scholarly journals Methodology of Maternal and Child Health Populational Surveys: A Statewide Cross-sectional Time Series Carried Out in Ceará, Brazil, from 1987 to 2017, with Pooled Data Analysis for Child Stunting

2019 ◽  
Vol 85 (1) ◽  
Author(s):  
Luciano Lima Correia ◽  
Hermano Alexandre Lima Rocha ◽  
Sabrina Gabriele Maia Oliveira Rocha ◽  
Lucas Silveira do Nascimento ◽  
Anamaria Cavalcante e Silva ◽  
...  
Keyword(s):  
Time Series ◽  
Data Analysis ◽  
Child Health ◽  
Maternal And Child Health ◽  
Cross Sectional ◽  
Child Stunting ◽  
Pooled Data ◽  
And Child Health

Maternal and Child Health in Mongolia at 3 Years After Childbirth: A Population-Based Cross-Sectional Descriptive Study

2015 ◽  
Vol 20 (5) ◽  
pp. 1072-1081 ◽  
Author(s):  
Kenji Takehara ◽  
Amarjargal Dagvadorj ◽  
Naoko Hikita ◽  
Narantuya Sumya ◽  
Solongo Ganhuyag ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Descriptive Study ◽  
Population Based ◽  
Cross Sectional ◽  
And Child Health

scholarly journals Project ACCLAIM: Intervention Effect on Community Knowledge, Attitudes and Beliefs of Maternal and Child Health and HIV/AIDS in Eswatini, Uganda and Zimbabwe

2021 ◽  
Author(s):  
N. Bandopadhay ◽  
◽  
G. B. Woelk ◽  
M. P. Kieffer ◽  
D. Mpofu
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Community Leaders ◽  
Community Leader ◽  
Community Interventions ◽  
Attitudes And Beliefs ◽  
Hiv Knowledge ◽  
Post Intervention ◽  
Cross Sectional ◽  
And Child Health

AbstractThe ACCLAIM Study aimed to assess the effect of a package of community interventions on the demand for, uptake of, and retention of HIV-positive pregnant/postpartum women in maternal and child health (MCH) and prevention of mother-to-child HIV transmission (PMTCT) services. The study occurred from 2013 to 2015 in Eswatini, Uganda, and Zimbabwe. The three interventions were: (1) a social learning and action component for community leaders, (2) community days, and (3) peer discussion groups. Household cross-sectional surveys on community members’ MCH and PMTCT knowledge, attitudes, and beliefs were analyzed pre- and post-intervention, using MCH, HIV stigma, and gender-equitable men (GEM) indicators. We used t-tests to measure the significance of mean pre- vs. post-intervention score changes stratified by gender within each intervention arm and generalized linear models to compare mean score changes of the cumulative intervention arms with the community leaders-only intervention. Response rates were over 85% for both surveys for men and women, with a total of 3337 pre-intervention and 3162 post-intervention responses. The combined package of three interventions demonstrated a significantly greater increase in MCH scores for both women (diff = 1.34, p ≤ 0.001) and men (diff = 2.03, p < 0.001). The arms that included interventions for both community leader engagement and community days (arms 2 and 3)led to a greater increase in mean GEM scores compared to the community leader engagement intervention alone (arm 1), for both women (diff = 1.32, p = 0.002) and men (diff = 1.37, p = 0.004). Our findings suggest that a package of community interventions may be most effective in increasing community MCH/HIV knowledge and improving gender-equitable norms.

scholarly journals The Maternal and Child Health Handbook for Improving the Continuum of Care and Other Maternal and Child Health Indicators in Angola: An Implementation Study Protocol

2021 ◽  
Vol 2 ◽  
Author(s):  
Ai Aoki ◽  
Keiji Mochida ◽  
Michiru Kuramata ◽  
Toru Sadamori ◽  
Helga Reis Freitas ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Intervention Group ◽  
Health Indicators ◽  
Continuum Of Care ◽  
Health Facilities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Implementation Status ◽  
And Child Health

Background: Reducing maternal, neonatal, and infant mortality tops the health targets of sustainable development goals. Many lifesaving interventions are being introduced in antenatal, delivery, and postnatal care. However, many low- and middle-income countries (LMICs) have not reached maternal and child health targets. The Maternal and Child Health Handbook (MCH-HB) is recommended as a home-based record to promote a continuum of care from pregnancy to early childhood, and is gaining increasing attention among LMICs. Several countries have adopted it as national health policy. To effectively utilize the MCH-HB in LMICs, implementation needs to be considered. Angola is an LIMC in Sub-Saharan Africa, where maternal and child health indicators are among the poorest. The Angolan Ministry of Health adopted the MCH-HB program in its national health policy and is currently conducting a cluster randomized controlled trial (MCH-HB RCT) to evaluate its impact on the continuum of care. This study aimed to evaluate implementation status, and barriers and facilitators of MCH-HB program implementation in Angola.Methods: To evaluate implementation status comprehensively, the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework will be used. Four components other than effectiveness will be investigated. A cross-sectional survey will be conducted targeting all health facilities and officers in charge of the MCH-HB at the municipality health office in the intervention group after the MCH-HB RCT. Data from the cross-sectional survey, secondary MCH-HB RCT data, and operational MCH-HB RCT records will be analyzed. Health facilities will be classified into good-implementation and poor-implementation groups using RE-AIM indicators. To identify barriers to and facilitators of MCH-HB implementation, semi-structured interviews/focus group discussions will be conducted among health workers at a sub-sample of health facilities and all municipality health officers in charge of MCH-HB in the intervention group. The Consolidated Framework for Implementation Research will be adopted to develop interview items. Thematic analysis will be performed. By comparing good-implementation and poor-implementation health facilities, factors that differ between groups that contribute to successful implementation can be identified.Discussion: This study's findings are expected to inform MCH-HB implementation policy and guidelines in Angola and in other countries that plan to adopt the MCH-HB program.

The Enhanced Maternal and Child Health nursing program in Victoria: a cross-sectional study of clinical practice

2019 ◽  
Vol 25 (3) ◽  
pp. 281
Author(s):  
Catina Adams ◽  
Leesa Hooker ◽  
Angela Taft
Keyword(s):  
Child Health ◽  
Data Collection ◽  
Maternal And Child Health ◽  
Online Survey ◽  
Program Effectiveness ◽  
Outcome Measurement ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Vulnerable Families ◽  
And Child Health

The Maternal and Child Health (MCH) service in Victoria comprises a universal service, an enhanced program providing additional support for vulnerable families (EMCH) and a 24-h MCH telephone line. There is anecdotal evidence of variation in EMCH programs between Local Government Areas, and this study aims to explore the variation in EMCH programs to inform future EMCH policy and practice. An online survey was sent to MCH coordinators in Victoria in December 2016 (n = 79), with a response rate of 70% (55/79). Quantitative data have been analysed using descriptive statistics, with open-ended questions examined using content analysis. The data confirms that EMCH programs vary significantly across the state. Differences include a variation in referral and intake criteria, different models of service and modes of delivery, differences in EMCH nurse working conditions, issues with data collection and a lack of systematic clinical tools. Variation in the EMCH program is greatest between urban and rural services and between advantaged and disadvantaged urban councils. Lack of consistent service delivery and data collection impairs program evaluation, including outcome measurement and evidence of program effectiveness.

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 RISK FACTORS FOR PREMATURE BIRTH IN INDONESIA

2021 ◽  
Vol 10 (1) ◽  
pp. 61
Author(s):  
Hafiza Ajeng Dianing Sukma ◽  
Sagar Tiwari
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Child Health ◽  
Maternal And Child Health ◽  
Premature Birth ◽  
Maternal Age ◽  
Smoking Habits ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
And Child Health

Indonesia is currently taking on the challenge of the relatively high number of neonatal deaths influencing maternal and child health. Premature birth is the most significant contributor to the number of neonatal deaths. The occurrence of premature birth is motivated by various risk factors. Knowing the magnitude of the relationship between several risks, namely maternal age, location, parity, and maternal smoking habits with preterm birth incidents was the aim of this study. The 2017 Indonesian Demographic and Health Survey (IDHS) was a source of data used. This study employed a cross-sectional approach and then processed the results with univariate and bivariate tests. The results showed a relationship between maternal age and residential area with the premature birth, where mothers under 20 years and over 35 years had a higher probability of giving birth prematurely. The area of residence, which was divided into rural and urban, also had a relationship with premature birth. The parity and smoking habits showed no association with preterm birth. Education, Antenatal Care (ANC), and other various efforts to emphasize maternal and child health care during pregnancy need to be continuously improved to reduce preterm birth rates in Indonesia.

scholarly journals Peran Diskusi Suami Istri terhadap Kepatuhan Kunjungan Antenatal Care (ANC)

2021 ◽  
Vol 3 (10) ◽  
pp. 814-825
Author(s):  
Fadhila Tri Cahyanti ◽  
Supriyadi Supriyadi ◽  
Ema Novita Deniati
Keyword(s):  
Child Health ◽  
Data Collection ◽  
Health Services ◽  
Antenatal Care ◽  
Women's Health ◽  
Maternal And Child Health ◽  
Married Couples ◽  
Cross Sectional ◽  
And Child Health ◽  
Husband And Wife

Abstract: Every marriage must experience various problems that occur especially in the wrong communication between husband and wife. A true communication must be well established, especially during the wife's pregnancy, especially for the husband. The East Java Provincial Health Office stated that the K4 coverage for East Java Province was 91.15 percent. Pamekasan Regency is a Regency in East Java that has less desire for visits to pregnant women's health services is 92,75 percent, while target MSS. This study uses an observational quantitative cross-sectional approach with a sample of 112 married couples determined using the technique Accidental Sampling. Data collection using questionnaires includes two parts, namely husband's discussion and wife's discussion, based on The results show that there is an influence between husband's discussion on ANC visits and there is no influence between wife's discussion on ANC visits with the meaning that there is a role for husband and wife discussions to encourage ANC visits. the health of the wife and fetus is healthy until the delivery is smooth. And improve and develop programs related to the promotion of maternal and child health (MCH). Abstrak: Setiap pernikahan pasti mengalami berbagai masalah yang terjadi terutama pada komunikasi yang salah antara suami istri. Suatu komunikasi sejatinya harus terjalin dengan baik terutama pada masa kehamilan istri, terutama bagi suami. Dinas Kesehatan Provinsi Jawa Timur menyatakan bahwa cakupan K4 untuk Provinsi Jawa Timur sebesar 91,15. Kabupaten Pamekasan merupakan Kabupaten di Jawa Timur yang mempunyai hasrat kunjungan yang kurang terhadap pelayanan kesehatan ibu hamil adalah 92,75 persen, sedangkan sasaran SPM Penelitian ini menggunakan kuantitatif observasional pendekatan Cross Sectional dengan jumlah sampel 112 pasangan suami istri yang ditentukan dengan menggunakan teknik Accidental Sampling. Pengumpulan data menggunakan penyebaran kuesioner meliputi dua bagian yaitu diskusi suami dan diskus istri, berdasarkan hasil bahwa ada pengaruh antara diskusi suami terhadap kunjungan ANC dan tidak ada pengaruh antara diskusi istri terhadap kunjungan ANC dengan makna ada peran diskusi suami dan istri terhadap mendorong melakukan kunjungan ANC. Dan diharapkan dapat meningkatkan komunikasi dan motivasi kepada sang istri terhadap kepatuhan kunjungan ANC agar kesehatan istri dan janin sehat hingga persalinannya pun lancar. Dan meningkatkan dan mengembangkan program-program terkait promosi kesehatan Ibu dan Anak (KIA).

scholarly journals Assessment the knowledge of mothers ‘toward home accident among children less than five years in Polytechnic University of Sulaimani

2017 ◽  
Vol 2 (1) ◽  
pp. 21-26
Author(s):  
Attallah O. Qasem ◽  
Layla A. Abas ◽  
Burhan A. Hama Hussein ◽  
Muhammed S. Qadir ◽  
Faisal Abdula Salih
Keyword(s):  
Data Analysis ◽  
Child Health ◽  
Maternal And Child Health ◽  
Economic Status ◽  
Analysis Approach ◽  
Simple Random Sample ◽  
Validity Data ◽  
Demographic Attributes ◽  
Home Accidents ◽  
And Child Health

Children accidents are an essential source of death and wounds among children during the first of life. Annually, millions of children are constantly becoming handicap or blemished because of mishaps.Objective: To assess knowledge of children mothers toward home accidents in polytechnic University of Sulaimani. Methodology: A simple random sample of (110) respondents were selected.. The data collected and composed during the utilization of a created questionnaire, with two parts; the first part assessed the knowledge of children mothers with (20) yes or no questions and the second part includes the mothers' demographic attributes. A pilot study was carried out for the period of December 18th to 28th 2015 in order to conclude the questionnaire accuracy during the use of (Test – Retest). A panel of (8) experts was include in the determination of the questionnaire content validity Data were analyzed through the application of descriptive statistical data analysis approach (frequency and percentage), and inferential data analysis approach (Mean of Scores).).The results of the study revealed, the mean age of the mothers was (1.86) years, (58.2%) of them had completed secondary school, (88.2%) of mothers have more than five children, (89.1%) of mother’s were in moderate socio-economic status, (47.3%) of mothers have personal reading information,(58.2) of the child were male,(13.6%) of mothers have knowledge about safe housing condition held in Maternal and Child Health Centers.The conclusion of this study revealed that, inadequate children mothers’ knowledge regarding home accidents among children less than six years held in Maternal and Child Health Centers during the antenatal period. So the recommendation are suggested, reinforces the need for effective education program via mass media, for mothers. 

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