scholarly journals SIAPA YANG MENGAMBIL MANFAAT DARI PELAYANAN KIA DI INDONESIA TIMUR? ANALISIS DATA SDH 1991*

Populasi ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Mubasyir Hasanbasri
Keyword(s):  
Child Health ◽  
Economic Status ◽  
Child Death ◽  
National Policy ◽  
Target Groups ◽  
Community Based ◽  
Indonesian Population ◽  
Accessibility Problem ◽  
Health Survey Data ◽  
Preventive Health Behaviour

Maternaland Child Health (MCH) program has been an important national policy measure to prevent child death and to promote child health. In consideration of government restricted budget, the size of and spreadity of Indonesian population, government has provided at least one health center for every subdistrict and has promoted community participation through community based health post to reach the out reach population. This study seeks to explore community's utilization of this program and assesses whether the program has reached the priotity target groups such as the children with uneducated mothers and lower economic status. The 1991 Indonesian Demographic and Health Survey data is used and sampel of 860 children of 12-23 month old from eastern Indonesiaisthe focus of analysis. Logistic regression is used as multivariate analysis. The resultshows that the MCH program seems to have solved accessibility problem of economic constraint, however, contrary to the high priority groups being targeted, lower educated mothers use less services than those of more educated. This may be associated with lack of appropriate local conceptual framework in understanding preventive health behaviour among uneducated mothers and less progressive efforts in enforcing the need for social participation from the uneducated mothers.

Maternal and child health nurses’ experiences of implementing two community-based breastfeeding interventions in Victoria, Australia: A mixed methods process evaluation

2019 ◽  
Vol 16 (1) ◽  
pp. 4-14 ◽  
Author(s):  
Rhian L Cramer ◽  
Helen L McLachlan ◽  
Touran Shafiei ◽  
Lisa H Amir ◽  
Meabh Cullinane ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Randomised Trial ◽  
Cluster Randomised Trial ◽  
Breastfeeding Initiation ◽  
Structured Interviews ◽  
Breastfeeding Support ◽  
Community Based ◽  
Significant Drop ◽  
And Child Health

Despite high rates of breastfeeding initiation in Australia, there is a significant drop in breastfeeding rates in the early postpartum period, and Australian government breastfeeding targets are not being met. The Supporting breastfeeding In Local Communities (SILC) trial was a three-arm cluster randomised trial implemented in 10 Victorian local government areas (LGAs). It aimed to determine whether early home-based breastfeeding support by a maternal and child health nurse (MCH nurse) with or without access to a community-based breastfeeding drop-in centre increased the proportion of infants receiving ‘any’ breast milk at four months. Focus groups, a written questionnaire and semi-structured interviews were undertaken to explore the interventions from the perspective of the SILC-MCH nurses (n=13) and coordinators (n=6), who established and implemented the interventions. Inductive thematic analysis was used to identify themes, then findings further examined using Diffusion of Innovations Theory as a framework. SILC-MCH nurses and coordinators reported high levels of satisfaction, valuing the opportunity to improve breastfeeding in our community; and having focused breastfeeding time with women in their own homes. They felt the SILC interventions offered benefits to women, nurses and the MCH service. Implementing new interventions into existing, complex community health services presented unforeseen challenges, which were different in each LGA and were in part due to the complexity of the individual LGAs and not the interventions themselves. These findings will help inform the planning and development of future programs aimed at improving breastfeeding and other interventions in MCH.

scholarly journals And yet Again: Having Breakfast Is Positively Associated with Lower BMI and Healthier General Eating Behavior in Schoolchildren

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1351
Author(s):  
Peggy Ober ◽  
Carolin Sobek ◽  
Nancy Stein ◽  
Ulrike Spielau ◽  
Sarah Abel ◽  
...  
Keyword(s):  
Weight Status ◽  
Economic Status ◽  
School Setting ◽  
School Type ◽  
Community Based Interventions ◽  
Community Based ◽  
Nutritional Behavior ◽  
Related Information ◽  
Starting Point ◽  
National Programs

Given the high prevalence of childhood overweight, school-based programs aiming at nutritional behavior may be a good starting point for community-based interventions. Therefore, we investigated associations between school-related meal patterns and weight status in 1215 schoolchildren. Anthropometry was performed on-site in schools. Children reported their meal habits, and parents provided family-related information via questionnaires. Associations between nutritional behavior and weight status were estimated using hierarchical linear and logistic regression. Analyses were adjusted for age, socio–economic status, school type, migration background, and parental weight status. Having breakfast was associated with a lower BMI-SDS (βadj = −0.51, p = 0.004) and a lower risk of being overweight (ORadj = 0.30, p = 0.009), while having two breakfasts resulting in stronger associations (BMI-SDS: βadj = −0.66, p < 0.001; risk of overweight: ORadj = 0.22, p = 0.001). Likewise, children who regularly skipped breakfast on school days showed stronger associations (BMI-SDS: β = 0.49, p < 0.001; risk of overweight: OR = 3.29, p < 0.001) than children who skipped breakfast only occasionally (BMI-SDS: β = 0.43, p < 0.001; risk of overweight: OR = 2.72, p = 0.032). The associations persisted after controlling for parental SES and weight status. Therefore, our data confirm the school setting as a suitable starting point for community-based interventions and may underline the necessity of national programs providing free breakfast and lunch to children.

Child Saving and Child Spacing in Africa: The Evolution of a Concept

1973 ◽  
Vol 3 (4) ◽  
pp. 765-768
Author(s):  
Robert D. Wright
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Maternal And Child Health ◽  
Child Death ◽  
Child Health Services ◽  
Tropical Africa ◽  
Low Visibility ◽  
Child Spacing ◽  
High Level ◽  
And Child Health

In tropical Africa the primordial presence of enormous young child death rates precludes a successful frontal attack on birth rates through specialized programs. Experience in Nigeria indicates that gradual, quiet pressure can influence the power structure to tolerate and eventually espouse child spacing as an integral part of a program of services for child saving. The approach involves four phases: a low visibility start; obtaining high level acceptance; establishment of a federal training center to train cadres for state training programs; and deployment of trained primary care auxiliaries as a local maternal and child health-family planning service. In tropical Africa governmental attitudes toward family planning range from positive policy, to neutrality, to strong opposition. At present most Anglophone countries are favorable. Most Francophone countries are opposed. The general trend is toward a more favorable attitude toward family planning when it is a part of maternal and child health services.

scholarly journals Cognitive output of a neuropsychological stimulation program in an elderly day care center with low educated participants: An observational study

2014 ◽  
Vol 8 (2) ◽  
pp. 162-168
Author(s):  
Maria Vânia Silva Nunes ◽  
Ana Almeida Pinho ◽  
Helena Mauricio Campos ◽  
Paula Abreu ◽  
Isabel Pinto Gonçalves ◽  
...  
Keyword(s):  
Observational Study ◽  
Day Care ◽  
Economic Status ◽  
Care Center ◽  
Cognitive Stimulation ◽  
Community Based ◽  
Day Care Center ◽  
Social Economic Status ◽  
Before And After ◽  
Low Educated

ABSTRACT Objective: In the present paper we present an observational study of the implementation of a Neuropsychological Stimulation Program at an Elderly Day Care Center in low-educated participants with very similar backgrounds concerning social economic status. Methods: The implemented program tackled several dimensions, including daily orientation sessions, cognitive stimulation sessions twice a week, followed by movement sessions, and structured sessions conducted every two weeks. Cognitive Evaluation was performed before and after implementation of the program. Results: Results are discussed taking into consideration cognitive outputs as well as non-cognitive outputs and the specificities of community-based intervention. Conclusion: It was concluded that community-based intervention is set to become vital in promoting dementia prevention.

scholarly journals Targeting Performance of Community-based Development Interventions: An Econometric Analysis of a WomenFocused and Women-Managed Non-Governmental Organisation in Rural Pakistan

2015 ◽  
Vol 54 (4I-II) ◽  
pp. 825-840
Author(s):  
Hidayat Ullah Khan ◽  
Takashi Kurosaki
Keyword(s):  
Developing Countries ◽  
Informal Sector ◽  
Local Knowledge ◽  
Poverty Reduction ◽  
Econometric Analysis ◽  
Target Groups ◽  
Community Based ◽  
Development Interventions ◽  
Rural Pakistan ◽  
Potential Use

The approach of community-based development (CBD) is expected to improve targeting and reduce programme costs of poverty reduction policies, besides other positive contributions [Mansuri and Rao (2004)]. 1 Furthermore, the use of local knowledge is expected to bear greater relevance in a situation where credible monetary data for potential use in targeting activities are not available. According to Alatas, et al. (2012), in developing countries—where the majority of potential target group is employed in the informal sector—the availability of verifiable income records is always an issue. Therefore, it is difficult to identify target groups by employing conventional targeting techniques such as means tests. For these reasons, identification through the CBD approach is expected to improve targeting.

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