Institutional delivery service utilization and associated factors in fragile and conflict-affected situations in Sekota town, Northern Ethiopia, 2022: A community-based cross-sectional study

Gedef, Getachew Muluye; Gashaw, Abeba; Bitew, Desalegn Anmut; Andualem, Fantahun

doi:10.1016/j.heliyon.2023.e16239

Cited by 5 publications

(4 citation statements)

References 22 publications

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“… 43 52 It is evident that conflict negatively impacts all aspects of society, including infrastructure and healthcare delivery for women. 42 53 …”

Section: Discussionmentioning

confidence: 99%

“…In Ethiopia, responsiveness studies were conducted in general and specific communities, but none were conducted in conflict-affected areas or districts. 1329 31 42 One study was conducted to assess HSR for delivery care, but data was collected at the health facilities, limiting the scope and possibly introducing positive response bias. 13 …”

Section: Introductionmentioning

confidence: 99%

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Health system responsiveness and its associated factors for intrapartum care in conflict affected areas in Amhara region, Ethiopia: a cross-sectional study

Atnafu,

Dellie,

Kebede

et al. 2024

BMJ Open

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ObjectiveIn Ethiopia, information about health system responsiveness (HSR) in conflict-affected areas is limited. No previous local study was conducted on the assessment of HSR at the community level. Hence, the study assessed HSR for intrapartum care in conflict-affected areas in Amhara region, Ethiopia.DesignCommunity-based cross-sectional study design.SettingWadila, Gayint and Meket districts, Amhara region, Ethiopia.ParticipantsThe participants were 419 mothers who gave birth in conflict-affected areas within the last 6 months. The study included all mothers who gave birth at health facilities but excluded those who delivered at home, critically ill or unable to hear.OutcomeHSR was the outcome variable. In this regard, the study assessed how mothers were treated and the situation in which they were cared for in relation to their experience during the conflict.MethodsWe conducted the study in the community, where we analysed eight domains of HSR to identify 30 measurement items related to intrapartum care responsiveness. The domains we looked at were dignity (4), autonomy (4), confidentiality (2), communication (5), prompt attention (5), social support (3), choice (3) and basic amenities (4). We used a multiple linear regression model to analyse the data, and in this model, we used an unstandardized β coefficient with a 95% CI and a p value of less than 0.05 to determine the factors significantly associated with HSR.ResultsThe findings of our study revealed that the overall proportion of HSR in intrapartum care was 45.11% (95% CI: 40.38 to 49.92). The performance of responsiveness was the lowest in the autonomy, choice and prompt attention domains at 35.5%, 49.4% and 52.0%, respectively. Mothers living in urban areas (β=4.28; 95% CI: 2.06 to 6.50), government employees (β=4.99; 95% CI: 0.51 to 9.48), those mothers stayed at the health facilities before delivery/during conflict (β=0.22; 95% CI: 0.09 to 0.35), those who were satisfied with the healthcare service (β=0.69; 95% CI: 0.08 to 1.30) and those who perceived the quality of healthcare favourable (β=0.96; 95% CI: 0.72 to 1.19) were more likely to rate HSR positively. On the other hand, joint decision-making for health (β=−2.46; 95% CI: −4.81 to –0.10) and hospital delivery (β=−3.62; 95% CI: −5.60 to –1.63) were negatively associated with HSR.ConclusionIn the Amhara region of Ethiopia, over 50% of mothers living in areas affected by conflict reported that health systems were not responsive with respect to intrapartum care. Therefore, all stakeholders should work together to ensure that intrapartum care is responsive to conflict-affected areas, with a focus on providing women autonomy and choice.

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“… 43 52 It is evident that conflict negatively impacts all aspects of society, including infrastructure and healthcare delivery for women. 42 53 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health system responsiveness and its associated factors for intrapartum care in conflict affected areas in Amhara region, Ethiopia: a cross-sectional study

Atnafu,

Dellie,

Kebede

et al. 2024

BMJ Open

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“…We anticipate that interviews focused solely on the war would yield richer insights into issues related to social networks and mental health, for example. While study participants tended to emphasize positive developments and proactive responses to keep people in care, research from other conflict‐affected regions has found that war can significantly decrease healthcare utilization even in areas that are not sites of active conflict [45]. In addition, the study sample was limited to individuals who stayed in Ukraine rather than those who moved abroad.…”

Section: Discussionmentioning

confidence: 99%

“Will you need this health at all? Will you be alive?”: using the bioecological model of mass trauma to understand HIV care experiences during the war in Ukraine

Owczarzak,

Monton,

Fuller

et al. 2024

J Int AIDS Soc.

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IntroductionRussia's invasion of Ukraine in February 2022 has severely impacted the healthcare system, including the provision of HIV care. The ongoing war is a human‐caused mass trauma, a severe ecological and psychosocial disruption that greatly exceeds the coping capacity of the community. The bioecological model of mass trauma builds on Bronfenbrenner's concept of interaction between nested systems to argue that social context determines the impact of life events on the individual and how an individual responds. This paper uses the bioecological model of mass trauma to explore the impact of Russia's aggression against Ukraine and the ongoing war on HIV‐positive people who use drugs in Ukraine, a particularly vulnerable population that may be negatively affected by disruptions to social networks, healthcare infrastructure and economic conditions caused by mass trauma.MethodsData were collected between September and November 2022. A convenience sample of 18 HIV‐positive people who use drugs were recruited from community organizations that work with people living with HIV, drug treatment programmes, and HIV clinics through direct recruitment and participant referral. A total of nine men and nine women were recruited; the age ranged from 33 to 62 years old (mean = 46.44). Participants completed a single interview that explored how the war had affected their daily lives and access to HIV care and other medical services; their relationships with healthcare providers and social workers; and medication access, supply and adherence. Data were analysed using the Framework Method for thematic analysis.ResultsThe war had a profound impact on the social, emotional and financial support networks of participants. Changes in social networks, coupled with limited job opportunities and rising prices, intensified financial difficulties for participants. Relocating to different regions of Ukraine, staying at somebody else's home, and losing connections with social workers impacted medication adherence and created lengthy treatment gaps. Participants also experienced a decreased supply of antiretroviral therapy, concerns about accessing medication for opioid use disorder, and overwhelming fears associated with the war, which overshadowed their HIV‐related health concerns and negatively impacted medication adherence.ConclusionsOur analysis reveals the complex impact of war on social networks and healthcare access. Maintaining support networks and competent healthcare providers will be essential amid the ongoing war.

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“…Suppose an institution or agency is filled with competent and committed people. In that case, it can maximize the institution's goals, because basically, the purpose of an institution or agency is not far from maximising services to the community (Bringle & Clayton, 2023;Bukhatir et al, 2023;Gedef et al, 2023;Heber Dunning, 2015). To be able to realise maximum goals, it can be started with the most supportive thing, namely its human resources.…”

Section: Introductionmentioning

confidence: 99%

The Role of Islamic Education Management in Improving Human Resources: A Review of the Implementation of Islamic Education in Indonesia

Sarpendi,

Komalasari

2023

bse

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This research aims to provide various innovations in improving human resources in an Islamic educational institution. This research was conducted by collecting journal articles to combine ideas and innovations that a leader or management can do in an Islamic educational institution. Planning in an Islamic educational institution is important for achieving maximum results. This research aims to relieve leaders or management in Islamic educational institutions in innovating to advance their human resources to keep up with the times and fierce competition, especially in Islamic education. Besides, the purpose of this research is expected to be used as a reference in improving human resource management. This systematic review shows that the existing management in Islamic educational institutions is in dire need of various motivations and innovations in improving its human resources. a) the characteristics of Islamic education management must be based on the Qur'an and Hadith, b) the foundation of Islamic education management is based on four foundations: theoretical foundations, rational foundations, and rational foundations, c) Islamic education management is based on hablu min an-nas (human-oriented) and hablu min Allah (oriented to Allah SWT), d) the key to achieving success in an Islamic educational institution is the desire to learn in everything continually. Positively, this is to raise the spirit of its human resources. Keywords: Islamic Education Management, Human Resources, Islamic Education

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Institutional delivery service utilization and associated factors in fragile and conflict-affected situations in Sekota town, Northern Ethiopia, 2022: A community-based cross-sectional study

Cited by 5 publications

References 22 publications

Health system responsiveness and its associated factors for intrapartum care in conflict affected areas in Amhara region, Ethiopia: a cross-sectional study

Health system responsiveness and its associated factors for intrapartum care in conflict affected areas in Amhara region, Ethiopia: a cross-sectional study

“Will you need this health at all? Will you be alive?”: using the bioecological model of mass trauma to understand HIV care experiences during the war in Ukraine

The Role of Islamic Education Management in Improving Human Resources: A Review of the Implementation of Islamic Education in Indonesia

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