Dissertations / Theses on the topic 'Maternal and infant welfare Australia'
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1
Featherstone, Lisa. "Breeding and feeding: a social history of mothers and medicine in Australia, 1880-1925." Australia : Macquarie University, 2003. http://hdl.handle.net/1959.14/38533.
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Thesis (PhD)--Macquarie University, Division of Humanities, Department of Modern History, 2003.Bibliography: p. 417-478.
Introduction: breeding and feeding -- The medical man: sex, science and society -- Confined: women and obstetrics 1880-1899 -- The kindest cut? The caesarean section as turning point -- Reproduction in decline -- Resisting reproduction: women, doctors and abortion -- From obstetrics to paediatrics: the rise of the child -- The breast was best: medicine and maternal breastfeeding -- The deadly bottle and the dangers of the wet nurse: the "artificial" feeding of infants -- Surveillance and the mother -- Mothers and medicine: paradigms of continuity and change.
The late nineteenth and early twentieth centuries saw profound changes in Australian attitudes towards maternity. Imbibed with discourses of pronatalism and eugenics, the production of infants became increasingly important to society and the state. Discourses proliferated on "breeding", and while it appeared maternity was exulted, the child, not the mother, was of ultimate interest. -- This thesis will examine the ways wider discourses of population impacted on childbearing, and very specifically the ways discussions of the nation impacted on medicine. Despite its apparent objectivity, medical science both absorbed and created pronatalism. Within medical ideology, where once the mother had been the point of interest, the primary focus of medical care, increasingly medical science focussed on the life of the infant, who was now all the more precious in the role of new life for the nation. -- While all childbirth and child-rearing advice was formed and mediated by such rhetoric, this thesis will examine certain key issues, including the rise of the caesarean section, the development of paediatrics and the turn to antenatal care. These turning points can be read as signifiers of attitudes towards women and the maternal body, and provide critical material for a reading of the complexities of representations of mothers in medical discourse.
Mode of access: World Wide Web.
478 p
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Gottvall, Karin. "Birth centre care : reproduction and infant health /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-825-4/.
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Rollet, Catherine. "La politique à l'égard de la petite enfance sous la IIIe République." [Paris] : Institut national d'études démographiques : Presses universitaires de France, 1990. http://catalog.hathitrust.org/api/volumes/oclc/23694310.html.
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Cole, Rose, University of Western Sydney, and Faculty of Nursing and Health Studies. "New mothers creating their well-being: a hermeneutic study." THESIS_FNHS_XXX_Cole_R.xml, 1998. http://handle.uws.edu.au:8081/1959.7/279.
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This hermeneutic study explores the experience of well-being of eight new mothers who live in the Blue Mountains of N.S.W. The experiences were analysed to illuminate definitions, meanings and practices which create their well being. This study transcends existing notions of health and motherhood. The author argues that mothers resist the social expectations created by the 'ideology of motherhood' by; defining their well-being, redefining and resisting the notion of being the 'good mother' by creating practices to achieve their well-being. Social support is integral to this. The study is grounded in hermeneutics incorporating the Heideggerian ideas of being-in-the-world, co-constitution and the hermeneutic circle and also the Gadamerian idea of fusion of horizons. A post-structuralist feminist perspective is adopted, incorporating Foucault's ideas on power, knowledge, truth and resistance. Eight definitions of these new mothers' well-being are presented. Implications for nursing practice, education and research are discussedMaster of Nursing (Hons)
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Swanepoel, Daniël Christiaan De Wet. "Infant hearing screening at maternal and child health clinics in a developing South African community." Pretoria : [s.n.], 2004. http://upetd.up.ac.za/thesis/available/etd-08242005-093303.
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Gonya, Jennifer. "Factors influencing maternal self-efficacy a comparison of hearing mothers with deaf children and hearing mothers with hearing children /." Connect to this title online, 2003. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1054676632.
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Thesis (Ph. D.)--Ohio State University, 2003.Title from first page of PDF file. Document formatted into pages; contains xiv, 164 p.; also includes graphics (some col.). Includes bibliographical references (p.157-164). Available online via OhioLINK's ETD Center
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Otovo, Okezi T. "To form a strong and populous nation race, motherhood, and the state in republican Brazil /." Connect to Electronic Thesis (ProQuest) Connect to Electronic Thesis (CONTENTdm), 2009. http://worldcat.org/oclc/453941450/viewonline.
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Marks, Lara. "Irish and Jewish women's experience of childbirth and infant care in East London, 1870-1939 : the responses of host society and immigrant communities to medical welfare needs." Thesis, University of Oxford, 1990. http://ora.ox.ac.uk/objects/uuid:fce5b2bc-8b9b-41e7-9ec7-3bef15d566ee.
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This thesis examines Irish and Jewish mothers' experience of maternity provision and infant care services in East London in the years 1870-1939. As newcomers these immigrants not only had to cope with poverty but also the barriers of language and different cultural customs. Leaving their family and kinship networks behind them, Irish and Jewish mothers had to find new sources of support when incapacitated through pregnancy or childbirth. Living in one of the poorest areas of London and unfamiliar with the local medical and welfare services, these immigrants might be expected to have suffered very poor health. On closer examination, however, Irish and Jewish immigrants appear to have had remarkably low rates of infant and maternal mortality. Despite the difficulties they faced as newcomers, Irish and Jewish mothers had certain advantages over the local population in East London. They were not only able to rely on the prolific and diverse services already present in East London, but could also call upon their own communal organisations. This provision offered a wide range of care and was a vital support to the newcomers. After examining the social and economic background to Irish and Jewish emigration and settlement the thesis examines what impact this had on their health patterns, particularly infant and maternal mortality. The following chapters explore what forms of support were available to married Irish and Jewish mothers through their own family and local neighbourhood and communal agencies. Chapter five concerns the unmarried mother and what provision was made specifically for her. The care offered by the host society to immigrant mothers and their infants is explored in chapters 6 to 8. Institutions covered by these chapters include voluntary hospitals, Poor Law infirmaries, and charitable organisations such as district nursing associations and medical missions. The thesis examines not only the services available to Irish and Jewish mothers, but also the attitudes of health professionals and philanthropists towards immigrants and how these affected the accessibility and acceptability of maternity and infant welfare services to Irish and East European Jewish mothers.
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Cole, Rose A. "New mothers creating their well-being : a hermeneutic study /." View thesis, 1998. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030901.155229/index.html.
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Priyono, Edi Sirikul Isaranurug. "Maternal risk factors for low birth weight infants at Fatmawati General Hospital, Kakarta, Indonesia /." Abstract, 2008. http://mulinet3.li.mahidol.ac.th/thesis/2551/cd414/5037985.pdf.
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Poerwanto, Siswo. "The inequality in infant mortality in Indonesia : evidence-based information and its policy implications." University of Western Australia. School of Population Health, 2004. http://theses.library.uwa.edu.au/adt-WU2003.0039.
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[Truncated abstract] The aims of the study were twofold; firstly, to describe the inequality in infant mortality in Indonesia namely, to look at the extent and magnitude of the problem in terms of the estimated number of infant deaths, the differentials in infant mortality rates, the probability of infant deaths across provinces, urban and rural areas, and across regions of Indonesia. Secondly, to examine the effect of family welfare status and maternal educational levels on the probability of infant deaths. The study design was that of a population-based multistage stratified survey of the 1997 Indonesian Demographic and Health Survey. Results of the study were obtained from a sample of 28,810 reproductive women aged 15 to 49 years who belonged to 34,255 households. A binary outcome variable was selected, namely, whether or not each of the live born infant(s) from the interviewed women was alive or dead prior to reaching one year of age. Of interest were the variables related to socio-economic status, measured by Family Welfare Status Index and maternal educational levels. The following risk factors were also investigated: current contraceptive methods; birth intervals; maternal age at first birth; marital duration; infants’ size perceived by the mothers; infants’ birth weight; marital status; prenatal care by health personnel; antenatal TT immunization; place of delivery; and religion. Geographical strata (province) and residence (urban and rural areas) were also considered. Both descriptive and multivariate analyses were undertaken. Descriptive analysis was aimed at obtaining non-biased estimates of the infant mortality rates at the appropriate levels of aggregation. Multivariate analysis involved a logistic regression model using the Generalized Estimating Equations (GEE) model-fitting technique. The procedure, a multilog-cumlogit , uses the Taylor Series Linearization methods to compute modelbased variance, and which adjusts for the complex sampling design. Results of descriptive analysis indicate that, indeed, there are inequalities in infant mortality across administrative divisions of the country, represented by provinces and regions, as well as across residential areas, namely urban and rural areas. Also, the results suggested that there is socio-economic inequality in infant mortality, as indicated by a dose-response effect across strata of family welfare and maternal educational levels, both individually and interactively. These inequalities varied by residence (urban and rural), provinces and regions (Java Bali, Outer Java Bali I and Outer Java Bali II). Furthermore, the probability of infant mortality was significantly greater among highrisk mothers, characterized by a number of risk factors used in the study
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Tong, Patricia K. "Three essays in labor economics." Diss., [La Jolla] : University of California, San Diego, 2010. http://wwwlib.umi.com/cr/ucsd/fullcit?p3403247.
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Wyndham, Diana Hardwick. "Striving for National Fitness: Eugenics in Australia 1910s to 1930s." University of Sydney, History, 1996. http://hdl.handle.net/2123/402.
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Eugenics movements developed early this century in more than 20 countries, including Australia. However, for many years the vast literature on eugenics focused almost exclusively on the history of eugenics in Britain and America. While some aspects of eugenics in Australia are now being documented, the history of this movement largely remained to be written. Australians experienced both fears and hopes at the time of Federation in 1901. Some feared that the white population was declining and degenerating but they also hoped to create a new utopian society which would outstrip the achievements, and avoid the poverty and industrial unrest, of Britain and America. Some responded to these mixed emotions by combining notions of efficiency and progress with eugenic ideas about maximising the growth of a white population and filling the "empty spaces". It was hoped that by taking these actions Australia would avoid "racial suicide" or Asian invasion and would improve national fitness, thus avoiding "racial decay" and starting to create a "paradise of physical perfection". This thesis considers the impact of eugenics in Australia by examining three related propositions: 1. that from the 1910s to the 1930s, eugenic ideas in Australia were readily accepted because of concerns about declining birth rate; 2. that, while mainly derivative, Australian eugenics had several distinctive Australian qualities; 3. that eugenics has a legacy in many disciplines, particularly family planning and public health. This examination of Australian eugenics is primarily from the perspective of the people, publications and organisations which contributed to this movement in the first half of this century. In addition to a consideration of their achievements, reference is also made to the influence which eugenic ideas had in such diverse fields as education, immigration, law, literature, politics, psychology and science.
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Santos, Jaqueline de Oliveira. "Episiotomia : um sofrimento necessario?" [s.n.], 2004. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308271.
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Orientador: Antonieta Keiko Kakuda ShimoDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-04T02:46:32Z (GMT). No. of bitstreams: 1 Santos_JaquelinedeOliveira_M.pdf: 12269134 bytes, checksum: f19f3baf04e8c61bc1009150e724b037 (MD5) Previous issue date: 2004
Resumo: A episiotomia realizada há séculos constitui-se no procedimento operatório mais comum na obstetrícia moderna e um dos mais comuns na medicina em geral, apesar da ausência de evidências científicas que comprovem seus reais beneficio~. Foi realizado um estudo exploratório em um Hospital Escola, localizado no interior de Minas Gerais, com a fmalidade de compreender o significado da episiotomia para as mulheres que foram submetidas à intervenção durante o parto vaginal, identificar se elas percebem a episiotomia como urna intervenção inerente ao parto vaginal e, verificar se elas recebem alguma orientação em relação ao procedimento durante o processo de parturição. Os dados foram colhidos através do diário de campo, da observação participante e de entrevistas semi-estruturadas a puérperas que foram submetidas ao procedimento. Como instrumento de auxílio para as entrevistas foi utilizado um gravador, as informações assim obtidas foram transcritas fielmente.A análise de conteúdo temático foi a estratégia escolhida para analisar os dados obtidos que foram fundamentadas nos referenciais teóricos de gênero e poder. A partir da análise das informações emergiram três núcleos de sentido: A - Episiotomia: intervenção necessária e benéfica; B - Dor da episiotomia: um sofrimento necessário? CRelações de poder. Concluímos que apesar da episiotomia ser considerada uma intervenção dolorosa pela população estudada, ela é aceita como inerente ao parto vaginal. As parturientes durante seu período de internação foram pouco informadas sobre a intervenção, assim como não foi solicitado seu consentimento para a realização do procedimento. Essa informação serve de alerta para a maioria das instituições de saúde que prestam assistência ao parto e nascimento para que as mulheres tenham garantido seus direitos à informação e autonomia em seu próprio processo de parturição, tornando-a protagonista da fisiologia do nascimento
Abstract: The carried through episiotomy has centuries consists in general in the more common surgical procedure in moderri obstetrics and one ofmost common in the medicine, despite the absence of scientific evidences that prove its real benefits. A study in a Hospital School, located in the interior of Minas Gerais was carried through, with the purpose to understand the meaning of the episiotomy for the women who had been submitted to the intervention during the vaginal childbirth, to identify if they perceive the episiotomy as an inherent intervention to vaginal childbirth e, to verify if they receive some orientation in relation to the procedure during the process ITomchildbirth. The data OOdbeen harvested through the daily one of field, the participant comment and half-structuralized interviews women tOOtthey had been submitted to the procedure. As instrument of aid for the interviews a recorder was used, the thus gotten information OOdbeen transcribing faithful. The analysis ofthematic content was the chosen strategy to analyze the gotten data that OOd been based on the theoretical reference of sort and power. From the analysis of the information three nuclei of sensible OOdemerged: A - Episiotomy: necessary and beneficial intervention; B - Pain ofthe episiotomy: a necessary suffering? C -Relations ofbeing able. We conclude tOOtdespite the episiotomy being considered a painful intervention for the studied population, it is accepted as inherent to the vaginal childbirth. The women in labor during its period of intemment little OOdbeen informed on the intervention, as well as were not requested its assent for the accomplishment ofthe procedure. This information serves of alert for the majority of the health institutions tOOtgive to assistance to the childbirth and birth so that the women have guaranteed its rights to the information and autonomy in its proper process ofbirth, becoming it protagonist ofthe physiology ofthe birth. KEY WORDS: Episiotomy, rights ofthe woman, assistance to the birth
Mestrado
Enfermagem e Trabalho
Mestre em Enfermagem
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Kelleher, Larni. "Evaluation of the Cottage Community Care Pilot Project /." View thesis View thesis, 1999. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030519.145848/index.html.
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Thesis (M.Sc.) (Honours) -- University of Western Sydney, Macarthur, 1999.A thesis presented to the University of Western Sydney, Macarthur, in partial fulfillment of the requirements for the degree of Master of Science (Honours), March, 1999. Bibliography : leaves 117-125.
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Mdivasi, Vuyokazi. "The ethical conduct of employees in maternity wards at selected public hospitals in the Western Cape, South Africa." Thesis, Cape Peninsula University of Technology, 2014. http://hdl.handle.net/20.500.11838/1645.
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Mini-thesis submitted in partial fulfilment of the requirements for the degree
Master of Technology: Public Management
in the Faculty of Business
at the Cape Peninsula University of Technology
2014Maternity service in South Africa faces particular problems in the provision of care to birthing mothers. Violence and abuse have been reported and maternity death rates are high, being related to inadequate provision of care (Myburgh, 2007:29). Ethical conduct plays a significant role in service delivery in Midwife Obstetrics Units (MOU) in general. This is of particular importance since every patient, especially pregnant women, should to be handled with the utmost care, respect and dignity. The research problem emanates from nurses’ behaviour towards patients in MOU labour wards, where women continue to be victims of abuse. Ironically, it is regrettable that they are abused by those who are supposed to be their advocates. The objectives of the study were to assess if nurses in MOU labour wards conduct themselves ethically when dealing with patients, to determine the perceptions of patients towards nurses during child birth stages, as well as to examine factors in maternity wards that may influence a nurse’s performance when dealing with patients. The study adopted the quantitative research method to answer the research question and data interpretation was based on statistical analysis. This method was deemed to be the most effective for collection of a large quantity of data and numerical (quantifiable) data is considered objective. A Likert-type questionnaire comprising closed-ended questions was the measurement instrument. This was considered to least inconvenience nurses and postnatal patients to whom these questionnaires were administered. Answer choices were graded from 1 to 4, being strongly agree, agree, disagree and strongly disagree. The population comprised nurses and postnatal patients in MOUs in the Western Cape, South Africa. Consecutive sampling was conducted in two selected MOUs, being Michael Mapongwana (MM) and Gugulethu (GG), with 311 questionnaires being distributed to both nurses and postnatal Patients in these two facilities. The findings indicated that the ethical conduct of nurses in both MM and GG maternity wards was relatively good. However, some survey findings revealed some unsatisfactory gaps that exist in what both hospitals currently offer to patients in the areas of individual patient care, communication and baby security certainty. Furthermore, the findings indicated that a significant number of patients who chose to make use of MM and GG hospitals, are satisfied with the standard of service received during their stay. However, there were some discrepancies in terms of senior management service where excellence in the monitoring role emerged as being lacking. There is a need for improvement in the current levels of ethical conduct of nurses in both the MM and GG labour wards. These needs for improvement relate to working conditions, especially linked to the human resource (HR) function, leadership and management functions, and improved monitoring and control mechanisms.
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Huff, Veronica. "The creation of self-directed nutrition education modules in the women, infants, and children (WIC) program." CSUSB ScholarWorks, 2011. https://scholarworks.lib.csusb.edu/etd-project/3328.
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The purpose of this project was to design a series of self-directed learning modules for enrollees in the Women, Infants, and Children (WIC) program in Riverside County, California. The WIC Program is a supplemental nutrition program that, among other things, provides participants with nutrition education to help them understand the health benefits of choosing more nutritious food. This project features information concerning the problem of food insecurity, the nutrition education of low-income women and children in the WIC program, and the characteristics of adult learners. The objective was to examine the WIC participants' comprehension and willingness to use self-directed learning modules as a nutrition education supplement.
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Marissal, Claudine. "La protection sanitaire du jeune enfant en Belgique, 1890-1940: question sociale, enjeux politiques et dimension sexuée." Doctoral thesis, Universite Libre de Bruxelles, 2007. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/210609.
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À la fin du 19ème siècle s'organise progressivement en Belgique un vaste mouvement de lutte contre la mortalité infantile. Des médecins et des femmes philanthropes créent des oeuvres, les consultations de nourrissons, qui visent à apprendre aux mères à soigner leurs enfants suivant les nouveaux préceptes de l'hygiène. Durant la Première Guerre mondiale, elles connaissent un formidable essor et finissent par couvrir le pays. Après la guerre, le principe de la protection sanitaire du jeune enfant est inscrit dans la loi et un organisme est spécialement créé à cet effet :l'Oeuvre nationale de l'enfance (ONE). L'ONE, qui dépend directement du Gouvernement, contrôle et finance durant l'entre-deux-guerres plus d'un millier d'oeuvres de l'enfance. À la veille de la Deuxième Guerre mondiale, près de la moité des enfants âgés de moins d'un an, accompagnés de leur mère, y sont suivis de manière plus ou moins prolongée. Ces oeuvres participent à un vaste mouvement d'éducation maternelle et d'assignation des femmes à la sphère reproductive et domestique, tout en favorisant la médicalisation de la grossesse et de l'accouchement.Cette thèse étudie le mouvement de protection sanitaire du jeune enfant et la médicalisation de la maternité dans une perspective de genre. À travers une analyse des discours de ses promoteurs et des principes d'organisation des oeuvres, elle montre combien les enjeux politiques, sociaux, démographiques et sexués ont durablement influencé l'organisation de la protection infantile et maternelle. Elle apporte de nouvelles réflexions sur la dimension sociale de l'éducation maternelle. Elle met par ailleurs en exergue le rôle essentiel joué par les femmes, aux côtés des médecins, dans la gestion des oeuvres de l'enfance et analyse le statut et les relations de pouvoir qui se sont tissées entre les médecins, les dames patronnesses, les travailleuses sociales et les représentants de l'État. Les investissements sociaux féminins sont analysés sous l'angle de leur autonomie, de leur visibilité et de leur portée émancipatrice. Ce faisant, cette thèse montre de quelle manière les œuvres de l'enfance ont favorisé, de manière assez paradoxale, une transgression des modèles sexués en favorisant un questionnement sur la condition maternelle et l'intervention des femmes dans la sphère publique et politique.
Doctorat en Histoire, art et archéologie
info:eu-repo/semantics/nonPublished
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McAullay, Daniel. "Primary health care and maternal, infant and child health of Western Australia." Phd thesis, 2010. http://hdl.handle.net/1885/150648.
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There is strong evidence that supports the importance of focusing health care in the early years to ensure that health throughout the lifecourse is the best it can be. There is also evidence to support the important role primary health care has in contributing to care during this time. Within Western Australia, there are no specific examples of work that have examined the contribution of primary health care services to maternal, infant and child health. The aim of this descriptive epidemiological study was to investigate what contribution primary health care has made to the maternal, infant and child health of selected communities in Western Australia. Using a mixture of quantitative and qualitative methods, selected maternal, infant and child health outcomes were mapped to 155 SLA defined geographically sites across Western Australia. These sites were then ranked from top to bottom according to the outcomes mapped. Of these sites, nine were chosen as case study sites. Key informants within these case study sites representing General Practice care, Government health care and the Aboriginal primary health care settings were interviewed. Information collected from these interviews described how and in which context services were delivered in the areas of maternal, infant and child health. The results of the study indicated that across Western Australia there is a striking lack of consistency in maternal, infant and child primary health care. The primary health care contribution to maternal, infant and child health is ad hoc and lacking of consistent policy, planning and programming. However, there are examples where the contribution of primary health care exhibits appropriate policy, planning and program linkage. Aboriginal primary health care for example, in particular the Healthy for Life program shows how policy and planning associated with a funded program has resulted in care in the area of maternal health across several study sites. The study also indicated the important influencing factor that social determinants of health may play in contributing to maternal, infant and child health across Western Australia. The study findings highlight that there is a need to ensure that when planning for policy and program implementation of maternal, infant and child primary health care, existing models such as the Healthy for Life program should be examined. The study also indicated the importance of incorporating factors outside of health into policy and program planning.
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Ceballos, Miguel. "Maternal and infant health of the Mexican-origin population in the United States a study of acculturation and the epidemiological paradox /." 2003. http://catalog.hathitrust.org/api/volumes/oclc/55020032.html.
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Clipsham, Claudia Koshinsky. "The flow of experience from inner response to outer action and back again : the developmental spiral of transformation of mothers /." 2006. http://proquest.umi.com/pqdweb?index=0&did=1251850611&SrchMode=1&sid=1&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1194961782&clientId=5220.
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Thesis (Ph.D.)--York University, 2006. Graduate Programme in Psychology.Typescript. Includes bibliographical references (leaves 240-251). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://proquest.umi.com/pqdweb?index=0&did=1251850611&SrchMode=1&sid=1&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1194961782&clientId=5220
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Barker, Kristin Kay. "Birthing and bureaucratic women gender, professionalization and the construction of medical needs, 1920-1935 /." 1993. http://catalog.hathitrust.org/api/volumes/oclc/29970916.html.
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Pillay, J. D. "An analysis and evaluation of the child survival project in the uThukela district of KwaZulu-Natal." Thesis, 2005. http://hdl.handle.net/10413/7843.
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The uThukela District in the province of Kwazulu-Natal, Republic of South Africa, has been involved in improving Primary Health Care (PHC) in the district through evaluation surveys carried out at regular intervals during the past six years. World Vision's uThukela District Child Survival Project (TDCSP) began in November 16, 1999. This has been made possible by a Child Survival Grants Program from the Unites States Agency for International Development (USAID). In all previous surveys a 30-cluster sampling methodology was used to select individuals from the survey population. This time however, the Lot Quality Assurance Sampling (LQAS) methodology was used. The recent re-organization of the District into municipalities enabled each municipality to function as one Supervision Area (SA) or Lot. Even with a small sample size (in this case 24 per SA), poor health service performance could be identified so that resources are appropriately distributed. Furthermore, people from the community such as Community Health Workers (CHW) were involved in all phases of the study, including the manual analysis of the results, upon being trained appropriate. However, it is questionable as to how accurate and reliable such a manual analysis was. In this dissertation, the manual results of the study were evaluated by doing an electronic analysis. In addition, a more refined analysis of the data has been produced (e.g. population-weighted coverage, graphs and stratified analyses in some cases). From the comparisons made, it was concluded that the manual analysis was very similar to the electronic analysis and that differences obtained were not statistically
significant. In addition, due to each municipality varying in population size, it was queried as to whether population-weighted results would produce a marked difference from the un-weighted, manual results. Again, the differences produced were in most cases not statistically significant. This concluded that the manual analysis carried out by the TDCSP team was accurate and that it is appropriate to use such results in determining individual municipality performance and overall District performance so that responsive action can then be taken immediately, without necessarily having to wait for electronic results.Thesis (M.P.H.)-University of KwaZulu-Natal, 2005.
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Mutambu, Susan L. "Seroepidemiology of Plasmodium falciparum, human immunodeficiency virus and human T-cell leukemia virus infections in mothers and their infants in Zimbabwe." Thesis, 1995. http://hdl.handle.net/10125/9443.
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Buffa, Jan L. "Medicaid prenatal care : testing the effectiveness of a prenatal intervention model." Thesis, 2005. http://hdl.handle.net/1957/29956.
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The study evaluates the effectiveness of a pregnancy intervention
model (PIM) developed to improve first trimester prenatal care utilization in a
population of 2,694 low-income Medicaid women. Engagement in prenatal care is
critical before prenatal care can occur. Early initiation of prenatal care is important
for low income pregnant women at risk for poor birth outcomes and the Medicaid
managed care organizations that enroll them. Once identified and enrolled the health
plan utilization medical management staff assessed these women for a myriad of high
risk and socially detrimental behaviors in order to facilitate, in a sensitive manner,
their access to drug treatment or any needed service. Interventions included a real
time identification, reporting, incentive model using medical informatics to
supplement existing clinical based assessment of high risk pregnant women and
nursing care coordination that included outreach, enrollment assistance, support
services, interagency coordination, home visits, transportation and medical home
assignment. A difference was found in the utilization of first trimester prenatal care
visits for all women who conceived after the intervention compared to those who
conceived prior to the intervention date. A difference was also noted in the "no
prenatal care" category due a decrease in the number of women who did not receive
prenatal care. PIM appears to be a cost effective, simple solution to a real world
problem.Graduation date: 2005
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Ruder, Bonnie J. "Shattered lives : understanding obstetric fistula in Uganda." Thesis, 2012. http://hdl.handle.net/1957/36140.
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In Uganda, there are an estimated 200,000 women suffering from obstetric fistula, with
1,900 new cases expected annually. These figures, combined with a persistently high
maternal mortality rate, have led to an international discourse that claims the solution to
improving maternal health outcomes is facility-based delivery with a skilled birth
attendant. In accord with this discourse, the Ugandan government criminalized traditional
birth attendants in 2010. In this study, I examine the lived experience of traditional birth
attendants and women who have suffered from an obstetric fistula in eastern Uganda.
Using data collected from open-ended, semi-structured interviews, focus groups, and
participant-observation, I describe the biocultural determinants of obstetric fistula. Based
on findings, I argue that although emergency obstetric care is critical to prevent obstetric
fistula in cases of obstructed labor, the criminalization of the locally constructed system
of care, TBAs, serves as yet another layer of structural violence in the lives of rural, poor
women. Results demonstrate how political-economic and cultural determinants of
obstetric fistula are minimized in favor of a Western prescribed, bio-medical solution,
which is heavily resource dependent. This solution is promoted through a political
economy of hope fueled by the obstetric imaginary, or the enthusiastic belief in Western-style
biomedical obstetric care’s ability to deliver positive health outcomes for women
and infants regardless of local context and constraints. Recommendations include
increased obstetric fistula treatment facilities with improved communication from
medical staff, decriminalization of traditional birth attendants and renewed training
programs, and engaging local populations in maternal health discourse to ensure
culturally competent programs.Graduation date: 2013
27
Williams, Adwoa Durowaa. "Factors impacting on feeding practices of infants 0-12 months which lead to malnutrition in a child welfare clinic in Tema Manhean (Tema New-Town), Ghana." Diss., 2013. http://hdl.handle.net/10500/14308.
Full textAbstract:
This cross-sectional exploratory and descriptive quantitative study explored the factors that impact on feeding practices of infants 0-12 months, encountered in the Child Welfare Clinic in Tema Manhean Health Centre and to determine the possible factors that lead to malnutrition.
The population for this study comprised all infants who attended the Child Welfare Clinic at the Tema Manhean Health Centre. Three hundred and ninety infants participated in this study. Data was collected by means of a structured questionnaire and analysed using the Statistical Package for the Social Sciences (SPSS) Version 20.
Findings of the study revealed that a larger number of the mothers were still breastfeeding at the time of data collection. All infants aged six months or older were given complementary foods. Some of the factors found to be associated with infant malnutrition included education of mother, employment status of mother, marital status, cultural practices and parity.Health Studies
M.A.(Public Health)
28
Mthethwa, Raisibe Olga. "The factors determining the under-utilisation of maternity obstetric units within the Sedibeng district." Diss., 2006. http://hdl.handle.net/10500/2183.
Full textAbstract:
This descriptive quantitative survey attempted to identify reasons why pregnant women who have been screened as low-risk pregnancies failed to utilise MOUs for the delivery of their babies. The objective of the study was to investigate the factors determining the under-utilisation of Sharpville MOU in Emfuleni sub-district.
The research population comprised all postnatal mothers residing in Sharpeville who delivered their babies at hospital and who were screened as low-risk pregnancies; the accessible convenience sample consisted of all postnatal mothers who attended Sharpeville Clinic for their six weeks follow-up postnatal care from 5 December 2005 till 6 January 2006 and who were willing to complete questionnaires.
Data was collected by means of a structured questionnaire and analysed using the SPSS computer program.
Major factors drawn from the study that influence their decision on place of delivery were nurses' attitudes, lack of doctors, transport, privacy and resources.Health Studies
M.A. (Health Studies)
29
Mabunda, Sonia Sokufa. "Factors contributing to sub-standard intrapartrum care in maternity wards of selected hospitals in the Mopani District, Limpopo Province." Diss., 2017. http://hdl.handle.net/11602/976.
Full text
30
Shiferaw, Biruhtesfa Bekele. "Strategies to improve utilisation of skilled birth attendance services in North West Ethiopia." Thesis, 2017. http://hdl.handle.net/10500/22941.
Full textAbstract:
The purpose of this study was to determine factors influencing skilled delivery service utilisation in order to develop strategies to improve utilisation of skilled birth attendance service in North West Ethiopia. The objectives were to explore and describe the perceptions and experiences of the community regarding skilled utilisation of the birth attendance service; explore reasons for non-utilisation of skilled birth attendance service; asses the health system experience of provision of skilled birth attendance service; and formulate strategies to improve utilisation of skilled birth attendance service.
The study employed a qualitative, descriptive, and explorative research design to address the research questions formulated by the researcher. The study used focus group discussion guide to obtain information from pregnant women and women who gave birth recently. Furthermore, the study used an interview guide to gather information from health extension workers, midwives, health centre heads, district health office technical experts and heads. It also employed and inductive thematic analysis approach to analyse the qualitative data. The study further used the Atlas ti version 7 for the data analysis. The steps followed for the analysis were data immersion, coding, displaying, reduction, and interpretation.
Overall, nine themes emerged from the analysis of the data. Consequently, the researcher used the findings of the study to develop strategies to improve the utilisation of skilled birth attendance service.Health Studies
D. Litt. et Phil. (Health Studies)
31
Thithi, Potetsa Elizabeth. "Perceptions of midwives and pregnant women of the prevention of mother-to-child transmission of HIV programme at the ante-natal care unit and maternity ward at the Johan Heyns community health centre in tne Sedibeng District, Gauteng." Diss., 2014. http://hdl.handle.net/10500/18667.
Full textAbstract:
The study reports on the perceptions of the midwives and pregnant women of the
PMTCT of HIV programme at the antenatal care and maternity ward at the Johan Heyns
Community Health Centre. A qualitative approach was adopted to conduct the study.
Purposive sampling was used to select participants and was informed by social
behavioural theories. Data was collected using interviews and analysed using thematic
categorisation. The findings show that at the first PMTCT encounter participants had
little to no knowledge of the PMTCT programme, generally displayed a lack of interest,
experienced emotional distress, and fear at the thought of having to disclosing their
HIV-positive status to their partners/family and had certain trepidations about
participating in the PMTCT programme. The participants’ perception on their roles was
that their roles were interlinked, midwife needs the recipients (pregnant woman) and
pregnant woman needs the provider (midwife) therefore one cannot do PMTCT without
the other. The study recommends that the capacity building of pregnant women be
optimised, that PMTCT awareness campaigns for women of childbearing age should be
a priority and PMTCT skills to be prerequisite for midwives deployed to ANC clinics and
maternity ward units.Health Studies
M. A. (Social Behaviour Studies in HIV/AIDS)
32
Tekle, Mesfin Tesfay. "Barriers to compliance to exclusive breastfeeding and timely introduction of complementary feeding practices in Ethiopia." Diss., 2015. http://hdl.handle.net/10500/20107.
Full textAbstract:
Text in EnglishThis study aimed at exploring Barriers to compliance with exclusive breastfeeding and timely introduction of complementary feeding practices in Ofla District, Tigray Region in Ethiopia. A quantitative exploratory descriptive study was conducted to explore and describe the barriers that restrict mothers /caregivers to comply with exclusive breast feeding practice until six months and with introduction of solid, semi-solid and soft foods at six months in Ofla District. Data were collected using structured questionnaire, from a total of 112 samples of which 75 mothers and care givers with children aged 0-5 months and 38 children aged 6-8 months participated. The data were entered into a computer and analysed though the Statistical Package for Social Sciences (SPSS) software. The findings revealed that there are barriers related Doer mothers and Non-Doer mothers perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, cues for actions, perceived social acceptability and positive and negative attitudes towards exclusive breastfeeding and initiation of complementary feeding. On the other hand, the participant’s perception of both groups with regard to perception of Divine (God’s) Will on two child feeding practices was insignificantly the same. Both groups perceived that children could get sometimes malnourished because of spiritual or supernatural causes.
Health Studies
M.A. (Public Health)