataka for two years. Researchers evaluated the impact in terms of community involvement and utilization of reproductive and child health services.


2020 ◽  
Vol 11 (7) ◽  
pp. 1006-1014
Author(s):  
Ajit Kumar Jaiswal

Maternal and child health programmes plays a key role in reducing infant and child mortality in any population. The Government of India started maternal and child health care services in the first five year plan (1951-56). This study uses data from the fourth round of the National Family Health Survey (NFHS, 2015-16). We are interested to examine the effect of child delivery at a healthcare facility, on child survival. We are followed by Mosley and Chen’s framework (1884), according to the framework, several socioeconomic determinants are grouped into some categories, namely, maternal, environmental contamination, nutrient deficiency, and personal illness control. Consequently, we reduced the number of independent variables to women’s age at birth and education, birth order, low child birth weight, household wealth, and healthcare.


2020 ◽  
Vol 35 (4) ◽  
pp. 379-387
Author(s):  
David Zombré ◽  
Manuela De Allegri ◽  
Valéry Ridde

Abstract Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Thus, further rigorous investigation is needed to be able to draw broader conclusions about the effects of this health financing reform. We examined the effects of the implementation and subsequent withdrawal of the PBF pilot programme in the Koulikoro region of Mali on a range of relevant maternal and child health indicators targeted by the programme. We relied on a control interrupted time series design to examine the trend in maternal and child health service utilization rates prior to the PBF intervention, during its implementation and after its withdrawal in 26 intervention health centres. The results for these 26 intervention centres were compared with those for 95 control health centres, with an observation window that covered 27 quarters. Using a mixed-effects negative binomial model combined with a linear spline regression model and covariates adjustment, we found that neither the introduction nor the withdrawal of the pilot PBF programme bore a significant impact in the trend of maternal and child health service use indicators in the Koulikoro region of Mali. The absence of significant effects in the health facilities could be explained by the context, by the weaknesses in the intervention design and by the causal hypothesis and implementation. Further inquiry is required in order to provide policymakers and practitioners with vital information about the lack of effects detected by our quantitative analysis.


2018 ◽  
Vol 35 (4) ◽  
pp. 524-534 ◽  
Author(s):  
Ngozi B Ukachi ◽  
Stella NI Anasi

Maternal and child mortality pose a great challenge in developing nations notwithstanding the robust initiatives instituted at both the global and national levels to ameliorate it. This study is aimed at ascertaining women’s perception of the impact of information and communication technologies on access to maternal and child health information and its implication on sustainable development. The descriptive research design was adopted for the study. Purposive sampling technique was used in selecting University of Lagos Teaching Hospital and subsequently, the three clinics (Obstetrics and Gynaecology, Paediatrics Outpatient, and Antenatal clinics) where the needed groups could be seen. Questionnaire was the instrument used for data collection while SPSS statistical package was used for data analysis. The study revealed that the women perceive information and communication technologies to have a positive impact on their access to maternal and child health information while the key technological facilities used by the respondents in accessing maternal and child health information were mobile phones and social media tools such as Facebook, YouTube, blogs and Twitter. It was also found that irregular power supply, poor Internet access, and ignorance of the media that transmit maternal and child health information were the key factors that militate against effective access to maternal and child health information using communication technologies. The implication of this result on sustainable development is discussed and recommendations made.


2020 ◽  
Vol 23 (4) ◽  
pp. 275-283
Author(s):  
Herti Windya Puspasari ◽  
Indah Pawitaningtyas

The negative impact of early age marriage in Indonesia is the risk maternal and infant mortality by 30%, as many as 56% of adolescent girls experienced domestic violence, only 5.6% of adolescents with early marriage still continue schooling after marriage. This article arrange by further analysis and literature review of the ethnographic research book series on the Center for Research and Development in Humanities and Management Health, NIHRD. This article aim to determine the impact of early marriage on the maternal and child health in several ethnic groups in Indonesia and about the prevention. Cases of early marriage still occur in many ethnic groups in Indonesia and contribute to mortality and morbidity for mothers and children. The impact of early marriage on maternal and child health includes miscarriage, premature, bleeding and maternal death. They must get a education health about repoduction health from reliable source. It is necessary for the government’s role to provide education about reproductive health and positive activities to avoid early age marriage. Especially in districs that have high rates of early age marriage. Abstrak Dampak negatif dari pernikahan dini di Indonesia  adalah risiko kematian ibu dan bayi sebesar 30 %, 56% remaja perempuan mengalami Kekerasan Dalam Rumah Tangga, dan hanya 5,6% remaja dengan pernikahan dini yang masih melanjutkan sekolah setelah kawin.  Tujuan penulisan artikel ini adalah untuk mengetahui dampak pernikahan usia dini terhadap kesehatan ibu dan anak di beberapa etnis di Indonesia serta pencegahannya. Artikel dibuat berdasarkan analisis lanjut dan kajian literatur dari buku seri riset etnografi Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan, Badan Litbang Kesehatan. Kasus pernikahan dini masih banyak terjadi di berbagai etnis di Indonesia dan menyumbang angka kematian dan kesakitan bagi Ibu dan Anak. Dampak pernikahan dini terhadap kesehatan ibu dan anak antara lain, terjadinya keguguran, kelahiran premature, perdarahan hingga kematian ibu. Sebaiknya remaja memiliki pengetahuan mengenai pentingnya kesehatan reproduksi dan mendapatkan pendidikan kesehatan reproduksi yang benar dan layak dari sumber yang terpercaya. Perlu peran pemerintah untuk memberikan edukasi tentang kesehatan reproduksi dan kegiatan-kegiatan yang positif untuk menghindari pernikahan dini.  Edukaski tersebut khususnya untuk masyarakat di daerah yang memiliki angka pernikahan dini yang cukup tinggi.


2020 ◽  
Author(s):  
Huan Zhou ◽  
Yuju Wu ◽  
Chengfang Liu ◽  
Chang Sun ◽  
Yaojiang Shi ◽  
...  

Abstract Background: Empirical evidence suggests that the uptake of maternal and child health (MCH) services is still low in poor rural areas of China. There is concern that the low uptake of MCH services may detrimentally affect child health outcomes. Previous studies have not yet identified the exact nature of the impact that conditional cash transfers (CCT) have on the uptake of MCH services and ultimately, on child health outcomes. The objective of this study is to examine the relationship between CCT, uptake of MCH services, and health outcomes among children in poor rural areas of western China.Methods: We designated two different sets of comparison villages and households that were used as comparison against which outcomes of the treated households could be assessed. In 2014 we conducted a large-scale survey of 1,522 households at 75 villages (including 25 treatment and 50 comparison) from nine nationally-designated poverty counties in two provinces of China. In each village, 21 households were selected based on their eligibility status for the CCT program. Difference-in-difference analyses were used to assess the impact of CCT on outcomes in terms of both Intention-to-treat (ITT) and average-treatment-effects-on-the-treated (ATT). Results: Overall, the uptake of MCH services in the sample households were low, especially in terms of post-partum care visits, early breast feeding, exclusive breast feeding, and physical examination of the baby. The uptake of the seven types of MCH services in the CCT treatment villages were significantly higher than that in the comparison villages. Results from both the ITT and ATT analyses showed the CCT program had a positive, although small, impact on the uptake of MCH services and the knowledge of mothers about MCH health issues. Nonetheless, the CCT program had no noticeable effect on child health outcomes.Conclusions: The CCT program generated modest improvements in the uptake of MCH services and mothers' knowledge of MCH services in poor rural areas of Western China. These improvements, however, did not translate into substantial improvements in child health outcomes for two possible reasons: poor CCT implementation and the low quality of rural health facilities.


2017 ◽  
Vol 4 (2) ◽  
pp. 75-79
Author(s):  
Adrienne Allison ◽  
Eloho E. Basikoro

World Vision, A Christian humanitarian organization, began to support Birth Spacing in 2007.  After new data were published in 2008 that measured the impact of the length of the preceding birth-to-pregnancy (birth to conception) interval on maternal, infant and child mortality and child stunting, World Vision adopted the term “Healthy Timing and Spacing of Pregnancy” as their approach to family planning.  This term refocused family planning to emphasized the health benefits for mothers, children, families and communities, of using contraception to time and space births.  The data are explained and the consequences of shorter and longer birth intervals are outlined.


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