scholarly journals Scoping Review on Maternal Health among Immigrant and Refugee Women in Canada: Prenatal, Intrapartum, and Postnatal Care

2017 ◽  
Vol 2017 ◽  
pp. 1-14 ◽  
Author(s):  
N. Khanlou ◽  
N. Haque ◽  
A. Skinner ◽  
A. Mantini ◽  
C. Kurtz Landy
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Health Outcomes ◽  
Scoping Review ◽  
Healthcare Services ◽  
Health Impact ◽  
Access To Health Services ◽  
Childbearing Age ◽  
Refugee Women ◽  
Immigrant And Refugee

The last fifteen years have seen a dramatic increase in both the childbearing age and diversity of women migrating to Canada. The resulting health impact underscores the need to explore access to health services and the related maternal health outcome. This article reports on the results of a scoping review focused on migrant maternal health within the context of accessible and effective health services during pregnancy and following delivery. One hundred and twenty-six articles published between 2000 and 2016 that met our inclusion criteria and related to this group of migrant women, with pregnancy/motherhood status, who were living in Canada, were identified. This review points at complex health outcomes among immigrant and refugee women that occur within the compelling gaps in our knowledge of maternal health during all phases of maternity. Throughout the prenatal, intrapartum, and postnatal periods of maternity, barriers to accessing healthcare services were found to disadvantage immigrant and refugee women putting them at risk for challenging maternal health outcomes. Interactions between the uptake of health information and factors related to the process of immigrant settlement were identified as major barriers. Availability of appropriate services in a country that provides universal healthcare is discussed.

scholarly journals Impact of Distance in the Provision of Maternal Health Care Services and Its Accountability in Murarai-II Block, Birbhum District

2016 ◽  
Vol 4 (1) ◽  
pp. 81
Author(s):  
Alokananda Ghosh ◽  
Biswaranjan Mistri
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Distribution System ◽  
Healthcare Services ◽  
P Value ◽  
Theoretic Model ◽  
Access To Health Services ◽  
Maternal Healthcare ◽  
Risk Pregnancy ◽  
Birbhum District

The maternal health issue was a part of the Millennium Development Goals (MDGs, Target-5). Now it has been incorporated into Target-3 of 17 points Sustainable Development Goal-2030, declared by the United Nations, 2015. In India, about 50% of newborn deaths can be reduced by taking good care of the mother during pregnancy, childbirth and postpartum period. This requires timely, well-equipped healthcare by trained providers, along with emergency transportation for referral obstetric emergency. Governments need to ensure physicians in the rural underserved areas. The utilisation of maternal healthcare services (MHCSs) depends on both the availability and accessibility of services along with accountability.This study is based on an empirical retrospective survey, also called a historic study, to evaluate the influences of distance on the provision of maternal health services and on its accountability in Murarai-II block, Birbhum District. The major objective of the study is to identify the influence of distance on the provision and accountability of the overall MHCSs. The investigation has found that there is a strong inverse relationship (-0.75) between accessibility index and accountability score with p-value = <0.05, where the direct connectivity index seem to have no direct influence on the accountability score (as the ‘r’ is 0.56 and p-value= >0.05). Tracking of pregnant women, identification of high risk pregnancy and timely Postnatal Care (PNC) have become the dominant factors of the maternal healthcare services in the first Principal Component Analysis (PCA), explaining 49.67% of the accountability system. Overall, institutional barriers to accessibility are identified as important constraints behind lesser accountability of the services, preventing the anticipated benefit. This study highlights the critical areas where maternal healthcare services are lacking. The analysis has highlighted the importance of physical access to health services in shaping the provision of maternal healthcare services.Drawing on empirical observations of operation of public distribution system in different states of India, the paper constructs a preliminary game theoretic model. It argues that an effective public distribution must be as universal as possible, delivery mechanism of fair price shops should be reformed, they should be make them commercially viable and that special attention should be paid to PDS at times of high food inflation.

scholarly journals Access to Formal Maternal Health Services and Informal Supports for Resettled Refugee Mothers in the Postnatal Period: A Scoping Review Protocol

2020 ◽  
Author(s):  
Emma Stirling Cameron ◽  
Benjamin DuPlessis ◽  
Megan Aston ◽  
Howard Ramos ◽  
Lois Jackson
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Scoping Review ◽  
Critical Time ◽  
Maternal Health Services ◽  
Postnatal Period ◽  
Refugee Women ◽  
Scoping Reviews ◽  
Review Protocol ◽  
Informal Supports

Abstract Background: The postnatal period is a critical time when women may need access to formal maternal health services (e.g., family physicians) and informal supports (e.g., family, friends). Resettled refugee women often encounter a myriad of barriers and challenges when attempting to access these services and supports in resettlement countries, including language and communication differences, socioeconomic constraints, challenges navigating foreign healthcare systems, and reduced social support networks. This has contributed to health inequities among postnatal resettled refugee women, including low self-reported health, five-times higher rates of postpartum depression, and social isolation. The purpose of this review is to understand access to formal maternal health services and informal supports for resettled refugee women during the postnatal period. Methods: This review will be conducted in accordance with JBI methodology for scoping reviews. A comprehensive search strategy, developed with a librarian scientist, will be used to identify relevant sources. Titles, abstracts, and full texts will be evaluated against inclusion criteria. Evidence from peer-reviewed and gray literature published after 2003 will be included. This review will focus only on studies conducted in middle- and high-income resettlement countries. Information will be extracted by two independent reviewers using a screening tool. Data will be synthesized and presented narratively, with tables and figures where appropriate. Discussion: This scoping review will provide an overview of resettled refugee women’s experiences during the postnatal period, with a focus on understanding access to health services and the availability and use of informal supports. It is expected that this review will outline both the barriers and facilitators affecting resettled refugee women seeking formal and informal care during the postnatal period. Findings will help to inform policy direction and future interventions seeking to improve postnatal care for resettled refugee women.Systematic Review Registration: This scoping review protocol has been registered with the Open Science Framework database, https://osf.io/rkqj6.

scholarly journals Maternal Health-Care Access and Utilization in Sidoluhur, Lawang

2020 ◽  
Author(s):  
Ifan Deffinika ◽  
Wahyu Tyas Pramono ◽  
Khairunnisa B A ◽  
M. Noval A . ◽  
Biffanca A. Kennedy ◽  
...  
Keyword(s):  
Public Health ◽  
Maternal Health ◽  
Health Services ◽  
Primary Data ◽  
Infrastructure Development ◽  
Access To Health Services ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Independent Variables ◽  
Nonparametric Correlation

The geographical conditions influence infrastructure development, such as public health services. The utilization of facilities depends on the socio-economic characteristic of the community itself. Accessing and utilizing health services would maternal mortality. This study aims to describe the maternal health behavior and to assess the correlation between access and utilization with regards to socio-economics maternal characteristics. This research used a quantitative method and samples 75 women of childbearing age. This study uses cross-sectional primary data, and analysis was performed using descriptive and inferential statistics nonparametric. Correlation analysis was performed using the Kendal Tau correlation to determine the relationship of independent variables to the dependent variable. The influence of independent variables on dependent variables measure using logistic regression. The results of this study were 31% of respondents still carrying out traditional births through an attendant called ”dukun”. Public health service availability is sufficient, although not everyone can access easily. While in traditional services, traditional birth attendants come to patients so they preferred this method because it’s effortless. Access to health services and access to information simultaneously give a 72.2% impact towards maternal behavior of ante-natal care. Keywords: socio-economics characteristic, maternal healthcare utilization, maternal delivery

scholarly journals need for alternative solutions when caring for patients with language barriers

2022 ◽  
Vol 9 (1) ◽  
pp. 34-35
Author(s):  
Nour Seulami ◽  
Jun Yang Liu ◽  
Mélyssa Kaci ◽  
Zakaria Ratemi ◽  
Abbesha Nadarajah ◽  
...  
Keyword(s):  
Medical Students ◽  
Health Services ◽  
Social Services ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Language Barriers ◽  
Healthcare Services ◽  
Access To Health Services ◽  
Optimal Care ◽  
Alternative Solutions

Barriers to quality communication increase the risk for misunderstanding, negatively impact the thoroughness of health investigations, and can lead to delayed diagnoses and increased readmissions. In addition, language barriers disproportionately affect the most vulnerable populations; thus, a lack of appropriate interpretation services promotes health disparities and increases the vulnerability of the underserved minority populations. According to the Act Respecting Health Services and Social Services of Quebec, health organizations need to take into account the distinctive linguistic and sociocultural characteristics of each region and, “foster […] access to health services and social services through adapted means of communication for persons with functional limitations”. A language barrier is a form of functional limitation that patients face when accessing healthcare services. Despite a clear policy, the current use of professional interpretation services is limited in our healthcare facilities, thus increasing obstacles in accessing healthcare services for patients with language barriers. It is thought that by identifying how language barriers present in our healthcare system and by highlighting the tools available to mitigate their consequences, healthcare workers, including medical students, may be better placed to serve the non-French and non-English speaking community. A group of medical students from the Universities of Montreal and McGill who are part of MedComm researched the problematic, most specifically in Montreal, in the hopes of emphasizing the need for alternative solutions to the current state of affairs in regard to offering optimal care to patients with language barriers.

scholarly journals Do adult health outcomes in urban population reflect local health risk? A matched cohort analysis of migration effects in Ouagadougou, Burkina Faso

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029059
Author(s):  
Philippe Bocquier ◽  
Abdramane Bassiahi Soura ◽  
Souleymane Sanogo ◽  
Sara Randall
Keyword(s):  
Health Status ◽  
Health Services ◽  
Health Outcomes ◽  
Health Risks ◽  
Rural Areas ◽  
Urban Areas ◽  
Cohort Analysis ◽  
Local Health ◽  
Access To Health Services ◽  
Access To Health

BackgroundSelective migration may affect health indicators in both urban and rural areas. Sub-Saharan African urban areas show evidence of both negative and positive selection on health status at outmigration. Health outcomes as measured in urban populations may not reflect local health risks and access to health services.MethodsUsing the Ouagadougou Health and Demographic Surveillance System and a migrant follow-up survey, we measured differences in health between matched non-migrants and outmigrants. We applied Cox and competing risks models on migration and death.ResultsControlling for premigration health status, migrants who moved out of Ouagadougou have higher mortality (HR 3.24, 95% CI 1.23 to 8.58) than non-migrants and migrants moving to other Ouagadougou areas. However, these effects vanish in the matched sample controlling for all interactions between death determinants. These and other results show little evidence that migration led to higher mortality or worse health.ConclusionsHealth outcomes as measured in Ouagadougou population do reflect local health risks and access to health services despite high migration intensity. However, neither the hypothesis of effect of health on migration nor the hypothesis of negative effect of migration on health or survival was confirmed.

scholarly journals Improving Access and Utilization of Maternal Healthcare Services through Focused Antenatal Care in Rural Ghana: A Qualitative Study

2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Umar Haruna ◽  
Gordon Dandeebo ◽  
Sylvester Z. Galaa
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Health Outcomes ◽  
Health Workers ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Transportation Systems ◽  
Successful Implementation ◽  
Maternal Healthcare ◽  
Focused Antenatal Care

Improved access to and utilization of various maternal healthcare services have been seen as the panacea to poor maternal and child health outcomes characterizing many developing countries. Focused Antenatal Care (FANC) replaced the regular antenatal care model about a decade and a half ago. This study sought to document empirical outcomes of how the FANC approach translates access and utilization of maternal health services into positive maternal health outcomes. We utilized a descriptive qualitative design and analysis. We applied key informant interviewing to collect data from 206 respondents consisting of 140 women in their fertility age and 66 health workers across 14 communities in the study district. We found that FANC has been widely implemented across the district with most of the required services integrated into the existing healthcare delivery system. Overall, there has been successful implementation of FANC in the district, resulting in several benefits including the increased utilization of maternal healthcare services, acceptance of family planning, increased skilled delivery, and utilization of postnatal care (PNC) services. This notwithstanding, a number of issues need to be addressed to improve FANC services. These include provision of adequate infrastructure, essential supplies, communication and transportation systems, and manpower and adoption of positive sociocultural practices. No effort should be spared in providing these to sustain the successes and ensure sustainability of FANC.

scholarly journals Inequalities in access to birth by caesarean section in the context of user fee exemption for maternal health services in southwest and north central Nigeria

2020 ◽  
Author(s):  
Anthony Idowu Ajayi
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Positive Impact ◽  
Binary Logistic Regression ◽  
Healthcare Services ◽  
Maternal Health Services ◽  
Maternal Healthcare ◽  
Logistic Regression Models ◽  
Fee Exemption ◽  
User Fee

Abstract Background User fee exemption for maternal healthcare services was introduced with a focus on providing free maternal health services, including caesarean sections (CS), in Nigeria. This policy has had a positive impact on access to facility-based delivery; however, the extent to which inequality in access to CS exists in the context of user fee exemption is unclear. The objective of this study was to examine inequalities in access to birth by CS 5 y after the implementation of the user fee exemption policy. Methods Data were obtained from 1227 women who gave birth between 2011 and 2015 and were selected using cluster random sampling between May and August 2016 from two of the six main regions of the country. Adjusted and unadjusted binary logistic regression models were performed. Results An overall CS rate of 6.1% was found, but varied by income, education and place of residence. Women who earned a monthly income of ≤20 000 naira (US$150) were 50% less likely to have a birth by CS compared with those who earned more. Compared with women who were educated to the tertiary level, women who had a secondary education or less were 51% less likely to give birth by CS. Conclusions This study shows that inequality in access to CS persists despite the implementation of free maternal healthcare services.

Practices employed by South African healthcare providers to obtain consent for treatment from children

2016 ◽  
Vol 25 (5) ◽  
pp. 640-652
Author(s):  
Michelle Bester ◽  
Yolanda Havenga ◽  
Zea Ligthelm
Keyword(s):  
Health Services ◽  
South African ◽  
Research Design ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Mental Capacity ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Medical Practitioners ◽  
Access To Health

Background: The ability to consent promotes children’s access to health services. Healthcare providers should assess and arrive at a clinical judgement about the child’s maturity and mental capacity to obtain valid consent. Research objective: The objective of the study was to determine practices employed by South African healthcare providers to obtain consent for treatment from children. Research design: A qualitative, explorative, descriptive research design was used and the study was contextual. Participants and research context: In all, 24 healthcare providers (professional nurses and medical practitioners) were purposively sampled from a hospital and primary health clinics. Semi-structured interviews were used. Ethical consideration: Ethical approval was obtained from the Institutional Review Board and gatekeepers. Written informed consent was obtained from each participant. Findings: Healthcare providers’ current practices in obtaining consent from children revealed inconsistency in implementation as well as the yardstick used to determine children’s mental capacity. Building trust with children, sharing information and assessment were interlinked in obtaining consent. Discussion: The inconsistent practice has implications for children’s access to healthcare services. Conclusion: Inconsistent practices in the implementation of consent laws have the potential to violate children’s rights to bodily and psychological integrity, access to health services and having their opinions heard and be taken into consideration. Through uncovering the current perceptions and practices and a literature review, guidelines intended for use by the Department of Health could be developed.

scholarly journals Utilization of maternal health services among adolescent women in Bangladesh: A scoping review of the literature

2015 ◽  
Vol 20 (7) ◽  
pp. 822-829 ◽  
Author(s):  
A. S. M. Shahabuddin ◽  
Thérèse Delvaux ◽  
Saloua Abouchadi ◽  
Malabika Sarker ◽  
Vincent De Brouwere
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Scoping Review ◽  
Maternal Health Services ◽  
Review Of The Literature ◽  
Adolescent Women
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