utilization of maternal heath care services and associated factors



Utilization Of Maternal Heath Care Services And Associated Factors Utilization Of Maternal Heath Care Services And Associated Factors Новинка

Utilization Of Maternal Heath Care Services And Associated Factors

Millennium Development Goal (MDG) five targets to reduce maternal mortality rate by three quarters in 2015. Experiences from both developed and some developing countries have shown that maternal deaths could have been prevented if women had access to basic maternity care services and utilize it. Utilization of maternal health care services is associated with improved maternal and neonatal health outcomes. To achieve the MDG 5 understanding the factors associated with maternal health care use is crucial.
Factors Affecting Utilization of Maternal Health care, Pakistan Factors Affecting Utilization of Maternal Health care, Pakistan Новинка

Factors Affecting Utilization of Maternal Health care, Pakistan

This book reveals the conditions of utilization of antenatal and postnatal services by the rural women in most populated province (Punjab) of Pakistan. What are the socio-economic and demographic factors that affect the utilization of these services. The results are quite promising regarding the awareness of the rural women and men for the importance of maternal and neonatal health. The role of doctors, para-medical staff and of media is quite important in boosting the utilization of maternal health care services.
Immunization Coverage and Factors Associated with Child Immunization in Delhi Immunization Coverage and Factors Associated with Child Immunization in Delhi Новинка

Immunization Coverage and Factors Associated with Child Immunization in Delhi

This book demonstrates the utilization of maternal and child health care services is inadequate in India, as clearly depicted by the major maternal and child health care indicators (antenatal, delivery, and Immunization care services).For the antenatal care and delivery care the situation is worst in the rural areas, where more than 70 percent of the population resides. This study shows that the important factors influencing the use of maternal and child health services in India are demographic and socio-cultural in nature. The demographic and socio-cultural factors identified in this study include women’s age at child birth, women’s education, mass-media exposure, women’s autonomy, women’s work status, visited by health providers, place of residence, parity, social group, religion, region etc. Such findings can therefore be used as the basis for a number of policy recommendations.
Maternal Heath Care Services Maternal Heath Care Services Новинка

Maternal Heath Care Services

A community based cross sectional study was conducted from October to December 2004 in in Afar Regional state, Ethiopia to assess factors influencing utilization of maternal health care services. Analysis revealed that 79.6% of the women had at least one prenatal visit during their recent pregnancy. Most of the antenatal care (ANC) attendants made their first visit during their second trimester of pregnancy. Among ANC users 53% of had less than four antenatal care contacts. Majority of deliveries took place at home, of which 93.7% were attended by TBAs. Absences of a health problem, lack of awareness, work overload, and distant health service were the main reasons for no ANC attendance. . In conclusion, the study revealed low maternal health care utilization in the area. Demographic and socio cultural factors were found to be barriers to utilization of maternal healthcare services. Increasing maternal health service coverage and promotion of IEC in the community are recommended.
Impact of Janani Suraksha Yojana on Maternal Health Care in India Impact of Janani Suraksha Yojana on Maternal Health Care in India Новинка

Impact of Janani Suraksha Yojana on Maternal Health Care in India

Present study examines the level and differential in utilization of maternal health care (MCH) services by various socio-economic and demographic factors with respect to “Janani Suraksha Yojana” scheme. There is a general consciences that the use of MHC services reduces maternal and child mortality and improve the reproductive health of women. The considerable variation in maternal and child health in the developing world is believed to partly in the availability of and access to health services. This study describes the determinants of MHC services utilization and also characteristic of women who received antenatal care, delivery care and post natal care by various socio-economic characteristic. Result indicates that determinants of MHC services are not same across states and for different MHC indicators. Place of residence, women and her spouse’s education, economic status has significantly affecting utilization of full ANC delivery care & post delivery care. Scheme has a strong and positive impact on coverage of antenatal care, natal care and postnatal care in different socio-economic demographic characteristics of women.
Utilization of Maternal Health Service in Squatter Settlements,Nepal Utilization of Maternal Health Service in Squatter Settlements,Nepal Новинка

Utilization of Maternal Health Service in Squatter Settlements,Nepal

The cross sectional study was conducted to analyze the barriers and enabling factors affecting the use and non use of maternal health services especially among marginalized populations in urban slum areas in the Kathmandu valley. Total 200 mothers were interviewed in the study with the cluster sampling. The study found that many factors contribute to the maternal health utilization, among them education of mother, education of husband, distance to health services, parity of mother and ethnic category were determined by study. Similarly, the parity, occupation and ethnicity of mother influence the ANC utilization. The findings suggest that maternal health program need to develop explicit target social targeting strategy to intensify services to Dalit at squatter settlements and awareness raising program on “Aama Suraksha Program” could be beneficial to the improvement of maternal health services.
Determinants of Maternal Care service Utilization Determinants of Maternal Care service Utilization Новинка

Determinants of Maternal Care service Utilization

Many of women in developing countries are at high risk in terms of maternal morbidity and mortality due to factors related to pregnancy and childbirth. A cross sectional study was conducted at Gozamin Woreda to assess factors affecting utilization of maternal health care services. Structured questionnaires and FGD were used to collect quantitative and qualitative data respectively. The study revealed that about 59.3% of the women had at least one prenatal visit and 64% of those had less than four antenatal care contacts. Being healthy and being too busy were the most reasons not to attend ANC service. The risk of non-attendance of ANC and home delivery was higher for those women whose residence was rural, higher parity and being housewife at old age. About 71% of deliveries took place at home. Presence of relatives nearby, Transportation, and lack of privacy were the main reasons to home delivery. In conclusion, demographic and socio-cultural factors were found to be barriers to utilization of maternal health care services. Increasing maternal health service coverage and promotion of IEC in the community are recommended.
Factors Influencing Utilization of ANC and Delivery Care Services Factors Influencing Utilization of ANC and Delivery Care Services Новинка

Factors Influencing Utilization of ANC and Delivery Care Services

Every year, approximately 536,000 maternal deaths occur in the world due to pregnancy related complications; of which over 95% occur in sub-Saharan Africa and Asia. One explanation for poor health outcomes among women in these countries including Ethiopia is the low utilization of ANC & delivery care services by a large proportion of women. So, the study was aimed to assess factors influencing utilization of antenatal and delivery care services in Burji special woreda, SNNPR, Ethiopia. A community-based cross sectional study was conducted in the woreda from March 1-30, 2011. The study included 1 urban and 8 rural kebeles with a total sample size of 773 respondents and 40 discussants for four FGDs. The study revealed that the proportion of women who received ANC was 55.6%. Only 16.4% mothers delivered at health institution and only 15 % of total delivery was attended by skilled birth attendants. Residence, monthly income and maternal education were major determinants of ANC service utilization and residence, maternal education and ANC attendance were determinants for delivery care service utilization after adjusting for other variables.
Quality Maternal Care through Integration with HIV/AIDS Programs Quality Maternal Care through Integration with HIV/AIDS Programs Новинка

Quality Maternal Care through Integration with HIV/AIDS Programs

Maternal mortality in Ethiopia is the highest in the world. A study was carried out in 2006 among Family Planning, Antenatal Care, and Delivery Care Service attendees in the health facilities, Ethiopia. A quantitative and qualitative methodologies were applied. The study indicated that integration of programs is critically important to increase utilization of services and minimize missed opportunities in maternal care and HIV/AIDS services in health facilities of Ethiopia.
DETERMINANTS OF UTILIZATION OF MATERNAL HEALTH CARE SERVICES DETERMINANTS OF UTILIZATION OF MATERNAL HEALTH CARE SERVICES Новинка

DETERMINANTS OF UTILIZATION OF MATERNAL HEALTH CARE SERVICES

Maternal health matters have dominated many forums in the world for over a long period of time. Regardless of various initiatives put in place to address maternal mortality/morbidity, very little progress has been made in this area especially in Kenya and other countries in Sub-Saharan Africa. Authoritative sources indicate that millions of women in developing countries continue to experience life threatening and other serious health problems related to pregnancy and/or childbirth as nearly 99 percent of maternal deaths occur to women in developing countries. Given the intricate relationship between utilization of maternal health care services and reduction of maternal mortality, understanding determinants of utilization of these services is a crucial step towards reduction of maternal morbidity and mortality. This book provides practical evidence based information useful to academicians and researchers interested in maternal health. Further, the book can be used as reference material by managers to design program interventions geared towards promotion of maternal health.
Trends of Economic Inequalities in RCH Services Utilization in India Trends of Economic Inequalities in RCH Services Utilization in India Новинка

Trends of Economic Inequalities in RCH Services Utilization in India

Globally estimates of maternal mortality indicate that more than half a million women died due to pregnancy related causes and these deaths are unjust and can be avoided with key health interventions, like provision of antenatal care and medically assisted delivery. The prime objective of book is to examine the trend of economic inequalities in utilization of RCH services in India and to quantify the contribution of selected factors explaining the rural-urban gap in use of RCH care utilization by using the NFHS-1,2,3 data. To fulfill the aforesaid objectives concentration index and non-linear decomposition technique have been used. The study reveals a sluggish increase in the utilization of RCH services in India with respect of place of residence. The trends of economic inequalities in utilization of RCH services are decreasing in both urban and rural areas but the pace of declining is more in rural areas than urban areas during the study period. Decomposition results indicates that economic status of the household is the main contributor in urban-rural differential in receiving the reproductive and child health care services followed by mother education level and media exposure.
Maternal Health Care Services: How Much Utilized By Slum Dwellers? Maternal Health Care Services: How Much Utilized By Slum Dwellers? Новинка

Maternal Health Care Services: How Much Utilized By Slum Dwellers?

Bangladesh has one of the highest maternal mortality rates (MMR) in the world, i.e. 3/1000 live births. The situation is worse due to inadequate access to modern health care services & poor utilization. One of the public health challenges is, therefore, to identify vulnerable groups and to provide them with needed health care services. Considering this matter, this study examined the socio-economic, demographic & cultural determinants of utilization of maternal health care services in slum areas of Dhaka city. The primary data was collected from 540 women aged 15-49. A semi-structured questionnaire was used to collect the information from slum dwellers. The overall MHCS was utilized by 86.3% of women; however, utilization of different sorts of MHCS was very low, i.e., the mean utilization was found to be 2.25 out of 5 MHCS. Indicator wise, ANC, receiving TT, institutional delivery, delivery assistance by health professional & PNC were received by respectively 61.3%, 80.4%, 12.6%, 33.2% and 55.4% of women. Thus, this study might be a significant consideration in formulating the policy and future plan for reducing maternal mortality & morbidity in disadvantaged women of slum areas.
Free Maternal Care Policy and Utilisation of Maternal Care Services Free Maternal Care Policy and Utilisation of Maternal Care Services Новинка

Free Maternal Care Policy and Utilisation of Maternal Care Services

There have been little studies carried out to assess the effect of the free maternal care policy on the access to and utilization of health care facilities, maternal health and deaths. Women of childbearing age all over the world irrespective of race, education, occupation or marital status are faced with the agony of pregnancy’s possibility leading to the death of the mother. Maternal mortality even though has been reducing slightly over the years, still remains a problem which needs to be seriously tackled. It is a serious problem just as Dr. Elias Sory; Director-General of the Ghana Health Service asserted that “you must wake up to the realization that one maternal death is a calamity”. “This is a must read book for anybody interested in Maternal Health”- Dr. Smile Dzisi (Lecturer).
Barriers To The Utilization Of Primary Health Care Services Barriers To The Utilization Of Primary Health Care Services Новинка

Barriers To The Utilization Of Primary Health Care Services

Primary health care is the bedrock of any country`s health care system. It is aimed to provide the individuals and the communities with protective, preventive, restorative and rehabilitative health services within the available resources. However there is a growing lack of confidence and trust by the public in all health services at this level of care, resulting from the poor state of the facilities and low standards of delivery. This book therefore sought to explore and highlight those barriers affecting the utilization of primary health care services in a low income nation like Nigeria. It also aimed to serve as a basis for understanding and appreciating the complex factors affecting the utilization of these essential services, and how these factors translate into a deterioration of a nation’s health indices. It is expected that these findings will enrich academic discussions and guide policy makers in formulating policies and guidelines towards improving primary healthcare services. It will also aid international organizations with interest in implementing primary health services in developing nations
Institutional Delivery service Utilization and Associated Factors Institutional Delivery service Utilization and Associated Factors Новинка

Institutional Delivery service Utilization and Associated Factors

Institutional delivery service utilization is critical in prevention of maternal death. However proportion of women utilizing Institutional delivery service in country in general and in southern nation in particular is very low. Reduction of maternal death is global priority particularly in developing countries including Ethiopia, where maternal mortality is one of the highest in the world. Low institutional delivery service utilization in pastoralist areas of Ethiopia caused by different factors. Objective ? To assess institutional delivery utilization and associated factors among mothers who gave birth in the last two years in pastoralist , Hammer woreda, south omo zone, Ethiopia. Methods: Community based cross sectional study with internal comparison were conducted . The study were conducted from December /2014 to January /2015.All women residing in the area at least for five months and who had delivered in the last two years were included in the study. Only 23.4% of the mothers gave birth to their last baby in the health facility. Residential set up[AOR=2.485, 95%CI: 1.325,4.659], maternal education[AOR=0.23795%CI: (0.09,0.622)], age at first pregnancy[AOR=1.8
Institutional Delivery In India Institutional Delivery In India Новинка

Institutional Delivery In India

Uttar Pradesh is known to have a very poor level of maternal health as compared to the other states in India. The state stands at a fairly low level of institutional delivery and has very high maternal mortality, as compared to the national average. The rate of utilization of the institutions for delivery care varies across the regions of the state as well as across the sections of the population. The decision to deliver in a supervised or institutional setting is influenced by a vector of factors including the availability of the requisite health institutions and accessibility and the socio-economic conditions of the women. The possible causes of low level of institutional deliveries in Uttar Pradesh may be either the supply side (health services, public or private) or the demand side (individual and household socioeconomic factors). The studies done till now have covered primarily the demand side constraints but the reach of the state’s program has received less attention. This book tries to look at the problem of low utilization of maternal health care services through a broader framework including both the demand and the supply side variables.
Coverage of Maternal & Child Health and Family Welfare Services Coverage of Maternal & Child Health and Family Welfare Services Новинка

Coverage of Maternal & Child Health and Family Welfare Services

A study elicit the coverage of MCH and Family Welfare services at sub centre level was carried out in R. S. Pura block which is the rural field practice area of Government Medical College, Jammu, India.Out of the existing 25 sub centres, 10 sub-centres were randomly selected for the purpose of study. All the records pertaining to MCH and family welfare services rendered by these sub centres were scrutinized to study the extent of coverage of MCH and family welfare services as well as the association of maternal age and order of pregnancy followed by home visits of a sub sample of the registered mothers to find out the validity of these records as well as to study the association of factors such as maternal literacy, socio economic status of the family and accessibility of the sub centre with the utilization of MCH and Family Welfare. The association of the age of mother and order of pregnancy with the utilization of antenatal, intranatal and postnatal services among the pregnant females registered at sub centre level was studied.The extent of coverage of immunization among infants born and registered during time of study was analysed through entry in immunization registers.
The Hidden Hunger The Hidden Hunger Новинка

The Hidden Hunger

Maternal anaemia is usually associated with high rate of maternal deaths. Tackling this hidden problem should start from understanding of its burden, distribution and factors that govern these phenomenon of the condition. Thus in this work I have thoroughly analyzed the magnitude of anaemia and its determinant factors among women so that all stakeholders who work towards reducung maternal mortality can make use of it.
Reproductive Health Care Services in Bangladesh Reproductive Health Care Services in Bangladesh Новинка

Reproductive Health Care Services in Bangladesh

Utilizing reproductive health care sevices is essential and a basic need for mothers. Bangladesh has achieved important health gains over the last decades but still there is an enormous gap lies between rural and urban areas regarding reproductive health care services. This study identifies the more important factors affecting the utilization of reproductive health care services like maternal health care, demand for contraception and awareness about HIV/AIDS. Therefore, this book may be helpful to policy makers in devising ways to increase the utilization of reproductive health care services and to reduce the gap between urban and rural women regarding the accessibility and quality of care. This book should be useful to professionals who would like to study in the field of women and gender. It may also be useful to the enthusiastic readers who are interested to know about reproductive health condition of women in developing countries, where resource scarcity and subsistence-level economic conditions characterize the economy.
Maternal health seeking behaviour and social structures in Bosomtwe Maternal health seeking behaviour and social structures in Bosomtwe Новинка

Maternal health seeking behaviour and social structures in Bosomtwe

The study investigated access opportunities created by organisation of maternal health care and social relations and how this in turn influences health seeking behaviour. Pregnancy related maternal health care was studied based on cases of 16 women and health care providers. This was a study from a qualitative background of interviews, focus group discussions and observatioins. The result showed that characteristics embedded in social structure and organisation of maternal health care influence the attitude of women. The women use maternal health services especially antenatal care due to the introduction of the virtually free maternal health care but rather give birth at home. Home births which are normally without professional supervision are more widespread among women who live in Abono than in Kuntenase health zones of the district.
Influence of Education on Maternity Care Influence of Education on Maternity Care Новинка

Influence of Education on Maternity Care

Relationship between education and utilization of maternity care services is expected to be positive in all societies. However the degree of relationship between education and utilization of health services may be weakened by various factors. Very little research exists in Nepal which addresses this issue. This book first observes the influence of education on maternity care through reproductive behaviors, access to and utilization of available health care services. By using the logistic regression analysis, it examined the gross and the net effects of education on maternity care controlling other socio-economic factors aiming to explore the most influential one. Moreover, psychometric test, inter- disciplinary approach, mixed method were used in this study. In addition, it has been contributed to fulfill the gap of previous research by constructing several indicators of empowerment, equity, satisfaction, responsibility and plans for maternity care. It is useful to policy makers, practitioners, individual /community members, educationalist, researchers and students for policy formulation, program development, research and study design in the field of education and maternity care.
Resource Allocation for Health and Provision of Quality Maternal Care Resource Allocation for Health and Provision of Quality Maternal Care Новинка

Resource Allocation for Health and Provision of Quality Maternal Care

Millennium Development Goals included maternal health as a key component. However, this remains far from being achieved especially in developing countries. This is because, they are faced with a challenge of limited resources. No adequate attention has been paid to prioritize and allocate substantial portion of the little resources to key health care services like maternal health care. Read this book to get a real situation of how the limited resources are allocated and how this has impacted on the quality of maternal health care.
Antenatal Care uptake in Nepal: barriers and opportunities Antenatal Care uptake in Nepal: barriers and opportunities Новинка

Antenatal Care uptake in Nepal: barriers and opportunities

Maternal mortality remains one of the most important public health problems in developing countries. Millions of women lack access to adequate care during pregnancy. Underutilisation of health services is one factor contributing to high maternal mortality in Nepal. The uptake of antenatal care (ANC) is very low in Nepal in compared to other countries. This book explores barriers and opportunities in ANC uptake in Nepal. It is a qualitative study; in-depth interview was conducted with antenatal care users and non-users: 30 prenatal and postnatal women, 10 mothers-in-law of these women and 10 husbands. It highlights major factors affecting antenatal care uptake in rural and semi-urban of Nepal. The findings should assist health researchers, health professionals and policy-makers in reviewing antenatal care policies, develop interventions and manage antenatal care programme in Nepal.
Voluntary Counseling and Testing of HIV in Lesotho Voluntary Counseling and Testing of HIV in Lesotho Новинка

Voluntary Counseling and Testing of HIV in Lesotho

Voluntary Counseling and Testing for HIV is an effective and important strategy for prevention, care and support. The study examines factors affecting utilization of VCT among pregnant women in Lesotho. A combination of quantitative and qualitative methods was employed. The majority of pregnant women have never been tested for HIV/AIDS. Married women were less likely to go for VCT as compared with those who are not married. The study also established that place of residence, education and marital status were significantly associated with knowledge of HIV/AIDS and ever been tested for HIV. Stigma and discriminations and fear associated with HIV testing were highlighted as the main factors hindering the use of VCT services among pregnant women. However, knowing one''s status in order to access early treatment was the main reason for utilizing VCT.
Access and Utilization of Healthcare services Access and Utilization of Healthcare services Новинка

Access and Utilization of Healthcare services

This work examines the factors that influence household access and utilization of healthcare services. This is motivated by the fact that healthcare is becoming increasingly recognized as becoming inaccessible and worrisome to households. Despite many decades of public and private initiatives, a significant number of people do not have a satisfactory access to and utilization of healthcare services. It is hoped that the results of the study will improve policy-makers understanding on factors that influence access and utilization of healthcare services. Findings of the study indicate that there are specific urban dimensions to access and utilization of healthcare, among the respondents there is substantial unmet healthcare need, and for many urban families using healthcare services is determined by much more than being able to reach them physically. The study concludes that improved socioeconomic condition, health insurance and well functioning referral system, have the potential to improve access and utilization of healthcare services. It is recommended that the policy-makers focus attention on and improve public healthcare services.
Women’s Autonomy and Maternal Health Care Utilization in Pakistan Women’s Autonomy and Maternal Health Care Utilization in Pakistan Новинка

Women’s Autonomy and Maternal Health Care Utilization in Pakistan

The present study intends to analyze women’s autonomy and its relationship with maternal health care utilization in rural Gujrat, Pakistan. A survey was conducted in three Union Councils (Doga, Kernana & Malka) of Tehsil Kharian, District Gujrat. A sample size of 104 female respondents (delivered a baby having the age group of 6 weeks to 8 months) was drawn with the help of multi-stage random sampling technique by collecting sampling frame from the concerned Union Council Offices. Interview schedule was developed to collect relevant information from the respondents. Univeriat tables were generated to show frequency distribution and percentages. Cross-tabulations were constructed to show the relationship of different variables. Spearman’s rho statistical test was used to test the hypothesis. There was a positive association between women’s autonomy and maternal health care utilization.
Women's Perspectives Regarding the Quality of Postpartum Nursing Care Women's Perspectives Regarding the Quality of Postpartum Nursing Care Новинка

Women's Perspectives Regarding the Quality of Postpartum Nursing Care

Quality health care during and immediately after the critical period of labor and delivery is a single most important intervention for preventing maternal and neonatal morbidity and mortality. Researchers have developed several indicators to measure quality of health care services based on patients' health outcomes. In maternal-child nursing practice, patient satisfaction has been widely recognized as one of the critical indicators of the quality and the efficiency of the health care systems.Patient satisfaction is an important health outcome in today's cost conscious health care arena. It is used by health care providers, administrators and policymakers to assess the quality of care, make decisions about the organization and provision of health care services, avoid malpractice litigation and maintain a competitive edge in the health care arena
Palliative Care Needs of Aids Patients Palliative Care Needs of Aids Patients Новинка

Palliative Care Needs of Aids Patients

People with AIDS often suffer from major physical and psychosocial distress due to their experience of serious life-threatening illness. The palliative care needs of AIDS patients at Tikur Anbessa hospital are very high and interrelated. Their palliative care needs are not addressed by the existing health care services due to limited access. Besides the available services are not holistic and they are not integrated with other services. Therefore promoting standard palliative care services for patients and their families is important to alleviate their distress and improve their quality of life. This book focuses on exploring the palliative care needs of AIDS patients from the perspectives of the AIDS patients and health care providers. The book came up with workable recommendations which could be used as an input in designing and implementing appropriate palliative care services in existing heath care system.
Under utilization of post natal services Under utilization of post natal services Новинка

Under utilization of post natal services

Postnatal care is a service rendered to a mother and a child (new born) from birth to 42 days with an aim of reducing morbidity and mortality. About 3-4 million new born dies within the first week of life. The risk of death is highest in the developing world (WHO 2006).The postnatal period is a vulnerable time for both mothers and newborn. 61% of maternal deaths occur during the first week after birth and nearly half of those take place during the first day after delivery (population data sheet 2003).A cross sectional descriptive study was carried out in Rubaya sub-county to establish the magnitude and factors influencing low utilization of post natal care services. Data was collected from 140 respondents. The study findings revealed that 72% of the respondents were knowledgeable but only 25% utilized the services. It was also discovered that the hindering factors were: Distance, education, occupation and economic status. Conclusively, information education and communication, advocacy on education for all and continuous updating /training of health workers would be reliable strategies to improve the situation
Utilization of Family Health Services in a Tribal District of India Utilization of Family Health Services in a Tribal District of India Новинка

Utilization of Family Health Services in a Tribal District of India

Utilization of Family Health Services in a Tribal District of India is a study conducted to assess the status of maternal, child and family planning services in Dungarpur district. It highlights the variation in health indicators in tribal rural area to that of urban population in terms of immunization status, institutional deliveries, antenatal care, methods of contraception used by the couples under reproductive age group. The study reflects the inaccessibility and unavailability of health services to the people. It emphasizes the need of family planning provisions with convenient methods of contraception for them. Further, the findings of the study can be effectively used in designing focused delivery system for marginalized people inhabiting in remote areas.
Rural-Urban Migration and Child Survival in India Rural-Urban Migration and Child Survival in India Новинка

Rural-Urban Migration and Child Survival in India

Increasing urbanization and concomitantly accelerating rural-urban migration in India, provide a good scope to investigate the association of later with the infant and child mortality. This paper is an attempt examine the association between rural-urban migration and child mortality. study also analyzes the differentials of mortality rates and maternal and child health care utilization among different migrant and non-migrant groups (natives) using the latest data set of Indian National Family Health Survey, 2005-06. Study documented that rural-urban migrants are found to be ahead of rural natives and behind the urban natives in utilization of maternal and child health care services, while converse is true for infant and child mortality rates. Rural-urban migration is negatively associated with the infant mortality while no significant association has been observed with the early child mortality, after controlling for other socio-economic factors.
Demand for Health Care and Health Care Expenditure Demand for Health Care and Health Care Expenditure Новинка

Demand for Health Care and Health Care Expenditure

Health is universally regarded as an important index of human development. Improvements in health would translate into higher incomes, higher economic growth and accelerated declines of poverty. Without understanding the factors which play an important role in health care utilization, efforts to promote demand for health care will not offer a pragmatic solution. Increasing utilization of health services is the prime goal for many developing countries. In this study, potential biases are controlled by an advanced statistical technique. The results of this study can provide unbiased estimates of the magnitude of household health care expenditure in Bangladesh. These findings will call for policy makers to either design new health policy or strengthen existing ones taking into consideration of various factors that are identified in this study in order to improve health care system in developing countries like Bangladesh.
Antenatal Care Service Antenatal Care Service Новинка

Antenatal Care Service

To promote the health and survival of mothers and babies,Kenya has adapted the WHO goal-oriented Antenatal Care (ANC) package,popularly known as Focused ANC (FANC). ANC visits are now used as an entry point for a range of other reproductive health services, thus promoting comprehensive integrated service delivery. This book provides a descriptive survey carried out in Central Division,Kitui District to establish the factors influencing utilization of antenatal Care services. Utilization of ANC services increased with the number of previous deliveries (X2=22.891, df=4, p=0.0001). Negative attitude towards health providers was found to hinder utilization of antenatal care services (X2=8.019, df=1, p=0.005). Consequently, women who had support from the spouse were more likely to utilize antenatal care services (X2=4.112, df=1, p=0.043). It is recommended that the Ministry of health and hospitals should improve training sessions for ANC staff regarding client handling in order to make the services more acceptable. Hospitals should utilize CBOs to sensitize the community about ANC services in order to encourage early visits among women in their first pregnancy as well as spouse support.
Supervised Delivery Services in Ghana Supervised Delivery Services in Ghana Новинка

Supervised Delivery Services in Ghana

Increasing the proportion of births supervised by Skilled Birth Attendants is an internationally agreed goal. However, available data indicate that little progress has been made in Sub-Sahara Africa. Though there is over 80 percent coverage of antenatal attendance in Ghana, there is pervasive maternal service utilization, yet, the underlying factors are poorly understood. Evidence-based data are therefore needed to inform policy formulation and the design of practical solutions to address the existing challenges particularly at the district and community levels. This book therefore, provides scientific evidence that explains the role individual factors play in influencing access and utilization of supervised delivery services in a typical district in Ghana. The book would particularly be useful for policy makers, the academia, as well as community and public health professionals.
Home Based Care for Persons Living with HIV & AIDS in Rural Kenya Home Based Care for Persons Living with HIV & AIDS in Rural Kenya Новинка

Home Based Care for Persons Living with HIV & AIDS in Rural Kenya

Globally, an estimated 35.3 million people were living with HIV in 2012. In Kenya, HIV and AIDS is a national disaster affecting mainly people in the productive and reproductive age group of 15 to 49 years. Home and Community Based Care (HBC) is a critical component in the care, support and mitigation of the effects of HIV and AIDS but whose utilization is still low in Kenya. The aim of this book is to document the factors associated with HBC uptake among rural PLWHAs in Kenya. A population based survey was conducted in rural Kenya among adult PLHIV. Respondents were randomly from among PLHIV registered and receiving HIV care and treatment in Government of Kenya comprehensive care centres. The overall utilization of HBC uptake among rural PLWHAs is low in Kenya. The study recommends scaling up of HBC programs to comprehensively cover all sub-counties that have established the services and to reach those PLHIV who have not accessed HBC, strengthening referral systems between HBC and other services including strengthening of linkage between health facilities and community so as to ensure the continuum of care, and strengthening Districts to support monitor and supervise HBC programs.
Cost of maternal healthcare service utlised by NHIS clients in Ghana Cost of maternal healthcare service utlised by NHIS clients in Ghana Новинка

Cost of maternal healthcare service utlised by NHIS clients in Ghana

There is considerable interest at present in achieving the MDG-5 by implementation of the Free Maternal Health Policy embedded in the social health insurance to increase access to and affordability of health care in Ghana. Ghana's National Free Maternal Health Policy was passed into operation in July, 2007. This book aims to provide assessment of the explicit costs of maternal healthcare services rendered to NHIS clients in Ghana. The book revealed that there is increase utilization of the free maternal health service. The NHIS offers the entire maternal health package to their clients free of charge. There is a cost gap between the tariffs paid by the NHIA which uses the G-DRG compared to the cost of services rendered by the health providers if they use the itemized billing system. The challenges were the NHIA paying less to the service rendered by the health providers and payment of the claims on late. The free maternal health care in the Health insurance has become the alternative option of the health care financing in achieving the MDG-5 in Ghana.
Health Services Utilized By Insurance Clients:The Ghanaian Case Health Services Utilized By Insurance Clients:The Ghanaian Case Новинка

Health Services Utilized By Insurance Clients:The Ghanaian Case

There is a keen interest at present in exploring the potentials of social health insurance to increase access and affordability of health care in Africa. Ghana's National Health Insurance Bill was passed into law in 2003 but fully implemented from late 2005. This book aims to provide assessment of the NHIS client’s utilization of the health services in Ghana. It revealed that utilization of services depends on several factors such as client socio-economic, quality of services provided by health providers and the health insurance scheme management. There is a strong relationship between formal education and enrollment. The NHIS offers a broad benefits package and has lead to increase OPD cases with drastic increased in the number of registrants, the beneficiaries, the renewal and claims submitted over the years. However, considerable challenges remain in relation to strengthening the purchasing role of the NHIS, and also settling debates about its structure and accountability. Health insurance has become the mainstay of the health care financing compare to the "cash and carry" system, and has proved to increase access and utilization of health care services in Ghana.
Factors Affecting Family Planning Information Utilization Factors Affecting Family Planning Information Utilization Новинка

Factors Affecting Family Planning Information Utilization

High fertility and rapid population growth have an impact on the overall socio-economic development of a country in general and maternal and child health in particular. Moreover, high population growth rate puts pressure on a nation’s scarce resources and poses a serious challenge to the provision of food, housing, health, educational services and employment opportunities to the public. Ethiopia is among the developing countries where the rate of population growth is one of the highest and contraceptive prevalence rate is one of the lowest. The practice of family planning and its possible determinants have hardly been explored in rural parts of the country. Targeting the identified factors, and making policy and development interventions can promote the level of utilization of family planning among rural women.
М. С. Majo Income and health care utilization among the 50+ in Europe and the US М. С. Majo Income and health care utilization among the 50+ in Europe and the US Новинка

М. С. Majo Income and health care utilization among the 50+ in Europe and the US

This study addresses the question how income affects health care utilization by the population aged 50 and over in the United States and a number of European countries with varying health care systems. The probabilities that individuals receive several medical services (visits to general practitioner, specialist, dentist, inpatient, or outpatient services) are analyzed separately using probit models. In addition to controls for income and demographic characteristics, controls for health status (both subjective and objective measures of health) are used. We analyze how the relationship between income and health care utilization varies across countries and relate these cross country differences to characteristics of the health care system, i. e., per capita total and public expenditure on health care, gate-keeping for specialist care, and copayments.
Prenatal Care in Rural Areas Prenatal Care in Rural Areas Новинка

Prenatal Care in Rural Areas

This book was written as a result of extensive research carried out in Kitui district, Kenya. The focus was to determine the influence of prenatal care on pregnancy outcome. It covers broad topics on knowledge of prenatal care, utilization of prenatal care services and factors contributing to maternal and prenatal complications by women attending prenatal clinics in rural areas. In general women's perception of prenatal care, knowledge on when to start attending prenatal clinic and it's effectiveness in preventing pregnancy complications was found to be inadequate. Prenatal care services should be decentralized to communities to enable pregnant mothers access skilled birth attendants while health facilities should be properly equipped and well staffed with skilled birth attendants This book is intended to help policy makers in establishing policies on how prenatal care services in rural areas should be managed. It is presented in simple language and a straightforward manner, easy to be understood by the reader. The author of this book is a former Chief Nurse of Moi Teaching and referral Hospital
Utilization of Maternal Health Services in a Rural District of Kenya Utilization of Maternal Health Services in a Rural District of Kenya Новинка

Utilization of Maternal Health Services in a Rural District of Kenya

Over the years, Kenya has recorded poor maternal health indicators including among others a high maternal mortality rate and a declining trend in utilization of maternity services. It is estimated that the maternal mortality rate stands at 488 per 100,000 live-births making her one of the countries with highest maternal mortality rates.A survey was carried out in one of the rural districts with the aim of assessing utilization of these services in the District. This was a cross-sectional, descriptive study whose study population comprised of mothers bringing their children to the child welfare clinics following delivery in four government rural health centres of the District. A total of 200 mothers were systematically sampled on random visiting days and personal interviews carried out using a structured questionnaire. In each of the health centres, additional qualitative data was obtained using Focus Group Discussions.
Client's Centeredness of the Governmental PHC Services Gaza-Palestine Client's Centeredness of the Governmental PHC Services Gaza-Palestine Новинка

Client's Centeredness of the Governmental PHC Services Gaza-Palestine

Ideally, it is assumed that PHC services should be responsive to people's needs and expectations. Client-centered PHC services could meet the goal of being responsive through designing and providing health care services that suit clients and guarantee appropriate accessibility, involvement in the caring processes and the delivery of quality health care services. This quantitative analytic cross-sectional study was conducted in order to assess the extent to which the governmental PHC services in Gaza Strip are client-centered. The study recommends adopting new policies that enhance the client centeredness of the heath care services through increasing the awareness about basic clients’ health rights, increasing clients’ involvement in the planning, implementation and evaluation of health services. Also, improving communication and interaction between the clinics teams and the local communities is essential including establishing community committees.
Maternal Health Services in Bangladesh Maternal Health Services in Bangladesh Новинка

Maternal Health Services in Bangladesh

Maternal mortality in Bangladesh is 320 per 100,000 live births between the years of 1998 and 2000. In Bangladesh, around 4 million women become pregnant each year and more than half million women suffered pregnancy complications. This study attempts to evaluate the levels, patterns and trends of utilization of maternal health services in Bangladesh. This is a descriptive study based on national surveys of Bangladesh Demographic and Health Survey (BDHS) 2004, BDHS 1999-2000, BDHS 1996-1997 and BDHS 1993-1994. Despite the gaps in access to skilled delivery, delivery at health facility, assistance sought for pregnancy complications and postnatal care, receiving antenatal care, tetanus toxoid and delivery by cesarean have made a remarkable progress. Delivery at health facility and assistance sought from medically trained providers remained resistant to change. Women sought assistance for their complications around delivery from non-medically trained providers. Very few women received postnatal care though it was a period during which most maternal deaths occurred.
Utilization of Reproductive and Child Health Services Utilization of Reproductive and Child Health Services Новинка

Utilization of Reproductive and Child Health Services

In this research, I have tried to probe in to aspects of reproductive health of the women dwelling in the urban slums with the understanding that slum is a complex of the larger socio-cultural milieu. Individuals or households of the slum setting practice their health activities with different sets of economic, social and cultural belongings. In the appearance of new socio-economic and physical environment, the people residing in slum areas perpetuate their cultural and institutional health care resources available and accessible to them and thus, develop a particular health behavioral pattern for dealing with the heterogeneous urban day to day life. The main objective of the study is to analyze and assess the determinants of utilization of reproductive child health (RCH) services. With in this context, to ascertain the extent of health services and to know the socio-economic-demographic factors influencing the utilization of reproductive and child health services. In the various chapters of the present study the diverse dimensions of reproductive and child health services have been dealt with. Chapter I talks about the scenario of urban poor and their health status.
Perceived Health and Access to Care in Minority Settings Perceived Health and Access to Care in Minority Settings Новинка

Perceived Health and Access to Care in Minority Settings

Official-language minorities in Canada may face specific issues in accessing health care services that can lead to negative consequences on their health, utilization of health care services and satisfaction with the health care system. A secondary data analysis of the 2006 Survey on the Vitality of Official-Language Minorities revealed significant differences between the Anglophone minority (n=5,161) and the Francophone minority (n=12,029) with regards to general health, and access to and use of health care services. Important predictors of these outcomes included age, education level, household income, marital status and place of residence (urban/rural). Access to health care services in the minority language was associated with self-perceived health in the Anglophone minority only. Health policy recommendations elaborated in light of the findings include working on both the supply and the demand of health care services offered in the two official languages, while taking into consideration important contextual differences between regions.
Use of Traditional Health Care Practice in Kathmandu Metropolitan City Use of Traditional Health Care Practice in Kathmandu Metropolitan City Новинка

Use of Traditional Health Care Practice in Kathmandu Metropolitan City

This cross-sectional study ascertains the frequency of traditional healthcare usage and examines some of the factors and reasons governing the choice of this kind of healthcare within the Kathmandu Metropolitan City. This study also observes differences in utilization of health care services across ethnic groups, between gender, across age groups, among people who vary in terms of their educational level and income level.
Institutional and Non-Institutional Deliveries in Orissa Institutional and Non-Institutional Deliveries in Orissa Новинка

Institutional and Non-Institutional Deliveries in Orissa

The present study is a collection of several fact-finding and cause and effects of institutional and non institutional deliveries from the secondary data of national family health survey-3 conducted by the government of India (2005-06).The research is restricted to one of the poor and backward state of India i.e. Orissa. As Orissa is a weak indicator with regard to public health especially maternal and child health. Research finding focused on mainly institutional and non institutional delivery status in the concerned state, with socio-economic background of married women of age group15-49 years. The purpose of this book to examine the effect of demographic, socio-economic, and health related factors affecting the utilization of institutional services for delivery in Orissa. This study consists of five chapters namely (i) Introduction (ii) Literature Review (iii) Conceptual Framework and Methodology (iv) Data Analyses and (v) Conclusions. The first chapter describes the current scenario on non-institutional and institutional deliveries and the utilization of maternal health care of globe, nation, and area of study.
Quality of Health Care Provisions from Patients'' Perspective Quality of Health Care Provisions from Patients'' Perspective Новинка

Quality of Health Care Provisions from Patients'' Perspective

Quality of service is an elusive and hazy construct which is difficult to measure. Using the SERVQUAL methodology, this study attempts to identify and compare the key dimensions of inpatient and outpatient service quality of public and private hospitals from patients'' perspective and identify the factors that significantly contribute to patient satisfaction. A survey was conducted on a total of 120 inpatients and outpatients of two public and two private hospitals in Dhaka city using a structured questionnaire that addressed the probable factors of the quality of health care services in 5-point interval scale. The private hospitals performed better in both types of services- inpatient and outpatient. This study also provides insights into the particular factors of the quality of each type of hospital services that require to be addressed to meet the needs of patients.
Birth outcomes among women attending a referral hospital in Kenya Birth outcomes among women attending a referral hospital in Kenya Новинка

Birth outcomes among women attending a referral hospital in Kenya

Maternal and Perinatal morbidities and mortalities remain unacceptably very high worldwide with a higher proportion occurring in the developing or low resource countries. Efforts to reduce these mortalities are among the top five millennium development goals, to be achieved by the year 2015.Limited empirical literature exist on the factors influencing birth outcomes in the Sub Saharan region. Some parts of the world have reported maternal factors, past obstetric history, antenatal and intrapartal care among the determinants of birth outcomes. The Author of this book reveals how maternal social-demographic characteristics, past obstetric history, prenatal and intra-patal care affect birth outcomes among women that delivered at Moi Teaching and Referral Hospital. The author recommends actions that can be taken by various stakeholders in improving maternal and neonatal birth outcomes.
Trends and determinants of utilization of MHC services in Ethiopia Trends and determinants of utilization of MHC services in Ethiopia Новинка

Trends and determinants of utilization of MHC services in Ethiopia

Worldwide women die each year from complication arising from pregnancy, and a high proportion of this occurs in sub-Saharan Africa. Ethiopia is one of the countries with an unacceptably high maternal mortality of 676/100,000 live births (CSA and ICF International, 2012). One explanation for this poor health outcome is the nonuse of modern health care services by a sizable proportion of women. EDHS report shows 57 % women did not take at least one antenatal care, 90 % delivered without the assistance of health professionals and 52 % did not receive at least two tetanus toxiod injections (CSA and ICF International, 2012). The purpose of this study was to show the current levels, trends and determinants of maternal health care service by women’s demographic and socioeconomic characteristics and estimate the relative importance of family planning program intervention on the level of maternity care usage. The study used EDHS data of 2000, 2005 and 2011. Women aged 15- 49 were selected from Harari region by the criterion that they had at least one live birth in the five years preceding the survey. The level of each service was determined based on the recent EDHS survey.
Health Seeking Behaviors of Lower Middle Class Families in Sri Lanka Health Seeking Behaviors of Lower Middle Class Families in Sri Lanka Новинка

Health Seeking Behaviors of Lower Middle Class Families in Sri Lanka

Availability of services and cost of care affect health seeking behaviors and access to health care. Better understanding of health care service utilization is important for formulation of realistic policies and will be critical in order to deliver health programs which can be accessed by the whole population. This study is to explore LMC Sri Lankans experiences with respect to health care utilization and identify treatment seeking behaviors. Five health seeking behavior patterns emerged; ‘self care’, ‘use of allopathic treatments for moderate acute illnesses’, ‘mixed use of public-private services to manage chronic conditions’, ‘hospitalization for severe acute conditions’ and ‘looking after elderly at home and provision of palliative care from home’. A main finding was that there was a high level of trust and satisfaction towards the public hospitals despite service provision failures. Public health care was not always free as patients required to purchase services and/or supplies. Patients often used a mixture of public and private services. The women in the family act as gatekeepers and primary caregivers, playing a major role in influencing health seeking behaviors.
Voluntary HIV Counselling and Testing in Ethiopia Voluntary HIV Counselling and Testing in Ethiopia Новинка

Voluntary HIV Counselling and Testing in Ethiopia

Since its emergence in early 1980’s, HIV/AIDS remains a global health problem of unmatched dimensions. It has caused millions of death globally and has led to deep demographic changes mainly in most heavily affected countries. Voluntary HIV counselling and testing (VCT) is one of the key strategies in the HIV/AIDS prevention and control programs. However, utilization of these services has been reported to be low mainly among adult men even though they are yet the key decision makers both at home, at the workplace, in the parliament as well as at religious institutions. The book presents the prevalence and factors associated with voluntary HIV counselling and testing services utilization among adult men (aged 15-59 years) in Ethiopia. This book can be interesting for health professionals, concerned government bodies, HIV/AIDS prevention activists as well students.
Utilization of Essential Health Package in Public Hospitals Utilization of Essential Health Package in Public Hospitals Новинка

Utilization of Essential Health Package in Public Hospitals

This manuscript presents a study conducted in Homabay County, Kenya on the utilization of Essential Health Package in public hospitals. The study is relevant to the current healthcare situation as it enlightens the governments on factors that influence the provision and utilization of essential health package. It is a common knowledge that a hungry person will prefer food to health care, and Homabay County is stricken with poverty at the rate of 44%. The high under-five and maternal mortality rate (91/1000 and 583/100000 respectively) is also alarming. Nevertheless, the availability of health services does not guarantee that they will be utilized. Therefore, this study illustrates the reasons for low service provision and utilization in Homabay County. The study is applicable to most rural counties around the world, and will be helpful in addressing health care challenges currently faced by many developing nations.
Demand and Supply aspects Demand and Supply aspects Новинка

Demand and Supply aspects

Although life expectancy has improved remarkably with wide availability of curative medicines, health (besides education) is still a highly neglected sector in the development process of India. Particularly neglected area of health is the provision of maternal and child health care services. The neglect covers the areas of infrastructure and skills development and quality of care. Consequently, levels of health care services utililization for mothers and children are among the lowest even by the standards of developing world, although there are vast amounts of regional inequalities where some states are comparable with best performing Asian nations and others with those of poorest performing nations in Asia and Africa. Apart from such pronounced regional variation, there is a great deal of inequalities by socio-economic status as well; such inequalities also varied across the regions. With this basic background this book aims at to highlight the regional and socio-economic differences in the levels of maternal health care services coverage in comparison to child health care services (immunization) coverage in India.
Cultural influences on oral health Cultural influences on oral health Новинка

Cultural influences on oral health

Culture influences a wide range of factors such as beliefs, customs, values, behaviors and practices which may have significant implications on an individual’s oral health. This reflection of the cultural factors on oral health can be seen in the patient’s attitude towards oral health practices, use of preventive oral health services and utilization of oral health care. Recognizing cultural differences in terms of oral health and the potential impact of these differences on oral health practices would be of great value to the dental professionals. Understanding these differences will help them to focus on culturally appropriate methods of enhancing the utilization and improving the oral health of various ethnic groups.
Impact of User Fees for Maternal Care in Low Resource Settings Impact of User Fees for Maternal Care in Low Resource Settings Новинка

Impact of User Fees for Maternal Care in Low Resource Settings

User fees are in place in most Sub-Saharan African countries since the 80’s and have been extended to maternal healthcare services. However, the effects of these type out-of-pocket payments in contexts where poverty deeply affects women’s purchasing power are not yet clear. This book asks for the purpose of user fees for maternal care in low resource settings and is based on a literature review. Conclusions: User fees can be harmful in a context were women are very poor and where healthcare services, like maternal care, have suboptimal levels of consumption. Therefore, when asking for what are the alternatives to out-of-pocket expenses, demand side approaches must be considered (like voucher schemes, community insurance, cash transfers and loan funds), as well as supply side approaches (like reimbursement schemes, cost-effectiveness analysis, etc.) and as other set of interrelated tools. Still, all these tools may fail if context is not taken into account. It is necessary to understand the cause for the lack of demand for maternal healthcare and keep in mind that the reasons for the arousal of the problem may be different from community to community.
Output Based Aid (OBA) Maternal Health Voucher Scheme in Kenya Output Based Aid (OBA) Maternal Health Voucher Scheme in Kenya Новинка

Output Based Aid (OBA) Maternal Health Voucher Scheme in Kenya

Utilization of safe motherhood services is an important maternal health indicator. This work was developed as a result of maternal health indicators in Kenya that have not improved significantly over the years despite widespread global commitment and the strides Kenya has made to the fifth millennium Development Goal. According to Kenya Demographic Health Survey (KDHS 2008/2009) 56 percent of women deliver at home in the absence of trained medical personnel and this contribute to an increase in complications and infections that could cause deaths. The report also pointed out that only 52 percent of the women had four (4) or more antenatal care visits to health facilities, while less than half received antenatal care before the 6th month of pregnancy. Key results for this study were that 61.5% of women were not knowledgeable to maternal danger signs during pregnancy, 85% of women who lived more than 6 km used health facilities for delivery, only 33 % had four or more antenatal care visits and that sudden onset of labour was the main reason given by 50.9% for home deliveries and in overall.
Maternal Correlates of Low Birth Weight Deliveries Maternal Correlates of Low Birth Weight Deliveries Новинка

Maternal Correlates of Low Birth Weight Deliveries

Low birth weight (LBW) babies are at a higher risk for neonatal and infant mortality and such babies constitute a major public health problem worldwide as well as in Nigeria. Most newborn babies weighing less than 1000 g at birth die. Cot deaths and lifestyle disabilities are common among those who survive. The incidence of LBW delivery in developing countries has remained elevated in the past decades. Factors associated with LBW delivery are largely preventable and often unattended. The overarching objective of this study is to determine the incidence of LBW delivery in a rural Nigerian community, and identify maternal factors associated with the burden. This understanding is prerequisite for effective preventative strategies and programming.
Assessment of Quality of care in Family Planning services Assessment of Quality of care in Family Planning services Новинка

Assessment of Quality of care in Family Planning services

The focus of attention on health service in developing world including Ethiopia has been generally directed toward improving coverage rather than quality of services. Lately, however, awareness of this problem has increased, & experts have pointed out the need to let developing countries gain from the progress made in the field of quality assurance. Several studies have shown that quality of care greatly influences the uptake and continuation of use of family planning services. So-far evidence based data related to quality of care in family planning services & reproductive health are inadequate in the study area. Additionally quality of care in family planning services & utilization were not well studied in the study area & still there is under utilization of family planning services. The result of this study will help in addressing critical points for the improvement of contraceptive prevalence rate & reduction of high fertility rate in the study area. The outcome of this study will be also addressed the problem of family planning and reproductive health program & management. Generally the conclusion of this qualitative study will be used for the improvement of quality of care.
Effect of maternal obesity on pregnancy outcome in Gaza governorate Effect of maternal obesity on pregnancy outcome in Gaza governorate Новинка

Effect of maternal obesity on pregnancy outcome in Gaza governorate

Obesity is a major public health problem. It can be defined as an excess accumulation of body fat cells. Obesity is considered the fifth leading risk for global death. At least 2.8 million adults die each year as a result of being overweight or obese. Maternal obesity affect the health of mother in pregnancy and developing fetus that adversely increase risk of gestational diabetes, preeclampsia toxemia, macrosomic baby and birth defect. this study aimed to reveal the effect of maternal obesity on pregnancy outcome. The study found some factors that are associated with adverse maternal outcome. Increasing in obesity degree will risk of hypertensive disorder, gestational diabetes; and having macrosomic new born.the study provides possible intervention strategies that could contribute to reduce effect of maternal obesity on pregnancy outcome.

кешбака
Страницы:


To promote the health and survival of mothers and babies,Kenya has adapted the WHO goal-oriented Antenatal Care (ANC) package,popularly known as Focused ANC (FANC). ANC visits are now used as an entry point for a range of other reproductive health services, thus promoting comprehensive integrated service delivery. This book provides a descriptive survey carried out in Central Division,Kitui District to establish the factors influencing utilization of antenatal Care services. Utilization of ANC services increased with the number of previous deliveries (X2=22.891, df=4, p=0.0001). Negative attitude towards health providers was found to hinder utilization of antenatal care services (X2=8.019, df=1, p=0.005). Consequently, women who had support from the spouse were more likely to utilize antenatal care services (X2=4.112, df=1, p=0.043). It is recommended that the Ministry of health and hospitals should improve training sessions for ANC staff regarding client handling in order to make the services more acceptable. Hospitals should utilize CBOs to sensitize the community about ANC services in order to encourage early visits among women in their first pregnancy as well as spouse support.
Продажа utilization of maternal heath care services and associated factors лучших цены всего мира
Посредством этого сайта магазина - каталога товаров мы очень легко осуществляем продажу utilization of maternal heath care services and associated factors у одного из интернет-магазинов проверенных фирм. Определитесь с вашими предпочтениями один интернет-магазин, с лучшей ценой продукта. Прочитав рекомендации по продаже utilization of maternal heath care services and associated factors легко охарактеризовать производителя как превосходную и доступную фирму.