Addressing the needs of adolescent mothers and their offspring in Nigeria: a community-based study

2012 ◽  
Vol 24 (4) ◽  
pp. 307-313 ◽  
Author(s):  
Bolajoko O. Olusanya ◽  
Olufunke M. Ebuehi
Keyword(s):  
Postsecondary Education ◽  
Adolescent Mothers ◽  
Low Income ◽  
Low Income Countries ◽  
Childhood Immunization ◽  
Health Seeking ◽  
Community Based ◽  
Poor Countries ◽  
Seeking Behavior ◽  
Obstetric Services

Abstract Objective: The purpose of this study is to determine the perinatal profile of adolescent mothers with surviving offspring against the backdrop of limited community-based data on the outcomes of adolescent pregnancy in low-income countries. Methods: A case-control study of adolescent mothers (13–19 years) attending four community-based clinics for routine childhood immunization from July 2005 to March 2008 in Lagos, Nigeria, matched for infant age and sex. Maternal and infant factors associated with adolescent mothers were determined using unconditional and conditional multivariable logistic regression analyses. Results: A total of 241 adolescent mothers (mean age, 18.2±1.2 years) were consecutively recruited over the study period and matched with 1205 controls (mean age, 27.3±3.9 years). Adolescent mothers in this population were significantly more likely to be unmarried, of the Hausa ethnic tribe, without postsecondary education, unemployed, and primiparous. Although all received antenatal care, they were also more likely to deliver outside hospital without skilled attendants, and their offspring were likely to be undernourished. Conclusions: Socio-demographic profile of adolescent girls who become pregnant is likely to have a significant influence on their health-seeking behavior for obstetric services. Teenagers especially from the most vulnerable ethnic groups in resource-poor countries should be educated on the developmental risks of early childbearing in their surviving offspring.

scholarly journals Childlessness and health seeking behavior in resource poor setting of dang and Udayapur district of Nepal

2021 ◽  
Vol 10 (11) ◽  
pp. 4076
Author(s):  
Rajani Gupta ◽  
Renu Adhikari ◽  
Poonam Rishal
Keyword(s):  
Low Income ◽  
Social Life ◽  
Social Dimension ◽  
Low Income Countries ◽  
Public Health Issue ◽  
Resource Poor Setting ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Resource Poor ◽  
Seeking Behavior

Background: Childlessness is not problem in resource-poor area where fertility rates are high. The consequence of childlessness is very severe in low-income countries like Nepal, particularly for women. Childless women are frequently stigmatized, isolated, ostracized, disinherited and neglected by the family and local community. This may result in physical and psychological abuse, polygamy and even suicide. The aim of the study is to explore the perception of childlessness, its cause and consequences and health seeking behavior among couples in order to develop strategies for action and policy-setting.Methods: This was a qualitative study conducted in Dang and Udayapur district of Nepal. Childlessness couple were recruited through snowball sampling. Information was also gathered from key informant and Focus group discussion. All interview were audiotaped using a digital recorder.Results: Women expressed that they are being discriminated, humiliated and intimated by their family members and society for being childlessness. Despite childlessness problem with husband, women experience emotional and physical abuse. Financial constraints and unaffordable service as one of the major problems among couple that led to withdrawal or stop attending their follow up for modern treatment.Conclusions: The study concludes that childlessness women suffer from all spare of their personal and social life although childlessness is a biomedical cause. Financial hardship and family pressure made them to seek traditional healer for first treatment approach for childlessness rather than modern method of treatment. Therefore, childlessness needs to be seen as a public health issue rather than a pure medical condition. Hence, multi-sectoral (i.e., Preventive, promotive and social dimension) response to address childlessness could be valuable. 

scholarly journals UNINTENTIONAL HOUSEHOLD INJURIES AMONG CHILDREN UNDER TWELVE YEARS OF AGE, AND THEIR MOTHERS' HEALTH SEEKING BEHAVIOR: A CROSS SECTIONAL SURVEY CONDUCTED AT MILITARY HOSPITAL, RAWALPINDI

1970 ◽  
Vol 6 (4) ◽  
pp. 17-20
Author(s):  
Humaira Mahmood ◽  
Saira Maroof ◽  
Sumaira Masood ◽  
Mahmood Ur Rahman
Keyword(s):  
Low Income ◽  
Low Income Countries ◽  
Military Hospital ◽  
Health Seeking ◽  
Unintentional Injuries ◽  
Severe Injuries ◽  
Cross Sectional ◽  
Health Seeking Behavior ◽  
Seeking Behavior ◽  
At Home

Background: Unintentional injuries among children cause a large burden of mortality and morbidity. Environmental factors play an important role in causing these injuries. The mortality rate from unintentional injuries in low income countries is nearly double than in the high income countries.Objectives: To assess frequency of unintentional household injuries among children and mothers' health seeking behavior in different types of injuries.Methods: It was a descriptive cross sectional study conducted in Military Hospital Rawalpindi from September 2015 to February 2016. A total of 116 mothers were interviewed having at least one child less than 12 years of age who has had sustained any household injury in last three months. A structured questionnaire was used for the study covering various aspects of the injury sustained and their health seeking behavior, after taking verbal consent from the participants. Collected data was analyzed using SPSS 22. A p < 0.05 was considered significant for a result.Results: Of all the 116 participants, 68(58.6%) were males and 48(41.4%) were females with 36(31%) from rural and 80(69%) from urban area of residence .Mean age of the children was 5.74±2.78.Most common injuries suffered in order of decreasing frequency were fall related injuries 48(41.4%), cuts/wound/bruises 41(35.3%), burns 18 (15.5%),choking 8(6.9%) and poisoning 1(0.9% ).Most of the injuries were sustained at evening time 44(37.9%) and mostly 78(67%) when the child was not accompanied by an adult.. As far as, management is concerned 48(41.4%) of the injuries were managed at home rest taken to some health facility.Conclusion: The most common accidental household injuries were falls. Most of the injuries were managed at home adequately but in case of severe injuries mothers seek help from a hospital or nearby clinic.

scholarly journals Somalia

2020 ◽  
Vol 20 (86) ◽  
Author(s):  
Keyword(s):  
Low Income ◽  
Net Present Value ◽  
Debt Relief ◽  
Debt Management ◽  
Policy Framework ◽  
Low Income Countries ◽  
Debt Sustainability ◽  
Poor Countries ◽  
Heavily Indebted Poor Countries ◽  
Hipc Initiative

This paper presents an assessment of Somalia’s eligibility for assistance under the enhanced Heavily Indebted Poor Countries (HIPC) Initiative. The macroeconomic framework reflects the policy framework underlying the proposed three-year Fund-supported program. The debt relief analysis (DRA) remains largely unchanged, but some of the underlying debt data has been updated to reflect new information from creditors. In addition, this paper presents an assessment of debt management capacity in Somalia and a full Debt Sustainability Analysis under the Debt Sustainability Framework for Low-Income Countries. The DRA reveals that, after traditional debt relief mechanisms are applied, Somalia’s debt burden expressed as the net present value of debt-to-exports ratio is 344.2 percent at the end of December 2018—significantly above the HIPC Initiative threshold. Despite the challenging environment, progress on reform and policy implementation has been good and sustained reforms have translated into economic results. In addition to the coordinated support from the World Bank and the IMF, reforms have been supported by other development partners.

A New Development Opportunity Confronts Old Paradigms

2011 ◽  
pp. 171-198
Author(s):  
Peter A. Kwaku Kyem
Keyword(s):  
Development Strategy ◽  
Low Income ◽  
Low Income Countries ◽  
Development Discourse ◽  
Poor Countries ◽  
Technological Gap ◽  
Local Actors ◽  
Information And Communication ◽  
Developed Nations ◽  
Ict For Development

There is a considerable debate about how the technological gap between rich and poor countries of the world can be bridged or eliminated. Technological optimists argue that Information and Communication Technology (ICT) can bring accelerated development to poor countries. Others question the viability of relying on ICT for development in low income countries. The ensuing debate has masked the digital divide problem and prevented a true discussion of how ICT can be deployed for the benefit of low income countries. On the otherhand, confronted with the persistent failures of one-size-fits-all economic development models, low income countries can no longer treat modernization as the pivot towards which all ICT-related development efforts must gravitate. There is a need to drop the singular vision of development which is premised on the experiences of Western developed nations and rather restore local actors and their cultures into the actual roles they play in development processes that occur within localities. Accordingly, this chapter reviews the perspectives that currently shape the ICT for development discourse and offers the multiplicity theory to bridge the gap in development theory and promote a development strategy which incorporates activities of both local and global actors in the development of localities.

Reducing the distance to walk: establishing a remote maternity facility in Runga, Hoima District, Uganda

2020 ◽  
Vol 14 (2) ◽  
pp. 1-8
Author(s):  
Rhiannon Grindle ◽  
Sofia Giannopoulou ◽  
Harriet Jacobs ◽  
Jerome Barongo ◽  
Alexandra Elspeth Cairns
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Facility ◽  
Low Income ◽  
Local Level ◽  
Substantial Reduction ◽  
Care Quality ◽  
Low Income Countries ◽  
Health Seeking ◽  
Birth Attendance

Despite a substantial reduction in global maternal mortality, rates in low-income countries remain unacceptably high. Multiple contributing factors exist, grouped into three delays: health-seeking behaviour; accessibility of care; quality of care. In the Hoima District, rates of health facility delivery and skilled birth attendance remain low and maternal mortality exceeds the national average. Establishing the Midwives At Maternity Azur Clinic (February 2017) has addressed these issues at a local level. Health education and antenatal care are provided at the clinic, encouraging women to seek timely, appropriate intrapartum care. Access from surrounding villages is facilitated by a waiting home and weekly transport for antenatal care, alongside transport to a health facility with a staffed operating theatre, when required. It is run by a resident midwife, with regular training updates, and is stocked with the necessary resources for quality healthcare. Since its advent, village leaders report all-cause burials have reduced from one a day to one a week.

scholarly journals Community-based maternal and newborn care: A concept analysis

Curationis ◽  
2018 ◽  
Vol 41 (1) ◽  
Author(s):  
Yonas R. Guta ◽  
Patrone R. Risenga ◽  
Mary M. Moleki ◽  
Merertu T. Alemu
Keyword(s):  
Low Income ◽  
Newborn Care ◽  
Newborn Health ◽  
Concept Analysis ◽  
Low Income Countries ◽  
Maternal And Newborn Health ◽  
Community Based ◽  
Care Services ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

Background: Community-based care can serve as a valuable programme in the provision of essential maternal and newborn care, specifically in communities in low-income countries. However, its application in maternal and newborn care is not clearly documented in relation to the rendering of services by skilled birth attendants.Objectives: The purpose of the analysis was to clarify the meaning of the concept ‘community-based maternal and newborn care and its relationship to maternal and newborn health’.Method: Walker and Avant’s and Rodgers and Knafl’s as well as Chin and Kramer’s approaches to concept analysis were followed to analyse community-based maternal and newborn care.Results: The attributes of community-based care in maternal and newborn health include (1) the provision of home- and/or community-level skilled care, (2) linkages of health services and (3) community participation and mobilisation. These attributes are influenced by antecedents as well as consequences.Conclusion: The provision of good maternal and newborn care to all clients is a crucial aspect in provision of maternal and newborn services. In order for low-income countries to promote maternal and newborn health, community-based care services are the best option to follow.

Staff Guidance Note on the Application of the Joint Fund-Bank Debt Sustainability Framework for Low-Income Countries

Policy Papers ◽  
2008 ◽  
Vol 2008 (3) ◽  
Author(s):  
Keyword(s):  
Low Income ◽  
Debt Relief ◽  
Low Income Countries ◽  
Bank Debt ◽  
Debt Sustainability ◽  
Poor Countries ◽  
Guidance Note ◽  
Heavily Indebted Poor Countries ◽  
Alternative Scenarios ◽  
Sustainability Framework

The objective of the joint Fund-Bank debt sustainability framework for low-income countries is to support LICs in their efforts to achieve their development goals without creating future debt problems. Countries that have received debt relief under the Heavily Indebted Poor Countries (HIPC) Initiative and the Multilateral Debt Relief Initiative (MDRI) need to be kept on a sustainable track. Under the framework, country DSAs are prepared jointly by Bank and Fund staff, with close collaboration between the two staffs on the design of the macroeconomic baseline, alternative scenarios, the debt distress rating, and the drafting of the write-up.

scholarly journals Maternal health expenditures and health seeking behavior among lowest wealth quintile of the rural population in an under developed district of the Punjab, Pakistan

2018 ◽  
Vol 7 (7) ◽  
pp. 2579
Author(s):  
Mariam Sughra ◽  
Farwa Fatima ◽  
Mouzma Marrium ◽  
Khizer Abbas
Keyword(s):  
Maternal Health ◽  
Low Income ◽  
Rural Areas ◽  
Health Expenditures ◽  
Wealth Quintile ◽  
Monthly Income ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Seeking Behavior ◽  
The Mean

Background: Expenditures on maternal health is important factor to determine the health seeking behavior in pregnant women among the lowest economical section of Pakistan. This study was carried out determine the maternal health expenditures and health seeking behavior among lowest wealth quintile of rural Rahim Yar Khan.Methods: Sample Size: For this cross- sectional study, a total of 230 subjects were involved in the study from rural areas of Rahim Yar Khan including Basti Bahishti, Bah-o-Bahar and Chak 83/P. This study was comprised of duration of 06 months from 02/03/2016 to 04/09/2016. The head of Family (Husband) with monthly income less than 15000 Pakistani rupees (PKR) were included and marriage with in last 5 years with at alive delivery. While subjects having income more than 15000 PKR and not willing to participate in study were excluded from the study.Results: People with mean monthly income of PKR. 1176±4109 spent mean amount of PKR. 146442 ± 7747 on their marriages. While the mean expenses on treatment of complication in the last pregnancy were PKR. 35808±6771 and the amount saved for the treatment of complication was PKR. 2750±1157 only. Mean antenatal expenses were PKR. 1807±3335, Mean expenses on delivery were PKR. 7351±855 as compared to the money saved for delivery was PKR. 6115±1460. Mean expenses on complications during delivery were PKR. 1692±523. Mean expenses on postnatal care were PKR.8596±3597 while the mean amount used for treatment of postnatal complications were of PKR. 2451±560. Mean expenses on birth celebrations were of PKR. 7697±832.Conclusions: Present study reveals that there is a high financial cost of maternal health expenditures paid by the lowest wealth quintile in rural areas of Rahim Yar Khan when compared with the income of this quintile. Access of the people to the health sector is still limited due to low income of people, low health education and unavailability of health services in rural areas and even in 2017.

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