scholarly journals Engaging community women’s groups to improve maternal health care delivery in Cross River: Implementation research report

2019 ◽  
Author(s):  
Pooja Sripad ◽  
Emmanuel Nwala ◽  
Tracy McClair ◽  
Salisu Ishaku ◽  
Charlotte Warren
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Delivery ◽  
Implementation Research ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Research Report ◽  
Women's Groups ◽  
Cross River ◽  
Women’S Groups

scholarly journals The Place of Politics in Social Protection Program: Focus on Infant and Maternal Health Care Delivery in Akure, Nigeria

2019 ◽  
Vol 5 (11) ◽  
pp. 105
Author(s):  
OLORUNFEMI Samuel Oluwaseyi ◽  
LAWAL Olubunmi Lukman
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Delivery ◽  
Maternal Death ◽  
Social Protection ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Ondo State ◽  
Child Hospital ◽  
Infant Birth

<p>The study examines the place of politics in infant and maternal health care delivery in Akure. To achieve this, the following objectives were made: assess the magnitude of infant birth and death as well as maternal death in the study area from 2003-2017, identify the causes of infant and maternal death in Akure, examine the relationship between politics and infant and maternal health care through policies and programmes instituted by various administrations and identify challenges facing infant and maternal health care delivery in Akure. To successfully capture these objectives, two governments owned hospitals (Mother and Child Hospital and Ondo State Specialist Hospital Akure) were selected for the administration of questionnaires. In all, eighty (80) women that have made use of the hospitals during pregnancy and child care stage were randomly and purposefully selected from the record file of the hospitals for the purpose of questionnaire administration. Likewise, the Chief Medical Directors of the two hospitals were interviewed. Data obtained were collated and presented using the descriptive statistical method. Findings revealed the policies, programmes, and accomplishments of successive governments of Ondo State from 2003-2017. The study recommends that successive government at all levels irrespective of political or party affiliation should make infant and maternal health care free most especially to the poor and the vulnerable group in the society.</p>

scholarly journals Determinants of utilization of maternal health care services among mothers in Harare, Zimbabwe

2019 ◽  
Author(s):  
Eunice Nyarambi ◽  
Paddington Tinashe Mundagowa ◽  
Prosper Chonzi ◽  
Elizabeth Chadambuka
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Health Facilities ◽  
Related Factors ◽  
Care Services ◽  
Maternal Health Care Services

Abstract Background: Provision of quality maternal health care services is an essential component in ensuring a healthy mother-baby dyad both pre- and post-delivery. In Africa, antenatal care, postnatal care, and skilled birth attendances are very low when compared to high-income countries. The continent has a high burden of maternal and infant morbidity as well as mortality rates. According to the Harare Annual Report of 2016, the number of women seeking maternal health care services was gradually declining from 2014 and pregnant women reported various challenges in accessing health care services. Methods: A 1 to 1 case-control study was conducted in Harare West South Western District using pretested interviewer-administered questionnaires. The study was carried out at all three clinics in the district and a total of 73 cases and 73 controls were selected using a systematic random sampling method. Quantitative data were analyzed using Epi Info statistical package and qualitative data was analyzed thematically. Results: The median ages for cases and controls were 29 and 24 years, respectively and the age-group 19 to 24 years constituted the majority of participants (41%). Predictors of utilization of services were young age ( < 24 years), birth order of < 2, maternal and paternal occupation, and religion. Enabling factors included: asking for permission to seek care, absence of transport challenges, a shorter distance to the health facility, affordability of health services, and a higher household income. Besides the shortage of skilled staff at the clinics, mothers endured long waiting hours to be served. The majority of the cases (78.1 %) and controls (72.6%) preferred to be attended by male nurses. Mothers were required to pay a $25 fee for booking and city medical staff rarely visited the clinics. Conclusion: The utilization of maternal health care services in Harare is dependent on the individual, household, and system-related factors. There was a need to articulate policies and design maternal health care programs that target socially and economically marginalized women. Creating women-friendly health facilities with extended hours for the antenatal care, delivery care and post-natal care services for mothers can help to decongest the health facilities.

scholarly journals Women's Satisfaction with Maternal care in Ghana : The Doctor's Behaviour as a Regulating Factor

2021 ◽  
pp. 332-344
Author(s):  
Fortune Afi Agbi ◽  
Professor Zhou Lvlin ◽  
Eric Owusu Asamoah
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Postnatal Care ◽  
Health Care Services ◽  
Positive Impact ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Delivery Care ◽  
Care Services

<p>The key element of human rights and the road to equity and dignity of women and children is the quality of care received. The provision of maternal health care is based on quality during pregnancy, and distinctly forty-eight hours after delivery, is an important contribution to saving women’s lives and preventing disabilities (Quah, 2016). Thus, the understanding of women's experiences and expectations through the continuum of prenatal care, delivery care and postnatal care is important for assessing the quality of maternal health care and the determination of problem areas requiring improvement. Women's satisfaction reflects women's judgment of various aspects of maternal health care, including organizational and interpersonal aspects. Multiple linear regression was used (IBM SPSS v.25) to test the main hypotheses for the present study. The ordinal regression was used to predict the value of a result variable (dependent variable) based on the value of two or more prediction variables (independent variables). This study identifies the relationship between maternal health services (prenatal & diagnostic care, delivery care and postnatal care) and women's satisfaction with the moderating role of doctor's behavior. The study finally determined the positive impact of health care services on women's satisfaction. The results also show that the doctor's behavior in health care services affect women's satisfaction and so, the alternate hypotheses are accepted. In this study, physicians were encouraged to give pregnant women thorough inspection and examination, treat them with courtesy and respect. The study also showed that, the government should focus on hiring additional employees to overcome workload.</p>

scholarly journals Utilization of Maternal Health Care Services in India: A Community Based Cross-sectional Study in Rural Belgaum

2019 ◽  
pp. 1-11
Author(s):  
Maginsh Dahal ◽  
Kushalata Baral ◽  
Mubashir Angolkar
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Delivery ◽  
Health Workers ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Introduction: Sub Centre (SC) is the peripheral unit of the existing health care delivery system under the allopathic system of medicine in India. These basically provide preventive, promotive and the curative services and are facilitated by Female Health Workers (ANM) and Male Health Workers (MHW). They are the integral part of health care delivery system. Also, key to achieve a goal of health for all and to promote the community people for their overall development. Methods: A community based descriptive cross-sectional study was conducted from August 2011 to February 2013 in all 9 sub centers of Kinaye PHC of Belgaum district, all 14 maternal health care workers were selected  and 272 beneficiaries were selected from catchments area of these sub-centers were interviewed by administering structured, pretested interview schedule. Data were analyzed by SPSS (20 Version). Results: Study revealed that (85%) of the workers had correct knowledge but could not transform it into practice completely. This is due to multiple problems that encounter such as include lack of equipments(85.71%), transport facilities (77.78%), delay in decision-making by community to seek care (77.78%), lack of supportive supervision (>20%). Besides these, they were lacking in career development opportunities. There are no promotional avenues and low remuneration and benefits. The acceptance of service provided through sub centers was satisfactory (>90%) among beneficiaries and ANMs (98%) were most accepted than MHW. Beneficiaries faced many problems to access services such as lack of need based services (60%), poor attention by health service provider towards the need of consumers (5.2%) and difficulty in reaching to sub health post (21%). Conclusion: The regular supply of necessary equipments and medicines needs to be ensured          at the sub centre and frequent in-service trainings and career development opportunities to be given to health workers to maintain the enthusiasm and devotion towards the profession.                Also there is a need to provide skill development opportunities and ensure the convenience of service at all sub centers and communication between health workers and beneficiaries to be emphasized.

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