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Journal articles on the topic 'Maternal health services – Swaziland'

Author: Grafiati

Published: 4 June 2021

Last updated: 7 February 2022

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1

Geldsetzer, Pascal, Maria Vaikath, Jan-Walter De Neve, Till Bärnighausen, and Thomas J. Bossert. "A qualitative and quantitative performance evaluation of Swaziland’s Rural Health Motivator program." F1000Research 6 (May 2, 2017): 607. http://dx.doi.org/10.12688/f1000research.11361.1.

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Background: Community health workers (CHWs) are increasingly used to increase access to primary healthcare, and considered to be a key health worker cadre to achieve the UNAIDS 90-90-90 target. Despite the recent policy interest in effectively designing, implementing, and evaluating new CHW programs, there is limited evidence on how long-standing CHW programs are performing. Using the CHW Performance Logic model as an evaluation framework, this study aims to assess the performance of Swaziland’s long-standing national CHW program, called the rural health motivator (RHM) program. Methods: This study was carried out in the Manzini and Lubombo regions of Swaziland. We conducted a survey of 2,000 households selected through two-stage cluster random sampling and a survey among a stratified simple random sample of 306 RHMs. Additionally, semi-structured qualitative interviews were conducted with 25 RHMs. Results: While RHMs are instructed to visit every household assigned to them at least once a month, only 15.7% (95% CI: 11.4 – 20.4%) of RHMs self-reported to be meeting this target. Less than half (46.3%; 95% CI: 43.4 – 49.6%) of household survey respondents, who reported to have ever been visited by a RHM, rated their overall satisfaction with RHM services as eight or more points on a 10-point scale (ranging from “very dissatisfied” to “very satisfied”). A theme arising from the qualitative interviews was that community members only rarely seek care from RHMs, with care-seeking tending to be constrained to emergency situations. Conclusions: The RHM program does not meet some of its key performance objectives. Two opportunities to improve RHM performance identified by the evaluation were increasing RHM's stipend and improving the supply of equipment and material resources needed by RHMs to carry out their tasks.

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2

Bulatao, Rodolfo A., and John A. Ross. "Which health services reduce maternal mortality? Evidence from ratings of maternal health services." Tropical Medicine and International Health 8, no. 8 (August 2003): 710–21. http://dx.doi.org/10.1046/j.1365-3156.2003.01083.x.

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3

Kiyange, F., V. Walusansa, G. Mandosela, H. Nzereka Kambale, E. Luyirika, and J. Orem. "The Role of South-to-South Partnerships in Developing Cancer Services in Africa." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 163s. http://dx.doi.org/10.1200/jgo.18.21200.

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Background and context: Despite being a growing public health concern in Africa, access to effective cancer treatment and pain relief is still limited in sub-Saharan Africa. The African Palliative Care Association (APCA) in collaboration with the American Cancer Society and the Ministry of Health of Swaziland have successfully implemented a South-to-South partnership which has facilitated the development and operation of a cancer unit in Mbabane National Hospital. Although the cancer burden continues to rise in Africa, many countries do not have established oncology services. They rely on cancer treatment, care and support through referral to neighboring countries or overseas, which is costly for governments and poses multiple challenges for patients and their families. Until recently, Swaziland has relied on cancer treatment and care in South Africa. This paper presents a model where the Uganda Cancer Institute (UCI) in Uganda has been facilitated to support the establishment of a cancer unit in Swaziland. Aim: The intervention aimed at providing technical assistance to the Ministry of Health of Swaziland to initiate and operate a cancer unit in Mbabane Government Hospital through a formal arrangement with the UCI. Strategy/Tactics: The planning and execution of activities was done by a tripartite of APCA, Uganda Cancer Institute a government entity and the Swazi Ministry of Health. Program/Policy process: Over a period of one year (Decemeber 2016 to December 2017) APCA, through a grant from the ACS formerly engaged the UCI to support the initiation and operation of a cancer unit in Swaziland. This was through expert exchange visits through which on-job training and mentorship was provided to a team of staff at Mbabane Government Hospital, with coordination by the Swaziland Ministry of Health. Experiential visits to Uganda were also organized for the lead pharmacist in Swaziland and a doctor to enable them set up and run a cancer unit in their country. The exchange visits provided a forum for both observation and application of knowledge and skills. Outcomes: A cancer unit was successfully established at Mbabane Government Hospital in Swaziland, which now provides services for patients, with breast cancer and expanding to include other cancers. The Swaziland Ministry of Health has been key to the success of this development and continues to identify human, financial and other resources to sustain the cancer unit. To date 69 patients have successfully undergone chemotherapy: 43 breast cancer, 22 Kaposi sarcoma, 2 colorectal cancer, 1 bladder cancer, 1 multiple myeloma. 21 health care workers were trained on cancer management; 9 doctors, 7 nurses and 5 pharmacists. What was learned: There are many opportunities for South-to-South partnership to support the establishment or improvement of cancer care. This model implemented in Swaziland can be replicated in other African countries. Documenting the model for replication in other countries is recommended.

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4

Sheldon, Nasaruddin, Sapruddin Perwira, Kristina Gryboski, and Laxmikant Palo. "Providing Maternal Health Services At Factories." Health Affairs 35, no. 9 (September 2016): 1740. http://dx.doi.org/10.1377/hlthaff.2016.0760.

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5

Richards, Thomas B. "Maternal and Child Health Essential Public Health Services." Journal of Public Health Management and Practice 3, no. 5 (September 1997): 11–21. http://dx.doi.org/10.1097/00124784-199709000-00004.

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6

Kaiser, Katherine Laux, Teresa L. Barry, and Andrea Mason. "Maternal Health and Child Asthma Health Services Use." Clinical Nursing Research 18, no. 1 (February 2009): 26–43. http://dx.doi.org/10.1177/1054773808330095.

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7

Mak, Joelle, Susannah H. Mayhew, Ariane von Maercker, Integra Research Team, and Manuela Colombini. "Men’s use of sexual health and HIV services in Swaziland: a mixed methods study." Sexual Health 13, no. 3 (2016): 265. http://dx.doi.org/10.1071/sh15244.

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Background: Over one-quarter of the adult population in Swaziland is estimated to be HIV positive. Men’s use of sexual health (SH) services has significant implications for HIV prevention. This study aimed to understand Swazi men’s health-seeking behaviours in relation to SH and HIV services. Methods: A household survey was conducted in Manzini (n = 503), complemented by 23 semi-structured interviews and two focus group discussions (with a total of 10 participants). Results: One-third of male survey participants used SH services in the past year, most commonly HIV testing (28%). Service users were more likely to be sexually active (aOR 3.21, 95% CI: 1.81–5.68 for those with one partner; and aOR 2.35, 95% CI: 1.25–4.41 for those with multiple partners) compared with service non-users. Service users were less likely to prefer HIV services to be separated from other healthcare services (aOR 0.50, 95% CI: 0.35–0.71), or to agree with travelling further for their HIV test (aOR 0.52, 95% CI: 0.33–0.82) compared with non-users, after controlling for age-group and education. Men avoided SH services because they feared being stigmatised by STI/HIV testing, are uncomfortable disclosing SH problems to female healthcare providers, and avoided HIV testing by relying on their wife’s results as a proxy for their own status. Informal providers, such as traditional healers, were often preferred because practitioners were more often male, physical exams were not required and appointments and payment options were flexible. Conclusion: To improve men’s uptake of SH services, providers and services need to be more sensitive to men’s privacy concerns, time restrictions and the potential stigma associated with STI/HIV testing.

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8

Raj Poudel, Deepak, and Orapin Pitamanaket. "Utilization of Maternal Health Services in Nepal." Journal of Health and Allied Sciences 1, no. 1 (November 27, 2019): 28–37. http://dx.doi.org/10.37107/jhas.90.

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9

Kishore, Surekha. "Maternal Health Care Services in the Himalayas." Marriage & Family Review 44, no. 2-3 (October 8, 2008): 364–70. http://dx.doi.org/10.1080/01494920802255984.

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10

Douoguih, Macaya. "Accessing Maternal Health Services in Eastern Burma." PLoS Medicine 5, no. 12 (December 23, 2008): e250. http://dx.doi.org/10.1371/journal.pmed.0050250.

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11

Zheng, Xujuan, Jane Morrell, Kim Watts, Qu Shen, and Huiyan Zhang. "Maternal and child health services in China." British Journal of Midwifery 21, no. 9 (September 2013): 664–71. http://dx.doi.org/10.12968/bjom.2013.21.9.664.

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12

von Both, Claudia, Albrecht Jahn, and Steffen Fleßa. "Costing maternal health services in South Tanzania." European Journal of Health Economics 9, no. 2 (April 24, 2007): 103–15. http://dx.doi.org/10.1007/s10198-007-0048-3.

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13

Mahoney, Gerald, Patricia O'Sullivan, and Joanne Dennebaum. "Maternal Perceptions of Early Intervention Services." Topics in Early Childhood Special Education 10, no. 1 (April 1990): 1–15. http://dx.doi.org/10.1177/027112149001000102.

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14

Bancheno, Wouhabe Marai, Fabian Mwanyumba, and Joyce Mareverwa. "Outcomes and challenges of scaling up comprehensive PMTCT services in rural Swaziland, Southern Africa." AIDS Care 22, no. 9 (September 2010): 1130–35. http://dx.doi.org/10.1080/09540121003615079.

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15

Sathiya Susuman, A. "Is Swaziland on Track with the 2015 Millennium Development Goals?" Journal of Asian and African Studies 52, no. 8 (April 13, 2016): 1117–23. http://dx.doi.org/10.1177/0021909616643222.

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According to the Millennium Development Goals (MDGs) agreement, each participating country has to periodically provide a report that will show the progress on their achievement towards the goals. This article’s aim is to evaluate Swaziland’s prospects of achieving eight MDGs by 2015. This article is an analysis of the current situation of Swaziland, and the aim of this analysis is to look beyond the statistical values to see if the achievements (including lifetime achievements) are on track and whether what is yet to be achieved can really be achieved. Secondary information was collected from various sources. Several countries and organizations have committed themselves to the following eight development goals: (1) eradicate extreme poverty; (2) achieve universal primary education; (3) promote gender equality and empower women; (4) reduce child mortality; (5) improve maternal health; (6) combat HIV/AIDS, malaria and other diseases; (7) ensure environmental sustainability; and (8) develop a global partnership for development. National development is dependent on many factors; therefore, different countries across the world have adopted the MDGs as means of alleviating many of the social ills hindering progress and development. Based on different sources, Swaziland is on track with its MDGs, and there is no doubt that Swaziland will continue to work hard to these ends. It has been argued that there has been progress made that has resulted in significant changes to people’s lives, but the question that has to be asked is how long these achievements can realistically last. A reduction of the rate of child mortality, maternal mortality and HIV/AIDS in Swaziland are needed.

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16

Pant, Smriti, Saugat Koirala, and Madhusudan Subedi. "Access to Maternal Health Services during COVID-19." Europasian Journal of Medical Sciences 2, no. 2 (July 8, 2020): 48–52. http://dx.doi.org/10.46405/ejms.v2i2.110.

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Most causes of maternal morbidity and mortality can be prevented by giving prompt, suitable treatment to the women by qualified health practitioners. Maternal health services (MHS), which include antenatal care, delivery care, and postnatal care, can play a crucial role in preventing maternal health problems. The recent coronavirus disease (COVID-19) pandemic has had a disastrous effect on the health care delivery system of people of all ages, on a global scale but pregnant women face particular challenges. The aim of this review is to assess the effect of COVID-19 on access to MHS. For writing this narrative review, national and international reports on maternal health services during COVID-19, along with journal articles on the related topic were reviewed. Due to this pandemic, women worldwide are facing more barriers to accessing maternal health care, including restrictions, transport challenges, and anxiety over possibly being exposed to coronavirus. Many women preferred not to seek healthcare due to the fear of themselves being infected with the virus or transmitting it to their unborn babies. Additionally, movement restriction has made it difficult for many pregnant women to reach health care facilities. Even those who managed to reach health facilities have reported not receiving timely care. As a result, a considerable rise in maternal mortality globally has been estimated over the next six months. Despite the circumstances, efforts have been made to boost maternal health in both developed and developing countries. This pandemic has highlighted the importance of health preparedness with special attention given to vulnerable people like pregnant women and newborns while planning for such events. Keywords: Childbirth, COVID19, Maternal Health, Pandemic, Pregnancy, Women’s health

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17

Bali, Donjeta, Georgina Kuli-Lito, Nedime Ceka, and Anila Godo. "Maternal and Child Health Care Services in Albania." Journal of Pediatrics 177 (October 2016): S11—S20. http://dx.doi.org/10.1016/j.jpeds.2016.04.037.

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18

Topa, Joana Bessa, Conceição Oliveira Nogueira, and Sofia Antunes Neves. "Maternal health services: an equal or framed territory?" International Journal of Human Rights in Healthcare 10, no. 2 (May 8, 2017): 110–22. http://dx.doi.org/10.1108/ijhrh-11-2015-0039.

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Purpose Despite the high prevalence of immigrant women at the national level, studies on migration have been indifferent to the gender perspective. The purpose of this paper is to discuss the engagement of Ukrainian immigrant women, one of the most expressive nationalities of female immigration in Portugal, on maternal and child healthcare services, exploring their perceptions and experiences in these contexts. Design/methodology/approach On the basis of critical and social constructionism assumptions, this research focusses on discourse. Assuming that immigrant women have access to different resources, as well as different competences to interpret and intervene within the context they are in (Topa et al., 2010; UNFPA, 2006), the best method to deeply understand their experiences was to analyse how discourse is organized and how it creates and produces meanings that become practices (Nogueira, 2001a). The present study adopted a qualitative methodology for collecting (semi-structured interviews) and analysing the data (thematic analysis) and was based on discourses of ten Ukrainian women, living in the metropolitan area of Oporto, who were pregnant or were mothers in Portugal. Findings Ukrainian women were misinformed about their legal rights and free access to maternal health services. Some dissatisfaction emerges among them with regard to the quality of information provided by health professionals and their communication skills. Their opinion is that they are given limited access to medical specialties, especially in primary care and that their doubts are inappropriately clarified during medical appointments. Originality/value This research also argues that cultural and intersectional considerations are fundamental to promote inclusive health policies for immigrants.

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19

Short, Susan E., and Fengyu Zhang. "Use of maternal health services in rural China." Population Studies 58, no. 1 (March 1, 2004): 3–19. http://dx.doi.org/10.1080/0032472032000175446.

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20

Bradt, Lieve, Michel Vandenbroeck, Jan Lammertyn, and Maria Bouverne-De Bie. "Parental Expectations of Maternal and Child Health Services." Social Work in Public Health 30, no. 2 (January 20, 2015): 197–206. http://dx.doi.org/10.1080/19371918.2014.992586.

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21

WILLIAMS, CICELY D. "MATERNAL AND CHILD HEALTH SERVICES IN DEVELOPING COUNTRIES*." Nutrition Reviews 31, no. 11 (April 27, 2009): 365–66. http://dx.doi.org/10.1111/j.1753-4887.1973.tb07053.x.

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22

Patterson, Patti J., J. Scott Simpson, Robbie J. Davis, Debra C. Stabeno, and Linda L. Bultman. "Privatizing Maternal and Child Health Services in Texas." Quality Management in Health Care 5, no. 2 (1997): 35–43. http://dx.doi.org/10.1097/00019514-199705020-00004.

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23

Patterson, Patti J., J. Scott Simpson, Robbie J. Davis, Debra C. Stabeno, and Linda L. Bultman. "Privatizing Maternal and Child Health Services in Texas." Quality Management in Health Care 6, no. 2 (1997): 35–43. http://dx.doi.org/10.1097/00019514-199721000-00004.

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24

Almalik, Mona MA. "Understanding maternal postpartum needs: A descriptive survey of current maternal health services." Journal of Clinical Nursing 26, no. 23-24 (May 30, 2017): 4654–63. http://dx.doi.org/10.1111/jocn.13812.

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25

Hoque, Mohima. "Awareness of maternal health services among micro health insurance beneficiaries." International Journal of Community Medicine and Public Health 2, no. 2 (2015): 81. http://dx.doi.org/10.5455/2394-6040.ijcmph20150503.

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26

Radkar, Anjali. "Correlates of Maternal Mortality." Journal of Health Management 20, no. 3 (July 9, 2018): 337–44. http://dx.doi.org/10.1177/0972063418779911.

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Maternal death is an indicator of quality and efficiency of reproductive health services and is regarded as a composite measure of the country’s progress. Reduction in maternal mortality is one of the eight globally accepted Millennium Development Goals (MDGs). To achieve the goal of 109, by 2015, the developing world needs to take challenge where the burden of maternal mortality is 99 per cent. This study attempts to understand the strength of relationship of the correlates of maternal mortality with actual maternal mortality ratio (MMR) to come out with policy implications to lessen maternal deaths. Based on the National Family Health Survey (NFHS)-3 data on maternal health indicators and sample registration systems (SRS) estimates of maternal mortality, the relationships are explored. Maternal deaths would significantly reduce when fertility declines, that is, when contraception increases, when status of women enhances, they are sufficiently fed to have normal body mass index (BMI) and have awareness of reproductive health issues. The most prominent correlate is utilization of reproductive health care services. When all antenatal, natal and postnatal services are utilized to a large extent, maternal deaths would diminish significantly. Effective implementation of services is a key to trim down maternal mortality.

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27

Hooker, Leesa, Angela Taft, and Rhonda Small. "Reflections on maternal health care within the Victorian Maternal and Child Health Service." Australian Journal of Primary Health 22, no. 2 (2016): 77. http://dx.doi.org/10.1071/py15096.

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Women suffer significant morbidity following childbirth and there is a lack of focussed, primary maternal health care to support them. Victorian Maternal and Child Health (MCH) nurses are ideally suited to provide additional care for women when caring for the family with a new baby. With additional training and support, MCH nurses could better fill this health demand and practice gap. This discussion paper reviews what we know about maternal morbidity, current postnatal services for women and the maternal healthcare gap, and makes recommendations for enhancing MCH nursing practice to address this deficit.

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28

Phung, Hai, Lis Young, Mai Tran, Khin Than Win, Carole Alcock, and Ken Hillman. "Health Informatics and Health Information Management in Maternal and Child Health Services." Health Information Management 33, no. 2 (September 2004): 36–42. http://dx.doi.org/10.1177/183335830403300204.

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29

SHARMA, SHARAD KUMAR, YOTHIN SAWANGDEE, and BUPPHA SIRIRASSAMEE. "ACCESS TO HEALTH: WOMEN’S STATUS AND UTILIZATION OF MATERNAL HEALTH SERVICES IN NEPAL." Journal of Biosocial Science 39, no. 5 (March 15, 2007): 671–92. http://dx.doi.org/10.1017/s0021932007001952.

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SummaryWith the objective of reducing maternal and neonatal mortality, the Safe Motherhood Program was implemented in Nepal in 1997. It was launched as a priority programme during the ninth five-year plan period, 1997–2002, with the aim of increasing women’s access to health care and raising their status. This paper examines the association of access to health services and women’s status with utilization of prenatal, delivery, and postnatal care during the plan period. The 1996 Nepal Family Health Survey and the 2001 Nepal Demographic and Health Survey data were pooled and the likelihood of women’s using maternal health care was examined in 2001 in comparison with 1996. Multiple logistic regression analysis indicates that the utilization of maternal health services increased over the period. Programme interventions such as outreach worker’s visits, radio programmes on maternal health, maternal health information disseminated through various mass media sources and raising women’s status through education were able to explain the observed change in utilization. Health worker visits and educational status of women showed a large association, but radio programmes and other mass media information were only partially successful in increasing use of maternal health services. Socioeconomic and demographic variables such as household economic status, number of living children and place of residence showed stronger association with use of maternal health services then did intervention programmes.

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30

Khader, Yousef S., Mohammad Alyahya, Nihaya Al-Sheyab, Khulood Shattnawi, Hind Rajeh Saqer, and Anwar Batieha. "Evaluation of maternal and newborn health services in Jordan." Journal of Multidisciplinary Healthcare Volume 11 (September 2018): 439–56. http://dx.doi.org/10.2147/jmdh.s171982.

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31

Navaneetham, K., and A. Dharmalingam. "Utilization of maternal health care services in Southern India." Social Science & Medicine 55, no. 10 (November 2002): 1849–69. http://dx.doi.org/10.1016/s0277-9536(01)00313-6.

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32

Wagner, Marsden. "Maternal and Child Health Services in the United States." Journal of Public Health Policy 12, no. 4 (1991): 443. http://dx.doi.org/10.2307/3342556.

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33

Lindstrom, David P., and Elisa Muñoz-Franco. "Migration and maternal health services utilization in rural Guatemala." Social Science & Medicine 63, no. 3 (August 2006): 706–21. http://dx.doi.org/10.1016/j.socscimed.2006.02.007.

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34

Zere, Eyob, Yuki Suehiro, Aminul Arifeen, Loshan Moonesinghe, Sanchoy K. Chanda, and Joses M. Kirigia. "Equity in reproductive and maternal health services in Bangladesh." International Journal for Equity in Health 12, no. 1 (2013): 90. http://dx.doi.org/10.1186/1475-9276-12-90.

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35

Chu, S. C. K., M. P. P. Ho, K. K. Y. Lee, and H. P. Lo. "Nurses allocation models for maternal and child health services." Journal of the Operational Research Society 51, no. 10 (October 2000): 1193–204. http://dx.doi.org/10.1057/palgrave.jors.2601024.

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Chu, S. C. K., M. P. P. Ho, K. K. Y. Lee, and H. P. Lo. "Nurses Allocation Models for Maternal and Child Health Services." Journal of the Operational Research Society 51, no. 10 (October 2000): 1193. http://dx.doi.org/10.2307/253932.

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37

Bainbridge, Jane. "Global partnership for maternal, newborn and child health services." British Journal of Midwifery 14, no. 6 (June 2006): 335. http://dx.doi.org/10.12968/bjom.2006.14.6.21182.

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38

Perry, Armon R., Aaron Rollins, Ramzi Sabree, and Wes Grooms. "Promoting Paternal Participation in Maternal and Child Health Services." Human Service Organizations: Management, Leadership & Governance 40, no. 2 (December 18, 2015): 170–86. http://dx.doi.org/10.1080/23303131.2015.1124821.

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39

Susuman, A. Sathiya. "Health care services and maternal education in South Africa." Scandinavian Journal of Public Health 43, no. 7 (July 20, 2015): 673–76. http://dx.doi.org/10.1177/1403494815596501.

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40

Woldegiorgis, Mulu Abraha, Janet E. Hiller, Wubegzier Mekonnen, and Jahar Bhowmik. "Disparities in maternal health services in sub-Saharan Africa." International Journal of Public Health 63, no. 4 (March 23, 2018): 525–35. http://dx.doi.org/10.1007/s00038-018-1086-6.

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41

Rabkin, Miriam, Zenebe Melaku, Kerry Bruce, Ahmed Reja, Alison Koler, Yonathan Tadesse, Harrison Njoroge Kamiru, Lindiwe Tsabedze Sibanyoni, and Wafaa El-Sadr. "Strengthening Health Systems for Chronic Care: Leveraging HIV Programs to Support Diabetes Services in Ethiopia and Swaziland." Journal of Tropical Medicine 2012 (2012): 1–6. http://dx.doi.org/10.1155/2012/137460.

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The scale-up of HIV services in sub-Saharan Africa has catalyzed the development of highly effective chronic care systems. The strategies, systems, and tools developed to support life-long HIV care and treatment are locally owned contextually appropriate resources, many of which could be adapted to support continuity care for noncommunicable chronic diseases (NCD), such as diabetes mellitus (DM). We conducted two proof-of-concept studies to further the understanding of the status of NCD programs and the feasibility and effectiveness of adapting HIV program-related tools and systems for patients with DM. In Swaziland, a rapid assessment illustrated gaps in the approaches used to support DM services at 15 health facilities, despite the existence of chronic care systems at HIV clinics in the same hospitals, health centers, and clinics. In Ethiopia, a pilot study found similar gaps in DM services at baseline and illustrated the potential to rapidly improve the quality of care and treatment for DM by adapting HIV-specific policies, systems, and tools.

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42

Jahan, Rounaq. "Securing Maternal Health Through Comprehensive Reproductive Health Services: Lessons from Bangladesh." American Journal of Public Health 97, no. 7 (July 2007): 1186–90. http://dx.doi.org/10.2105/ajph.2005.081737.

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43

Parkhurst, Justin Oliver, Loveday Penn-Kekana, Duane Blaauw, Dina Balabanova, Kirill Danishevski, Syed Azizur Rahman, Virgil Onama, and Freddie Ssengooba. "Health systems factors influencing maternal health services: a four-country comparison." Health Policy 73, no. 2 (August 2005): 127–38. http://dx.doi.org/10.1016/j.healthpol.2004.11.001.

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44

Ganann, Rebecca, Wendy Sword, Margaret Black, and Barbara Carpio. "Influence of Maternal Birthplace on Postpartum Health and Health Services Use." Journal of Immigrant and Minority Health 14, no. 2 (May 11, 2011): 223–29. http://dx.doi.org/10.1007/s10903-011-9477-2.

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45

Sujana, Treesia, Margareth Barnes, Jennifer Rowe, and Rachel Reed. "Decision Making towards Maternal Health Services in Central Java, Indonesia." Nurse Media Journal of Nursing 6, no. 2 (January 19, 2017): 68. http://dx.doi.org/10.14710/nmjn.v6i2.12151.

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Background: Indonesia has always been struggling with maternal health issue even after the Millennium Development Goals (MDGs) programs were done. Prior research findings identified many factors which influenced maternal health status in developing countries such Indonesia and even though various efforts had been made, the impact of the transformation of maternal health behavior was minimal.Purpose: This study aimed to seek an understanding of the factors influencing decisions towards maternal health services.Methods: A case study with a single case embedded design was employed. Interviews and Focus Group Discussions (FGDs) were held to collect data from 3 health workers and 40 maternal women in a sub-district in Central Java, Indonesia.Results: Interviews with the village midwives as the main health providers in the Getasan sub-district concluded that there were several factors influencing the women's decisions towards maternal services. The factors were options to have services with other health workers outside the area, and shaman services as alternative care and family influencing maternal health behaviors. The analysis of the FGDs also supported the village midwives’ statements that in spite of their awareness towards the available maternal health services, the existence of shamans and traditional beliefs strongly affected their decision.Conclusion: The findings in this study showed that cultural issues prevented the maximum maternal health status in Getasan sub-district. This study recommends Puskesmas (Primary Health Care) as the first level of health institutions in Indonesia to support the village midwives’ roles within their target area.

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Alexander, Cheryl S., and Ricka Markowitz. "Maternal Employment and Use of Pediatric Clinic Services." Medical Care 24, no. 2 (February 1986): 134–47. http://dx.doi.org/10.1097/00005650-198602000-00005.

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Sanogo, N’doh Ashken, and Sanni Yaya. "Wealth Status, Health Insurance, and Maternal Health Care Utilization in Africa: Evidence from Gabon." BioMed Research International 2020 (January 11, 2020): 1–12. http://dx.doi.org/10.1155/2020/4036830.

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Background. To achieve the universal health coverage among other Sustainable Development Goals, African countries have shown the commitment by implementing strategies to improve access and coverage of health care services whose access is still very low. The achievement of universal health care requires the provision and availability of an adequate financing system. This study explored the wealth-related association of compulsory health insurance on maternal health care utilization in Gabon. Methods. The study used the 6th round of Gabon Demographic and Health Surveys (GDHSs)—2012 data to explore three outcome measures of maternal health care utilization extracted on number of antenatal care (ANC) visits during pregnancy, place of birth delivery, and postnatal health care. The dependent variable was women with health insurance coverage against those without. Logistic regression and propensity scoring matching analysed associations of health insurance coverage on women’s utilization of health care. Results. Mean (+/− SD) age of women respondents of reproductive age was 29 years (9.9). The proportion of at least 4 antenatal care visits was 69.2%, facility-based delivery was 84.7%, and postnatal care utilization was 67.9%. The analysis of data showed disparities in maternal health care services utilization. The GDHS showed maternal age, and geographical region was significantly associated with maternal health care service utilization. A high proportion of urban dwellers and Christian women used maternal health care services. According to the wealth index, maternal health services utilization was higher in women from wealthy households compared to lower households wealth index (ANC (Conc. Index = 0.117; p≤0.001), facility-based delivery (Conc. Index = 0.069; p≤0.001), and postnatal care (Conc. Index = 0.075; p≤0.001), respectively). With regard to health care insurance coverage, women with health insurance were more likely to use ANC and facility-based delivery services than those without (concentration indices for ANC and facility-based delivery were statistically significant; ANC: z-stat = 2.69; p=0.007; Conc. Index: 0.125 vs. 0.096 and facility-based delivery: z-stat = 3.38; p=0.001; Conc. Index: 0.076 vs. 0.053, respectively). Conclusion. Women enrollment in health insurance and improved household’s financial status can improve key maternal health services utilization.

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Wagner, Marsden G. "Health Services for Pregnancy in Europe." International Journal of Technology Assessment in Health Care 1, no. 4 (October 1985): 789–97. http://dx.doi.org/10.1017/s026646230000177x.

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In 1979, maternal and child health issues were discussed during the annual meeting of the 33 Member States of the European Region of the World Health Organization. During this discussion many countries expressed concern about the services offered for pregnancy, birth and the period following birth. The countries recognized that, as yet, unsolved problems remain which must be examined and they asked the European Regional Office of WHO to mount activities to study and report on these problems surrounding birth and birth care. In response to this request, the maternal and child health unit of the European Regional Office organized a Perinatal Study Group. The Group's 15 members came from 10 countries and spanned 10 professional disciplines: economics, epidemiology, health administration, midwifery, nursing, obstetrics, pediatrics, psychology, sociology, and statistics. For five years the Group conducted surveys, reviewed the literature and brought its own personal and professional experience to discussions of the health services for women and their babies, during pregnancy and birth, and after birth. The entire group met together at least once a year, at which time findings from the previous year's work were presented, followed by lengthy, sometimes heated, open and free discussions.

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Ardah, Fauzah, Razia Begum Suroyo, Razia Begum Suroyo, Mangatas Silaen, and Lucia Lastiur. "Analysis of Antenatal Care by Maternal to Health Services Utilization in Working Area of Cot Girek Health Centre." Journal La Medihealtico 2, no. 3 (April 27, 2021): 17–29. http://dx.doi.org/10.37899/journallamedihealtico.v2i3.344.

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According to Minister of Health Regulation (Permenkes) No. 43 of 2016 every maternal must get antenatal services according to the standard which provided to pregnant women at least 4 times during pregnancy with a schedule of one first trimester, one second trimester and two-third trimesters. The purpose of this study was to determine and analyze the influence of knowledge, attitudes, education, parity, income, support of health workers, a distance of health services and maternal health to the utilization of health services in the working area of the Cot Girek health centre, a population of this study amounted 512 people and 83 respondents were taken as the sample of this study. The research was Quantitative research used Mixed Method. The results showed of knowledge p = 0.000, education p = 0.000, income p = 0.000, support of health workers p = 0.000 shows a relationship to the utilization of health services. While attitudes p = .609, parity p = .823, distance of health services p = .167, maternal health p = .386 showed no relationship to the utilization of health services. The conclusion in this study is the influence of knowledge, education, income and support of health workers on the utilization of health services found, while the attitudes, parity, distance of health services and maternal health have no found about relationship to the utilization of health services. This research can be used as information for health workers to be more active in promoting antenatal care programs.

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Craymah, Joshua Panyin, Robert Kwame Oppong, and Derek Anamaale Tuoyire. "Male Involvement in Maternal Health Care at Anomabo, Central Region, Ghana." International Journal of Reproductive Medicine 2017 (2017): 1–8. http://dx.doi.org/10.1155/2017/2929013.

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Background. Globally, male involvement in maternal health care services remains a challenge to effective maternal health care accessibility and utilization. Objective. This study assessed male involvement in maternal health care services and associated factors in Anomabo in the Central Region of Ghana. Methods. Random sampling procedures were employed in selecting 100 adult male respondents whose partners were pregnant or had given birth within twelve months preceding the study. Pearson Chi-Square and Fisher’s exact tests were conducted to assess the association of sociodemographic and enabling/disenabling factors with male involvement in maternal health care services. Results. Some 35%, 44%, and 20% of men accompanied their partners to antenatal care, delivery, and postnatal care services, respectively. Male involvement in antenatal care and delivery was influenced by sociodemographic (partner’s education, type of marriage, living arrangements, and number of children) and enabling/disenabling (distance to health facility, attitude of health workers, prohibitive cultural norms, unfavourable health policies, and gender roles) factors. Conclusion. The low male involvement in maternal health care services warrants interventions to improve the situation. Public health interventions should focus on designing messages to diffuse existing sociocultural perceptions and health care provider attitudes which influence male involvement in maternal health care services.

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