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Ramesh Prasad Adhikari - One of the best experts on this subject based on the ideXlab platform.

  • Trends in and determinants of visiting private Health facilities for maternal and Child Health care in Nepal: comparison of three Nepal demographic Health surveys, 2006, 2011, and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Background Maternal and Child Health care Services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health Service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. Results The results indicate an increase in the use of private facilities for maternal and Child Health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC Services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Conclusions Women are increasingly visiting private Health facilities for maternal and Child Health care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these Services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health care sector.

  • trends in and determinants of visiting private Health facilities for maternal and Child Health care in nepal comparison of three nepal demographic Health surveys 2006 2011 and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Maternal and Child Health care Services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health Service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. The results indicate an increase in the use of private facilities for maternal and Child Health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC Services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Women are increasingly visiting private Health facilities for maternal and Child Health care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these Services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health care sector.

Nawaraj Upadhaya - One of the best experts on this subject based on the ideXlab platform.

  • Trends in and determinants of visiting private Health facilities for maternal and Child Health care in Nepal: comparison of three Nepal demographic Health surveys, 2006, 2011, and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Background Maternal and Child Health care Services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health Service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. Results The results indicate an increase in the use of private facilities for maternal and Child Health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC Services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Conclusions Women are increasingly visiting private Health facilities for maternal and Child Health care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these Services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health care sector.

  • trends in and determinants of visiting private Health facilities for maternal and Child Health care in nepal comparison of three nepal demographic Health surveys 2006 2011 and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Maternal and Child Health care Services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health Service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. The results indicate an increase in the use of private facilities for maternal and Child Health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC Services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Women are increasingly visiting private Health facilities for maternal and Child Health care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these Services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health care sector.

Manisha Laxmi Shrestha - One of the best experts on this subject based on the ideXlab platform.

  • Trends in and determinants of visiting private Health facilities for maternal and Child Health care in Nepal: comparison of three Nepal demographic Health surveys, 2006, 2011, and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Background Maternal and Child Health care Services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health Service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. Results The results indicate an increase in the use of private facilities for maternal and Child Health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC Services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Conclusions Women are increasingly visiting private Health facilities for maternal and Child Health care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these Services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health care sector.

  • trends in and determinants of visiting private Health facilities for maternal and Child Health care in nepal comparison of three nepal demographic Health surveys 2006 2011 and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Maternal and Child Health care Services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health Service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. The results indicate an increase in the use of private facilities for maternal and Child Health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC Services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Women are increasingly visiting private Health facilities for maternal and Child Health care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these Services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health care sector.

Emily N. Satinsky - One of the best experts on this subject based on the ideXlab platform.

  • Trends in and determinants of visiting private Health facilities for maternal and Child Health care in Nepal: comparison of three Nepal demographic Health surveys, 2006, 2011, and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Background Maternal and Child Health care Services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health Service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. Results The results indicate an increase in the use of private facilities for maternal and Child Health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC Services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Conclusions Women are increasingly visiting private Health facilities for maternal and Child Health care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these Services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health care sector.

  • trends in and determinants of visiting private Health facilities for maternal and Child Health care in nepal comparison of three nepal demographic Health surveys 2006 2011 and 2016
    BMC Pregnancy and Childbirth, 2021
    Co-Authors: Ramesh Prasad Adhikari, Manisha Laxmi Shrestha, Emily N. Satinsky, Nawaraj Upadhaya
    Abstract:

    Maternal and Child Health care Services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and Child Health Service use over time in Nepal. This paper assesses trends in and determinants of visiting private Health facilities for maternal and Child Health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and Child Health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for Child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of Health-seeking at private facilities. The results indicate an increase in the use of private facilities for maternal and Child Health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC Services at private Health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private Health facilities. Likewise, Children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private Health facilities. Women are increasingly visiting private Health facilities for maternal and Child Health care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private Health facilities for these Services. These trends indicate the importance of collaboration between private and public Health facilities in Nepal to foster a public private partnership approach in the Nepalese Health care sector.

Paul Spiegel - One of the best experts on this subject based on the ideXlab platform.

  • maternal and Child Health Service delivery in conflict affected settings a case study example from upper nile and unity states south sudan
    Conflict and Health, 2020
    Co-Authors: Samira Sami, Hannah Tappis, Augustino Mayai, Grace Sheehy, Nicole Lightman, Ties Boerma, Hannah Wild, Wilfred Ochan, James Wanyama, Paul Spiegel
    Abstract:

    Background Decades of war left the Republic of South Sudan with a fragile Health system that has remained deprived of resources since the country's independence. We describe the coverage of interventions for women's and Children's Health in Upper Nile and Unity states, and explore factors that affected Service provision during a protracted conflict. Methods We conducted a case study using a desk review of publicly available literature since 2013 and a secondary analysis of intervention coverage and conflict-related events from 2010 to 2017. During June through September 2018, we conducted 26 qualitative interviews with technical leads and 9 focus groups among Health workers working in women and Children's Health in Juba, Malakal, and Bentiu. Results Coverage for antenatal care, institutional delivery, and Childhood vaccines were low prior to the escalation of conflict in 2013, and the limited data indicate that coverage remained low through 2017. Key factors that determined the delivery of Services for women and Children in our study sites were government leadership, coordination of development and humanitarian efforts, and human resource capacity. Participants felt that national and local Health officials had a limited role in the delivery of Services, and financial tracking data showed that funding stagnated or declined for humanitarian Health and development programming during 2013-2014. Although Health Services were concentrated in camp settings, the availability of Healthcare providers was negatively impacted by the protracted nature of the conflict and insecurity in the region. Conclusions Health care for women and Children should be prioritized during acute and protracted periods of conflict by strengthening surveillance systems, coordinating short and long term activities among humanitarian and development organizations, and building the capacity of national and local government officials to ensure sustainability.

  • maternal and Child Health Service delivery in conflict affected settings a case study example from upper nile and unity states south sudan
    Conflict and Health, 2020
    Co-Authors: Samira Sami, Hannah Tappis, Augustino Mayai, Grace Sheehy, Nicole Lightman, Ties Boerma, Hannah Wild, Wilfred Ochan, James Wanyama, Paul Spiegel
    Abstract:

    Decades of war left the Republic of South Sudan with a fragile Health system that has remained deprived of resources since the country’s independence. We describe the coverage of interventions for women’s and Children’s Health in Upper Nile and Unity states, and explore factors that affected Service provision during a protracted conflict. We conducted a case study using a desk review of publicly available literature since 2013 and a secondary analysis of intervention coverage and conflict-related events from 2010 to 2017. During June through September 2018, we conducted 26 qualitative interviews with technical leads and 9 focus groups among Health workers working in women and Children’s Health in Juba, Malakal, and Bentiu. Coverage for antenatal care, institutional delivery, and Childhood vaccines were low prior to the escalation of conflict in 2013, and the limited data indicate that coverage remained low through 2017. Key factors that determined the delivery of Services for women and Children in our study sites were government leadership, coordination of development and humanitarian efforts, and human resource capacity. Participants felt that national and local Health officials had a limited role in the delivery of Services, and financial tracking data showed that funding stagnated or declined for humanitarian Health and development programming during 2013–2014. Although Health Services were concentrated in camp settings, the availability of Healthcare providers was negatively impacted by the protracted nature of the conflict and insecurity in the region. Health care for women and Children should be prioritized during acute and protracted periods of conflict by strengthening surveillance systems, coordinating short and long term activities among humanitarian and development organizations, and building the capacity of national and local government officials to ensure sustainability.