scholarly journals Community involvement in reproductive health: Findings from research in Karnataka, India

2004 ◽  
Author(s):  
Keyword(s):  
Child Health ◽  
Reproductive Health ◽  
Health Services ◽  
Community Participation ◽  
Community Involvement ◽  
Child Health Services ◽  
Reproductive And Child Health ◽  
The Government ◽  
The Impact ◽  
And Child Health

In 1996, the government of India decided to provide a package of reproductive and child health services through the existing family welfare program, adopting a community needs assessment approach (CNAA). To implement this approach, the government abolished its practice of setting contraceptive targets centrally and introduced a decentralized planning strategy whereby health workers assessed the reproductive health needs of women in their respective areas and prepared local plans to meet those needs. They also involved community leaders to promote community participation in the reproductive and child health program. Since 1998, several evaluation studies have assessed the impact of CNAA on the program’s performance and community participation. These studies showed that the performance of the maternal health-care program improved, whereas the functioning of the family planning program initially declined but later recovered. The approach achieved little in boosting community involvement. This project tested a new model of health committee to help stimulate community participation in reproductive and child health activities at the village level. The experiment, described in this report, was conducted in the Hunsur block of the Mysore District in Karnataka for two years. Researchers evaluated the impact in terms of community involvement and utilization of reproductive and child health services.

scholarly journals Maternal and Child Health Implementation Research in Mozambique: Effective Community Interventions to Promote Sexual and Reproductive Health

2020 ◽  
Author(s):  
Paulo Das Das Neves Pires ◽  
Martins Mupueleque ◽  
David Zakus ◽  
Jaibo Mucufo ◽  
Ahmed Abdirazak ◽  
...  
Keyword(s):  
Child Health ◽  
Reproductive Health ◽  
Health Services ◽  
Community Participation ◽  
Maternal And Child Health ◽  
Implementation Research ◽  
Sexual And Reproductive Health ◽  
Child Health Service ◽  
The Impact ◽  
And Child Health

Abstract Background: High maternal and neonatal mortality rates in Mozambique, are due to adolescent pregnancies, difficulties in accessing health services, traditional constraints, and gender inequalities. An implementation research project, Alert Community to Prepared Hospital in Natikiri, Nampula, Mozambique was developed to reduce maternal and new-born mortality. From 2016 to 2020, it implemented activities to improve population knowledge and function in sexual and reproductive health, and to enable community participation in maternal health services. In this paper we will assess and discuss the impact of community participation on improving sexual and reproductive health.Methods: Implementation research with community intervention and programmed mid-term evaluations, using mixed methods research, with descriptive quantitative surveys and qualitative focus groups discussions and interviews, applied from 2017 to 2020. Local health committees, traditional birth attendants, traditional healers and local leadership all participated: trained in sexual and reproductive health and participated in radio discussion groups; community and hospital members of the co-management committee enabled local programming. Maternal and child health indicators were evaluated with health unit’s operational data. Quantitative data were captured in Microsoft Office Excel, analysed with SPSS21 to find frequency, percentage, mean and standard deviation; qualitative data registered in Word was analysed with NVIVO. This research received bioethical approvals from both the Mozambique and Canadian universities and followed Helsinki Declaration recommendations.Results: Comparing changes from 2016 to 2019, the number of health committees operating in Natikiri rose from 7 to 20. Each committee integrated four Family Health Champions, who attained 24738 residents with health education interventions on reproductive health. A theatre group developed dramas about the same key messages, presented in communities. Population access to contraceptives was facilitated, from 42% to 91% in women and from 65% to 90% in men. At Marrere Health Centre, women with four ante-natal visits rose by 185%, and children less than one year of age’ visits 89%; at Marrere General Hospital deliveries rose 60%.Conclusion: Community participation, at all levels of maternal and child health service care continuum, from community to hospital, enhanced with complementary interventions well contextualised, is effective in improving adolescent and adult sexual and reproductive health.Trial registrationThis study was not registered in any data base.

The India Local Initiatives Program: A Model for Expanding Reproductive and Child Health Services

2005 ◽  
Vol 36 (3) ◽  
pp. 203-220 ◽  
Author(s):  
John M. Paxman ◽  
Abu Sayeed ◽  
Ann Buxbaum ◽  
Sallie Craig Huber ◽  
Charles Stover
Keyword(s):  
Child Health ◽  
Health Services ◽  
Child Health Services ◽  
Local Initiatives ◽  
Reproductive And Child Health ◽  
And Child Health

What Impact Have SARS-CoV-2/Covid-19 Pandemic on the Reproductive and Child Health Programme of India over the 3 months after nationwide Lock down announcement in March 2020? How SARS-CoV-2 Pandemic era does influence RCH Programme?

2021 ◽  
Author(s):  
Piyush Kumar
Keyword(s):  
Child Health ◽  
Child Health Services ◽  
Family Welfare ◽  
Ministry Of Health ◽  
Prime Concern ◽  
Reproductive And Child Health ◽  
The Impact ◽  
Child Health Programme ◽  
And Child Health ◽  
Health Programme

ABSTRACTBackground: The delivery of reproductive and child health services is of utmost importance and prime concern in India particularly because of huge population with limited resources, poor infrastructure and huge demand on healthcare system. The SARS-CoV-2 pandemic had presented a challenge even for developed healthcare systems around the world. Objectives: The main aim of this research is to find out Impact of SARS-CoV-2 pandemic on the Reproductive and Child Health Programme in India over the 3 months after Lock down imposition countrywide in March 2020 due to Covid-19 pandemic. Settings & Design: Different indicators group of RCH programme 2020 (immunisation, maternal & child health, family planning) for India were collected from Ministry of Health & Family Welfare, Government of India and compared from previous year 2019 data for the period of three months(April/May/June) and presented in tables and graphs to understand the situation. Materials & Methodology: Secondary data from HMIS of Ministry of Health & Family Welfare Government of India for 3 month of April, May, June 2019 & 2020 were taken for analysing and understanding the impact of pandemic on RCH programme over 3 months after nationwide lock down announced in march 2020 viz. April/May/June 2020. The data obtained is analysed by using Microsoft Office

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