Correlates of maternal, newborn and child health services uptake, including male partner involvement: Baseline survey results from Bangladesh

Shaw, Souradet Y.; du Plessis, Elsabé; Broers, Rudy; Vasavithasan, Sugirtha; Hamdani, Saadya; Avery, Lisa

doi:10.1080/17441692.2023.2246047

Cited by 3 publications

(1 citation statement)

References 33 publications

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“…2 Globally, approximately 295,000 women died during and following pregnancy and childbirth in 2017. 3,4 These deaths, predominantly occurring in low-resource settings, reflect stark inequalities in access to healthcare and highlight the urgency of addressing maternal mortality as a global health priority. 5 The transition from global to regional statistics reveals a concerning trend in South Asia, including Bangladesh, which bears a substantial proportion of the global maternal mortality burden.…”

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confidence: 99%

Incidence and characteristics of maternal mortality: a retrospective study in Dhaka medical college

Khan,

Sarker,

Rahman

et al. 2024

Int J Reprod Contracept Obstet Gynecol

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Background: Maternal mortality remains a significant public health challenge globally, particularly in low-resource settings like Bangladesh. This study aims to analyze the incidence and characteristics of maternal mortality at Dhaka Medical College Hospital, a major tertiary care center in Bangladesh. Methods: This retrospective observational study was conducted, reviewing 10,592 birth records from July 2009 to June 2010. The study focused on maternal deaths during this period, identifying 189 cases. Data on age, socioeconomic status, parity, antenatal care practices, and causes of mortality were analyzed Results: The maternal mortality rate was found to be 1.78%. The majority of deaths occurred in younger women, with 25.40% in the 16-20 age group and 36.51% in the 21-25 age group. A significant majority (80.95%) of the deaths occurred among women from low socioeconomic backgrounds. Regarding parity, the highest mortality was observed in women with 1-2 children (39.68%). Antenatal care was notably deficient, with 75.66% of participants not receiving any. The leading causes of maternal mortality were eclampsia (31.75%) and obstetric haemorrhage (30.16%). Conclusions: The study highlights a high incidence of maternal mortality among younger women and those from low socioeconomic backgrounds, with eclampsia and obstetric haemorrhage being the predominant causes. The lack of antenatal care is a critical concern. These findings underscore the need for improved antenatal care services, emergency obstetric care, and targeted interventions to address socioeconomic disparities in maternal health.

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Section: Introductionmentioning

confidence: 99%

Incidence and characteristics of maternal mortality: a retrospective study in Dhaka medical college

Khan,

Sarker,

Rahman

et al. 2024

Int J Reprod Contracept Obstet Gynecol

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Factors associated with quality of Postnatal Care in Kenya: An analysis of the 2022 Kenya demographic and health survey

Nuwabaine,

Namulema,

Sserwanja

et al. 2024

Preprint

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Despite the relevance of the postnatal period (PNC) to the survival of the mother and the newborn, there is limited research exploring the quality of postnatal care received by the mothers during this period. Therefore, this study aimed to determine the prevalence and factors associated with the quality of PNC, using the 2022 Kenya Demographic and Health Survey (KDHS). Methods In this study, secondary data from the KDHS of 2022 were analyzed, comprising 11,863 women, aged 15 to 49 years. The quality of PNC was indicated as receiving all components of postnatal care in the first two days after childbirth. Multivariable logistic regression was conducted to determine the factors associated with the quality of PNC, using SPSS, version 20. Results Out of the 11,863 women, 39% (95% CI: 37.0-40.9) had received all components of postnatal care in the first two days after childbirth. Additionally, older women aged 35- 49 years (AOR 1.88, 95%CI: 1.07-3.29), those who made decisions to seek health care jointly (AOR 1.48, 95%CI: 1.18-1.85), those who owned a telephone (AOR 1.36, 95%CI: 1.05-1.76), women who received quality antenatal care (AOR 4.62, 95%CI: 3.69-5.76), older women aged 30-34 years at the time of their first childbirth (AOR 2.25, 95%CI: 1.11-4.55), those who gave birth through cesarean section birth (AOR 1.93, 95%CI: 1.49-2.49), gave birth at public health facilities (AOR 1.69, 95%CI: 1.01-2.82) and those who received quality intrapartum care (AOR 1.87, 95%CI: 1.43-2.43) were more likely to receive quality postnatal care. On the other hand, women from other provinces of Kenya i.e. Western (AOR 0.51, 95%CI: 0.33-0.80), and Rift Valley (AOR 0.57, 95%CI: 0.39-0.81), those who gave birth to female children (AOR 0.75, 95%CI: 0.61-0.91) and those who reported to have not been respected at all times during their hospital stay (AOR 0.49, 95%CI: 0.29-0.82) were less likely to receive quality postnatal care. Conclusion The proportion of mothers receiving quality postnatal care was found to be low. The study also highlights the need to continue encouraging mothers to attend numerous ANC visits. Moreover, emphasis should be placed on providing quality ANC, intrapartum care, and respectful maternity care by health workers. Targeted interventions to increase access to quality PNC may need to focus on young mothers, mothers living in certain regions of Kenya, and those giving birth to female babies, most especially at private facilities, and through vaginal birth.

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Ascaris lumbricoides: prevalence and associated factors among pre-school children in Rukiga district, Uganda: a cross-sectional study

Kasiita,

Businge,

Napyo

et al. 2024

Preprint

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Background Ascaris lumbricoides infestation remains a public health problem worldwide. It mainly affects children resulting into undernutrition, impaired growth and physical development, intestinal obstruction and death. We aimed to determine the prevalence and factors associated with Ascaris lumbricoides infestation among children aged 6–59 months in Rukiga district, Uganda. Methods In this cross-sectional study, we recruited 739 children aged 6–59 months and their caregivers between September and October 2023. Semi-structured questionnaires were used to collect data on sociodemographic characteristics of the caregivers. We examined children’s stool for Ascaris lumbricoides ova using the Kato-Katz method. We estimated adjusted odds ratios using multivariable logistic regression to determine the factors associated with Ascaris lumbricoides infestation. Results The prevalence of Ascaris lumbricoides infestation was 2.7% (n = 20/739), (95% CI. 1.7–4.1). Factors associated with Ascaris lumbricoides infestation were: Child-related characteristics including: the child having not been dewormed 6 months prior to the study (AOR 2.04, 95% CI: 1.04–4). Household characteristics including: disposal of child’s stool in the compound/ garden (AOR 12.53, 95% CI: 3.44–45.64), if there are more than two children under 5 years living in the household (AOR 0.24, 95% CI: 0.11–0.52). Care-giver characteristics including the primary caregiver being: the father (AOR 6.09, 95% CI: 1.21–30.61), a Christian (AOR 0.04, 95% CI: 0.01–0.17). Conclusion and recommendations Ascaris lumbricoides infestation is high among preschool children. We recommend the inclusion of male partners in health interventions targeting children under the age of five years especially the immunization programs. Community health programs should consider targeted messages in health education campaigns especially the handling and disposal of feces and the importance of deworming children. The association between religion and Ascaris lumbricoides infestation needs further studies.

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Correlates of maternal, newborn and child health services uptake, including male partner involvement: Baseline survey results from Bangladesh

Cited by 3 publications

References 33 publications

Incidence and characteristics of maternal mortality: a retrospective study in Dhaka medical college

Incidence and characteristics of maternal mortality: a retrospective study in Dhaka medical college

Factors associated with quality of Postnatal Care in Kenya: An analysis of the 2022 Kenya demographic and health survey

Ascaris lumbricoides: prevalence and associated factors among pre-school children in Rukiga district, Uganda: a cross-sectional study

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