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Article
Publication date: 7 June 2013

Margareta Johansson, Christine Rubertsson, Ingela Rådestad and Ingegerd Hildingsson

This paper has two main aims: to explore fathers' postnatal care experiences with a specific focus on deficiencies and to investigate which service deficiencies remained important…

1114

Abstract

Purpose

This paper has two main aims: to explore fathers' postnatal care experiences with a specific focus on deficiencies and to investigate which service deficiencies remained important for fathers one year after childbirth.

Design/methodology/approach

This is a prospective longitudinal study. Two months and one year after birth, the overall satisfaction with care were sought. A care quality index was created, based on perceived reality and subjective importance of the care given. The study excluded fathers not mastering Swedish. Total eligible fathers was consequently not known therefore pregnancies served as an estimate.

Findings

In total, 827 fathers answered the questionnaire two months after birth and 655 returned the follow‐up questionnaire after one year; 21 per cent were dissatisfied with overall postnatalcare. The most important dissatisfying factors were the way fathers were treated by staff and the women's check‐up/medical care. Two months after the birth, information given about the baby's care and needs were most deficient when parents had been cared for in a hotel ward. Furthermore, information about the baby's needs and woman's check‐up/medical care was most deficient when fathers had participated in emergency Caesarean section.

Practical implications

Most fathers were satisfied with the overall postnatal care, but how fathers are treated by caregivers; the woman's check‐up/medical care and information given about the baby's care and needs can be improved. Professionals should view early parenthood as a joint project and support both parents' needs.

Originality/value

The paper provides knowledge about postnatal service quality including fathers' needs.

Details

International Journal of Health Care Quality Assurance, vol. 26 no. 5
Type: Research Article
ISSN: 0952-6862

Keywords

Open Access
Article
Publication date: 13 November 2018

Sharmin Majumder, Zannatul Najnin, Shamim Ahmed and Shafi Ullah Bhuiyan

Neonatal mortality rate is 24 deaths per 1,000 live births in Bangladesh and most of them die during early neonatal period. The purpose of this paper is to assess the knowledge…

11623

Abstract

Purpose

Neonatal mortality rate is 24 deaths per 1,000 live births in Bangladesh and most of them die during early neonatal period. The purpose of this paper is to assess the knowledge and attitude of neonatal care practices among postnatal mothers in a tertiary care hospital in order to provide a basis for the development of strategies to improve further.

Design/methodology/approach

A cross-sectional study was carried out in the Dhaka Medical College Hospital, Bangladesh using a convenient sampling technique. In total 211 postnatal mothers were interviewed using a structured questionnaire and χ2 test was used to analyze the data.

Findings

Among mothers, 37.9 percent were aged between 16–20 years; 16.1 percent had no institutional education; 55 percent were primipara and only 26.5 percent had attended antenatal visit for more than four times. Mothers had apparently good knowledge and attitude about thermoregulation, early initiation of breast-feeding, importance of providing colostrum to the newborn, exclusive breast-feeding (EBF) up to six months of age and immunization at birth. However, this study identified knowledge gap about cord care, eye care, first bathing and hygiene practices. Overall, only a small proportion of respondents had good level of knowledge (37 percent) and attitude (47.4 percent) on newborn care. Highly significant statistical association was found between the knowledge, attitude level and socio-demographic characteristics of respondents. Knowledge and attitude were strongly associated as well.

Research limitations/implications

There is scope for improvement by providing health education to antenatal and postnatal mothers. Therefore, implementation of the guidelines outlined in the Maternal and Child Handbook (MCH) is highly recommended.

Originality/value

There is scope for improvement by providing health education to antenatal and postnatal mothers. Therefore, implementation of the guidelines outlined in the MCH is highly recommended to enhance the knowledge and attitude on newborn care among postnatal mothers.

Details

Journal of Health Research, vol. 32 no. 6
Type: Research Article
ISSN: 2586-940X

Keywords

Article
Publication date: 1 September 1998

Sue Proctor and Gill Wright

The importance of understanding consumer perceptions of services is widely acknowledged and becoming more relevant in health care, as attempts to incorporate users’ views into…

1019

Abstract

The importance of understanding consumer perceptions of services is widely acknowledged and becoming more relevant in health care, as attempts to incorporate users’ views into service development and evaluation are increasing. This study focused on women’s responses to their recent experience of maternity care, and sought to gain insight into the service features they associated with negative and positive reactions. Postal questionnaires were sent to antenatal and postnatal women. Two open questions invited women to note if any aspects of their care had particularly impressed or bothered them. There was variation in the factors identified through the different phases of the service ‐ antenatal, labour and postnatal care. However, staff attitudes were a main source of positive comments throughout the service, and lack of information and poor explanations were a consistent source of negative responses. Providing consumers with an opportunity to give feedback on their service experience should be based on issues which are relevant to them, not just on those which are measurable.

Details

International Journal of Health Care Quality Assurance, vol. 11 no. 5
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 26 June 2019

Hsiao-Ching Huang, Tsai-Fu Tsai, Ya-Ching Wang and Yi-Maun Subeq

The preservation and disappearance of indigenous people’s traditional knowledge system, under mainstream social culture immersion and fusion, have presented a dynamic and changing…

Abstract

Purpose

The preservation and disappearance of indigenous people’s traditional knowledge system, under mainstream social culture immersion and fusion, have presented a dynamic and changing acculturation interactive relationship impacting Truku women’s health concepts. Thus, the purpose of this paper is to explore how the traditional Gaya knowledge system and mainstream culture confinement care model affect the beliefs and behaviours of postpartum self-care amongst contemporary Truku women.

Design/methodology/approach

An ethnographic semi-structured method, based on cultural care factors and the Leininger Sunrise Model, was conducted to interview 17 Truku women with childbearning experience in eastern Taiwan. As data were collected, UDIST Vivo 11.0 software was applied for analysis.

Findings

Amongst the three knowledge system categories, namely, traditional, mainstream and reconstruction, the traditional knowledge system, including Gaya norms, provides the overall cultural value of a Truku family. While taboo is inherited through the experience of the elders, the mainstream knowledge system favours the Han. However, the reconstruction knowledge system highlights the “functional” response strategies based on Truku women’s comfort and conveniences.

Originality/value

Limited relevant studies have focused on the health and postpartum self-care knowledge of ethnic Truku women in Taiwan. The results are expected to provide clinical medical personnel with a reference and strengthen cultural sensitivity and the ability to implement the cultural congruency care of postpartum indigenous women in Taiwan.

Article
Publication date: 4 March 2020

Arvind Kumar Yadav and Pabitra Kumar Jena

The present study delves into the health inequalities between the two most socially deprived groups namely Scheduled Tribes (STs) and Scheduled Castes (SCs) in rural India.

Abstract

Purpose

The present study delves into the health inequalities between the two most socially deprived groups namely Scheduled Tribes (STs) and Scheduled Castes (SCs) in rural India.

Design/methodology/approach

This study used health-specific three rounds of National Sample Survey Office (NSSO) unit-level data for analyses. Probit model has been used to predict the differences in access to maternal healthcare services. Blinder–Oaxaca decomposition method is used to explore the inequality in health of rural population in India and assess the estimated relative contribution of socioeconomic and demographic factors to inequalities in maternal health.

Findings

The study establishes that STs women often perform poorly compared to SCs in terms of maternal health such as antenatal care, postnatal care and institutional delivery. Blinder–Oaxaca decomposition method shows that there exist health inequalities between STs and SCs women. Difference in household income contributes 21–34 percent and women's education 19–24 percent in the gap of utilization of maternal healthcare services between SCs and STs women. A substantial part of this difference is contributed by availability of water at home and geographical region. Finally, the study offers some policy suggestions in order to mitigate the health inequalities among socially marginalized groups of SCs and STs women in rural areas.

Originality/value

This study measures and explains inequalities in maternal health variables such as antenatal care, postnatal care and institutional delivery in rural India. Research on access to maternal healthcare facilities is needed to improve the health of deprived sections such as STs and SCs in India. The results of this study pinpoint the need for public health decision-makers in India to concentrate on the most deprived and vulnerable sections of the society. This study thus makes a detailed and tangible contribution to the current knowledge of health inequalities between the two most deprived social groups, i.e., SCs and STs.

Details

International Journal of Health Care Quality Assurance, vol. 33 no. 2
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 December 2001

Janet Hirst and Jenny Hewison

A criticism of using women’s views as an assessment of the maternity services in the UK is that the views of some have been under‐represented and inappropriately researched, in…

Abstract

A criticism of using women’s views as an assessment of the maternity services in the UK is that the views of some have been under‐represented and inappropriately researched, in particular those from minority ethnic groups. In addition, there is criticism that “what” has been assessed within the maternity services, and other health‐care arenas, has been driven by the perspective of those who provide the service rather than those who use it. The purpose here is to explore integrating Pakistani and indigenous “white” women’s views with the Donabedian‐Maxwell grid, as a means of offering a consumer‐focused template for underpinning quality assessment and quality assurance strategies for the maternity services in the UK.

Details

International Journal of Health Care Quality Assurance, vol. 14 no. 7
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 3 June 2020

Lubna Naz and Kamalesh Kumar Patel

The aim of this paper is to examine biological, maternal and socioeconomic determinants of infant mortality in Sierra Leone.

Abstract

Purpose

The aim of this paper is to examine biological, maternal and socioeconomic determinants of infant mortality in Sierra Leone.

Design/methodology/approach

It uses an analytical framework and Cox proportional hazards regression to break down the effects of factors determining infant mortality. Factors utilized in the empirical investigation include sex of the child, birth size, birth spacing, mother's working status, age of mother, antenatal care, postnatal care, mother's anemia level, religion, mother's education and wealth status.

Findings

Results suggest that birth spacing of three years and above associated with a reduced risk of infant mortality contrasted with short birth intervals. Children born to nonanemic mothers have a lower hazard (22%) of infant mortality compared to those born to anemic mothers (HR = 0.78; 95% CI: 0.64–0.96). At least one antenatal care visit by mothers lowers infant mortality rate by 41% compared to no antenatal visits at all ( HR = 0.59; 95% CI: 0.36–0.96). Similarly, infants whose mothers have received postnatal care are at lower risk (31%) of dying than those whose mothers have not received (HR = 0.69; 95% CI: 0.52, 0.93). Infant mortality is likely to decrease with the increase in the birth order.

Practical implications

The family health and planning programs should aim at educating men and women about the usefulness of birth spacing methods.

Originality/value

This paper might be the first attempt to analyze the determinants of infant mortality by utilizing a methodological framework and Cox regression.

Peer review

The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-08-2019-0478.

Details

International Journal of Social Economics, vol. 47 no. 6
Type: Research Article
ISSN: 0306-8293

Keywords

Article
Publication date: 27 March 2019

Benedict Osei Asibey, Augustina Boakye Dankwah and Seth Agyemang

The purpose of this paper was to examine rural women’s perceived quality of antenatal care (ANC) and its influence on the extent of ANC in the Amansie Central District in the…

Abstract

Purpose

The purpose of this paper was to examine rural women’s perceived quality of antenatal care (ANC) and its influence on the extent of ANC in the Amansie Central District in the Ashanti Region of Ghana.

Design/methodology/approach

A quantitative cross-sectional study was conducted with 120 women attending postnatal care at selected public health facilities. Structured interviews were used to obtain data. Crude odds ratio with 95% confidence interval (CI) was generated to determine the odds of women’s utilisation of ANC with their perceived service quality. The association between women’s background characteristics and ANC use was determined and assessed using Pearson’s χ2 (2) test.

Findings

Majority of the women (58.3 percent) utilised ANC for at least four times during pregnancy. Women’s education (p=0.027), religious affiliation (p=0.006), source of income (p=0.012) and insurance status (p=0.023) all had a positive relationship with ANC use. Women who perceived ANC quality as good were three times more likely to have four or more ANC visits than those who perceived quality as poor (OR= 3.042, 95% CI=0.181–0.647, p=0.001).

Originality/value

Ghana has had numerous policy interventions that address the accessibility and quality of ANC service. However, little is known about the extent to which they are observed and about the quality of service from users’ perspective. Most existing literature on ANC use in Ghana focusses on socio-economic factors that influence utilisation. This paper will be the first to examine the perceived quality of ANC provided, and its influence on the extent of ANC visits among rural women in Ghana.

Details

International Journal of Social Economics, vol. 46 no. 5
Type: Research Article
ISSN: 0306-8293

Keywords

Article
Publication date: 15 February 2024

Skylab Sahu

This paper aims to analyse the factors influencing migration, the labour migration process and the status of migrant laborers in the informal sector, particularly those working in…

Abstract

Purpose

This paper aims to analyse the factors influencing migration, the labour migration process and the status of migrant laborers in the informal sector, particularly those working in brick kiln factories. It will shed light on the precarious nature of their work, often characterized by informal and verbal contracts. The paper examines occupational and environmental health hazards affecting the labourers and their impact on their well-being, the vulnerability of women in the precarious work environment and the associated health risks in brick kiln factories in India.

Design/methodology/approach

The study relies primarily on primary data collection, supplemented by secondary literature and documents. Balangir district was chosen as the research region due to its historical deprivation, underdevelopment and the historical prevalence of environmental distress, leading to distress-driven migration. To gather primary data, 40 respondents were selected from five selected blocks in Balangir district, resulting in a total of 200 respondents. In addition, in-depth interviews were conducted with 35 individuals across the selected blocks, with approximately seven participants from each block. In addition, interviews of 10 kids were taken and around 10 key informants including the trade union leaders, intellectuals and civil society activists.

Findings

Migrant labourers, including men, women and children, face significant health issues and are exposed to similar occupational health hazards. Internal migrant women workers are more vulnerable as they face critical health risks during pregnancy in host areas due to unfavourable working conditions and limited access to health-care services. Factors such as strenuous work, long working hours, poor nutrition and inadequate maternal care contribute to adverse outcomes such as spontaneous abortion, premature delivery and abnormal postnatal development.

Research limitations/implications

The brick kiln industry presents a distressing reality for men who are highly vulnerable to occupational accidents, and women workers are exposed to sexual abuse, exploitation and violence. The prevalence of physical harassment, ranging from leering to rape, is alarmingly high among women. These incidents not only inflict physical harm but also cause severe psychological trauma and increase the risk of sexually transmitted diseases. Despite the existence of laws aimed at protecting women’s rights and addressing sexual offences, the workers often remain unaware of their rights. This lack of awareness further compounds the vulnerability of women workers and perpetuates their exploitation in the workplace.

Practical implications

To address health issues comprehensively, interventions should encompass the entire migrant population, including men and children. Strategies should focus on improving access to health-care services, promoting occupational health and safety measures, ensuring proper immunization and nutrition for children and addressing the broader social determinants of health. Empowering women with knowledge about reproductive health and rights, raising awareness about available health-care services and strengthening health-care providers’ capacity to cater to migrant populations are crucial steps towards addressing health disparities.

Social implications

Urgent interventions and policies are needed to address the health vulnerabilities of internal migrant workers and women workers. It is required to ensure health-care accessibility, improving working conditions, ensuring access to maternal care and essential supplements and providing health-care services for both pregnant women and their children, regardless of migration status.

Originality/value

The study focused on precarious health and occupational hazards and accidents faced by migrant workers. It highlights women migrant labourer’s and children’s vulnerability in the Brick Klin sector, which is a value addition to the existing knowledge in social science.

Details

International Journal of Migration, Health and Social Care, vol. 20 no. 1
Type: Research Article
ISSN: 1747-9894

Keywords

Open Access
Article
Publication date: 1 January 1970

Muhammad Basheer Yahya and Tepanata Pumpaibool

Gombe state in northeast Nigeria records a high prevalence of home deliveries with very low facility deliveries despite the efforts of government and international…

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Abstract

Purpose

Gombe state in northeast Nigeria records a high prevalence of home deliveries with very low facility deliveries despite the efforts of government and international non-governmental organizations in supporting maternal health services. The purpose of this paper is to assess the factors influencing the decision to choose a birth center by pregnant women in Gombe, Nigeria.

Design/methodology/approach

The design was a cross-sectional study of women from a baseline survey conducted in August 2016 in Gombe state, Nigeria. Data on women groups’ utilization of maternal services with a focus on antenatal care, delivery and postnatal care were collected using a structured questionnaire used for household survey conducted in the state. Data for 157 pregnant women from the sample of 750 women (15–49 years) were selected for the purpose of this analysis. Descriptive statistics, bivariate and multivariate analyses were used to determine the factors associated with choice of birth center.

Findings

Religion (AOR=12.117, 95% CI 1.774–82.741), paid work (AOR=3.633, 95% CI 1.243–10.615) and identification and knowledge of pregnancy complications (AOR=4.281, 95% CI 1.054–17.387) were the factors found to be significantly associated with choice of birth center by pregnant women. Age, education, closeness to a facility and decision by husband or woman were not found to be statistically significant.

Originality/value

The significance of disseminating knowledge about pregnancy complications, role of religious leaders and encouraging savings from women earnings need attention of the government to improve facility-based delivery.

Details

Journal of Health Research, vol. 33 no. 3
Type: Research Article
ISSN: 2586-940X

Keywords

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