The Experts below are selected from a list of 303 Experts worldwide ranked by ideXlab platform

Mukesh Hamal - One of the best experts on this subject based on the ideXlab platform.

  • social determinants of Maternal Health a scoping review of factors influencing Maternal mortality and Maternal Health Service use in india
    Public health reviews, 2020
    Co-Authors: Vincent De Brouwere, Mukesh Hamal, Marjolein Dieleman, Tjard De Cock Buning
    Abstract:

    Maternal Health remains a major public Health problem in India, with large inter- and intra-state inequities in Maternal Health Service use and Maternal deaths. The Commission on Social Determinants of Health provides a framework to identify structural and intermediary factors of Health inequities, including Maternal Health, and understand their mechanism of influence, which might be important in addressing Maternal Health inequities in India. Our review aims to map and summarize the evidence on social determinants influencing Maternal Health in India and understand their mechanisms of influence by using a Maternal Health-specific social determinants framework. A scoping review was conducted of peer-reviewed journal articles in two databases (PubMed and Science Direct) on quantitative and qualitative studies conducted in India after 2000. We also searched for articles in a search engine (Google Scholar). Forty-one studies that met the study objectives were included: 25 identified through databases and search engines and 16 through reference check. Economic status, caste/ethnicity, education, gender, religion, and culture were the most important structural factors of Maternal Health Service use and Maternal mortality in India. Place of residence, Maternal age at childbirth, parity and women’s exposure to mass media, and Maternal Health messages were the major intermediary factors. The structural factors influenced the intermediary factors (either independently or in association with other factors) that contributed to the use of Maternal Health Service or caused Maternal deaths. The Health system emerged as a crucial and independent intermediary factor of influence on Maternal Health in India. Issues of power were observed in broader social contexts and in the relationships of Health workers which led to differential access to Maternal Healthcare for women from different socioeconomic groups. The model integrates existing information from quantitative and qualitative studies and provides a more comprehensive picture of structural and intermediary factors of Maternal Health Service use and Maternal mortality in India and their mechanisms of influence. Given the limitations of this study, we indicate the areas for further research pertaining to the framework and Maternal Health.

Janette M Perz - One of the best experts on this subject based on the ideXlab platform.

  • Maternal Health Service utilisation of adolescent women in sub saharan africa a systematic scoping review
    BMC Pregnancy and Childbirth, 2019
    Co-Authors: Tensae Mekonnen, Tinashe Dune, Janette M Perz
    Abstract:

    Sub-Saharan Africa has the highest rate of adolescent pregnancy in the world. While pregnancy during adolescence poses higher risks for the mother and the baby, the utilisation of maternity care to mitigate the effects is low. This review aimed to synthesise evidence on adolescent mothers’ utilisation of maternity care in Sub-Saharan Africa and identify the key determinant factors that influence adolescent mothers’ engagement with maternity care. A systematic review of scholarly literature involving seven databases: ProQuest, PubMed, EMBASE/Elsevier, SCOPUS, PsycINFO, CINAHL and Infomit was conducted. Studies published in English between 1990 and 2017 that examined Sub-Saharan adolescent mothers’ experiences of utilising biomedical maternity care during pregnancy, delivery and the post-partum period were included. From 296 relevant articles 27 were identified that represent the experience of adolescent mothers’ Maternal Health Service utilisation in Sub-Saharan Africa. The review indicates that Maternal Health Service utilisation in the majority of Sub-Saharan African countries is still low. There is also a wide discrepancy in the use of maternity care Services by adolescent mothers across countries in Sub-Saharan Africa. The review reveals that a significant number of adolescents in Sub-Saharan Africa do not access and use maternity Services during pregnancy. Several factors from individual to systemic levels contributed to low access and utilisation. This implies that interventions targeting the women, their partners, Healthcare professionals, communities and the organisations (local to national) are necessary to improve adolescent mother’s engagement with maternity care in Sub-Saharan Africa.

Marjolein Dieleman - One of the best experts on this subject based on the ideXlab platform.

  • social determinants of Maternal Health a scoping review of factors influencing Maternal mortality and Maternal Health Service use in india
    Public health reviews, 2020
    Co-Authors: Vincent De Brouwere, Mukesh Hamal, Marjolein Dieleman, Tjard De Cock Buning
    Abstract:

    Maternal Health remains a major public Health problem in India, with large inter- and intra-state inequities in Maternal Health Service use and Maternal deaths. The Commission on Social Determinants of Health provides a framework to identify structural and intermediary factors of Health inequities, including Maternal Health, and understand their mechanism of influence, which might be important in addressing Maternal Health inequities in India. Our review aims to map and summarize the evidence on social determinants influencing Maternal Health in India and understand their mechanisms of influence by using a Maternal Health-specific social determinants framework. A scoping review was conducted of peer-reviewed journal articles in two databases (PubMed and Science Direct) on quantitative and qualitative studies conducted in India after 2000. We also searched for articles in a search engine (Google Scholar). Forty-one studies that met the study objectives were included: 25 identified through databases and search engines and 16 through reference check. Economic status, caste/ethnicity, education, gender, religion, and culture were the most important structural factors of Maternal Health Service use and Maternal mortality in India. Place of residence, Maternal age at childbirth, parity and women’s exposure to mass media, and Maternal Health messages were the major intermediary factors. The structural factors influenced the intermediary factors (either independently or in association with other factors) that contributed to the use of Maternal Health Service or caused Maternal deaths. The Health system emerged as a crucial and independent intermediary factor of influence on Maternal Health in India. Issues of power were observed in broader social contexts and in the relationships of Health workers which led to differential access to Maternal Healthcare for women from different socioeconomic groups. The model integrates existing information from quantitative and qualitative studies and provides a more comprehensive picture of structural and intermediary factors of Maternal Health Service use and Maternal mortality in India and their mechanisms of influence. Given the limitations of this study, we indicate the areas for further research pertaining to the framework and Maternal Health.

  • informal social accountability in Maternal Health Service delivery a study in northern malawi
    PLOS ONE, 2018
    Co-Authors: Marjolein Dieleman, Elsbet Lodenstein, Christine Ingemann, Joyce M Molenaar, J E W Broerse
    Abstract:

    Despite the expansion of literature on social accountability in low-and middle-income countries, little is known about how Health providers experience daily social pressure and citizen feedback. This study used a narrative inquiry approach to explore the function of daily social accountability relations among Maternal Health care workers in rural Malawi. Through semi-structured interviews with 32 nurses and 19 clinicians, we collected 155 feedback cases allowing the identification of four main strategies social actors use to express their opinion and concerns about Maternal Health Services. We found that women who used delivery care express their appreciation for successful deliveries directly to the Health worker but complaints, such as on absenteeism and poor interpersonal behaviour, follow an indirect route via intermediaries such as the Health workers’ spouse, co-workers or the Health committee who forward some cases of misbehaviour to district authorities. The findings suggest that citizen feedback is important for the socialization, motivation and retention of Maternal Healthcare workers in under resourced rural settings. Practitioners and external development programmes should understand and recognize the value of already existing accountability mechanisms and foster social accountability approaches that allow communities as well as Health workers to challenge the systemic obstacles to quality and respectful Service delivery.

Armando Licoze - One of the best experts on this subject based on the ideXlab platform.

  • Community-based savings groups, women’s agency, and Maternal Health Service utilisation: Evidence from Mozambique
    Global public health, 2020
    Co-Authors: Halkeno Tura, William T. Story, Armando Licoze
    Abstract:

    This study, using data collected as part of an ongoing programme evaluation, investigates whether participation in Saving Groups (SGs)-a community-owned microfinance intervention focused on poor households - is associated with Maternal Health Service utilisation, and whether this association is mediated by women's agency - as measured by self-efficacy and decision-making autonomy. We compared Maternal Health Service utilisation among SG members (n=105) and non-members (n=100) in rural Mozambique. We estimated prevalence ratios for SG membership and women's agency using Poisson regression while controlling for confounding factors. We also estimated mediation effects for women's agency. The results showed that SG membership is associated with four or more antenatal care (ANC) visits, skilled birth attendant (SBA) use, and postnatal care within 48 h of delivery. Self-efficacy mediated the relationship between SG membership and ANC vists and SBAuse, but not postnatal care; whereas women's decision-making autonomy mediated the relationship with SBA use and postnatal care, but not ANC visits. This study suggests that the impact of SG membership on use of Maternal Health Services goes beyond improvements in household income and may operate through women's agency by giving women the ability to realize their preference for quality Health care.

  • community based savings groups women s agency and Maternal Health Service utilisation evidence from mozambique
    Global Public Health, 2020
    Co-Authors: Halkeno Tura, William T. Story, Armando Licoze
    Abstract:

    This study, using data collected as part of an ongoing programme evaluation, investigates whether participation in Saving Groups (SGs)—a community-owned microfinance intervention focused on poor ho...

Tensae Mekonnen - One of the best experts on this subject based on the ideXlab platform.

  • Maternal Health Service utilisation of adolescent women in sub saharan africa a systematic scoping review
    BMC Pregnancy and Childbirth, 2019
    Co-Authors: Tensae Mekonnen, Tinashe Dune, Janette M Perz
    Abstract:

    Sub-Saharan Africa has the highest rate of adolescent pregnancy in the world. While pregnancy during adolescence poses higher risks for the mother and the baby, the utilisation of maternity care to mitigate the effects is low. This review aimed to synthesise evidence on adolescent mothers’ utilisation of maternity care in Sub-Saharan Africa and identify the key determinant factors that influence adolescent mothers’ engagement with maternity care. A systematic review of scholarly literature involving seven databases: ProQuest, PubMed, EMBASE/Elsevier, SCOPUS, PsycINFO, CINAHL and Infomit was conducted. Studies published in English between 1990 and 2017 that examined Sub-Saharan adolescent mothers’ experiences of utilising biomedical maternity care during pregnancy, delivery and the post-partum period were included. From 296 relevant articles 27 were identified that represent the experience of adolescent mothers’ Maternal Health Service utilisation in Sub-Saharan Africa. The review indicates that Maternal Health Service utilisation in the majority of Sub-Saharan African countries is still low. There is also a wide discrepancy in the use of maternity care Services by adolescent mothers across countries in Sub-Saharan Africa. The review reveals that a significant number of adolescents in Sub-Saharan Africa do not access and use maternity Services during pregnancy. Several factors from individual to systemic levels contributed to low access and utilisation. This implies that interventions targeting the women, their partners, Healthcare professionals, communities and the organisations (local to national) are necessary to improve adolescent mother’s engagement with maternity care in Sub-Saharan Africa.