scholarly journals Factors affecting the choice of maternal and child health services in a rural area of Saudi Arabia

2021 ◽  
Vol 1 (2) ◽  
pp. 261-269
Author(s):  
Nosa N. A. Al Nahedh
Keyword(s):  
Saudi Arabia ◽  
Child Health ◽  
Health Service ◽  
Health Services ◽  
Rural Area ◽  
Maternal And Child Health ◽  
Child Health Services ◽  
Child Health Service ◽  
Factors Affecting ◽  
And Child Health

Thistudy examines factors affecting the choice of maternal and child health services in a rural area in Saudi Arabia. A house-to-house survey of 329 women in Al-Oyaynah village, north-west of Riyadh city, was carried out to determine the maternal factors associated with this choice. The variables examined included age, duration of marriage, education, occupation, income, parity and husband’s education. The analysis showed that distance from the health service, education of the mother and her age were the strongest determinants of the choice of maternal child health service used

No effects of pilot performance-based intervention implementation and withdrawal on the coverage of maternal and child health services in the Koulikoro region, Mali: an interrupted time series analysis

2020 ◽  
Vol 35 (4) ◽  
pp. 379-387
Author(s):  
David Zombré ◽  
Manuela De Allegri ◽  
Valéry Ridde
Keyword(s):  
Time Series ◽  
Child Health ◽  
Health Service ◽  
Maternal And Child Health ◽  
Interrupted Time Series ◽  
Child Health Services ◽  
Child Health Service ◽  
Health Centres ◽  
The Impact ◽  
And Child Health

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.

scholarly journals The Effect of Accessibility on Performance of Maternal and Child Health Policy Implementation in East Nusa Tenggara Province, Indonesia

2019 ◽  
Vol 11 (11) ◽  
pp. 180
Author(s):  
Tat Florentianus ◽  
Bait M. Maria
Keyword(s):  
Child Health ◽  
Health Service ◽  
Health Services ◽  
Policy Implementation ◽  
Maternal And Child Health ◽  
Health Workers ◽  
Child Health Services ◽  
Service Accessibility ◽  
The Government ◽  
And Child Health

BACKGROUND: The fact shows that the performance of health service policy implementation from the output aspect (out put) and the outcome (out comes) policy has not been in line with expectations. This condition will also have a direct influence on the Human Development Index in East Nusa Tenggara Province, where the position of East Nusa Tenggara is still in the order of 32 out of 34 provinces in Indonesia, which ranges from 68.77. The main purpose of this study was to identify the health service accessibility in East Nusa Tenggara. Furthermore, this study also intended to find out the performance of policy implementation and was to identify the effect of accessibility of health sevices on the performance of policy implementation on mothers and children in East Nusa Tenggara. SUBJECT & METHOD: This research is a quantitative study, conducted in 11 districts, 104 community healths services, and has 235 health workers as respondents in East Nusa Tenggara Province of Indonesia. RESULT: The results of the study on conditions of accessibility and networking in maternal and child health services in East Nusa Tenggara Province are still lacking (mean 2.7), meaning that conditions of accessibility in East Nusa Tenggara Province do not support the implementation of MCH policies. The performance of MCH policy implementation in East Nusa Tenggara Province is in the 3.36 category, meaning that the targets of MCH services that have been made have not been maximally realized. There is a correlation between accessibility conditions and the performance of MCH policy implementation (p = 0.00), the correlation coefficient of 0.429 shows that this correlation is quite strong, although not very strong. This correlation shows a positive relationship which means that if the accessibility conditions are easier, it will improve the performance of MCH policy implementation. The effect of accessibility on policy performance has been carried out partial linear regression test (t test), found t count = 19.0115 > t table 1.97 means that there is a significant influence on the condition of accessibility to the performance of MCH policies in East Nusa Tenggara Province. CONCLUSION: Accessibility to health services in East Nusa Tenggara Province is still lacking, the policy implementation performance is good and there is a significant and positive influence between service accessibility and policy implementation performance. RECOMENDATION: The government is expected to be more serious in efforts to open the accessibility of health services and set more realistic targets that could be achieved.

scholarly journals Measuring coverage of maternal and child health services using routine health facility data: a Sierra Leone case study

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Abdoulaye Maïga ◽  
Agbessi Amouzou ◽  
Moussa Bagayoko ◽  
Cheikh M. Faye ◽  
Safia S. Jiwani ◽  
...  
Keyword(s):  
Child Health ◽  
Health Service ◽  
Sierra Leone ◽  
Survey Data ◽  
Maternal And Child Health ◽  
Institutional Delivery ◽  
Child Health Services ◽  
Child Health Service ◽  
Immunization Service ◽  
And Child Health

Abstract Background There are limited existing approaches to generate estimates from Routine Health Information Systems (RHIS) data, despite the growing interest to these data. We calculated and assessed the consistency of maternal and child health service coverage estimates from RHIS data, using census-based and health service-based denominators in Sierra Leone. Methods We used Sierra Leone 2016 RHIS data to calculate coverage of first antenatal care contact (ANC1), institutional delivery and diphtheria-pertussis-tetanus 3 (DPT3) immunization service provision. For each indicator, national and district level coverages were calculated using denominators derived from two census-based and three health service-based methods. We compared the coverage estimates from RHIS data to estimates from MICS 2017. We considered the agreement adequate when estimates from RHIS fell within the 95% confidence interval of the survey estimate. Results We found an overall poor consistency of the coverage estimates calculated from the census-based methods. ANC1 and institutional delivery coverage estimates from these methods were greater than 100% in about half of the fourteen districts, and only 3 of the 14 districts had estimates consistent with the survey data. Health service-based methods generated better estimates. For institutional delivery coverage, five districts met the agreement criteria using BCG service-based method. We found better agreement for DPT3 coverage estimates using DPT1 service-based method as national coverage was close to survey data, and estimates were consistent for 8 out of 14 districts. DPT3 estimates were consistent in almost half of the districts (6/14) using ANC1 service-based method. Conclusion The study highlighted the challenge in determining an appropriate denominator for RHIS-based coverage estimates. Systematic and transparent data quality check and correction, as well as rigorous approaches to determining denominators are key considerations to generate accurate coverage statistics using RHIS data.

Engaging Men as Fathers: How Gender Influences Men’s Involvement in Australian Family Health Services

2018 ◽  
Vol 39 (16) ◽  
pp. 3956-3985 ◽  
Author(s):  
Naomi Pfitzner ◽  
Cathy Humphreys ◽  
Kelsey Hegarty
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Family Health ◽  
Study Data ◽  
Child Health Services ◽  
Child Health Service ◽  
Child And Family Services ◽  
Family Services ◽  
And Child Health

Despite claims of “new” and “involved” fathers, research shows men’s actual fathering practices remain relatively unchanged. Increasing attention is being paid to the influence of child and family services on father engagement with calls from researchers and practitioners for a game change in parenting interventions. In this article, we draw on case study data to examine how gender impacts on maternal and child health services’ engagement with new fathers in respectful relationships programs. Our analysis shows that gender shapes men’s fathering and consequently their involvement in programs that seek to engage men as fathers. These gendered behaviors intersect with the practices, policies, and orientation of the Maternal and Child Health Service. The findings hold important implications for designing strategies to engage men in family services.

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