scholarly journals Health Workers’ Perceptions about Maternal and Adolescent Health among Marginalized Populations in India: A Multi-Centric Qualitative Study

Women ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 238-251
Author(s):  
Shantanu Sharma ◽  
Aditya Bhardwaj ◽  
Kanishtha Arora ◽  
Faiyaz Akhtar ◽  
Sunil Mehra
Keyword(s):  
Health Services ◽  
Health Workers ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Access To Health Services ◽  
Group Discussions ◽  
Cross Sectional ◽  
Frontline Workers ◽  
Auxiliary Nurse ◽  
Interview Guide

Frontline workers are instrumental in bridging the gap in the utilization of maternal health services. We performed a qualitative cross-sectional study with medical officers, accredited social health activists (ASHA), and auxiliary nurse midwifes (ANM), across 13 districts of India, in order to understand the barriers and enablers, at the system and population levels, for improving access of adolescents and mothers to services. The data were collected by means of in-depth interviews (IDI) with medical officers and focus group discussions (FGD) with ASHA and ANM in 2016. The interview guide was based on the conceptual framework of WHO health interventions to decrease maternal morbidity. Content analysis was performed. In total, 532 frontline workers participated in 52 FGD and 52 medical officers in IDI. Adolescent clinics seemed nonexistent in most places; however, services were provided, such as counselling, iron tablets, or sanitary pads. Frontline workers perceived limited awareness and access to facilities among women for antenatal care. There were challenges in receiving the cash under maternity benefit schemes. Mothers-in-law and husbands were major influencers in women’s access to health services. Adolescent clinics and antenatal or postnatal care visits should be seen as windows of opportunities for approaching adolescents and women with good quality services.

Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study

The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  
Keyword(s):  
Health Services ◽  
Cross Sectional Study ◽  
Financial Protection ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health

scholarly journals Disparity in Maternal Health Services Among the Different Geopolitical Zones in Nigeria

2017 ◽  
Vol 11 (1) ◽  
Author(s):  
Abubakar Sadiq Umar ◽  
Chinaro Kennedy ◽  
Hebatullah Tawfik ◽  
Daniel M. N. Okenu
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Secondary Data ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Health Delivery ◽  
Delivery Services ◽  
The Difference ◽  
Antenatal Visits

Although the use of antenatal and other skilled maternal health delivery services in Nigeria was reported to be on the increase, this research explored whether geopolitical zone of residence and place of domicile are associated with the number of antenatal visits and place of delivery. A quantitative cross-sectional study based on secondary data from the Demographic and Health Survey was used to examine the relationship between women’s geopolitical zone of residence, place of domicile (rural/urban), and the number of antenatal visits (categorized as fewer than four or four or more) and delivery (home or health facility). A total of 33,385 women aged 15–49 years were recruited from 888 clusters spread across all the 36 states and the federal capital territory of Nigeria using a stratified two stage proportionate to size cluster design. A higher proportion of women from the South West and North Central zones had made four or more antenatal care visits compared to the other geopolitical zones. The difference was statistically significant even after controlling for differences in education, income, ethnicity, religion, autonomy, and place of domicile (adjusted odd ratio = 2.062; 95% confidence interval [1.897, 2.241]; <em>p </em>< .05). Healthcare policy makers should consider the potential impact of geopolitical zones and place of domicile to enable the development of an all-inclusive strategy to robustly address maternal health services in Nigeria.

scholarly journals Association between male involvement during antenatal care and use of maternal health services in Mwanza City, Northwestern Tanzania: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036211
Author(s):  
Clara C Natai ◽  
Neema Gervas ◽  
Frybert M Sikira ◽  
Beatrice J Leyaro ◽  
Juma Mfanga ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Male Involvement ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Growth Monitoring ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mwanza City

BackgroundMale involvement in antenatal care (ANC) is among interventions to improve maternal health. Globally male involvement in ANC is low and varies in low-income and middle-income countries including Tanzania where most maternal deaths occur. In Sub-Sahara, men are chief decision makers and highly influence maternal health. In Tanzania information is limited regarding influence of male involvement during ANC on utilisation of maternal health services.ObjectivesTo determine the effect of male involvement during ANC on use of maternal health services in Mwanza, Tanzania.DesignA cross-sectional study conducted from June to July 2019.SettingThis study was conducted at seven randomly selected health facilities providing reproductive, maternal and child health (RCH) services in Mwanza City.ParticipantsIncluded 430 postpartum women who delivered 1 year prior to the study and attending for RCH services (growth monitoring, vaccination, postpartum care).Outcome measures4 or more ANC visits, skilled birth attendant (SBA) use during childbirth and postnatal care (PNC) utilisation 48 hours after delivery.MethodsInterviews and observation of the women’s ANC card were used to collect data. Data was entered, cleaned and analysed by SPSS.ResultsThe mean age of participants was 25.7 years. Of 430 women, 54.4% reported their partners attended ANC at least once, 69.7% reported they attended for four or more ANC visits during last pregnancy, 95% used SBAs during childbirth and 9.2% attended PNC within 48 hours after delivery. Male involvement during ANC was significantly associated with four or more ANC visits (Crude Odds Ratio (COR): 1.90; 95% CI: 1.08–3.35) but not with SBA use or PNC utilisation.ConclusionMale involvement in ANC is still low in Mwanza, as 46% of the partners had not attended with partners at ANC. Alternative strategies are needed to improve participation. Studies among men are required to explore the barriers of participation in overall RCH services.

scholarly journals Utilization of maternal health services in rural Thawang, Rolpa district of Nepal: a community-based cross-sectional study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jahirul Hushen ◽  
Arpaporn Powwattana ◽  
Chockchai Munsawaengsub ◽  
Sukhontha Siri
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Local Level ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Local Context ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Content Type

PurposeThis study aimed to identify the proportion and factors influencing the use of maternal health services (MHS) in rural Thawang, Rolpa, Nepal.Design/methodology/approachThis was a community-based cross-sectional study conducted among 417 mothers who had given birth in the previous two years. Bivariate and multivariate logistic regression was applied to identify associations and predictors.FindingsThe results showed that the use of maternal health services was 50.8%. Adjusting for all other factors in the final model, age group 25–30 years (AOR: 2.30; 95% CI: 1.199–4.422), spouse communication (AOR: 7.31; 95% CI: 2.574–20.791), high accessibility (AOR: 2.552, 95% CI: 1.402–4.643) and high affordability (AOR: 10.89; 95% CI: 4.66–25.445) were significant predictors.Research limitations/implicationsThis is a community-based cross-sectional study, and hence cannot establish causal relationships. The research was conducted in a limited rural area mid-Western Nepal, and this may limit the generalization of results to other settings of the country.Practical implicationsThis research supports to local level government and district health authority to develop and implement need based action to increase maternal health service in the local context.Originality/valueUnderutilization of maternal health services is the result of socioeconomic dynamics, poor access to health services and other physical developments. To increase utilization of maternal health services in rural areas, there is a need to tackle the root cause of health inequality such as reducing poverty, increasing female education, involving women in employment and increasing access to health as a priority development agenda by government authorities. This research supports local level government and district health authorities to develop and implement needs-based action to increase MHS in the local context.

scholarly journals ASSESSMENT OF STRESS AND ITS COPING MECHANISM AMONG LADY HEALTH WORKERS' OF JACOBABAD, SINDH

2019 ◽  
Vol 9 (2) ◽  
pp. 78-81
Author(s):  
Muhammad Ibrahim ◽  
Chanudhary Amjad Ali ◽  
Sadia Anwar ◽  
Aisha Umer ◽  
Muhammad Ismail Ansari ◽  
...  
Keyword(s):  
Work Stress ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Subjective Perception ◽  
Coping Mechanism ◽  
Group Discussions ◽  
Cross Sectional ◽  
Job Experience ◽  
Content Analysis Method ◽  
Physiological Alteration

Background: LHWs' are the backbone of community interventions related to health. our objectives were to assess association of work stress with demographic variables and to explore the coping mechanisms of LHWs to deal with work stress Methods: Mixed method cross sectional study conducted in Jacobabad (Taluka Jacobabad, Garhi Khairo and Thul) District among Lady Health Workers during 05 months (Nov 2016-March 2017). Sample size was 78. SRQ-20, a WHO inventory was used. The data was analyzed in SPSS IBM 21.0 and 3 Focus Group Discussions were conducted for quantitative assessment. Qualitative component was recorded and themes were generated by inductive content analysis method Results: Response rate was 96%. Mean age, monthly income, and job experience were calculated as 35.59+7.995 years with 20500 PKR and 4.87+3.599 years of experience. The association in between age and subjective perception, education and physiological alteration and job experience with subjective perception were found significant as p=0.000, p=0.45 and p=0.11. The responses of FGDs were mixed of satisfaction and dissatisfaction with job experience. Conclusion: Job description of Lady health workers is not too much as they are being worked but coping mechanism made it facilitate to work smoothly.

scholarly journals Survey on Health, Well-being and Aging. SABE Colombia 2015: Technical report

2019 ◽  
pp. 128-138 ◽  
Author(s):  
Delia Ortega Lenis ◽  
Fabián Méndez
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
Rural Population ◽  
Social Protection ◽  
Survey Methods ◽  
Well Being ◽  
Cross Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Qualitative Approaches

Introduction: Colombian population is getting old in an accelerated manner, causing economic, social and health services effects. The Ministry of Health and Social Protection in the National System of Population Studies and Surveys for Health implemented the first health, well-being and aging survey- SABE-2015 Colombia- to know the living conditions of people 60 years of age or older. Objective: Describe the design of the method, statistical sampling and quality control of information from the SABE-2015 survey. Methods: A cross-sectional study, with quantitative and qualitative approaches, representative for the population in urban and rural areas aged 60 or over. Information was collected on socioeconomic variables, physical and social environment, behavior, cognition and affection, functionality, mental well-being, health conditions, and the use and access to health services. Results: 23,694 surveys were conducted, 17,189 in urban population (72.5%) and 6,505 in rural population. The percentage of effective national response was 66% in 244 municipalities. Supervision was made in 40% of the surveys and telephone re-contact in 25%. The consistency of 100% surveys was reviewed and double entry was developed in 5% of them. National estimates have a 5% margin error. Conclusion: The SABE Colombia 2015 survey is representative of the main indicators of health, well-being and aging in Colombia. The design allows regional comparisons, between large cities and urban and rural population.

scholarly journals Satisfaction with Access to Health Services: The Perspective of Estonian Patients with Rheumatoid Arthritis

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Kaja Põlluste ◽  
Riina Kallikorm ◽  
Kersti Meiesaar ◽  
Margus Lember
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Services ◽  
Negative Impact ◽  
Waiting Times ◽  
Cross Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health ◽  
Degree Of Satisfaction ◽  
Determinants Of Satisfaction

In this cross-sectional study we explained the possible determinants of satisfaction with access to health services in patients with rheumatoid arthritis (RA). Of the 2000 randomly selected Estonian adult patients with RA, a total 1259 completed the survey. Regression analysis was used to analyse the predictors of patients' satisfaction with access to health services. Half of the respondents were satisfied with their access to health services. Factors that had a negative impact on satisfaction included pain intensity, longer waiting times to see the doctors, as well as low satisfaction with the doctors. Transportation costs to visit a rheumatologist and higher rehabilitation expenses also affected the degree of satisfaction. Patients who could choose the date and time at which they could visit the rheumatologist or who could visit their “own” doctor were more likely to be satisfied than patients whose appointment times were appointed by a healthcare provider.

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