You searched for subject:( Maternal Health)
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University of North Texas
1.
Ebeniro, Jane.
The Geography of Maternal Mortality in Nigeria.
Degree: 2012, University of North Texas
URL: https://digital.library.unt.edu/ark:/67531/metadc115073/
► Maternal mortality is the leading cause of death among women in Nigeria, especially women aged between 15 and 19 years. This research examines the geography…
(more)
▼ Maternal mortality is the leading cause of death among women in Nigeria, especially women aged between 15 and 19 years. This research examines the geography of
maternal mortality in Nigeria and the role of cultural and religious practices, socio-economic inequalities, urbanization, access to pre and postnatal care in explaining the spatial pattern. State-level data on
maternal mortality rates and predictor variables are presented. Access to healthcare, place of residence and religion explains over 74 percent of the spatial pattern of
maternal mortality in Nigeria, especially in the predominantly Muslim region of northern Nigeria where poverty, early marriage and childbirth are at its highest, making them a more vulnerable population. Targeting vulnerable populations in policy-making procedures may be an important strategy for reducing
maternal mortality, which would also be more successful if other socio-economic issues such as poverty, religious and
health care issues are promptly addressed as well.
Advisors/Committee Members: Oppong, Joseph R., Moore, Ami, Tiwari, Chetan.
Subjects/Keywords: Maternal mortality; Nigeria; maternal health
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University of North Texas
2.
McLendon, Pamela Ann.
Opening Doors for Excellent Maternal Health Services: Perceptions Regarding Maternal Health in Rural Tanzania.
Degree: 2014, University of North Texas
URL: https://digital.library.unt.edu/ark:/67531/metadc500156/
► The worldwide maternal mortality rate is excessive. Developing countries such as Tanzania experience the highest maternal mortality rates. The continued exploration of issues to create…
(more)
▼ The worldwide
maternal mortality rate is excessive. Developing countries such as Tanzania experience the highest
maternal mortality rates. The continued exploration of issues to create ease of access for women to quality
maternal health care is a significant concern. A central strategy for reducing
maternal mortality is that every birth be attended by a skilled birth attendant, therefore special attention was placed on motivations and factors that might lead to an increased utilization of
health facilities. This qualitative study assessed the perceptions of local population concerning
maternal health services and their recommendations for improved quality of care. The study was conducted in the Karatu District of Tanzania and gathered data through 66 in-depth interviews with participants from 20 villages. The following components were identified as essential for perceived quality care: medical professionals that demonstrate a caring attitude and share information about procedures; a supportive and nurturing environment during labor and delivery; meaningful and informative
maternal health education for the entire community; promotion of men’s involvement as an essential part of the system of
maternal health; knowledgeable, skilled medical staff with supplies and equipment needed for a safe delivery. By providing these elements, the community will gain trust in
health facilities and staff. The alignment the
maternal health services offered to the perceived expectation of quality care will create an environment for increased attendance at
health facilities by the local population.
Advisors/Committee Members: Henry, Lisa, Henry, Doug, Speier, Amy.
Subjects/Keywords: Maternal health; Tanzania; maternal mortality
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University of the Western Cape
3.
Mokgatlhe, Tuduetso M.
Factors associated with maternal mortality in South East Botswana
.
Degree: 2012, University of the Western Cape
URL: http://hdl.handle.net/11394/4487
► Background: Maternal mortality is a significant public health problem world-wide,as it is an important indicator for the functioning of the health system. The maternal mortality…
(more)
▼ Background:
Maternal mortality is a significant public
health problem world-wide,as it is an important indicator for the functioning of the
health system. The
maternal mortality ratio for Botswana is higher than other countries with comparable economic growth, despite impressive access to
health services. In order to develop relevant programs and policies to reduce
maternal mortality, the factors associated with
maternal mortality were studied. The study aimed to describe the
maternal and
health services factors associated with
maternal mortality in South East Botswana. Methodology: A quantitative case-control study was used to retrospectively review medical records for 71 cases of
maternal deaths and 284 controls randomly selected from mothers who delivered in the same year and at the same
health facility, in South East Botswana from 2007 to 2009. Information was collected on the
maternal and
health services characteristics of the cases and controls including age, level of education, marital status, parity, utilization of
health facilities that consist of antenatal care (ANC), type of delivery, complications during pregnancy, type of
health facility and ANC provider. Data was analyzed using Predictive Analysis Software (PASW) Version 18.Two-sample t- test, Pearson’s Chi-square test and the Fisher’s exact test were used to test the difference between the proportions of the various categories of variables in cases and controls. Univariate logistic regression analysis was applied to identify the risk factors associated with
maternal deaths. A multivariate logistic regression model was estimated to see the joint effects of the identified risk factors for
maternal mortality. Hosmer and Lemeshow test was used to test the goodness of fit of the model. Results: The mean age of the
maternal deaths was 28.0 ± 5.3 years and they had taken place at a hospital (100%). A large number of deaths occurred before delivery(59.0%). The causes of
maternal death included both direct (73%) and indirect causes (27%). Direct causes were the leading causes of death and they were abortion(22.5%) and haemorrhage (18.3%). The
maternal characteristics associated with
maternal mortality were having complications at delivery (OR=20.91), not receiving ANC (OR=6.31) and delivering by caesarean section (OR= 2.66). The
health facility characteristics associated with
maternal mortality were delivering outside the
health facility (OR=14.78), having been referred from another facility (OR=8.62) and delivering at a general hospital (OR=5.91). The data produced a model with good fit that included one
maternal risk factor and three
health facility risk factors. These were being admitted with preterm labour, delivering at a general hospital or before arrival at the
health facility and having been referred from another
health facility. Conclusion:
Maternal mortality was associated with both
maternal and
health facility risk factors. The model developed may be used to identify and manage highrisk women to reduce the number of
maternal deaths. It was…
Advisors/Committee Members: Igumbor, Ehimario (advisor).
Subjects/Keywords: Maternal mortality;
Maternal death;
Maternal health
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APA ·
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MLA ·
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to Zotero / EndNote / Reference
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APA (6th Edition):
Mokgatlhe, T. M. (2012). Factors associated with maternal mortality in South East Botswana
. (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/4487
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mokgatlhe, Tuduetso M. “Factors associated with maternal mortality in South East Botswana
.” 2012. Thesis, University of the Western Cape. Accessed January 27, 2021.
http://hdl.handle.net/11394/4487.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mokgatlhe, Tuduetso M. “Factors associated with maternal mortality in South East Botswana
.” 2012. Web. 27 Jan 2021.
Vancouver:
Mokgatlhe TM. Factors associated with maternal mortality in South East Botswana
. [Internet] [Thesis]. University of the Western Cape; 2012. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/11394/4487.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mokgatlhe TM. Factors associated with maternal mortality in South East Botswana
. [Thesis]. University of the Western Cape; 2012. Available from: http://hdl.handle.net/11394/4487
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Nelson Mandela Metropolitan University
4.
Wibbelink, Margreet.
Perceptions of private sector midwives and obstetricians regarding collaborative maternity.
Degree: Faculty of Health Sciences, 2014, Nelson Mandela Metropolitan University
URL: http://hdl.handle.net/10948/d1020979
► The World Health Organization (WHO) states that no region in the world is justified in having a caesarean section rate greater than 10-15 percent, calculated…
(more)
▼ The World Health Organization (WHO) states that no region in the world is justified in having a caesarean section rate greater than 10-15 percent, calculated as the number of caesarean deliveries over the total number of live births. There is however, an international increase in the rate of caesarean section deliveries and this is a concern to midwives. The increase is evident in South Africa as well. Currently the rate of caesarean section deliveries in the private sector can be as high as 70 percent per total number of live births per year. As a result, the public often perceives giving birth surgically in South Africa as ‘normal’ and ‘safer’ than vaginal delivery, even for low-risk pregnancies. The lack of involvement of midwives in the care of pregnant women in the private sector is indicated as one of the reasons related to the high caesarean section delivery rates. This motivated the researcher to undertake a study to explore and describe the perceptions of private sector midwives and obstetricians regarding the feasibility of collaboration in maternity care. A literature review to support the study identified research done previously regarding collaborative maternity care. The study followed a qualitative, exploratory, descriptive, contextual design. The research population included midwives and obstetricians in the private sector in the Eastern Cape. Non-probability, purposive sampling was used. The researcher conducted semi-structured one-to-one interviews to collect information rich data. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as autonomy, non-maleficence, beneficence and justice. The interviews were transcribed and Creswell’s’ data analysis spiral was used as a guide for the data analysis. Themes and sub-themes were identified and grouped together to form new categories. An independent coder assisted with the coding process. Data analysis results revealed the following results Participants perceived a collaborative working relationship as being beneficial to maternity care. Participants identified that there might be critical impediments that need to be faced in order to realize collaborative maternity care. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness, which consists of the following four criteria namely credibility, transferability, dependability and conformability. The information obtained from this study assisted in developing guidelines to facilitate the implementation of collaborative maternity care between midwives and obstetricians in private practice in South Africa. The objective of the study was thus met.
Subjects/Keywords: Maternal health services; Maternal health care teams
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Wibbelink, M. (2014). Perceptions of private sector midwives and obstetricians regarding collaborative maternity. (Thesis). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/d1020979
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Wibbelink, Margreet. “Perceptions of private sector midwives and obstetricians regarding collaborative maternity.” 2014. Thesis, Nelson Mandela Metropolitan University. Accessed January 27, 2021.
http://hdl.handle.net/10948/d1020979.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Wibbelink, Margreet. “Perceptions of private sector midwives and obstetricians regarding collaborative maternity.” 2014. Web. 27 Jan 2021.
Vancouver:
Wibbelink M. Perceptions of private sector midwives and obstetricians regarding collaborative maternity. [Internet] [Thesis]. Nelson Mandela Metropolitan University; 2014. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/10948/d1020979.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Wibbelink M. Perceptions of private sector midwives and obstetricians regarding collaborative maternity. [Thesis]. Nelson Mandela Metropolitan University; 2014. Available from: http://hdl.handle.net/10948/d1020979
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Zambia
5.
Banda, Ngala Jeane.
Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
.
Degree: 2016, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4866
► ABSTRACT This study focused on women’s utilization of labour and delivery health services in Lusaka urban district health facilities. Utilization of labour and delivery health…
(more)
▼ ABSTRACT
This study focused on women’s utilization of labour and delivery health services in Lusaka urban
district health facilities. Utilization of labour and delivery health services can ensure that women
are attended to by skilled personnel and link them to referral system in case of any complications.
However, delivering in health facilities is still challenging in Sub-Saharan region including Zambia,
despite the importance of institutional deliveries in preventing maternal and neonatal morbidity and
mortality. The aim of this study was to determine factors that are associated with utilization of
Labor and delivery health services by women in Lusaka district health facilities.
This cross sectional study was carried out using both qualitative and quantitative approach to collect
data from three hundred and seventy three postnatal women (15-45years) who had given birth six(6)
months and below prior data collection. Stratified random sampling was used to select six (6) study
sites, systematic sampling was used to select three hundred and forty three (343) respondents for
quantitative data while purposive sampling was used to select thirty (30) respondents for qualitative
data respectively. Three Focus Group Discussions (FGDs) were conducted in three health centers
namely Kanyama, Chawama and George health facilities. Interview schedules and FGDs guide were
used to collect data.
Data from interview schedules were entered and analyzed using Statistical Package for Social
Sciences (SPSS) version 22.0 for windows and presented using frequency tables, pie charts, and
histogram and cross tabulations. The Chi-square test was used to test the association among variables
and multivariate logistic regression analysis was carried out to predict the outcome. Statistical
significance was set at 0.05 and strength of statistical association was assessed by odds ratio (OR)
with 95% confidence interval. Content analysis was used to analyse data from the Focus Group
Discussions and the most use full information that merged from the discussion was selected and
used to illustrate the main points.
The results showed utilization levels were at 89% while non-utilization stood at 11%. After
multivariate logistic regression, maternal education (Odds=3.5, CI, 1.046-11.861, P-value=0.042),
Antenatal care visits (Odds=9.8, CI, 1.248-76.769, P-value=0.030) and transport affordability
(Odds=4.7, CI-1.707-12.975, P-value=0.003) were factors which were significantly associated with
utilization of labour and delivery health services in Lusaka district health facilities.
In this study, utilization of labour and delivery health services was optimal while non-utilization
stood at 11%. Therefore, the study recommends that there is need for Ministry of Education to
support women’s education beyond primary education and the health providers to continuously
sensitize women on importance of early antenatal care booking and complete the four
recommended visits because during antenatal care, women are given information on…
Subjects/Keywords: Maternal health services.
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Banda, N. J. (2016). Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4866
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Banda, Ngala Jeane. “Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
.” 2016. Thesis, University of Zambia. Accessed January 27, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4866.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Banda, Ngala Jeane. “Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
.” 2016. Web. 27 Jan 2021.
Vancouver:
Banda NJ. Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
. [Internet] [Thesis]. University of Zambia; 2016. [cited 2021 Jan 27].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4866.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Banda NJ. Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
. [Thesis]. University of Zambia; 2016. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4866
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Wake Forest University
6.
Kirzhner, Eugene.
PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION.
Degree: 2014, Wake Forest University
URL: http://hdl.handle.net/10339/39398
► Public health has become the face of much of modern medicine's successes. Since maternal and child health (MCH) has taken a central role in Western…
(more)
▼ Public health has become the face of much of modern medicine's successes. Since maternal and child health (MCH) has taken a central role in Western healthcare, outcomes have been greatly improved in all of Western Europe and North America. Social justice calls for bringing these successes to developing countries, where childbirth and childhood still remain the most deadly life stages for mothers and infants, respectively. At present, the nascent field of public health ethics has produced literature providing frameworks for intervention and policymaking, yet these frameworks have not seen a transition into practice. This has led to a sharp dichotomy between public health research and practice, where the former is subject to ethical oversight and the latter is not. The importance of ensuring that the targets of MCH interventions, who are more vulnerable than the general population, are protected from unethical practice means that concrete steps must be taken now, despite the lack of an agreed upon framework for governing interventions. I propose four actions that would hasten bringing ethics to the forefront of MCH practice: reforming MCH education, replacing current philosophical approaches to public health, strengthening ethics at the CDC, and creating ethical review boards for interventions that are similar to those already present in public health research.
Subjects/Keywords: maternal child health
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Kirzhner, E. (2014). PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION. (Thesis). Wake Forest University. Retrieved from http://hdl.handle.net/10339/39398
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Kirzhner, Eugene. “PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION.” 2014. Thesis, Wake Forest University. Accessed January 27, 2021.
http://hdl.handle.net/10339/39398.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Kirzhner, Eugene. “PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION.” 2014. Web. 27 Jan 2021.
Vancouver:
Kirzhner E. PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION. [Internet] [Thesis]. Wake Forest University; 2014. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/10339/39398.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Kirzhner E. PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION. [Thesis]. Wake Forest University; 2014. Available from: http://hdl.handle.net/10339/39398
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Ghana
7.
Wordi, S.A.
Provider-Patient Communication in Maternal Health
.
Degree: 2019, University of Ghana
URL: http://ugspace.ug.edu.gh/handle/123456789/32145
► The health issues of pregnant women cannot be effectively addressed without due consideration to communication. The way in which health providers communicate with pregnant women…
(more)
▼ The health issues of pregnant women cannot be effectively addressed without due consideration to communication. The way in which health providers communicate with pregnant women can have significant effects on health outcomes. Effective communication can help bridge information, knowledge and awareness gaps to enable pregnant women play active roles in their health issues and motivate them to patronize maternal services. The purpose of this study was to find out the perceptions of pregnant women of the provider-patient communication, using the Communication Accommodation Theory. A quantitative approach was used to conduct a survey using 120 pregnant women, seeking antenatal care at the University of Ghana Hospital. The quantitative data obtained was analysed using SPSS.
The study found that pregnant women were happy with the provider-patient communication, motivating them to patronise maternal services. Also, the health providers did not discriminate among pregnant women who sought antenatal care at the hospital, on the basis of their age and education. Though the perceptions of the pregnant women were very reassuring, waiting time and lack of training for health providers were identified as barriers to effective communication.
This brings to fore the need for interventions to encourage healthcare providers to communicate effectively with pregnant women.
Subjects/Keywords: Communication;
Maternal Health
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Wordi, S. A. (2019). Provider-Patient Communication in Maternal Health
. (Masters Thesis). University of Ghana. Retrieved from http://ugspace.ug.edu.gh/handle/123456789/32145
Chicago Manual of Style (16th Edition):
Wordi, S A. “Provider-Patient Communication in Maternal Health
.” 2019. Masters Thesis, University of Ghana. Accessed January 27, 2021.
http://ugspace.ug.edu.gh/handle/123456789/32145.
MLA Handbook (7th Edition):
Wordi, S A. “Provider-Patient Communication in Maternal Health
.” 2019. Web. 27 Jan 2021.
Vancouver:
Wordi SA. Provider-Patient Communication in Maternal Health
. [Internet] [Masters thesis]. University of Ghana; 2019. [cited 2021 Jan 27].
Available from: http://ugspace.ug.edu.gh/handle/123456789/32145.
Council of Science Editors:
Wordi SA. Provider-Patient Communication in Maternal Health
. [Masters Thesis]. University of Ghana; 2019. Available from: http://ugspace.ug.edu.gh/handle/123456789/32145

Texas Tech University
8.
Samtani, Satabdi.
The impact of maternal health and involvement on children's well-being: A latent growth model.
Degree: PhD, Human Development and Family Studies, 2016, Texas Tech University
URL: http://hdl.handle.net/2346/72363
► The overall well-being of a society can be measured by the health of its individuals. Health is not just a physical indicator, but includes both…
(more)
▼ The overall well-being of a society can be measured by the
health of its individuals.
Health is not just a physical indicator, but includes both mental and social well-being for individuals. The current research study specifically looks at
maternal health (or mother’s
health) and child
health and well-being, and tries to empirically demonstrate if
maternal health over time could be considered as a valuable predictor for child
health and well-being. It also explores the possibility of family process variables, like parental involvement influencing children’s
health. It further investigates if such relationships are mediated by
maternal health. The study also tries to understand policy issues like impact of Medicaid and other government sponsored
health programs for children on child
health and well-being. A secondary data analysis of the above mentioned enquiries is done with the help of the “Fragile Families and Child Wellbeing Study (FFCWS)” dataset. It is a longitudinal analysis covering all 4 waves of available data.
Latent growth structural equation models and panel models are constructed to examine the proposed hypotheses. It was observed that initial
maternal health did not influence the change in child
health over time. Improvement in child
health over the 4 waves had a lower trajectory than
maternal heath, but
maternal health saw an abrupt decline between child age 5 and age 9. The above outcomes did not have any group differences between foreign born mothers and US born mothers. This was in contrast to earlier studies that have studied the “immigration paradox” on
health related protective factors for children’s
health and well-being outcomes, that stem from best practices of
health behavior among immigrant parents. The study also finds that mother’s education level has a significant impact on both mother and child’s future
health, among mothers married/cohabiting with the child’s biological father. A similar trend is also observed for mothers who share a friendly/visiting relationship with the child’s biological father. A unique finding of this research study is that, initial
maternal health acts as a partial mediator between
maternal involvement and child
health. The meditation effect is more pronounced in African American mothers (21%) followed by Non-Hispanic whites (18.9 %). A cross-lagged panel model was created to understand if the
health condition of children on Medicaid could be predicted from their well-being (measured here in terms of acute incidents). The proposed model was successful in explaining some temporal causation for children on Medicaid and but was unable to predict the same for the non-Medicaid group. The above findings are not just correlations, they are measured over 4 different time points and hence indicate causation between the factors. The results of this research study should aid policy makers to frame more appropriate policy on
maternal health, and child
health and well-being in the future.
Advisors/Committee Members: Oh, Wonjung (committee member), Reifman, Alan S (Committee Chair).
Subjects/Keywords: Maternal Health; Child Health
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Samtani, S. (2016). The impact of maternal health and involvement on children's well-being: A latent growth model. (Doctoral Dissertation). Texas Tech University. Retrieved from http://hdl.handle.net/2346/72363
Chicago Manual of Style (16th Edition):
Samtani, Satabdi. “The impact of maternal health and involvement on children's well-being: A latent growth model.” 2016. Doctoral Dissertation, Texas Tech University. Accessed January 27, 2021.
http://hdl.handle.net/2346/72363.
MLA Handbook (7th Edition):
Samtani, Satabdi. “The impact of maternal health and involvement on children's well-being: A latent growth model.” 2016. Web. 27 Jan 2021.
Vancouver:
Samtani S. The impact of maternal health and involvement on children's well-being: A latent growth model. [Internet] [Doctoral dissertation]. Texas Tech University; 2016. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/2346/72363.
Council of Science Editors:
Samtani S. The impact of maternal health and involvement on children's well-being: A latent growth model. [Doctoral Dissertation]. Texas Tech University; 2016. Available from: http://hdl.handle.net/2346/72363

University of Manitoba
9.
du Plessis, Elsabé.
Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya.
Degree: Community Health Sciences, 2018, University of Manitoba
URL: http://hdl.handle.net/1993/33474
► In current global health parlance, sustainability is a key concern of funders and implementers alike, tied to growing concerns with accountability and, relatedly, the demand…
(more)
▼ In current global
health parlance, sustainability is a key concern of funders and implementers alike, tied to growing concerns with accountability and, relatedly, the demand for precise measurement. Concerns over sustainability relate to vertical programming, fragmented care and short funding cycles. Communities who participate in successive programs may become disillusioned by the continual turnover and shifting priorities. In this thesis, I analyze the central role of program discourses, evidence production regimes and knowledge practices in the everyday life of a global
health project to illuminate power imbalances that emerge within international partnership formations. Furthermore, within the context of a multi-partner
maternal, newborn and child
health (MNCH) project in Kenya, I illustrate how local communities engage with global
health projects to ensure sustainability on their own terms.
Methods: I conducted a 13-month ethnographic study of a MNCH and nutrition project in Taita Taveta County, eastern Kenya, following a project ethnography. Data collection took place between July 2014 and August 2016. Because the social dynamics of the project unfolded in multiple locales, I conducted my ethnographic fieldwork in Winnipeg, Canada, and in Nairobi and Taita Taveta, Kenya. In addition to participant observation, I undertook primary and secondary archival research to gain a deeper understanding of the history of development in Taita Taveta. I also conducted key informant interviews with university scientists and analyzed secondary qualitative data from the MNCH project. Data analysis occurred through an iterative process that triangulated the findings from the various sources.
Results and Conclusions. Evidence is a central preoccupation in global
health practice, with respect to 1) how scientists and program implementers attempt to meet funders’ demand for standardized, quantitative metrics and 2) how local people and communities position themselves to benefit from global
health projects. Prolonged engagement with development projects cultivate “local intervention knowledges” that inform how people think about and engage with projects. I demonstrate how people in Taita Taveta strategically engage with discourses around sustainability, actively participating in the formation of the discourse while contesting and remaking the principles and activities of programs to better meet local exigencies. This I refer to as flexible sustainabilities.
Advisors/Committee Members: Lorway, Robert (Community Health Sciences) (supervisor), Bruce, Sharon (Community Health Sciences) Slater, Joyce (Food and Human Nutritional Sciences) Deane, Lawrence (Social Work) Colvin, Christopher (University of Cape Town) (examiningcommittee).
Subjects/Keywords: Global Health; Maternal child health
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
du Plessis, E. (2018). Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya. (Thesis). University of Manitoba. Retrieved from http://hdl.handle.net/1993/33474
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
du Plessis, Elsabé. “Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya.” 2018. Thesis, University of Manitoba. Accessed January 27, 2021.
http://hdl.handle.net/1993/33474.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
du Plessis, Elsabé. “Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya.” 2018. Web. 27 Jan 2021.
Vancouver:
du Plessis E. Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya. [Internet] [Thesis]. University of Manitoba; 2018. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/1993/33474.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
du Plessis E. Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya. [Thesis]. University of Manitoba; 2018. Available from: http://hdl.handle.net/1993/33474
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of South Africa
10.
Wageng, Ntsoaki Sandra.
The evaluation of strategies used to reduce maternal mortality in the Fezile Dabi District (Free State Province).
Degree: 2014, University of South Africa
URL: http://hdl.handle.net/10500/18701
► The purpose of this study was to describe and evaluate the strategies used to reduce maternal mortality of the Fezile Dabi District in the Free…
(more)
▼ The purpose of this study was to describe and evaluate the strategies used to reduce
maternal mortality of the Fezile Dabi District in the Free State Province, South Africa. A quantitative descriptive study was conducted at three hospitals to describe and evaluate the strategies. Data collection was done by using the
Maternal and Neonatal Programme Effort Index (MNPI) self-administered questionnaire. The study population comprised of 71 (midwives (52), doctors (13), management-operational managers (6). The overall response rate for the three hospitals was (43.5%). The study indicated that programme efforts for
maternal health are similar across the three hospitals, however, there are particular areas in each hospital that need more attention. The ratings of all the strategies generally showed weak to partial effort. The findings revealed general poor performance under the following strategies: postpartum care, training arrangements, information,
education, communication and hospital protocols. Based on the study results, the quality of
maternal health care need to be improved
Advisors/Committee Members: Mathibe-Neke, J. M (advisor).
Subjects/Keywords: Evaluation; Maternal health; Maternal mortality strategies
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Wageng, N. S. (2014). The evaluation of strategies used to reduce maternal mortality in the Fezile Dabi District (Free State Province). (Masters Thesis). University of South Africa. Retrieved from http://hdl.handle.net/10500/18701
Chicago Manual of Style (16th Edition):
Wageng, Ntsoaki Sandra. “The evaluation of strategies used to reduce maternal mortality in the Fezile Dabi District (Free State Province).” 2014. Masters Thesis, University of South Africa. Accessed January 27, 2021.
http://hdl.handle.net/10500/18701.
MLA Handbook (7th Edition):
Wageng, Ntsoaki Sandra. “The evaluation of strategies used to reduce maternal mortality in the Fezile Dabi District (Free State Province).” 2014. Web. 27 Jan 2021.
Vancouver:
Wageng NS. The evaluation of strategies used to reduce maternal mortality in the Fezile Dabi District (Free State Province). [Internet] [Masters thesis]. University of South Africa; 2014. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/10500/18701.
Council of Science Editors:
Wageng NS. The evaluation of strategies used to reduce maternal mortality in the Fezile Dabi District (Free State Province). [Masters Thesis]. University of South Africa; 2014. Available from: http://hdl.handle.net/10500/18701

University of Ghana
11.
Danso, N.A.A.
The Relationship between Contraception and Abortion in Ghana among Women of Reproductive Age; Trend Analysis of the 2007 and 2017 Maternal Health Surveys
.
Degree: 2019, University of Ghana
URL: http://ugspace.ug.edu.gh/handle/123456789/33534
► Induced abortions continually contribute to the issue of maternal mortality in Ghana. The use of contraceptives by women of reproductive age is thought to aid…
(more)
▼ Induced abortions continually contribute to the issue of maternal mortality in Ghana. The use of contraceptives by women of reproductive age is thought to aid in reducing the prevalence of abortion in the country. With these facts, this study seeks to establish the relationship between contraceptive use and abortion and determine how the two influence each other. Factors that have been influencing the prevalence of contraceptive use and abortion were also assessed in this study.
Gaining insight into the relationship between induced abortion, contraceptive use and the background characteristics of women of reproductive age will help in the introduction of feasible interventions targeting identified groups in the country.
The study was a trend analysis using data from the 2007 and 2017 Ghana Maternal Health Survey (GMHS). Statistical methods used in analyzing data were the modified Poisson with robust SE and Rao-Scot Chi-square of independence to determine risk factors.
Results from the study indicated that women who used some form of contraceptive were approximately 0.6 times less likely to engage in abortion procedures as compared to women who used no form of contraception over the past ten years (prevalence rate 0.58, 95% CI 0.52 to 0.64, p<0.001).
The study revealed that contraceptive use reduces prevalence of abortion, however, there was a significant decline in contraceptive use over the decade. Other factors such as marital status, educational level and age equally influenced the prevalence of contraceptive use and induced abortion over the decade.
The Ministry of Health together with the Ghana Health Services and stakeholders (NGO’s) should continue with interventions aimed at reducing the prevalence of induced abortion. Also more work need to be done to increase the prevalence of contraceptive use amongst women of reproductive age by the Ministry of Health and stakeholders.
Subjects/Keywords: Abortion;
Contraceptive;
Maternal Health;
Maternal Mortality;
Ghana
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Danso, N. A. A. (2019). The Relationship between Contraception and Abortion in Ghana among Women of Reproductive Age; Trend Analysis of the 2007 and 2017 Maternal Health Surveys
. (Masters Thesis). University of Ghana. Retrieved from http://ugspace.ug.edu.gh/handle/123456789/33534
Chicago Manual of Style (16th Edition):
Danso, N A A. “The Relationship between Contraception and Abortion in Ghana among Women of Reproductive Age; Trend Analysis of the 2007 and 2017 Maternal Health Surveys
.” 2019. Masters Thesis, University of Ghana. Accessed January 27, 2021.
http://ugspace.ug.edu.gh/handle/123456789/33534.
MLA Handbook (7th Edition):
Danso, N A A. “The Relationship between Contraception and Abortion in Ghana among Women of Reproductive Age; Trend Analysis of the 2007 and 2017 Maternal Health Surveys
.” 2019. Web. 27 Jan 2021.
Vancouver:
Danso NAA. The Relationship between Contraception and Abortion in Ghana among Women of Reproductive Age; Trend Analysis of the 2007 and 2017 Maternal Health Surveys
. [Internet] [Masters thesis]. University of Ghana; 2019. [cited 2021 Jan 27].
Available from: http://ugspace.ug.edu.gh/handle/123456789/33534.
Council of Science Editors:
Danso NAA. The Relationship between Contraception and Abortion in Ghana among Women of Reproductive Age; Trend Analysis of the 2007 and 2017 Maternal Health Surveys
. [Masters Thesis]. University of Ghana; 2019. Available from: http://ugspace.ug.edu.gh/handle/123456789/33534

University of the Western Cape
12.
Tsawe, Mluleki.
Utilization of health care services and maternal education in South Africa
.
Degree: 2014, University of the Western Cape
URL: http://hdl.handle.net/11394/4358
► The importance of maternal health care services cannot be stressed enough. Maternal health services are important in reducing pregnancy-related complications as well as maternal and…
(more)
▼ The importance of
maternal health care services cannot be stressed enough.
Maternal health services are important in reducing pregnancy-related complications as well as
maternal and infant deaths. This study was concerned with investigating the relationship between
maternal education and
maternal health care utilization. Furthermore, the study aimed to investigate the rates of
maternal health care use, the reasons for non-use of
maternal health services, as well as the determinants of
maternal health care use. Primary data was used from selected areas (Tsolo, Qumbu and Mqanduli), which fall within the O.R. Tambo district in the Eastern Cape Province. Simple random sampling was used (with a structured questionnaire) to study
maternal health care use among the sampled women. To analyse this data, univariate, bivariate, and multivariate techniques were employed. The results indicated that
maternal education was not statistically significant with antenatal and postnatal services, but the percentages were important in explaining the use of
maternal health care services in relation to
maternal education. Women with higher levels of education reported higher rates of antenatal and delivery care utilization, while those with lower levels of education reported higher rates of postnatal care use. Access factors, such as transport, payment and distance to
health facilities, also played an important role in the use of
maternal health care services. It was recommended that the Department of
Health implement mobile clinics and centralize
health care facilities as this will bring essential
health services closer to the communities. Women in the study area also need to be educated about the importance of these services, more particularly pertaining to postnatal care.
Advisors/Committee Members: Susuman, Sathiya A (advisor).
Subjects/Keywords: Maternal health care;
Health facilities;
Primary health care;
Maternal health services
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Tsawe, M. (2014). Utilization of health care services and maternal education in South Africa
. (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/4358
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Tsawe, Mluleki. “Utilization of health care services and maternal education in South Africa
.” 2014. Thesis, University of the Western Cape. Accessed January 27, 2021.
http://hdl.handle.net/11394/4358.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Tsawe, Mluleki. “Utilization of health care services and maternal education in South Africa
.” 2014. Web. 27 Jan 2021.
Vancouver:
Tsawe M. Utilization of health care services and maternal education in South Africa
. [Internet] [Thesis]. University of the Western Cape; 2014. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/11394/4358.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Tsawe M. Utilization of health care services and maternal education in South Africa
. [Thesis]. University of the Western Cape; 2014. Available from: http://hdl.handle.net/11394/4358
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Zambia
13.
Chirwa, Banda Pamela.
Maternal Mortality and status of health services in Kafue District
.
Degree: 2012, University of Zambia
URL: http://hdl.handle.net/123456789/1037
► This study was carried out to investigate the determinants and levels of Maternal Mortality and Status of Health Services in Kafue District. A scientific approach…
(more)
▼ This study was carried out to investigate the determinants and levels of Maternal Mortality and Status of Health Services in Kafue District. A scientific approach through exploratory study was employed to randomly select sample of 150 women from the four health centers in Kafue District. Data in form of tables, percentages, frequencies and graphs during data analysis were used to assess the determinants and levels of maternal mortality in Kafue District.
Respondents’ demographic record including age, education, social economic status, distance from hospital and cultural values were examined. Factors leading to maternal death and contributing factors were discussed through Focus Group and interviews with relatives of the deceased.
The study revealed that the levels of maternal mortality in Kafue ranged from 2 in 2005 to 6 and 5 in 2007 and 2009 respectively, a total of 21 maternal deaths in the past five years, with two of these deaths being recorded at Mwembeshi and Chanyanya respectively. A total of 19289 Institutional deliveries took place during the study period with Maternal Mortality Ratio of 108.8/100 000 live births. This implies that maternal death has reduced to one per thousand births in Kafue District which is much lower than the national maternal ratio of 5.9/1000 births (CSO, 2007:120).
The major causative factors in Kafue District were haemorrhage (68 %) followed by anaemia 18 %, abortion 9 % and HIV- related complications 6 %.
The study discovered that the referral system was not being effectively coordinated between health centres and the hospital in terms of referral movements.
In an effort to completely eradicate maternal deaths in Kafue district, a two way referral system from the community to the health facility and vice versa should be intensified and timely follow ups made. More vehicles/mobile clinics should be purchased for use at health centres to assist in transporting pregnant women who live very far from the clinic/hospital.
Subjects/Keywords: Maternal Mortality;
Maternal health services;
Maternal-Newborn nursing
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Chirwa, B. P. (2012). Maternal Mortality and status of health services in Kafue District
. (Thesis). University of Zambia. Retrieved from http://hdl.handle.net/123456789/1037
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Chirwa, Banda Pamela. “Maternal Mortality and status of health services in Kafue District
.” 2012. Thesis, University of Zambia. Accessed January 27, 2021.
http://hdl.handle.net/123456789/1037.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Chirwa, Banda Pamela. “Maternal Mortality and status of health services in Kafue District
.” 2012. Web. 27 Jan 2021.
Vancouver:
Chirwa BP. Maternal Mortality and status of health services in Kafue District
. [Internet] [Thesis]. University of Zambia; 2012. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/123456789/1037.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Chirwa BP. Maternal Mortality and status of health services in Kafue District
. [Thesis]. University of Zambia; 2012. Available from: http://hdl.handle.net/123456789/1037
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Zambia
14.
Shipili, Pascalis.
Factors contributing to the high number of home deliveries in Mufulira Urban
.
Degree: 2012, University of Zambia
URL: http://hdl.handle.net/123456789/1635
► The research contained in this document was done in order to determine the factors contributing to a high number of home deliveries in Mufulira urban.…
(more)
▼ The research contained in this document was done in order to determine the factors contributing to a high number of home deliveries in Mufulira urban. The identified factors were subjected to tests in order to establish whether the association observed was significant or not.Maternal health is the complete physical, social and psychological well-being of a woman of reproductive age. Addressing maternal health encompasses social and cultural factors, as well as addressing health system and health policy. Indicators used to measure maternal health include skilled attendance at birth, contraceptive prevalence rates and most importantly maternal mortality and morbidity. Improving maternal health is one of the eight millennium development goals, and great efforts have been put forth to achieve that goal.A case control study comprising 340 women aged between 15-45 years who had delivered at home within the past three months as cases (164) and those who did so in health facilities as controls (176). The sample was randomly selected from two residential areas which were conveniently selected due to the high number of home deliveries.Data were collected by use of questionnaires, focus group discussion and review of records. Data analysis was done with computer software SPSS and EPl info. The analysed data were presented in frequency tables, cross tabulations and bar graphs. Both multivariate and bivariate analyses were done on variables whose association with the place of delivery was found to be significant.This study revealed that low education level of women contributes to the increase in home deliveries (A significant association was observed between level of education and place of delivery, P<0.001). This is due to the fact that women of low education are not able to easily understand certain maternal conditions and the need to seek health care. Distance to the nearest health facility was also observed to contribute to pregnant mothers delivering in their homes (P=0.003). In addition, a significant association was observed between husband's employment status and place of delivery (P<0,OOI), Women married to men who are working have a higher chance of seeking health care because they can afford user fees, transport costs and layette. The study further revealed a significant association between the number of antenatal visits attended by a mother and the place of delivery. The lower the number of antenatal visits, the more likely that the mother will deliver from her home(P=0.031, Fisher's Test).This study concluded by coming up with several policy change recommendations which would enhance pregnant mothers' access to maternal health services. It was recommended that the health centres should be operating beyond 1600 hours so that those who might go in labour after 1600 hours could still be assisted by a skilled health worker. In addition, staffing levels needed to be improved to ensure quality maternal health care. There was need to source transport for the health centres to enhance the referral of patients from one health…
Subjects/Keywords: Maternal health services – Zambia
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Shipili, P. (2012). Factors contributing to the high number of home deliveries in Mufulira Urban
. (Thesis). University of Zambia. Retrieved from http://hdl.handle.net/123456789/1635
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Shipili, Pascalis. “Factors contributing to the high number of home deliveries in Mufulira Urban
.” 2012. Thesis, University of Zambia. Accessed January 27, 2021.
http://hdl.handle.net/123456789/1635.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Shipili, Pascalis. “Factors contributing to the high number of home deliveries in Mufulira Urban
.” 2012. Web. 27 Jan 2021.
Vancouver:
Shipili P. Factors contributing to the high number of home deliveries in Mufulira Urban
. [Internet] [Thesis]. University of Zambia; 2012. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/123456789/1635.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Shipili P. Factors contributing to the high number of home deliveries in Mufulira Urban
. [Thesis]. University of Zambia; 2012. Available from: http://hdl.handle.net/123456789/1635
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Zambia
15.
Cheelo, Chilala.
Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
.
Degree: 2015, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4331
► In 2010, the government of Zambia stopped training traditional birth attendants (TBAs) and forbade them from conducting home deliveries because they were viewed to contribute…
(more)
▼ In 2010, the government of Zambia stopped training traditional birth attendants (TBAs) and forbade them from conducting home deliveries because they were viewed to contribute to maternal mortality. Since then, there has been no study done to get the perspectives of the TBAs after the policy ban in Zambia. This study explored the perspectives of trained TBAs on governments’ decision to stop community-based deliveries in Kazungula district.
This was a qualitative case study conducted in Mukuni chiefdom of Kazungula district. It included only trained traditional birth attendants purposively selected in Mukuni area. A census was considered that included all twenty-two trained TBAs from three clinic catchment areas. Six female traditional leaders were selected one from each zone. Expert sampling was used. Data was collected through focus group discussions, in-depth interviews of TBAs and key informant interviews for leaders. Thematic content analysis was used to analyse the data after coding findings manually.
The results showed that community-based deliveries continued despite the full knowledge of the ban by government. The reasons for the continuity include the lack of health facilities in some communities, poor transition methods from community-based deliveries to institutional deliveries, long distances and poor transport system, lack of delivery services at some local clinics and too many demands put up at clinics or hospitals. Trained traditional birth attendants continued conducting home deliveries because to them it was a moral duty they had to perform hence have no option because institutional-based delivery services were far from the communities. Effects of the ban included both negative and positive effects. Positive effects included TBAs having more time to do their own work, reduced criticisms from the community in case of a complication and quick response at health facilities in case of an emergency. Negative effects included extra work, high cost for lodging at health facilities, loss of respect and recognition by the community, introduction of penalty fees and getting back to untrained traditional birth attendants a situation which was worse than before the ban.
Despite the global redirection from traditional birth attendance to skilled birth attendance, there was need to domesticate policy decisions as a nation-based on local evidence and practicality.
Subjects/Keywords: Midwives – Zambia;
Maternal health services.
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Cheelo, C. (2015). Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4331
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Cheelo, Chilala. “Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
.” 2015. Thesis, University of Zambia. Accessed January 27, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4331.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Cheelo, Chilala. “Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
.” 2015. Web. 27 Jan 2021.
Vancouver:
Cheelo C. Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
. [Internet] [Thesis]. University of Zambia; 2015. [cited 2021 Jan 27].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4331.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Cheelo C. Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
. [Thesis]. University of Zambia; 2015. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4331
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Namibia
16.
Nandjila Robert Taddeus.
Utilisation of post natal care services in the Grootfontein health district, Otjozondjupa region
.
Degree: 2008, University of Namibia
URL: http://hdl.handle.net/11070/421
► Abstract provided by author; In Namibia a comprehensive health care approach is practised and motivated by health care delivery institutions. Part of the comprehensive health…
(more)
▼ Abstract provided by author; In Namibia a comprehensive
health care approach is practised and motivated by
health care delivery institutions. Part of the comprehensive
health care approach is promotion of
health in
maternal and child
health care.
Maternal and child
health care include women's
health, antenatal care, delivery, postnatal care, and care for the baby. The focus of this study is on postnatal care for mother and baby. The postnatal (post-delivery) period is a medical term for the period following childbirth during which body tissues, in particular the genital and pelvic organs of the mother, return to the condition they were pre-pregnancy; Postnatal care services are provided for mother and baby and mothers should utilise it to ensure that their
health and that of the baby is maintained. In spite of the availability of postnatal services in the Grootfontein
health district women do not utilise them; Thus, the overall aim of the study is to explore and describe factors that influence the utilisation of postnatal care services in the Grootfontein
health district. To achieve this aim an explorative, descriptive, quantitative and comparative design was used. Data were collected from 291 respondents over a period of six weeks, through an interview by using a structured questionnaire, and with the assistance of a research assistant. The selected sample included 219 women who did not attend postnatal clinics - the case group - and 72 who did attend postnatal clinics - the control group; Data were analysed using statistical procedures to test the significance of relationships between variables of the two groups. Answers to open-ended questions were grouped and presented in frequencies. Ethical principles were adhered to throughout the study; It was concluded that the most important reason why mothers do not utilise postnatal care services, specifically the postnatal clinic, is that they have no information about the need to attend post natal care. Recommendations were made to address the shortcomings that were indicated by the study. The main shortcoming is that a lot of women have no information about the need to attend post natal care clinics.
Advisors/Committee Members: (advisor), (advisor).
Subjects/Keywords: Postnal care
;
Maternal health
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Taddeus, N. R. (2008). Utilisation of post natal care services in the Grootfontein health district, Otjozondjupa region
. (Thesis). University of Namibia. Retrieved from http://hdl.handle.net/11070/421
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Taddeus, Nandjila Robert. “Utilisation of post natal care services in the Grootfontein health district, Otjozondjupa region
.” 2008. Thesis, University of Namibia. Accessed January 27, 2021.
http://hdl.handle.net/11070/421.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Taddeus, Nandjila Robert. “Utilisation of post natal care services in the Grootfontein health district, Otjozondjupa region
.” 2008. Web. 27 Jan 2021.
Vancouver:
Taddeus NR. Utilisation of post natal care services in the Grootfontein health district, Otjozondjupa region
. [Internet] [Thesis]. University of Namibia; 2008. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/11070/421.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Taddeus NR. Utilisation of post natal care services in the Grootfontein health district, Otjozondjupa region
. [Thesis]. University of Namibia; 2008. Available from: http://hdl.handle.net/11070/421
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Alberta
17.
Sullivan, Ginger Lt.
Sources of Informal Support for women experiencing
Obstetrical Fistula: A Focused Ethnographic Study.
Degree: Master of Nursing, Faculty of Nursing, 2014, University of Alberta
URL: https://era.library.ualberta.ca/files/cj82k7840
► Obstetric fistula is a devastating complication of childbirth and a neglected global health issue. Ghana, a low-income country in sub-Saharan country is plagued with high…
(more)
▼ Obstetric fistula is a devastating complication of
childbirth and a neglected global health issue. Ghana, a low-income
country in sub-Saharan country is plagued with high maternal
mortality and morbidity rates including an estimated 500 to 1000
new cases of obstetric fistula every year. Despite the fact that
Safe Motherhood initiatives have existed in the country for more
than three decades women continue to suffer. This qualitative study
explores the experiences of women who have or have had an OF, and
those close to these women. In depth interviews were conducted with
14 participants. Findings revealed key themes, which included
familial, economic, spousal, formal and self-support.
Recommendations include strategies focused on improving access to
surgical repair treatment for women living with obstetric fistula,
directing resources and efforts to creating a dedicated specialist
fistula centre in Tamale, and providing education to front line
workers such as nurses, midwives, and public health workers on
strategies to prevent obstetric fistula and safe motherhood
practices.
Subjects/Keywords: obstetric fistula; maternal health; Ghana
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Sullivan, G. L. (2014). Sources of Informal Support for women experiencing
Obstetrical Fistula: A Focused Ethnographic Study. (Masters Thesis). University of Alberta. Retrieved from https://era.library.ualberta.ca/files/cj82k7840
Chicago Manual of Style (16th Edition):
Sullivan, Ginger Lt. “Sources of Informal Support for women experiencing
Obstetrical Fistula: A Focused Ethnographic Study.” 2014. Masters Thesis, University of Alberta. Accessed January 27, 2021.
https://era.library.ualberta.ca/files/cj82k7840.
MLA Handbook (7th Edition):
Sullivan, Ginger Lt. “Sources of Informal Support for women experiencing
Obstetrical Fistula: A Focused Ethnographic Study.” 2014. Web. 27 Jan 2021.
Vancouver:
Sullivan GL. Sources of Informal Support for women experiencing
Obstetrical Fistula: A Focused Ethnographic Study. [Internet] [Masters thesis]. University of Alberta; 2014. [cited 2021 Jan 27].
Available from: https://era.library.ualberta.ca/files/cj82k7840.
Council of Science Editors:
Sullivan GL. Sources of Informal Support for women experiencing
Obstetrical Fistula: A Focused Ethnographic Study. [Masters Thesis]. University of Alberta; 2014. Available from: https://era.library.ualberta.ca/files/cj82k7840

University of Edinburgh
18.
Zolala, Farzaneh.
Exploring routine data collection systems in Iran, focussing on maternal mortality and using the city of Bam as a case study.
Degree: 2011, University of Edinburgh
URL: http://hdl.handle.net/1842/5962
► Introduction: Health information systems provide information obtained from data for decision making in order to improve the performance of a health system. Although health information…
(more)
▼ Introduction:
Health information systems provide information obtained from data for decision
making in order to improve the performance of a
health system. Although
health
information systems can be very influential, it can not be exit on its own. It is
discussed that the flaw and inefficiency of
health information system is rooted to the
powerlessness of
health system and lack of incorporation in the overall
health system
[1]. The benefits of using data in planning and implementation go beyond the normal
everyday functions of a heath system and include catastrophic situations.
Iran is a developing country which experiences a large number of natural disasters
each year with a significant number of casualties. Owing to the importance of data
for planning, implementation and evaluation, the necessity for sound data is even
more pronounced in a country with such conditions.
The main aim of this project is to use the city of Bam as a case study to explore the
routinely collected data systems in Iran. This investigated the collection of mortality
data from all causes, and
maternal mortality specifically, in order to determine the
usefulness and application of these data systems to monitor the immediate and
ongoing
health effects of a natural disaster, and to plan for future disasters.
Methods:
A mixed qualitative and quantitative method used to provide better understanding of
the problem at two main data sources, the Medical University and the Civil Registry.
This research has commenced with numeric results of
maternal ratios and then has
employed a qualitative method to gain better understanding of data collection
system. The sampling methods are purposive and probability sampling. Interviews,
review of documents, and personal observation are the main data collection methods.
The data are analysed using qualitative and quantitative methods. They are presented
in four sub –chapters , three sub-chapters for non numeric results and one for
numeric results. Results:
The results show that there are dramatic differences on data collection and data
processing between the Civil Registry and the Medical Sciences University. Also it is
found that there are some sorts of shortcomings in different stages of data collection
system in each organisation. This includes incomplete data coverage, shortcoming in
academic staff, insufficient technology infrastructures, lack of training for staff,
inadequate data quality checking. Moreover, there are many limitations affecting
data collection after the earthquake. These limitations are rooted in basic problems
within the existing data collection system and a lack of co-ordination between the
groups collecting the data, including national and international aid groups that
provided help after the earthquake.
Regarding
maternal mortality data collection it is found that there was no consistent
definition of
maternal deaths among interviewees. All data sources are not aware of
urgently reporting of
maternal deaths as it should be.
The results of the estimation of
maternal mortality ratios from…
Advisors/Committee Members: Forbes, John, Warner, Pam, Pollack, Allyson.
Subjects/Keywords: health information; maternal mortality
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Zolala, F. (2011). Exploring routine data collection systems in Iran, focussing on maternal mortality and using the city of Bam as a case study. (Thesis). University of Edinburgh. Retrieved from http://hdl.handle.net/1842/5962
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Zolala, Farzaneh. “Exploring routine data collection systems in Iran, focussing on maternal mortality and using the city of Bam as a case study.” 2011. Thesis, University of Edinburgh. Accessed January 27, 2021.
http://hdl.handle.net/1842/5962.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Zolala, Farzaneh. “Exploring routine data collection systems in Iran, focussing on maternal mortality and using the city of Bam as a case study.” 2011. Web. 27 Jan 2021.
Vancouver:
Zolala F. Exploring routine data collection systems in Iran, focussing on maternal mortality and using the city of Bam as a case study. [Internet] [Thesis]. University of Edinburgh; 2011. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/1842/5962.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Zolala F. Exploring routine data collection systems in Iran, focussing on maternal mortality and using the city of Bam as a case study. [Thesis]. University of Edinburgh; 2011. Available from: http://hdl.handle.net/1842/5962
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Addis Ababa University
19.
Tewodros, Alemayehu.
Determinants of Teenage Fertility and TheirMaternal Health Service Utilization in Ethiopia
.
Degree: 2012, Addis Ababa University
URL: http://etd.aau.edu.et/dspace/handle/123456789/2999
► Introduction: Fertility and pregnancy during adolescence period is associated with increased risk of maternal mortality and morbidity, premature termination of education and high rate of…
(more)
▼ Introduction: Fertility and pregnancy during adolescence period is associated with increased
risk of
maternal mortality and morbidity, premature termination of education and high rate of
population growth rate. When teenagers become pregnant they are less likely to use antenatal
and delivery care from
health workers.
Objective: To identify the determinants of teenage fertility and assess the pattern of use of antenatal
care service utilization of women in the age group 15-19 years of age in Ethiopia
Methodology: Raw data collected from all part of the country using stratified cluster sampling
method by the Ethiopian Demographic
Health Survey 2005 with supplemental in-depth
interview was used. Analysis was based for women aged 15-19 years at the time of interview and
at recent child birth in five years. Bongaarts model of fertility and multivariate logistic regression
models were used to identify the determinants.
Result: the teenage fertility rate was 13.6% and another 3.1% were pregnant for the first time at
the time of interview. Delayed marriage or non marriage and postpartum infecundability were
the determinants of fertility both in urban and rural part of the country while use of contraceptive
was determinant in urban area. The other deferential of fertility were age at first marriage,
women education, place of residence and age. Similarly, only 27.3% of most recent child births
had got at least one antenatal care from
health workers. The determinants for the use of antenatal
care among the teenagers were women as well as partner level of education, wealth index and
place of residence.
Conclusion: A range of factors including level of education, place of residence use of family
planning and breastfeeding has influenced teenage fertility and their use of
maternal health
service. So strong behavioral change communication, strengthening school
health program,
empowering of young women specially the rural one, and promoting parent-children discussion
on sexuality matters is recommended to improve the situation.
Advisors/Committee Members: Dereje Habte (MD, MPH) (advisor).
Subjects/Keywords: Teenage Fertility;
Maternal Health Service
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Tewodros, A. (2012). Determinants of Teenage Fertility and TheirMaternal Health Service Utilization in Ethiopia
. (Thesis). Addis Ababa University. Retrieved from http://etd.aau.edu.et/dspace/handle/123456789/2999
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Tewodros, Alemayehu. “Determinants of Teenage Fertility and TheirMaternal Health Service Utilization in Ethiopia
.” 2012. Thesis, Addis Ababa University. Accessed January 27, 2021.
http://etd.aau.edu.et/dspace/handle/123456789/2999.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Tewodros, Alemayehu. “Determinants of Teenage Fertility and TheirMaternal Health Service Utilization in Ethiopia
.” 2012. Web. 27 Jan 2021.
Vancouver:
Tewodros A. Determinants of Teenage Fertility and TheirMaternal Health Service Utilization in Ethiopia
. [Internet] [Thesis]. Addis Ababa University; 2012. [cited 2021 Jan 27].
Available from: http://etd.aau.edu.et/dspace/handle/123456789/2999.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Tewodros A. Determinants of Teenage Fertility and TheirMaternal Health Service Utilization in Ethiopia
. [Thesis]. Addis Ababa University; 2012. Available from: http://etd.aau.edu.et/dspace/handle/123456789/2999
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Nairobi
20.
Muithya, Victor M.
Factors Influencing Implementation of Free Maternal Health Care in Government Health Facilities: a Case of Kisima Location; Samburu County, Kenya
.
Degree: 2016, University of Nairobi
URL: http://hdl.handle.net/11295/97761
► Issues concerning maternal healthcare are highly prevalent in most developing nations as the quality of care is often low and too expensive for the local…
(more)
▼ Issues concerning maternal healthcare are highly prevalent in most developing nations
as the quality of care is often low and too expensive for the local population. Kenya,
like most other developing nations, has shown the desire to show its commitment
towards reducing the problems associated with implementation of free maternal health
care projects and programmes. The government’s implementation strategy involved
introduction of free maternal healthcare program in counties and regions that have
limited healthcare services, through the devolution programme. Despite the plans to
improve the maternal health care, Lorroki Division in Samburu County has the
highest number of maternal health care problems with the high numbers in Kisima
Location. The purpose of this study was to establish factors influencing
implementation of free maternal health care in government health care facilities in
Kisima Location. The objectives of the study were to; assess how demographic
characteristics influences implementation of free maternal health care, determine how
attitude of health care providers influences implementation of free maternal health
care, assess how the level of awareness on maternal health influences implementation
of free maternal health care and assess how availability of resources influences
implementation of free maternal health care. An in-depth review of literature was
done. A descriptive survey design was used in this cross sectional study. The target
population was Lorroki Division residents and accessible population was Kisima
Location residents from which a sample of 202 residents were selected using stratified
sampling; 80 adult women, 75 men and 47 youth . Purposive sampling was used to
select 10 health care providers. Data was collected through questionnaires, document
reviews and interviews and descriptive statistics was used to analyse the data with aid
of Statistical Package for Social Sciences version 20.Content analysis was applied for
the qualitative data.The study established that 76.2% of the respondents were
unemployed and 50% were uneducated. The quality of health care services was rated
to be good but attendance on antenatal and post natal clinics was too low. There were
two health facilities in Kisima location; Kisima and Mparigon.1 ambulance was
available for the whole location. It was recommended that health care should be given
priority and a favorable approach to maternal health care that covers from antenatal to
postnatal stage should be introduced. Traditional birth assistants need to be trained on
modern safe delivery skills. The study will aid in improvement and implementation in
the health sector and thus overall promotion of comprehensive maternal health care
services in Kenya.
Subjects/Keywords: Free Maternal Health Care
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Muithya, V. M. (2016). Factors Influencing Implementation of Free Maternal Health Care in Government Health Facilities: a Case of Kisima Location; Samburu County, Kenya
. (Thesis). University of Nairobi. Retrieved from http://hdl.handle.net/11295/97761
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Muithya, Victor M. “Factors Influencing Implementation of Free Maternal Health Care in Government Health Facilities: a Case of Kisima Location; Samburu County, Kenya
.” 2016. Thesis, University of Nairobi. Accessed January 27, 2021.
http://hdl.handle.net/11295/97761.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Muithya, Victor M. “Factors Influencing Implementation of Free Maternal Health Care in Government Health Facilities: a Case of Kisima Location; Samburu County, Kenya
.” 2016. Web. 27 Jan 2021.
Vancouver:
Muithya VM. Factors Influencing Implementation of Free Maternal Health Care in Government Health Facilities: a Case of Kisima Location; Samburu County, Kenya
. [Internet] [Thesis]. University of Nairobi; 2016. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/11295/97761.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Muithya VM. Factors Influencing Implementation of Free Maternal Health Care in Government Health Facilities: a Case of Kisima Location; Samburu County, Kenya
. [Thesis]. University of Nairobi; 2016. Available from: http://hdl.handle.net/11295/97761
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Nairobi
21.
Manishimwe, Christian.
Determinants of maternal health care demand in Rwanda
.
Degree: 2011, University of Nairobi
URL: http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/15249
► Maternal healthcare services are crucial for the reduction of maternal mortality. Utilization of these services has been evolving overtime in Rwanda but it is not…
(more)
▼ Maternal healthcare services are crucial for the reduction of maternal mortality. Utilization of
these services has been evolving overtime in Rwanda but it is not sufficient. Furthermore,
there is a lack of information on the factors that influence the demand for these services.
This study investigates the determinants for demand of maternal healthcare in Rwanda using
2005 Rwanda Demographic and Health Survey data. The determinants for antenatal care
visits, the timing of first antenatal care check-up and delivery care are analyzed using
multinomial logit model whereas a probit model is used for postnatal care utilization.
Results show that education of wife and husband, income, medical insurance, age and living
in urban areas influence positively the utilization of maternal health care services whereas,
being a working mother and birth order hampers it. However, the demand function estimated
is incomplete function due to data limitation on availability and quality of services, access
and costs of healthcare.
Subjects/Keywords: Maternal health care;
Determinants;
Rwanda
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Manishimwe, C. (2011). Determinants of maternal health care demand in Rwanda
. (Thesis). University of Nairobi. Retrieved from http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/15249
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Manishimwe, Christian. “Determinants of maternal health care demand in Rwanda
.” 2011. Thesis, University of Nairobi. Accessed January 27, 2021.
http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/15249.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Manishimwe, Christian. “Determinants of maternal health care demand in Rwanda
.” 2011. Web. 27 Jan 2021.
Vancouver:
Manishimwe C. Determinants of maternal health care demand in Rwanda
. [Internet] [Thesis]. University of Nairobi; 2011. [cited 2021 Jan 27].
Available from: http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/15249.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Manishimwe C. Determinants of maternal health care demand in Rwanda
. [Thesis]. University of Nairobi; 2011. Available from: http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/15249
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
22.
Ouedraogo, Mariame Oumar.
Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
.
Degree: 2018, University of Ottawa
URL: http://hdl.handle.net/10393/37291
► Reducing maternal and child mortality has been a top global health priority for the past two decades. Through this thesis, I underline some of the…
(more)
▼ Reducing maternal and child mortality has been a top global health priority for the past two decades. Through this thesis, I underline some of the strategies, barriers and determinants to optimal maternal and child health (MCH) in three specific districts of Jimma Zone in the southwest of Ethiopia. My first paper has a particular focus on the quality of MCH data collected within the health management information system (HMIS), while the second paper focuses on the utilization of antenatal care (ANC) services, assessments of malaria in pregnancy, and women’s access to malaria preventive measures using data from a cross-sectional survey conducted in the three study districts.
The quality of MCH data collected within the HMIS from July 2014 to June 2015 for the 26 primary health care units (PHCUs) located within the three districts was evaluated using the World Health Organization’s Data Quality Report Card (DQRC). To complement the methods recommended in the DQRC, Pearson correlation coefficients, intraclass correlation coefficients, and Bland-Altman analysis were used to determine the agreement between MCH indicator coverage estimates derived from the HMIS and a population-based survey conducted with 3,784 women who had a birth outcome within the same time frame. The quality of MCH data collected within the HMIS was determined to be unsatisfactory, with many health facilities located in the three districts not reporting completely, consistently, or accurately MCH key indicators relating specifically to ANC, skilled birth attendance at delivery, and postnatal care. This finding is important since poor data quality can compromise effective decision-making and resource allocation processes aimed at contributing to better health outcomes in mothers and newborns.
vi
To address the objectives set in the second chapter, analysis of cross-sectional survey data from 3,784 women who had a birth outcome in the year preceding the survey was performed through logistic regression models adjusting for clustering of the participants by PHCU. While close to 85% of the women attended at least one ANC visit, less than 50% of the participants received four or more ANC visits. Lack of necessity, distance to health facility and unavailability of transportation were determined as key reasons for not attending ANC. Women who completed secondary or higher education, were from the richest households, were exposed to different media sources, and were able to make decisions about their healthcare by themselves or jointly with their husband were more likely to attend ANC services. Frequent visits by a health extension worker and pregnancy intendedness also influenced ANC attendance. Bed net ownership and utilization during last pregnancy were also relatively low (52% and 26%, respectively). The results also showed that the odds of owning and always using a mosquito net were higher in participants that attended ANC, with odds ratios of 1.98 (95% CI: 1.55-2.53) and 1.62 (95% CI: 1.23 – 2.13), respectively. The prevalence of malaria infection…
Subjects/Keywords: Maternal and Child Health;
Ethiopia
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Ouedraogo, M. O. (2018). Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
. (Thesis). University of Ottawa. Retrieved from http://hdl.handle.net/10393/37291
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ouedraogo, Mariame Oumar. “Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
.” 2018. Thesis, University of Ottawa. Accessed January 27, 2021.
http://hdl.handle.net/10393/37291.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ouedraogo, Mariame Oumar. “Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
.” 2018. Web. 27 Jan 2021.
Vancouver:
Ouedraogo MO. Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
. [Internet] [Thesis]. University of Ottawa; 2018. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/10393/37291.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ouedraogo MO. Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
. [Thesis]. University of Ottawa; 2018. Available from: http://hdl.handle.net/10393/37291
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of KwaZulu-Natal
23.
Khanyile, Sibongile Thulisiwe.
Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district.
Degree: 2015, University of KwaZulu-Natal
URL: http://hdl.handle.net/10413/14296
► Background: HIV-infected mothers in high income countries are advised not to breast-feed and are family oriented regarding the decision of the choice of feeding method…
(more)
▼ Background:
HIV-infected mothers in high income countries are advised not to breast-feed and are family oriented regarding the decision of the choice of feeding method for their infants. In contrast, in low and middle income countries (LMIC) the responsibility of making an informed choice on feeding practice rests primarily on the woman herself. The choice of infant feeding method is important for HIV-positive mothers in order to optimize the chance of survival for their infants and to minimize the risk of HIV transmission.
Purpose of the study
The purpose of this study was to assess knowledge, attitudes, and practices of pregnant women with regard to the infant feeding method for prevention of mother to child transmission of HIV.
Methodology
This study used a quantitative and descriptive design. It was conducted at a regional hospital of eThekwini District. Systematic sampling was used to select 250 respondents. Data was collected data using semi-structured questions in a questionnaire. The data was analysed using simple descriptive statistics using SPSS version 19.
Results of the study
All 104 (100%) respondents infected with the HIV virus strongly agreed that transmission of the HIV virus occurred from mother to child at the time of pregnancy, during delivery or through breastfeeding. All 104 (100%) of the HIV infected women strongly agreed that formula feeding had no role in the transmission of the HIV virus and they were familiar with modes of transmission of the HIV virus.
Forty eight (46%) of the HIV infected respondents stated that they will exclusively breastfeed their infants; 34 (33%) will adopt the mixed feeding method that is
breastfeeding and the utilization of formula, while 22 (21%) will use the replacement feeding method milk that the government supplies.
Conclusion
The choice of feeding practices among the HIV infected and HIV uninfected respondents was varied. The majority 145 (58%) of the respondents selected exclusive breastfeeding as their choice of infant feeding method, while 38 (15.2%) selected replacement and 67 (26.8%) chose mixed feeding. Several factors influenced the mother’s preferred feeding method for their infants.
Recommendations
Following the results from this study, the recommendations include:
Health educate all the pregnant mothers and their relatives on the importance of PMTCT programs with an emphasis on adequate feeding practices, and provide the most recent feeding guidelines. Support to the HIV positive mothers with limited resources, in particular these breastfeeding.
Advisors/Committee Members: Majeke, Sisana Janet. (advisor).
Subjects/Keywords: Maternal and child health.
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Khanyile, S. T. (2015). Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district. (Thesis). University of KwaZulu-Natal. Retrieved from http://hdl.handle.net/10413/14296
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Khanyile, Sibongile Thulisiwe. “Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district.” 2015. Thesis, University of KwaZulu-Natal. Accessed January 27, 2021.
http://hdl.handle.net/10413/14296.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Khanyile, Sibongile Thulisiwe. “Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district.” 2015. Web. 27 Jan 2021.
Vancouver:
Khanyile ST. Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district. [Internet] [Thesis]. University of KwaZulu-Natal; 2015. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/10413/14296.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Khanyile ST. Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district. [Thesis]. University of KwaZulu-Natal; 2015. Available from: http://hdl.handle.net/10413/14296
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of KwaZulu-Natal
24.
Simelane, Makhosazana Lungile.
An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal.
Degree: 2015, University of KwaZulu-Natal
URL: http://hdl.handle.net/10413/14418
► Background: Despite advances in the treatment of HIV and AIDS with lifelong antiretroviral therapy (ART), women living with HIV and AIDS (WLWHA) still have to…
(more)
▼ Background: Despite advances in the treatment of HIV and AIDS with lifelong antiretroviral
therapy (ART), women living with HIV and AIDS (WLWHA) still have to deal with the
psychological and psychosocial challenges of living with this chronic illness. Such a situation
means there has been a necessary shift in focus to clinicians seeking ways to better understand
and improve the quality of life and psychological well-being of WLWHA.
Objective: The purpose of this study was to explore and describe the levels of psychological
distress in relation to
health related quality of life in women living with HIV and AIDS who are
attending a regional hospital within the eThekwini district, KwaZulu-Natal.
Methods: An exploratory-descriptive, non-experimental quantitate approach was employed for
the study. The WHO BREF and Kessler 10 (K10) self-administered questionnaire was used to
collect data from a sample of 84 WLWHA.
Results: The findings showed that the sampled WLWHA had good levels of
health-related quality
of life. The social (16.3) and physical (16.1) domains had the highest mean scores. The level of
independence (13.1) and environment (13.3) domains had the lowest mean scores. The findings
also revealed that the women had moderate levels of psychological distress; the mean score for
this was 22 (SD = 7.2). There was some interrelationship between socio-demographic factors and
health-related quality of life. A significant relationship was also found between age and the
psychological domain (p–value < 0.011). There was also borderline significance between
education and the psychological domain (p–value = 0.055).
Conclusion: Women living with HIV and AIDS are still experiencing moderate levels of
psychological distress due to living with this chronic illness, HIV and AIDS. However, despite
the presence of moderate levels of psychological distress, these women are nonetheless achieving
high levels of
health-related quality of life.
Advisors/Committee Members: Naidoo, J. R. (advisor).
Subjects/Keywords: Maternal; child and women's health.
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Simelane, M. L. (2015). An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal. (Thesis). University of KwaZulu-Natal. Retrieved from http://hdl.handle.net/10413/14418
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Simelane, Makhosazana Lungile. “An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal.” 2015. Thesis, University of KwaZulu-Natal. Accessed January 27, 2021.
http://hdl.handle.net/10413/14418.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Simelane, Makhosazana Lungile. “An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal.” 2015. Web. 27 Jan 2021.
Vancouver:
Simelane ML. An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal. [Internet] [Thesis]. University of KwaZulu-Natal; 2015. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/10413/14418.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Simelane ML. An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal. [Thesis]. University of KwaZulu-Natal; 2015. Available from: http://hdl.handle.net/10413/14418
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Kwame Nkrumah University of Science and Technology
25.
Awua‑Boateng, Nana Yaa; Mohammed, Aliyu; Aglanu, Leslie Mawuli; Acheampong, Godfred; Amuasi,J. H.; Bonsu,F.A.; Phillips, R. O.
Is pulmonary tuberculosis in pregnant women a problem in Ghana? Observations and lessons from the National Tuberculosis Prevalence Project.
Degree: 2019, Kwame Nkrumah University of Science and Technology
URL: http://dspace.knust.edu.gh:8080/jspui/handle/123456789/11949
► Background: Despite appropriate prevention and control measures, tuberculosis (TB) remains a significant contributor to maternal morbidity and mortality. Diagnosis of the disease in pregnancy is…
(more)
▼ Background: Despite appropriate prevention and control measures, tuberculosis (TB) remains a significant contributor to maternal morbidity and
mortality. Diagnosis of the disease in pregnancy is usually challenging, as the symptoms may be attributed to the pregnancy. Little is known about
the true burden of the disease and its associated risk factors among pregnant women. This study sought to assess the prevalence of TB among
pregnant women and associated sociodemographic characteristics in Ghana. Methods: The study used nationally representative data gathered
from the national TB project in 2013. A total of 1747 pregnant women were sampled from 56 randomly selected diagnostic health centers across
the ten regions of Ghana. TB was confirmed with Ziehl–Neelsen staining technique using morning sputum samples from pregnant women who
reported coughing for more than 2 weeks. We assessed how the observed TB prevalence differed by some sociodemographic characteristics
and other factors. We further examined the regional spatial distribution of pregnant women with TB in the country. Results: Up to 11.2% of the
pregnant women had a history of cough during pregnancy. Eighteen (1.1%) cases of TB were confirmed among the pregnant women during the
2‑year period, with the Eastern region of the country recording the highest (n = 13, 72%), followed by Volta region ( n = 2, 11.1%). No cases
were recorded in five regions. The geographical region of residence was the only determinant of TB in pregnancy significantly associated with
TB (P = 0.001). Conclusion: Although the burden of TB was found to be low, appropriate control measures have to be put in place to detect
the disease during the early stages of pregnancy to safeguard the health of the expectant mother and the unborn child.
An article published by Wolters Kluwer - Medknow
KNUST
Subjects/Keywords: Maternal health; pregnancy; prevalence; tuberculosis
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Awua‑Boateng, Nana Yaa; Mohammed, Aliyu; Aglanu, Leslie Mawuli; Acheampong, Godfred; Amuasi,J. H.; Bonsu,F.A.; Phillips, R. O. (2019). Is pulmonary tuberculosis in pregnant women a problem in Ghana? Observations and lessons from the National Tuberculosis Prevalence Project. (Thesis). Kwame Nkrumah University of Science and Technology. Retrieved from http://dspace.knust.edu.gh:8080/jspui/handle/123456789/11949
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Awua‑Boateng, Nana Yaa; Mohammed, Aliyu; Aglanu, Leslie Mawuli; Acheampong, Godfred; Amuasi,J. H.; Bonsu,F.A.; Phillips, R O. “Is pulmonary tuberculosis in pregnant women a problem in Ghana? Observations and lessons from the National Tuberculosis Prevalence Project.” 2019. Thesis, Kwame Nkrumah University of Science and Technology. Accessed January 27, 2021.
http://dspace.knust.edu.gh:8080/jspui/handle/123456789/11949.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Awua‑Boateng, Nana Yaa; Mohammed, Aliyu; Aglanu, Leslie Mawuli; Acheampong, Godfred; Amuasi,J. H.; Bonsu,F.A.; Phillips, R O. “Is pulmonary tuberculosis in pregnant women a problem in Ghana? Observations and lessons from the National Tuberculosis Prevalence Project.” 2019. Web. 27 Jan 2021.
Vancouver:
Awua‑Boateng, Nana Yaa; Mohammed, Aliyu; Aglanu, Leslie Mawuli; Acheampong, Godfred; Amuasi,J. H.; Bonsu,F.A.; Phillips RO. Is pulmonary tuberculosis in pregnant women a problem in Ghana? Observations and lessons from the National Tuberculosis Prevalence Project. [Internet] [Thesis]. Kwame Nkrumah University of Science and Technology; 2019. [cited 2021 Jan 27].
Available from: http://dspace.knust.edu.gh:8080/jspui/handle/123456789/11949.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Awua‑Boateng, Nana Yaa; Mohammed, Aliyu; Aglanu, Leslie Mawuli; Acheampong, Godfred; Amuasi,J. H.; Bonsu,F.A.; Phillips RO. Is pulmonary tuberculosis in pregnant women a problem in Ghana? Observations and lessons from the National Tuberculosis Prevalence Project. [Thesis]. Kwame Nkrumah University of Science and Technology; 2019. Available from: http://dspace.knust.edu.gh:8080/jspui/handle/123456789/11949
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town
26.
Singata-Madliki, Mandisa.
A randomised controlled trial studying the effects of the copper intrauterine device and the injectable progestogen contraceptive on depression and sexual functioning of women in the Eastern Cape.
Degree: Image, Division of Nursing and Midwifery, 2014, University of Cape Town
URL: http://hdl.handle.net/11427/18586
► A lack of contraception use and contraceptive method discontinuation are common causes of unintended pregnancy in the Eastern Cape. The most common reason for method…
(more)
▼ A lack of contraception use and contraceptive method discontinuation are common causes of unintended pregnancy in the Eastern Cape. The most common reason for method discontinuation among childbearing women is the unacceptable side effects of their contraceptive choices. Both depression and sexual dysfunction are given as side effects of contraceptive use; however, there is little evidence to support these effects. This randomised, single-blind controlled trial conducted in East London, South Africa, Investigated the effects of the initiation of a long-acting injectable contraceptive, Depot Medroxyprogesterone Acetate (DMP A), compared with the initiation of a copper Intrauterine Contraceptive Device (Cu-IUD) after childbirth on depression and sexual functioning. After counselling, 242consenting pregnant women were randomised to receive DMP A or a Cu IUD within 48 hours of childbirth, in a ratio of 1:1. Primary outcome measures were depression and sexual dysfunction evaluated by validated instruments. Questionnaires were administered at baseline, and telephonically at one month and three months after randomisation. The telephonic interviewer was blinded to the participants' group allocation. English and Xhosa versions of the Beck Depression Inventory and the Edinburgh Postnatal Depression Scale were used to assess depression. The Arizona Sexual Functioning Scale was used to assess sexual functioning. For these primary outcomes, median scores between the intervention groups were compared, as well as the number of events (dichotomous data) in each intervention group. There relative effects of these interventions were summarised by calculating risk ratios, with 95% confidence intervals. Statistical tests used included the Shapiro-Wilk test, T-test, and Wilcoxon test. There were not consistently statistically significant differences in the risk of depression or sexual dysfunction between the intervention groups in this study. However, there was a trend towards more depression in the DMPA group which was statistically significant for mean EPDS score at the one month and for the BDI score three month assessments compared with the IUD group. There was also a trend to more sexual dysfunction with DMPA, but the only statistically significant difference was that fewer women in the DMPA group resumed sexual intercourse within the first month of treatment than in the IUD group. The author's recommendations from the study are that, firstly, family planning providers should inform women during contraceptive counselling that there is no certainty that DMPA causes depression and/or sexual dysfunction; however, it may do so in the postpartum period. Secondly, contraceptive users can continue to use DMPA with confidence as a convenient and effective method of preventing unintended pregnancy. Thirdly, the trend towards postpartum depression and sexual dysfunction in the DMPA group of this study justifies further research with a larger sample size, to include women from various social settings, and for a longer period of follow-up.…
Advisors/Committee Members: Khalil, Doris (advisor), Hofmeyr, G J (advisor).
Subjects/Keywords: Maternal healthcare; Reproductive Health
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Singata-Madliki, M. (2014). A randomised controlled trial studying the effects of the copper intrauterine device and the injectable progestogen contraceptive on depression and sexual functioning of women in the Eastern Cape. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/18586
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Singata-Madliki, Mandisa. “A randomised controlled trial studying the effects of the copper intrauterine device and the injectable progestogen contraceptive on depression and sexual functioning of women in the Eastern Cape.” 2014. Thesis, University of Cape Town. Accessed January 27, 2021.
http://hdl.handle.net/11427/18586.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Singata-Madliki, Mandisa. “A randomised controlled trial studying the effects of the copper intrauterine device and the injectable progestogen contraceptive on depression and sexual functioning of women in the Eastern Cape.” 2014. Web. 27 Jan 2021.
Vancouver:
Singata-Madliki M. A randomised controlled trial studying the effects of the copper intrauterine device and the injectable progestogen contraceptive on depression and sexual functioning of women in the Eastern Cape. [Internet] [Thesis]. University of Cape Town; 2014. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/11427/18586.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Singata-Madliki M. A randomised controlled trial studying the effects of the copper intrauterine device and the injectable progestogen contraceptive on depression and sexual functioning of women in the Eastern Cape. [Thesis]. University of Cape Town; 2014. Available from: http://hdl.handle.net/11427/18586
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Tampere University
27.
Adu, Louisa Owusuaa.
Infant feeding practices and their relation to maternal health care utilization : a national cross-sectional study among Ghanaian women
.
Degree: 2015, Tampere University
URL: https://trepo.tuni.fi/handle/10024/97097
► Background: Adequate infant feeding enhances growth, overall health and survival of infants in the early years of life and throughout the life cycle. Furthermore, maternal…
(more)
▼ Background: Adequate infant feeding enhances growth, overall health and survival of infants in the early years of life and throughout the life cycle. Furthermore, maternal health care services offer mothers education on infant feeding and care. As Ghana seeks to achieve optimal universal health and survival for all mothers and children through targeted policy making, this study makes significant contributions to the current literature on maternal health care utilization and infant feeding that can help to identify vulnerable groups that require immediate attention. The aim of this study is to determine the association between components of maternal health care utilization and infant feeding practices such as: breastfeeding initiation, prelacteal feeding and continued breastfeeding.
Methods: Data from the 2008 Ghana Demographic and Health Survey (GDHS) carried out as the fifth round in a series of national level population and health surveys was used. The survey covers information on maternal health, family planning, fertility, child health and nutrition. This present study focused on women (N= 2099) of the reproductive age group 15 to 49 with live births within five years preceding the study. Timing of first antenatal care visit, number of antenatal care visits, place of delivery and mode of delivery were used as the components of maternal health care utilization. Breastfeeding initiation, prelacteal feeding and continued breastfeeding beyond six months were the infant feeding practices evaluated in this study. Logistic regression analyses was used to calculate the odds ratios (OR) and their 95% confidence intervals (CIs) for infant feeding practices.
Results: In total, 52.5% of women initiated breastfeeding within an hour after birth. Only few women (18.1%) offered prelacteal foods to their infants within three days after birth and 78% of women continued breastfeeding beyond six months. Having a cesarean delivery and a non-institutional delivery was significantly associated with a lesser likelihood of initiating breastfeeding within 1 hour after delivery (OR for Cesarean delivery 0.11, 95% CI 0.12-0.27, OR for non-institutional delivery 0.78, 95% CI 0.62-0.99) and a higher likelihood of prelacteal feeding (OR for Cesarean delivery 1.92, 95% CI 1.19-3.09, OR for non-institutional delivery 1.98, 95% CI 1.42-2.76) in the first three days after delivery. Late antenatal care (after the first trimester) was found to be associated with lower odds of breastfeeding beyond six months (OR 0.77, 95% CI 0.59-0.99). Women belonging to the African traditional religion and the poor wealth quintile were less likely to initiate breastfeeding within an hour after birth and many unmarried women had a higher probability of prelacteal feeding. Moreover, women of the age groups of 25 to 49 years showed significant associations with continued breastfeeding beyond six months.
Conclusion: This study showed that infant feeding practices were partly determined by maternal health care utilization during pregnancy. Therefore,…
Subjects/Keywords: maternal health care;
infant feeding
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Adu, L. O. (2015). Infant feeding practices and their relation to maternal health care utilization : a national cross-sectional study among Ghanaian women
. (Masters Thesis). Tampere University. Retrieved from https://trepo.tuni.fi/handle/10024/97097
Chicago Manual of Style (16th Edition):
Adu, Louisa Owusuaa. “Infant feeding practices and their relation to maternal health care utilization : a national cross-sectional study among Ghanaian women
.” 2015. Masters Thesis, Tampere University. Accessed January 27, 2021.
https://trepo.tuni.fi/handle/10024/97097.
MLA Handbook (7th Edition):
Adu, Louisa Owusuaa. “Infant feeding practices and their relation to maternal health care utilization : a national cross-sectional study among Ghanaian women
.” 2015. Web. 27 Jan 2021.
Vancouver:
Adu LO. Infant feeding practices and their relation to maternal health care utilization : a national cross-sectional study among Ghanaian women
. [Internet] [Masters thesis]. Tampere University; 2015. [cited 2021 Jan 27].
Available from: https://trepo.tuni.fi/handle/10024/97097.
Council of Science Editors:
Adu LO. Infant feeding practices and their relation to maternal health care utilization : a national cross-sectional study among Ghanaian women
. [Masters Thesis]. Tampere University; 2015. Available from: https://trepo.tuni.fi/handle/10024/97097

University of Cape Town
28.
Clow, Sheila Elizabeth.
The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial.
Degree: Image, Division of Paediatric Medicine, 2015, University of Cape Town
URL: http://hdl.handle.net/11427/13082
► Background: Intrapartum complications contribute to nearly half of all avoidable maternal and perinatal deaths nationally. Inadequate understanding of the labour process by midwives, poor documentation…
(more)
▼ Background: Intrapartum complications contribute to nearly half of all avoidable
maternal and perinatal deaths nationally. Inadequate understanding of the labour process by midwives, poor documentation of labour monitoring and inadequate systemlevel support may lead to wrong diagnosis, incorrect management, and the potential for missed opportunities to prevent mortality. Aim: To evaluate the effect of an intervention package of training and clinical facilitation on the quality of clinical management in labour by registered midwives in primary level public sector
health facilities in rural South Africa. Methods: Research design : Pragmatic cluster randomised trial with 12 month follow-up. Setting and participants : Seventeen clusters stratified by geo-political region and size of service; 1020 labour records (60 per cluster / site; systematic random sample); and 154 registered midwives employed in the study sites during the study period. Participants were not blinded. Intervention : A package of clinical faclitation training for selected experienced midwife clinicians / managers, and an intrapartum educational update for midwives. Intervention and control sites continued receiving routine communication, all clinical guidelines and scheduled outreach activities. Main outcome measures : Primary outcome - clinical practice measuring partograph utilisation, using a modified partograph checklist, the testing of which is described in this study. Secondary outcome - midwives’ knowledge and skills, measured by written and clinical tests. Outcomes were analysed at the individual level using regression methods that allowed for clustering. The evaluator was blinded to the study allocation. Findings: The mean scores for the total partograph were not statistically significantly different between arms; the mean difference was 1.55 points out of a possible score 47 (95% CI: -1.18 to 4.28) p= 0.27. At a score of 27 the estimated absolute difference was 13.6% (95% CI : 0.16 to 0.25) p = 0.026. The total score for midwives’ knowledge and skills was 7 points (out of a possible 119) higher in the intervention arm (95% CI : 2.1 to 12.3), p=0.006. Conclusions: Although there was no difference in the quality of the overall completion of the partograph, there was a statistically significant difference in those of better quality completions in the intervention arm. Midwives’ knowledge and skills were higher in the intervention arm and those in the control arm deteriorated over time. This difference was statistically significant. Recommendations and implications for practice: This indicates a critical need to provide continuing professional education to midwives and to arrange midwifery staffing that optimises clinical practice in settings where intrapartum care is offered. In addition to regular, sustainable programmes to enhance partograph utilisation and midwife knowledge and skills, barriers to the utilisation of the partograph need to be investigated and addressed.
Advisors/Committee Members: Swingler, George H (advisor), Pattinson, R C (advisor).
Subjects/Keywords: Maternal and Child Health
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Clow, S. E. (2015). The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/13082
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Clow, Sheila Elizabeth. “The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial.” 2015. Thesis, University of Cape Town. Accessed January 27, 2021.
http://hdl.handle.net/11427/13082.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Clow, Sheila Elizabeth. “The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial.” 2015. Web. 27 Jan 2021.
Vancouver:
Clow SE. The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial. [Internet] [Thesis]. University of Cape Town; 2015. [cited 2021 Jan 27].
Available from: http://hdl.handle.net/11427/13082.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Clow SE. The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial. [Thesis]. University of Cape Town; 2015. Available from: http://hdl.handle.net/11427/13082
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Ghana
29.
Adamba, C.
Socioeconomic Inequalities and Maternal Health Outcomes in Ghana
.
Degree: 2013, University of Ghana
URL: http://ugspace.ug.edu.gh/handle/123456789/5178
► Maternal health outcomes are among the most diverse human indicators of development as well as critical global indicators of socioeconomic standing of a country. While…
(more)
▼ Maternal health outcomes are among the most diverse human indicators of development as well
as critical global indicators of socioeconomic standing of a country. While many studies have
over the years identified risk factors associated with the occurrence of adverse
maternal health
outcomes, such studies have tended to be relatively proximal and individually-based. Using the
Ghana
Maternal Health Survey data in a multilevel modelling design, this study examined the
relationship between the socioeconomic status of the area within which women live and the
occurrence of
maternal mortality, stillbirth, miscarriage and abortion as prime indicators of
maternal health. The aim is to understand how, independent of individual level factors,
maternal
health is affected by the characteristics of the areas within which women live and work. The
study used the 2000 Population and Housing Census data to construct a composite index of
multiple deprivation to reflect the socioeconomic structure of women’s immediate environment.
The quantitative analysis was triangulated with qualitative interviews to contextualise the
discussions.
The results showed that women living in deprived areas have higher odds of
maternal death
compared to women living in less deprived areas. The level of deprivation further suppresses the
expected positive effect of educational attainment measured at the individual level, indicating
that individual level educational qualification is not protective of
maternal mortality in a
deprived area. The effect of the deprivation status however reduces in areas where the aggregate
proportion of females educated up to Senior High School level or higher s high. This means that
policies that will provide and ensure educational attainment up to the Senior High School level
for women will be crucial in reducing the risk of
maternal mortality. The incidence rate of
maternal mortality is also lower in neighbourhoods where coverage of supervised deliveries is
higher. Women who live in less deprived neighbourhoods however have a higher likelihood of
seeking abortion compared with women in deprived neighbourhoods. Less deprived
neighbourhoods are also associated with high odds of suffering miscarriage but lower odds of
stillbirth. Controlling for a variety of individual characteristics the results further showed that it
is women of middle or wealthy households living in less deprived neighbourhoods who are
mostly likely to seek abortion, whilst women of poor households living in less deprived
neighbourhood have higher probabilities of reporting miscarriages.
These results setup two important agendas that concern development policy and research. The
resulting policy recommendation from the work is that, an expansion of educational
opportunities that enable more women to obtain school education up to the Senior High School
level and higher will be significant in reducing
maternal mortality in Ghana. In terms of research
agenda, the findings strengthen the need to broaden the scope of
maternal health…
Advisors/Committee Members: Osei-Akoto, I (advisor), Owusu, A.Y (advisor), Ahiadeke, C (advisor).
Subjects/Keywords: Maternal Health;
Socioeconomic;
Mortality;
Inequalities
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Adamba, C. (2013). Socioeconomic Inequalities and Maternal Health Outcomes in Ghana
. (Doctoral Dissertation). University of Ghana. Retrieved from http://ugspace.ug.edu.gh/handle/123456789/5178
Chicago Manual of Style (16th Edition):
Adamba, C. “Socioeconomic Inequalities and Maternal Health Outcomes in Ghana
.” 2013. Doctoral Dissertation, University of Ghana. Accessed January 27, 2021.
http://ugspace.ug.edu.gh/handle/123456789/5178.
MLA Handbook (7th Edition):
Adamba, C. “Socioeconomic Inequalities and Maternal Health Outcomes in Ghana
.” 2013. Web. 27 Jan 2021.
Vancouver:
Adamba C. Socioeconomic Inequalities and Maternal Health Outcomes in Ghana
. [Internet] [Doctoral dissertation]. University of Ghana; 2013. [cited 2021 Jan 27].
Available from: http://ugspace.ug.edu.gh/handle/123456789/5178.
Council of Science Editors:
Adamba C. Socioeconomic Inequalities and Maternal Health Outcomes in Ghana
. [Doctoral Dissertation]. University of Ghana; 2013. Available from: http://ugspace.ug.edu.gh/handle/123456789/5178

University of Western Ontario
30.
Hooshmand, Setareh.
Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood.
Degree: 2014, University of Western Ontario
URL: https://ir.lib.uwo.ca/etd/1965
► The purpose of this thesis was to examine the longitudinal associations between body mass and depressive symptoms as adolescents transition into young adults, using secondary…
(more)
▼ The purpose of this thesis was to examine the longitudinal associations between body mass and depressive symptoms as adolescents transition into young adults, using secondary data analysis of the National Longitudinal Survey of Children and Youth. Adolescents (N = 1,895) were followed across five ages, between ages 17 and 25. Body mass and depressive symptoms were self-reported at each age. Latent growth modelling was used for all analyses. Results showed that the trajectory of body mass increased over time, while the trajectory of depressive symptoms decreased over time, for both males and females. Adolescent females with higher initial body mass levels reported a slower decrease in depressive symptoms over time. Conversely, adolescent males with higher initial depressive symptoms reported a slower increase in body mass over time. Public health implications, future research initiatives, and conclusions are further discussed.
Subjects/Keywords: Maternal and Child Health
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APA (6th Edition):
Hooshmand, S. (2014). Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood. (Thesis). University of Western Ontario. Retrieved from https://ir.lib.uwo.ca/etd/1965
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Hooshmand, Setareh. “Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood.” 2014. Thesis, University of Western Ontario. Accessed January 27, 2021.
https://ir.lib.uwo.ca/etd/1965.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Hooshmand, Setareh. “Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood.” 2014. Web. 27 Jan 2021.
Vancouver:
Hooshmand S. Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood. [Internet] [Thesis]. University of Western Ontario; 2014. [cited 2021 Jan 27].
Available from: https://ir.lib.uwo.ca/etd/1965.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Hooshmand S. Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood. [Thesis]. University of Western Ontario; 2014. Available from: https://ir.lib.uwo.ca/etd/1965
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
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