The Effects of the Maternal Health Improvement Project in the Louga Region of Senegal

Ndiaye, B.; Thiam, Louis; Ham, Gahee; Choi, Yong Kee; Lee, Eun-Mi; Kang, Kilho; Yang, Youngran

doi:10.3390/ijerph19010396

Cited by 7 publications

(4 citation statements)

References 23 publications

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“…Specifically, women were motivated to engage in the implementation of interventions, which was ultimately said to strengthen their confidence and decision-making capacity for their health [ 47 ]. Furthermore, a study conducted in Senegal demonstrated significant improvement in women's empowerment as they joined community decision-making groups, easing their decision-making about their healthcare and use of contraception [ 48 ]. Members of WGs in Bangladesh are also reported to have gained more knowledge of ANC issues and new skills in managing their savings [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

The effects of community-based interventions on the uptake of selected maternal and child health services: experiences of the IMCHA project in Iringa Tanzania, 2015‐2020

Maluka

Mpambije²,

Kamuzora

et al. 2023

BMC Pregnancy Childbirth

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Background Maternal and child health (MCH) improvement has been prioritised in resource-constrained countries. This is due to the desire to meet the global sustainable development goals of achieving a maternal mortality rate of 70 per 100000 live births by 2030. The uptake of key maternal and child health services is crucial for reducing maternal and child health mortalities. Community-Based Interventions (CBIs) have been regarded as among the important strategies to improve maternal and child health service uptake. However, a paucity of studies examines the impacts of CBIs and related strategies on maternal and child health. This paper unveils the contribution of CBIs toward improving MCH in Tanzania. Methods Convergent mixed method design was employed in this study. Questionnaires were used to examine the trajectory and trend of the selected MCH indicators using the baseline and end-line data for the implemented CBI interventions. Data was also collected through in-depth interviews and focus group discussions, mainly with implementers of the interventions from the community and the implementation research team. The collected quantitative data was analysed using IBM SPSS, while qualitative data was analysed thematically. Results Antenatal care visits increased by 24% in Kilolo and 18% in Mufindi districts, and postnatal care increased by 14% in Kilolo and 31% in Mufindi districts. Male involvement increased by 5% in Kilolo and 13% in Mufindi districts. The uptake of modern family planning methods increased by 31% and 24% in Kilolo and Mufindi districts, respectively. Furthermore, the study demonstrated improved awareness and knowledge on matters pertaining to MCH services, attitude change amongst healthcare providers, and increased empowerment of women group members. Conclusion Community-Based Interventions through participatory women groups are vital for increasing the uptake of MCH services. However, the success of CBIs depends on the wide array of contextual settings, including the commitment of implementers of the interventions. Thus, CBIs should be strategically designed to enlist the support of the communities and implementers of the interventions.

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Section: Discussionmentioning

confidence: 99%

The effects of community-based interventions on the uptake of selected maternal and child health services: experiences of the IMCHA project in Iringa Tanzania, 2015‐2020

Maluka

Mpambije²,

Kamuzora

et al. 2023

BMC Pregnancy Childbirth

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“…A study conducted in Ethiopia identified relationships between home deliveries and maternal mortality whereas, most women who deliver at home are more likely dying of complications five timely compared to those who took birth in health facilities [6,14,15]. It was also found that, 6% of maternal death in India were those delivered from home [14,16]. This is because home do not provide conducive environment for childbirth services due to lack of skilled personnel, hygiene and no equipment to support delivery procedures or delivery complications.…”

Section: Home Deliverymentioning

confidence: 99%

The Influence of Home Delivery on Maternal Mortality in Longido District in Tanzania: A Mixed Method Study

Joseph,

Hossea,

Mtae

2023

JAMMR

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Background: The paper summarized the influence of home delivery on maternal mortality in Longido district in Arusha, Tanzania. Maternal mortality has been a World tragedy for decades and most Practitioners have set their eyes on medical perspectives while leaving behind sociocultural perspectives that influence negative health-seeking behaviours. The Government of Tanzania is implementing a policy that allows free maternal health services while improving health sectors in ensuring accessibility of services, constant supplies, and skilled providers however, the community is still reluctant towards service utilizations. Methods: The study adopted a method mix that employed both qualitative and quantitative methods of data collection. A sample size of 395 was drawn using the Yamane formula where 380 out of 395(96.2%) of respondents were involved. The quantitative data were drawn from 311 (Women of Reproductive Health) which was 81.8% of respondents while the qualitative data were obtained from seven Focus Group Discussions (FDGs) that comprised 48 respondents and 21 key informants who had in-depth interviews. The study included 66.2% female and 33.8% men who ranged between 15-49 years of reproductive age. The qualitative findings were thematically analysed and presented in themes, sub-themes, and quotes while descriptive statistics were used in analysing quantitative findings. Results: The Quantitative findings indicated that both health complications (HC) and the management of Complications (MC) at home contributed to the Maternal Mortality Rate in Longido district. The correlation coefficient of determinations indicated a significant influence of independent variables on dependent variables. The regression analysis also indicated a significant increase in maternal mortality with the unit increase in maternal health complications and the failure to manage the complications. The qualitative findings indicated that the community understands most of the severe complications that occur during /post-home deliveries like severe bleeding, fits/seizures, high fever, and difficulty in breathing. The use of hot water, hot drinks, sheep oil, and traditional herb concoctions were the common practices found in managing birth complications at home. Conclusion and Recommendations: addressing challenges of home delivery remains very important as a means of preventing maternal mortality in Longido district. The study recommends bridging the gap between nonmedical and medical practitioners by addressing the knowledge gaps and empowering the community to understand the effects of harmful malpractices leading to maternal mortality. Recommendations for Further Studies: The same study may be conducted in non-Massai communities and in Urban settings. There is a need to study the causes of home deliveries, and the effects of traditional herb concoctions during pregnancy, delivery, and post-delivery. Future research may also explore the coordination role among traditional and health practitioners in reducing maternal mortality.

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“…Through the adoption of the SDGs, Senegal government has committed to achieving the SDG5 goal which set 170 maternal deaths per 100,000 live births as its target. To achieve the SDGs and in line with Senegal's national policy based on the National Health Development Plan (PNDS), the country has made considerable efforts by launching several programs to reduce the burden of maternal, neonatal, and infant mortality 14 . The Government of Senegal has also implemented programs for universal primary education, adult literacy integrated into national development plans, the eradication of illiteracy, and the promotion of local languages to accelerate the promotion of access to basic social services 15,16 .…”

Section: Introductionmentioning

confidence: 99%

“…To achieve the SDGs and in line with Senegal's national policy based on the National Health Development Plan (PNDS), the country has made considerable efforts by launching several programs to reduce the burden of maternal, neonatal, and infant mortality. 14 The Government of Senegal has also implemented programs for universal primary education, adult literacy integrated into national development plans, the eradication of illiteracy, and the promotion of local languages to accelerate the promotion of access to basic social services. 15,16 Thus, adult literacy rate rose from 39.3% in 2002 to 51.9% in 2017, more important for men than women.…”

Section: Introductionmentioning

confidence: 99%

Effect of women's literacy on maternal and child health: Evidence from demographic Health Survey data in Senegal

Diallo

Mbaye

Aidara

2023

Health Planning & Management

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Background Senegal has certainly made significant efforts in adult literacy and in the fight against maternal and infant mortality. However, a large proportion of the female population is illiterate, and the country's maternal and infant mortality rates are still higher than WHO recommendations. This article examined the effect of women's literacy on maternal and child health in Senegal. Methods Data were extracted from the last Senegal Demographic and Health Surveys (DHS) collected in 2019. A binary logistic model was performed to assess the effect of women's literacy on ten outcomes of maternal and child health indicators. Results Results indicate that women's literacy has a positive and significant effect on nine of key indicators outcomes. For instance, women's literacy increases the odds of contraceptive use by 1.29 (95% Confidence Interval [CI], 1.13–1.48; p < 0.01), compliance with the number of prenatal visits by 1.57 (95% CI, 1.35–1.83; p < 0.01) and consultation in the first trimester of pregnancy by 1.52 (95% CI, 1.31–1.78; p < 0.01). Literacy is associated with increased odds of breastfeeding up to six months (Odds Ratio [OR], 1.17; 95% CI, 0.97–1.42; p < 0.1) and healthy birth interval (OR, 1.18; 95% CI, 0.97–1.44; p < 0.1) only in rural areas. Women literacy reduces the risk of stunting by 0.81 (95% CI, 0.68–0.96; p < 0.05) and the risk of underweight by 0.72 (95% CI, 0.59–0.87; p < 0.01) among children under five years. The mother's ability to read and write favors compliance with the increase of odds of DPT vaccination record of her children, especially in rural areas (OR, 1.69; 95% CI, 1.05–2.74; p < 0.05). Moreover, there are serval other factors influencing positively the maternal and child health, like health insurance access, media exposure, and clean water and improved sanitation facilities access. Conclusions This study emphasizes on the need to strengthen adult literacy programs, especially for women in rural areas. Indeed, this could help generalize health insurance by income‐sensitive premiums or exemptions for the poor as well as increased awareness campaigns to promote reproductive and maternal health benefits, via the radio or television. Furthermore, improving access to clean water supply and improved sanitation facilities would greatly ameliorate maternal and child health.

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The Effects of the Maternal Health Improvement Project in the Louga Region of Senegal

Cited by 7 publications

References 23 publications

The effects of community-based interventions on the uptake of selected maternal and child health services: experiences of the IMCHA project in Iringa Tanzania, 2015‐2020

The effects of community-based interventions on the uptake of selected maternal and child health services: experiences of the IMCHA project in Iringa Tanzania, 2015‐2020

The Influence of Home Delivery on Maternal Mortality in Longido District in Tanzania: A Mixed Method Study

Effect of women's literacy on maternal and child health: Evidence from demographic Health Survey data in Senegal

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