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The Government of India had launched the Janani Shishu Suraksha Karyakram (JSSK) Scheme in June 2011 to benefi t pregnant women during their ante-natal, intra-natal and post-natal period including the new-born up to age of one year. In this quasi-experimental (pre-test, post-test, control group design) study, a total of 60 mothers (30 each in experimental and control group) attending ante-natal clinic at district hospital, Faridabad were enrolled using simple random sampling (lottery method). A self-developed, pre-tested and validated tool based on knowledge and utilisation about JSSK scheme was used for data collection. Mean post-test knowledge scores of experimental group and control group were 22.4 and 12 respectively with a mean difference of 10.4. The obtained mean difference was found to be statistically signifi cant as evident from the ' t' value of 3.96 at 0.05 level of signifi cance. The mean post-test utilisation score of experimental group (23.57) was higher than the mean post-test utilisation scores of control group (20.6) with a mean difference of 2.97. The obtained mean difference was found to be statistically signifi cant as evident from the ' t' value of 3.96 at 0.05 level of signifi cance. Chi value computed between knowledge scores and utilisation scores of JSSK Scheme and selected demographic variables indicated that there was no signifi cant association. This shows that health education package was effective in enhancing the knowledge of participant mothers regarding JSSK health scheme so that they were able to utilise the scheme in a better way. There is a need of IEC activity to increase the knowledge of benefi ciaries to enhance the utilisation of JSSK health services.
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In recent years, "Internet+" medical treatment has gradually become an important form of medical care in China. Especially affected by the COVID-19, China′s maternal and child health care institutions have closely integrated "Internet+" technology with maternal health care to meet maternal health needs and reduce maternal risk. Based on a comprehensive analysis of Chinese literature on "Internet+" maternal health care in CNKI, Wanfang database, VIP, CBM in recent five years, this paper introduces the main forms, contents and effects of " Internet+" maternal health care in China, and points out the direction of clinical practice and scientific research in the future, which can be used for reference by the general colleagues.
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Objective:To understand the current situation and needs of maternal health care under the two-child policy， and to provide possible measures for two-child maternal health care. Methods:The questionnaire survey on the two-child maternal health care was conducted during the initial diagnosis in the department of obstetrics， and the pregnancy outcome was investigated through medical records after delivery. Results:Among 719 pregnant women， the proportion of multiparas was 28.0%. The proportion of increased age （27.4%） and cesarean section （34.0%） in the multiparas were significantly higher than those in the primiparas （6.6% and 26.1%， respectively）. The main differences in the risk assessment between multiparas and primiparas were scarred uterus and age. The most important indicator of multiparas’ caesarean section was scarred uterus. The proportions of pre-pregnancy examination （55.2%）， recording in the Shanghai Maternal Health Care System （95.3%）， and participation or willingness to participating in pregnancy school （77.2%） among primiparas were significantly higher than those among multiparas （26.3%，93.0%，and 47.4%， respectively）. Conclusion:Multiparas do not pay attention to the standard maternal health care， and are lack of knowledge about the second child birth. Maternal health care should be strengthened for multiparas by health education， such as social media， distribution of reading materials and face-to-face consultation.
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Background: Accredited Social Health Activist (ASHA) forms the backbone of NRHM who provides promotive, preventive, and curative health facilities in especially the vulnerable groups. There is a need to comprehensively look into the knowledge and performance of ASHA in terms of her job responsibilities in maternal health, hence this study was conducted to assess knowledge regarding maternal health care among the ASHA workers and to assess the impact achieved after the training programme.Methods: Community based interventional study was conducted among ASHA’s in Jawadhu Hills between April to July 2017, a pretested semi structured questionnaire was administered to elicit the knowledge of ASHA in regard to maternal health care. After the initial assessment, an intervention training programme was conducted based on a module prepared in their native language and post training assessment was done after two months. The statistical tests used were proportions, chi-square test. A p value less than 0.05 was considered to be significant.Results: Based on the initial assessment around 60% of ASHA knew about the core ANC, which statistically (p<0.05) improved after the training programme. Based on danger signs of pregnancy less than 10% knew about vaginal bleeding (3.8%), swelling of legs (4.8%), visual disturbances (6%) which statistically (p<0.05) improved after the training.Conclusions: Knowledge of ASHAs on various aspects of maternal health care was moderately adequate, before the training programme and it was significantly improved after the training programme, which shows that there is a need for regular fixed training programme to maintain the performance of ASHA
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Background: An insurance scheme called Jaminan Kesehatan Aceh (JKA) was established by the local government to achieve universal coverage for Aceh's population who were not registered under the national insurance scheme for the poor (Jamkesmas). Objective: This study was conducted to compare women's satisfaction before and after the implementation of JKA and across different insurance schemes. Methods: The study was conducted from July 2011 to July 2012 on satisfaction of maternal health services among 1197, 15-49 years aged old women living in eight districts of Aceh Province, Indonesia, and a cluster sampling technique was applied. Analysis of variance was used to assess the effects of different insurance schemes, period, and type of services on satisfaction with maternal health services. Results: Women were mostly satisfied with birth delivery services (mean score: 2.69) followed by postnatal care (mean score: 2.62) and antenatal care services (mean score: 2.37). Conclusion: Over the changing period, the average level of satisfaction in the JKA group increased significantly.
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The third National Family Health Survey (NFHS-3) is a large dataset on indicators of family welfare, maternal and child health, and nutrition in India. This article using NFHS-3 data is an attempt to bring out the impact of economic status, i.e., the wealth index on maternal health. The study was based on an analysis of the NFHS-3 data. Independent variables taken were the wealth index, literacy, and age at first child birth. Effects of these variables on the maternal health care services were investigated. Out of the total 124,385 women aged 15-49 years included in the NFHS-3 dataset, 36,850 (29.6%) had one or more childbirth during the past 5 years. The number of antenatal care (ANC) visits increased as the wealth index increased and there was a pattern for choice of place of delivery (for all deliveries during the last 5 years) according to the wealth index. Logistic regression analysis of the abovementioned variables were sought to find out the independent role of key determinants of the different aspects of maternal health care. It showed that the wealth index is the leading key independent determinant for three or more ANC received: Tetanus toxoid (TT) received before delivery, iron tablet/syrup taken for more than 100 days, and institutional delivery. Mother's literacy was the leading independent key determinant for early antenatal registration. The study suggested that along with the mother's literacy, the wealth index that is an important predictor of maternal health care can be added for categorization of the districts for providing differential approach for maternal health care services.
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Objective To explore the effect of health management on compliance and complication in postpartum reexamination.Methods According to the admission time, 2,217 parturients were assigned into control group and another 2,216 into experiment group.The latter was managed with health management including establishment of health records, telephone follow-up and follow-up by visits and the former received routine nursing care.The two groups were compared in respect of maternal postpartum reexamination and health status.Result The compliance rate in the experimental group was higher than that in the control group and the incidence of complications was lower than that in the control group(P<0.05).Conclusion The implementation of health management can improve postpartum compliance in reexamination and reduce postpartum complications.
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Improvement of maternal health care services is regarded as an important component for achieving targets of MDGs by the year 2015. A cross-sectional community based study was carried out to find out the status and utilization of maternal health care services in Pangsa Upazilla of Rajbari District among 517 mothers who had at least one child up to 1 year of age. The study was conducted from June to August in the year 2008. Data were collected through face-to-face interview using purposive sampling technique. Most of the respondents were in the age group of 20-29 years (69.05%) and 35.01% of them had received primary education. Sixty seven percent of them had average monthly income of Taka 3001-5000. Eighty percent of the respondents were at the age group of 15-19 years when they got married. Most of the mothers (71.57%) got antenatal care during their last pregnancy and more than 80% of them had completed their TT vaccination schedule during pregnancy period. More than 80% of the deliveries were taken place at home. Eighty five percent of the deliveries were normal delivery and most of them (77.76%) were attended by the untrained traditional birth attendants (TBA). Hemorrhage was found to be the highest reported obstetric complication (37.50%). This study offered a picture of the maternal health care services in rural Bangladesh and detected the need for future work in this area.