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Journal articles on the topic 'Maternal and infant welfare'

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1

Hughes, James G. "Conception and Creation of the American Academy of Pediatrics." Pediatrics 92, no. 3 (September 1, 1993): 469–70. http://dx.doi.org/10.1542/peds.92.3.469.

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In the latter years of the 19th century, and to an increasing degree in the first decades of the 20th, there arose in the United States and elsewhere a growing concern for the health and welfare of women and children, especially pregnant mothers and infants. Compared with current figures, maternal and infant mortality rates were extremely high, and there were virtually no widespread programs to avoid malnutrition and a host of preventable diseases and disabilities in childhood. Isolated instances of good maternal and infant programs existed, but it became obvious that our country needed national programs to improve child health and welfare.
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2

Ngui, Emmanuel M., Alicia L. Cortright, and Karen Michalski. "Relationship of Paternity Status, Welfare Reform Period, and Racial/Ethnic Disparities in Infant Mortality." American Journal of Men's Health 9, no. 5 (July 24, 2014): 350–59. http://dx.doi.org/10.1177/1557988314543906.

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The objective of this study was to examine the relationship of paternity status, welfare reform period, and racial/ethnic disparities in infant mortality. The study used retrospective analysis of birth outcomes data from singleton birth/infant death data in Milwaukee, Wisconsin, from 1993 to 2009. Multivariate logistic regression was used to examine the relationship between paternity status, welfare reform period, and infant mortality, adjusting for maternal and infant characteristics. Data consisted of almost 185,000 singleton live births and 1,739 infant deaths. Although unmarried women with no father on record made up about 32% of the live births, they accounted for over two thirds of the infant deaths compared with married women with established paternity who made up 39% of live births but had about a quarter of infant deaths. After adjustments, any form of paternity establishment was protective against infant mortality across all racial/ethnic groups. Unmarried women with no father on record had twice to triple the odds of infant mortality among all racial/ethnic groups. The likelihood of infant mortality was only significantly greater for African American women in the postwelfare (1999-2004; odds ratio = 1.27; 95% confidence interval = 1.10-1.46) period compared with the 1993 to 1998 period. Study findings suggest that any form of paternity establishment may have protective effect against infant mortality. Welfare reform changes may have reduced some of the protection against infant mortality among unmarried African American women that was present before the welfare legislation. Policies and programs that promote or support increased paternal involvement and establishment of paternity may improve birth outcomes and help reduce infant mortality.
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3

RIM, Sang-Do, and So-Yoon LEE. "Trend Analysis of Research Papers Related to Infant Welfare." Association of Korea Counseling Psychology Education Welfare 10, no. 3 (June 30, 2023): 129–46. http://dx.doi.org/10.20496/cpew.2023.10.3.129.

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This study analyzed trends in 39 research papers related to infant welfare from before 1980 toDecember 2022. Data were divided into general research trends (research age, research topic)and research methods and research trends (research type, research subject, data collectionmethod, data analysis method, conclusion) and analyzed by frequency and percentage. As aresult of the study, infant welfare was the most researched in the 5th period (2010-2022), andas a research topic, infant welfare service was found to be studied relatively the most. Second,in the type of research, survey research and literature research were used, in the subject ofresearch, physical objects and infants, in the method of data collection, literature collection andquestionnaire method, and in the data analysis method, literature analysis and differenceverification were used. The conclusion of the study were focused on ways to enhance thepsychological well-being of members of early childhood education, the necessity of earlychildhood welfare, and presenting directions. The significance of this study is to suggest thedirection of future research while presenting basic data on the current status and trends ofresearch on infant welfare.
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4

Lee, Kyunghee. "Effects of Maternal Employment and Receiving Welfare on Family Outcomes among Low-Income Families." Families in Society: The Journal of Contemporary Social Services 91, no. 2 (April 2010): 178–85. http://dx.doi.org/10.1606/1044-3894.3972.

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This study investigated how maternal employment and welfare-receipt were associated with family outcomes, using data from the Infant Health and Development Program (IHDP). This study looked at mothers and children among low-income families who received welfare and/or were employed during the first 3 years of the child's life. Mothers whose incomes were from welfare only had lower outcomes than mothers who earned some or all their income from employment. Those in the intervention groups receiving enrichment services had more positive outcomes than those of the group with only follow-up. The findings suggest that maternal employment for low-income families should be encouraged when mothers are ready to participate in employment and when support systems such as quality child care are provided.
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5

Jones, M. "Infant and Maternal Health Services in Ceylon, 1900-1948: Imperialism or Welfare?" Social History of Medicine 15, no. 2 (August 1, 2002): 263–89. http://dx.doi.org/10.1093/shm/15.2.263.

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6

HARRIS, BERNARD. "Review Article: Household, family and welfare: past, present and future." Continuity and Change 14, no. 2 (August 1999): 267–73. http://dx.doi.org/10.1017/s026841609900332x.

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J. Robin, From childhood to middle age: cohort analysis in Colyton, 1851–1891. (Cambridge: Cambridge Group for the History of Population and Social Structure, Working Paper Series, no. 1, n.d.). Pages iv+83. £2.50.H. Cunningham and P. P. Viazzo (eds.), Child labour in historical perspective, 1800–1985: case studies from Europe, Japan and Colombia. (Florence: United Nations Children's Fund, International Child Development Centre, 1996.) Pages 105. US$9.00.L. Marks, Metropolitan maternity: maternal and infant welfare services in early-twentieth century London. (Amsterdam: Rodopi, 1996.) Pages xxii+344.A. Walker (ed.), The new generational contract: intergenerational relations, old age and welfare. (London: UCL Press, 1996). Pages xiii+241.These four publications vary significantly in their geographical coverage and general subject matter, but it is still possible to identify a number of common themes. They are particularly important for what they reveal about the links between formal welfare provision, protective legislation, family care, and the standard of living. They also yield many individual insights into such matters as family reconstitution, migration, child labour, working conditions, municipal welfare services, the decline of infant and maternal mortality, and the possible existence of a demographic threat to the viability of modern welfare states.
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7

Marcellus, Lenora. "Foster Families Who Care for Infants with Prenatal Drug Exposure: Support During the Transition from NICU to Home." Neonatal Network 23, no. 6 (November 2004): 33–41. http://dx.doi.org/10.1891/0730-0832.23.6.33.

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Infants exposed prenatally to drugs and alcohol tend to enter the child welfare system at a younger age than many other foster children and often directly from the hospital following birth. This article examines three concepts from the postpartum family adaptation literature: transition to parenthood, maternal and paternal role identities, and attachment. It applies these concepts to the experiences of foster parents who care for infants with prenatal drug and alcohol exposure. Also reviewed are recommended strategies to promote development of the foster parent–infant relationship and to increase parental knowledge within the NICU setting and during the period of transition from hospital to home. Nurses within the NICU have a unique knowledge and experience of caring for infants in withdrawal. This knowledge needs to be shared beyond the hospital with community professionals, who may have limited training in infant health, mental health, or development.
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8

Yuniwati, Cut, Fithriany Fithriany, and Cut Nurhasanah. "Analysis of the Utilization of Antenatal Care Services in Pregnant Women at Health Center Langsa City." Open Access Macedonian Journal of Medical Sciences 10, E (May 16, 2022): 1137–40. http://dx.doi.org/10.3889/oamjms.2022.9605.

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BACKGROUND: Perinatal mortality is a problem for developing countries, including Indonesia. Maternal and infant mortality is influenced by various factors, one of which is health services. Antenatal care (ANC) services efforts to reduce maternally and infant mortality are ANC services. Therefore, it is essential to know the quality of ANC services for the welfare of the fetus in pregnant women. AIM: The aim of this study was to determine the quality of ANC services that affect the welfare of the fetus in pregnant women METHODS: This type of research is evaluative research with a cross-sectional design (cross-sectional design). The sample in this study amounted to 206 people in the Langsa Health Center Work Area, Langsa City. The sample was taken using the proposed random sampling formula. The statistical test used the Chi-square test. RESULTS: The results showed that the quality of ANC affected the welfare of the fetus with a sig. 0.000. Average fetal well-being was 163 people (79%), and the quality of ANC services mainly was in average condition as many as 171 people (83%). ANC services effectively reduce the risk of maternal mortality and morbidity. CONCLUSION: There is an influence of quality of ANC services on Fetal Welfare in Pregnant Women at the Langsa Health Center.
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9

Winarso, Inang, and Ressa Ria Lestari. "Cultural Value Factors That Affect Mother and Child Health." Jurnal Perempuan 24, no. 3 (September 12, 2019): 165. http://dx.doi.org/10.34309/jp.v24i3.341.

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<p>Mother and child health as a key indicator of community welfare is measured by the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). But why have efforts to reduce MMR and IMR not yet reached the target? This research answers this question by using an approach of cultural values in mother and child health. The focus of this research is on the human life cycle starting from marriage, pregnancy, birth and death in Situbondo Regency, East Java and Ngada Regency, NTT. Research has found four cultural elements that predominantly influence health beliefs, family and community decisions in dealing with maternal and infant health problems. These cultural elements are the religious system, the kinship system, the knowledge system and the livelihood system. These four systems can increase or decrease the risk of maternal and infant mortality. The government must consider the cultural values of the community in making health policies. First, strengthen factors that reduce the risk of maternal and child mortality. Second, reduce the factors that increase the risk of maternal and child mortality.</p>
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10

Saha, Ranjana. "Motherhood on display: The child welfare exhibition in colonial Calcutta, 1920." Indian Economic & Social History Review 58, no. 2 (April 2021): 249–77. http://dx.doi.org/10.1177/0019464621999308.

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This article focuses on the Health and Child Welfare Exhibition held in colonial Calcutta in 1920. Despite a few scholarly references, however, there has been no detailed study till date. The vicereines of India launched child welfare exhibitions motivated by the transnational exhibitory baby health week propaganda initiative to curb infant mortality. These exhibitions were also locally organised and collaborative in nature with an urgent nationalist appeal. The study critically engages with select Exhibition lectures about so-called ‘clean’ midwifery and ‘scientific’ motherhood given by famous Bengali medical practitioners and other prominent professionals, predominantly men and a few women. These drew intimate sociobiological connections between the problems of ‘dirty’ midwifery, ritual pollution, improper confinement, insanitary childbirth, insufficient lactation and the excessive maternal and infant deaths in Calcutta. The central argument is that these public lectures primarily focused on the very making of the ‘ideal’ Indian nursing mother, often imagined as the traditional yet modern bhadramahila mother figure, for rejuvenating community and national health and vigour. Correspondingly, it highlights the transnational resonance of famous Frederic Truby King’s ‘mothercraft’ popularised as childcare by the clock. The paper is, therefore, guided by the twin purposes of filling the gap in our knowledge about child welfare exhibitions in colonial India and illuminating extant scholarship on the global infant welfare movement.
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11

Mogi, Imelda Ririn Obo, and Lina Dewi Anggraeni. "Faktor-Faktor yang Berhubungan dengan Kematian Bayi di RSUD Ende." Jurnal Promosi Kesehatan Indonesia 16, no. 1 (January 5, 2021): 7–13. http://dx.doi.org/10.14710/jpki.16.1.7-13.

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Background: Infant mortality at the age of ≤1 year per 1000 live births is one of the benchmarks for assessing the extent to which the achievement of people's welfare as a result of implementing development in the health sector. This research aimed to identify the factors associated with infant mortality in Ende Hospital. Method: Cross-sectional design was applied in this research. Data retrieval was collected by using medical records in 2017 and 2018. There were 122 mothers had infant mortality aged ≤1 year enrolled in this research with a total population sampling technique. This study used Kendal Tau-b statistical test. Results: The results showed the highest infant mortality occurred at 0-28 days as many as 77,9%. There was a relationship between maternal education (p-value=0.042), asphyxia (p-value=0.014) and infant mortality in Ende Hospital. There was no relationship between maternal age (p-value=0.602), maternal occupation (p-value=0.842), pregnancy danger signs (p-value=0.713), birth weight (p-value=0.587), labor (p-value=0.845), delivery helper (p-value=0.419), place of delivery (p-value=0.354) and infant mortality in Ende Hospital. Health workers need to consider facilities for newborn care, must be able to measure the Apgar Score for asphyxia measurement, and should provide information regarding the importance of conducting ANC examinations to prevent complication during pregnancy and asphyxia.
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Mogi, Imelda Ririn Obo, and Lina Dewi Anggraeni. "Faktor-Faktor yang Berhubungan dengan Kematian Bayi di RSUD Ende." Jurnal Promosi Kesehatan Indonesia 16, no. 1 (January 5, 2021): 7–13. http://dx.doi.org/10.14710/jpki.16.1.7-13.

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Background: Infant mortality at the age of ≤1 year per 1000 live births is one of the benchmarks for assessing the extent to which the achievement of people's welfare as a result of implementing development in the health sector. This research aimed to identify the factors associated with infant mortality in Ende Hospital. Method: Cross-sectional design was applied in this research. Data retrieval was collected by using medical records in 2017 and 2018. There were 122 mothers had infant mortality aged ≤1 year enrolled in this research with a total population sampling technique. This study used Kendal Tau-b statistical test. Results: The results showed the highest infant mortality occurred at 0-28 days as many as 77,9%. There was a relationship between maternal education (p-value=0.042), asphyxia (p-value=0.014) and infant mortality in Ende Hospital. There was no relationship between maternal age (p-value=0.602), maternal occupation (p-value=0.842), pregnancy danger signs (p-value=0.713), birth weight (p-value=0.587), labor (p-value=0.845), delivery helper (p-value=0.419), place of delivery (p-value=0.354) and infant mortality in Ende Hospital. Health workers need to consider facilities for newborn care, must be able to measure the Apgar Score for asphyxia measurement, and should provide information regarding the importance of conducting ANC examinations to prevent complication during pregnancy and asphyxia.
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13

Mark, Nicholas D. E., and Sarah K. Cowan. "Do Pregnancy Intentions Matter? A Research Note Revisiting Relationships Among Pregnancy, Birth, and Maternal Outcomes." Demography 59, no. 1 (January 18, 2022): 37–49. http://dx.doi.org/10.1215/00703370-9710311.

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Abstract The prevention of unplanned or unintended pregnancies continues to be a cornerstone of U.S. reproductive health policy, but the evidence that such pregnancies cause adverse maternal and child outcomes is limited. In this research note, we examine these relationships using recent large-scale data and inverse propensity weights estimated from generalized boosted models. We find that pregnancy timing is related to maternal experience during pregnancy, but not to infant outcomes at birth—both of which are consistent with prior research. In an addition to the literature, we show that pregnancy timing is relevant for a number of maternal outcomes, such as the onset of depression and intimate partner violence, changes in smoking behavior, and receipt of medical care. These findings suggest that policy intended to improve infant welfare by preventing unintended pregnancies has little empirical support, but that policy focused on increasing reproductive autonomy and maternal well-being has the potential to improve outcomes.
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Nurfirdaus, Yasmine, and Philip Etabee Macdonald Bassey. "SOCIODEMOGRAPHIC FACTOR RELATIONSHIP WITH INFANT SURVIVAL IN INDONESIA." Jurnal Biometrika dan Kependudukan 10, no. 1 (June 25, 2021): 11. http://dx.doi.org/10.20473/jbk.v10i1.2021.11-17.

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Child survival can be reflected in the presence of the Infant Mortality Rate (IMR). Indonesia has an Infant Mortality Rate (IMR) according to the 2017 IDHS, which reaches 24 deaths per 1000 live births. This figure has decreased compared to a survey conducted by the 2012 IDHS, where infant mortality reached 32 deaths per 1000 live births. Even though it experienced a decrease, the IMR in Indonesia was higher when compared to the IMR in other Southeast Asian countries. Socioeconomic factors for individuals, families, and communities, including the influence of infant mortality. Not only that, but infant mortality can also be due to the absence of awareness of maternal health. Thus, this study aims to determine several variables related to survival in infants in Indonesia. This type of research is a non-reactive study. This study uses quantitative analysis and a methodical approach with a cross-sectional approach that takes data from the 2017 IDHS. This study took a sample following the 2017 IDHS with the criteria that mothers who had babies still drank breast milk, were born single, and were still alive after the first three days in Indonesia. The number of respondents in this study was 7,599 mothers with babies. Analysis of the research data using Chi-Square analysis. Bivariable analysis shows that infants' survival has a relationship with the mother's education, type of area, and welfare level. However, infant survival also has no association with the age of the mother and birth attendants. Counseling pregnant women regarding risks, causes,
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Shi, Chengxian, Michelle Eglovitch, Anna Beth Parlier-Ahmad, Amy L. Salisbury, and Caitlin E. Martin. "Post-Traumatic Stress in the Pregnancy-to-Postpartum Transition Among Birthing People With Opioid Use Disorder [ID 2683444]." Obstetrics & Gynecology 143, no. 5S (May 2024): 55S. http://dx.doi.org/10.1097/01.aog.0001013712.70108.44.

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INTRODUCTION: Postpartum people with opioid use disorder (OUD) face unique challenges; post-traumatic stress may trigger substance use recurrence and disrupt the parent–infant dyad. However, the effects of traumatic stress in the pregnancy-to-postpartum transition for birthing people with OUD are not well investigated. Our study characterizes post-traumatic stress after birth among people in OUD treatment during the fourth trimester. METHODS: This a priori secondary study uses longitudinal data investigating recovery among postpartum people with OUD receiving buprenorphine. Participants were enrolled during the third trimester and assessed within 2 weeks postpartum. Scores greater than 29 on the PTSD Checklist-Civilian at 2 weeks postpartum identified post-traumatic stress. Other measures included the following: maternal attachment, perceived control in childbirth, trauma history questionnaire, and child welfare involvement. VCU IRB #HM20017030 approved this study. RESULTS: Participants (N=19) were predominantly White (74%). Most (94.7%) endorsed a traumatic event history before delivery of this infant. Eight (42%) met criteria for post-traumatic stress postpartum and identified birth (n=2), infant medical issue (n=3), or unrelated event (n=3) elicited the post-traumatic stress response. Of these, approximately 25% experienced food insecurity and limited health care transportation. These participants reported high levels of maternal attachment (28.1 [SD=4.8]) and perceived control in childbirth (44.3 [SD=6.3]). Most participants reported postpartum child welfare involvement. CONCLUSION: Nearly half of our sample experienced post-traumatic stress symptoms after birth, and two-thirds attributed symptoms to a traumatic birth or infant medical issue. Qualitative investigations are warranted to better understand the patient perspective of these experiences and their unique intersections with OUD treatment and recovery to ultimately improve trauma-informed care strategies.
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Bardina, G. A., L. A. Nikolskaya, F. A. Fattakhova, and Kh Kh Minnekaev. "Ways to reduce infant mortality in the Tatar ASSR." Kazan medical journal 69, no. 3 (June 15, 1988): 161–63. http://dx.doi.org/10.17816/kazmj97062.

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In recent years the country has implemented a number of social and medical measures aimed at improving medical care for the population, with priority given to maternal and child health care. However, further development of obstetric and child welfare services is possible only by combining the efforts of all branches of practical healthcare. In order to determine the causes of infant mortality in the TASSR, to develop ways to reduce it, and to identify the reserves for improving medical care for women and children, the results of the child and obstetric services for 1985-1987 were analyzed.
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Nketia, Richmond, Abigail Akua Asraa, Daniel Atta-Nyarko, Francisca Naana Arthur, Austin Gideon Adobasom-Anane, and Naomi Adotei. "Infant and Young Child Feeding Practices and Determinants of Exclusive Breastfeeding: A Study at the Bono Regional Hospital, Sunyani, Ghana." International Journal of Multidisciplinary Studies and Innovative Research 10, no. 2 (October 22, 2022): 1426–40. http://dx.doi.org/10.53075/ijmsirq/6564456463.

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Optimal nutrition plays a key role in the survival and overall health outcome of young children. This study sought to assess infant and young child feeding (IYCF) practices and maternal socio-demographic factors and health-seeking behaviors affecting exclusive breastfeeding (EBF) practice. A descriptive cross-sectional study was conducted at the Child Welfare Clinic of the Bono Regional Hospital, Sunyani, Ghana. Two hundred and forty-five mothers with 6-23 months old infant pairs were recruited for the study through convenience sampling. Data were collected using semi-structured, interviewer-administered questionnaires. Statistical Package for Social Sciences (SPSS) version 25 was used to analyze the data. All infants (245) in the study had been breastfed at some point in time. Approximately, 5 in 10 infants (54.3%) were introduced to breast milk within the first hour of birth. EBF rate was 49.4%. More than 7 in 10 children (75.5 percent) were predominantly breastfed in their first 6 months of life. Eight in 10 infants (80.8%) were being fed complementary foods. In a multiple logistic regression analysis, maternal age and health education/counseling on EBF significantly predicted EBF practice. Mothers aged 35-49 years were more likely to practice EBF compared to those aged 15-24 years (AOR 0.47; 95% CI 0.24, 0.92). Also, mothers who received education/counseling on EBF during antenatal care were more likely to practice EBF than those who did not (AOR 2.68; 95% CI 1.29, 5.53). The rate of EBF was below the World Health Assembly approved target for 2025 (≥ 50%), suggesting a need for intervention.
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Lindner, Ulrike. "The transfer of European social policy concepts to tropical Africa, 1900–50: the example of maternal and child welfare." Journal of Global History 9, no. 2 (May 23, 2014): 208–31. http://dx.doi.org/10.1017/s1740022814000047.

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AbstractConcerns about a sinking birth rate and possible ‘national degeneration’ led to the implementation of various measures in maternal and child welfare across Europe at the dawn of the twentieth century. Infant health was strongly connected with the idea of population as both a national and imperial resource. In the colonies of the imperial powers, similar issues started to be addressed later, mostly after the First World War, when colonial administrations, who until then had predominantly worried about the health of the white European colonizers, started to take an interest in the health of the indigenous population. This article investigates the transfer of maternal and infant health policies from Britain and Germany to their tropical African colonies and protectorates. It argues that colonial health policy developed in a complex interplay between imperial strategies and preconceptions as well as local reactions and demands, mostly reifying racial demarcation lines in colonial societies. It focuses on examples from German East Africa, which became the British Tanganyika mandate after the First World War, and from the British sub-Saharan colonies Kenya and Nigeria.
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Atkinson, Paul, and Ian N. Gregory. "Child Welfare in Victorian Newspapers: Corpus-Based Discourse Analysis." Journal of Interdisciplinary History 48, no. 2 (August 2017): 159–86. http://dx.doi.org/10.1162/jinh_a_01124.

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Corpus linguistics enables the analysis of patterns in large bodies of written material. The use of this approach to trace discourses about infant mortality in all of the text published by four newspapers in England and Wales between 1870 and 1900 detects systematic variations in views about infant welfare by locality. It also reveals some of the strengths and weaknesses inherent in interrogating digitized text with linguistic tools in historical research.
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Ernawati, Hery, Anni Fithriyatul Mas'udah, Fery Setiawan, and Laily Isroin. "Health, psychology, economic resilience and wellbeing: Long-term effects on family welfare of early marriage." F1000Research 12 (April 4, 2023): 366. http://dx.doi.org/10.12688/f1000research.128719.1.

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Background: Early marriage is a social problem that can have various impacts. This study aims to determine the long-term impact of early marriage compared to adult marriage on the aspects of health, psychology, economic survival and welfare in a comprehensive manner. Methods: This study used a cross-sectional study design. The sampling unit for this study was early marriage families from 3 sub-districts in Ponorogo district, namely Sawoo, Ngrayun and Pulung. The number of samples used were 104 families. The variables in this study consisted of health, husband's psychology, wife's psychology, economic resilience and well-being. The analysis to construct composite variables was polychoricpca analysis. Results: The long-term effects of early marriage can be seen comprehensively using polychoric PCA analysis. Based on the polyuchoric PCA analysis, a composite variable was obtained, namely Maternal Health (λ=2.79; CE 0.35); Infant health (λ=2.23; CE 0.45); Wife's psychology (λ=6.78; CE 0.56); Husband's psychology (λ=5.59; CE 0.56); Wellbeing (λ=2.07; CE 0.30); Economic resilience (λ=1.60; CE 0.40). The results of this study indicate that the long-term impact of early marriage compared to adult marriage is on the poorer aspects of maternal health, poorer infant health, poorer wellbeing and worse Economic Resilience. Conclusions: There needs to be special monitoring of cases of early marriage, so that it will suppress the bad impact.
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Ashford, Holly. "The Red Cross and the Establishment of Maternal and Infant Welfare in the 1930s Gold Coast." Journal of Imperial and Commonwealth History 47, no. 3 (February 13, 2019): 514–41. http://dx.doi.org/10.1080/03086534.2019.1576831.

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Hajar, Ibnu, Habibi, Andi Bukti Djufri, Muhammad Amri, and Nildawati. "DESCRIPTION OF WOMEN'S ORGANIZATIONAL MANAGEMENT IN THE PREVENTION OF MATERNAL AND CHILD DEATH." Hospital Management Studies Journal 4, no. 2 (June 28, 2023): 94–100. http://dx.doi.org/10.24252/hmsj.v4i2.37526.

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Backgrounds: The maternal mortality rate (MMR) and the infant and under-five mortality rate (IMR and AKABA) are indicators that show the welfare and health of the people in a country. Objective: This study aims to conduct a study related to the description of the management of women's organizations in preventing maternal and child deaths. Method: The method used is descriptive qualitative, with informants being women's organizations with maternal and child health programs. Result: Women's organizations play a role in reducing maternal and child mortality by conducting active counseling, active assistance, educating the community and carrying out activities that support maternal and child health. Conclusion: The involvement of women's organizations in the planning and implementation of programs to reduce maternal and child mortality needs continuous efforts and assistance so that the programs run effectively and there is an increase in the knowledge and understanding of mass organizations related to gender and women's health and maternal and child health.
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Mendis, Nalaka. "Mental health services in Sri Lanka." International Psychiatry 1, no. 3 (January 2004): 10–12. http://dx.doi.org/10.1192/s1749367600006585.

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Relative to its economic indicators, Sri Lanka has a high health status. The life expectancy in the year 2001 was 70.7 years for males and 75.4 years for females. Maternal and infant mortality rates have shown a downward trend over the past half century and now are around 2.3 per 10 000 live births and 16 per 1000 live births, respectively. These trends are mainly due to the high literacy rate and comparatively large investments made in health and social welfare.
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Watson, Claire F. I., and Tetsuro Matsuzawa. "Behaviour of nonhuman primate mothers toward their dead infants: uncovering mechanisms." Philosophical Transactions of the Royal Society B: Biological Sciences 373, no. 1754 (July 16, 2018): 20170261. http://dx.doi.org/10.1098/rstb.2017.0261.

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In comparative thanatology, most reports for nonhuman mammals concern mothers' behavioural responses to their dead offspring: most prominently, dead-infant carrying (sometimes of extended duration); but also inspection, proximity, maternal care such as grooming, protective behaviours and filial cannibalism. Documented across many primate species, these behaviours remain poorly understood in all. The literature is dominated by relatively brief qualitative descriptions of isolated anecdotal cases in apes and monkeys. We argue for quantitative coding in case reports, alongside analyses of longitudinal records of such events to allow objective evaluation of competing theories, and systematic comparisons within and across species and populations. Obtaining necessary datasets depends on raised awareness in researchers of the importance of recording occurrences and knowledge of pertinent data to collect. We review proposed explanatory hypotheses and outline data needed to test each empirically. To determine factors influencing infant-corpse carriage, we suggest analyses of deaths resulting in ‘carry’ versus ‘no carry’. For individual cases, we highlight behavioural variables to code and the need for hormonal samples. We discuss mothers' stress and welfare in relation to infant death, continued transportation and premature removal of the corpse. Elucidating underlying proximate and ultimate causes is important for understanding phylogeny of maternal responses to infant death. This article is part of the theme issue ‘Evolutionary thanatology: impacts of the dead on the living in humans and other animals’.
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Teasdale, Chloe A., Michelle Choy, Fatima Tsiouris, Eduarda Pimentel De Gusmao, Etelvino C. P. Banqueiro, Aleny Couto, Kwalila Tibana, et al. "HIV retesting for pregnant and breastfeeding women across maternal child health services in Nampula, Mozambique." PLOS ONE 18, no. 3 (March 24, 2023): e0283558. http://dx.doi.org/10.1371/journal.pone.0283558.

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Background Repeat HIV testing during pregnancy and breastfeeding identifies women with incident infections, those living with HIV who have been lost to care, and infants at risk for HIV infection. We report data from repeat testing for women in maternal and child health (MCH) services at 10 health facilities in Mozambique. Methods Routinely collected data from health facility registers are reported from April-November 2019. From antenatal care (ANC), we report numbers and proportions of women eligible for retesting; returned for care when retesting eligible; retested; and HIV-positive (HIV+) at retesting. From child welfare clinics (CWC), we report mothers retested; tested HIV-positive; HIV+ mothers linked to ART services; HIV-exposed infants (HEI) tested for HIV with polymerase chain reaction (PCR) tests; HEI testing PCR positive; PCR-positive infants linked to care. Results In ANC, 28,233 pregnant women tested HIV-negative at first ANC visit, 40.7% had a follow-up visit when retesting eligible, among whom 84.8% were retested and 0.3%(N = 26) tested HIV+. In CWC, 26,503 women were tested; 0.8%(N = 212) tested HIV+ and 74.1%(N = 157) of HIV+ women were linked to care. Among 157 HEI identified in CWC, 68.4%(N = 145) received PCR testing and 19.3%(N = 28) tested positive. Conclusion In ANC, less than half of pregnant women eligible for retesting returned for follow-up visits, and test positivity was low among women retested in ANC and CWC. In CWC, linkage to infant testing was poor and almost 20% of HEI were PCR-positive. Implementing retesting for pregnant and breastfeeding women is challenging due to high numbers of women and low testing yield.
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Hameed, Numan N., and Esraa M. Mtasher. "Short Term Outcome Of Macrosomic Neonates Of Diabetic & Non-Diabetic Mothers." Journal of the Faculty of Medicine Baghdad 54, no. 4 (January 2, 2013): 300–305. http://dx.doi.org/10.32007/jfacmedbagdad.544691.

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Background: Big birth weight is one of the important factors affecting the perinatal morbidity & mortality. It may result in an irreversible squeal because of birth trauma & fetal asphyxia.Patients & Methods: This is a prospective study of 50 singleton macrosomic newborns weighting 4000 g & more aged 1-3 days admitted in the neonatal care unit of Children Welfare Teaching Hospital & Baghdad Teaching Hospital during a 6 months period from 1st of March to 1st of September 2010. The maternal & neonatal records were reviewed & infant morbidities including hypoglycemia, respiratory distress, feeding intolerance, birth injury & associated anomalies were discussed. All the infants were followed until they were discharged from the hospital.Objectives: to compare the short term outcomes of macrosomic infants born to diabetic and non-diabetic mothers. Results: Infants of diabetic mothers (52%) were more likely to develop neonatal morbidity compared to infants of non diabetic mothers (48%), these include hypoglycemia (76.9% vs. 8.3%), Respiratory distress (61.5% vs. 37.5%), and birth injury (7.7% vs. 4.2%) & nearly equal incidence of feeding intolerance (11.5% vs. 12.5%). Associated anomalies especially congenital heart disease (10%) found in infant of diabetic mothers only. Conclusions: Most of birth weight variation remains unexplained & most non-IDM macrosomic infants do not have identifiable risk factors. Macrosomia is generally associated with neonatal morbidity & neonatal injury. The potential dangers of birth injury in vaginal delivery have increased the rates of cesarean section to (68%). Infants of diabetic mothers have a higher rate of neonatal morbidity overall including hypoglycemia, respiratory distress, birth injury & congenital heart disease.
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Risa Intan Fitriyani, Ellyzabeth Sukmawati, and Dahlia Arief Rantauni. "STUDI KASUS : ASUHAN KEBIDANAN PADA Ny.E MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA." Jurnal Ilmiah Kedokteran dan Kesehatan 1, no. 3 (September 3, 2022): 62–67. http://dx.doi.org/10.55606/klinik.v1i3.589.

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This report is a comprehensive midwifery care carried out at the Maos Health Center in 2022 for Mrs. “E” G2P1A0 35 weeks 5 days of pregnancy which was carried out from January to March from the third trimester of pregnancy, maternity, postpartum, newborn and family planning services. The documented Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to see the welfare of a nation in determining optimal health status (Prawiroharjo, 2016). The number of maternal deaths in Indonesia in 2020 increased by 8.92% from the previous year, which was 4,221 to 4,627 people. One of the efforts made in reducing maternal and infant mortality is increasing quality antenatal care, with the aim of alleviating these morbidity and mortality rates. This report is a comprehensive midwifery care carried out at the Maos Health Center on Ny. “E” G2P1A0 The gestational age of 35 weeks 5 days was carried out from January to March from the third trimester of pregnancy, postpartum, postpartum, neonate and family planning services that were documented with the application of varney management and SOAP documentation. Based on the observations of this Final Project, no gaps were found between theory and practice during the implementation of comprehensive midwifery care provided from the initial visit to the last visit.
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Rydhstroem, Hakan, and Fayez Heraib. "Gestational Duration, and Fetal and Infant Mortality for Twins vs Singletons." Twin Research 4, no. 4 (August 1, 2001): 227–31. http://dx.doi.org/10.1375/twin.4.4.227.

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AbstractThe aim of this research was to study fetal and infant mortality in Sweden between 1973 and 1996 in twins vs singletons in relation to gestational duration. Analysis was of fetal and infant mortality based on the number of pregnancies at risk as the denominator rather than the number of deliveries each week. The analysis was based on information stored at the Medical Birth Registry (MBR), the National Board of Health and Welfare, Stockholm. The MBR keeps records on virtually all pregnancies (> 99%) regarding delivery and neonatal information, and for infant mortality up to 1 year of age. During the study period, 2,206,738 singleton and 52,658 twin births were registered. Risk evaluation was made as odds ratio (OR) with a 95% confidence interval. The material was stratified according to parity, maternal age, year of delivery, and delivery unit. Results showed the OR for twin births before 34 weeks gestation was 6 to 8-fold increased compared with singletons. The OR for fetal mortality was increased in all gestational weeks, and like-sexed twins had a consistently poorer prognosis compared to unlike-sexed. Between 1989–96, unlike-sexed twins had a fetal mortality approaching that of singletons. In conclusion, real progress in reduction of infant mortality in twins may be impossible until the high incidence of preterm births can be decreased. Hypothetically, about 100 twin labors would have to be induced to avoid one fetal death in like-sexed twin pregnancies.
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Ayton, Jennifer, Ingrid van der Mei, Karen Wills, Emily Hansen, and Mark Nelson. "Cumulative risks and cessation of exclusive breast feeding: Australian cross-sectional survey." Archives of Disease in Childhood 100, no. 9 (June 8, 2015): 863–68. http://dx.doi.org/10.1136/archdischild-2014-307833.

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ObjectivesTo estimate the prevalence of cessation of exclusive breast feeding at each month up to 6 months and document key factors and cumulative risks associated with exclusive breastfeeding cessation for children aged from 0 to 6 months.MethodsSecondary analysis using a national representative sample of 22 202 mother and infant pairs derived from the 2010 Australian Institute of Health and Welfare cross-sectional survey, the Australian Infant Feeding Survey.ResultsAmong breastfed infants, 49% had ceased exclusive breast feeding before they had reached 2 months of age. In the final Cox proportional hazards model, cessation of exclusive breast feeding was most strongly associated with partners preferring bottle feeding (HR 1.86, 95% CI 1.69 to 20.6) or having no preference (HR 1.37, 95% CI 1.33 to 1.42), regular dummy use (HR 1.35, 95% CI 1.31 to 1.39) and maternal obesity (HR 1.29, 95% CI 1.24 to 1.35). Living within the most disadvantaged areas of Australia (quintile 1) was not strongly associated with cessation (HR 1.08, 95% CI 1.02 to 1.14) compared with least disadvantaged areas. Having three risk factors significantly increased the risk of cessation by 31% (HR 1.31, 95% CI 1.07 to 1.6).ConclusionsThe prevalence of early cessation of exclusive breast feeding is alarmingly high with 50% of infants no longer exclusively breast fed by age 2 months. Given that not one factor is associated with cessation of exclusive breast feeding, the greatest public health impact is likely to be achieved when multiple risk factors are modified or prevented.
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Suhirman, Suhirman, and Hero Wintolo. "System for Determining Public Health Level Using the Agglomerative Hierarchical Clustering Method." Compiler 8, no. 1 (March 22, 2019): 95. http://dx.doi.org/10.28989/compiler.v8i1.425.

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Regions having higher level of welfare do not always have better indicator values than other regions having lower level of welfare. The problem is the lack of information related to the indicator values needed to determine the health level. Therefore, clustering using health data becomes necessary. Data were clustered to see the maximum or the minimum level of similarity. The clustered data were based on the similarity of four morality indicator values of the regional health level. Morality indicator values used in this research are infant mortality rate, child mortality rate, maternal mortality rate, and rough birth rate. The method used is Agglomerative Hierarchical Clustering (AHC) - Complete Linkage. Data were calculated using Euclidean Distance Equation, then Complete Linkage. Four clustered data were grouped into two clusters, healthy and/or unhealthy. The result, combining from all clusters into two large clusters to see healthy and unhealthy results.
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Davies-Kershaw, Hilary, Umi Fahmida, Min Kyaw Htet, Bharati Kulkarni, Babacar Faye, Dwi Yanti, Dewi Shinta, et al. "Anthropometric, biochemical, dietary, morbidity and well-being assessments in women and children in Indonesia, India and Senegal: a UKRI GCRF Action Against Stunting Hub protocol paper." BMJ Paediatrics Open 8, Suppl 1 (February 2024): e001683. http://dx.doi.org/10.1136/bmjpo-2022-001683.

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IntroductionChild stunting has a complex aetiology, especially in the first 1000 days of life. Nutrition interventions alone have not produced expected impacts in reducing/preventing child stunting, indicating the importance of understanding the complex interplay between environmental, physiological and psychological factors influencing child nutritional status. This study will investigate maternal and child nutrition, health and well-being status and associated factors through the assessment of: (1) anthropometry, (2) biomarkers of nutrition and health status, (3) dietary intakes, (4) fetal growth and development, (5) infant morbidity, (6) infant and young child feeding (IYCF) and (7) perinatal maternal stress, depression and social support.MethodsThis study will be conducted in a prospective pregnancy cohort in India, Indonesia and Senegal. Pregnant women will be recruited in the second (Indonesia, Senegal) and third (India) trimester of pregnancy, and the mother and infant dyads followed until the infant is 24 months of age. During pregnancy, anthropometric measures will be taken, venous blood samples will be collected for biochemical assessment of nutrition and health status, dietary intakes will be assessed using a 4-pass-24-hour dietary recall method (MP24HR), fetal ultrasound for assessment of fetal growth. After birth, anthropometry measurements will be taken, venous blood samples will be collected, MP24HR will be conducted, infant morbidity and IYCF practices will be assessed and a sample of breastmilk will be collected for nutrient composition analyses. Perinatal maternal stress, depression, social support and hair cortisol levels (stress) will be measured. The results from this study will be integrated in an interdisciplinary analysis to examine factors influencing infant growth and inform global efforts in reducing child stunting.Ethics and disseminationEthical approval was granted by the Ethics Committee of the London School of Hygiene and Tropical Medicine (17915/RR/17513); National Institute of Nutrition (ICMR)-Ministry of Health and Family Welfare, Government of India (CR/04/I/2021); Health Research Ethics Committee, University of Indonesia and Cipto Mangunkusumo Hospital (KET-887/UN2.F1/ETIK/PPM.00.02/2019); and the Comité National d'Ethique pour la Recherche en Santé, Senegal (Protocole SEN19/78); the Royal Veterinary College (URN SR2020-0197) and the International Livestock Research Institute Institutional Research Ethics Committee (ILRI-IREC2020-33). Results will be published in peer-reviewed journals and disseminated to policy-makers and participating communities.
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Watson, Patricia E., and Barry W. McDonald. "Activity levels in pregnant New Zealand women: relationship with socioeconomic factors, well-being, anthropometric measures, and birth outcome." Applied Physiology, Nutrition, and Metabolism 32, no. 4 (August 2007): 733–42. http://dx.doi.org/10.1139/h07-061.

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Activity during pregnancy has health implications for mother and child. The aim of this prospective cohort study was to examine changes in activity levels during pregnancy; the influence of socioeconomic factors and well-being on activity, and the influence of activity on maternal anthropometric measures and birth outcome. Twenty-four hour activity diaries were collected for 3 d in months 4 and 7 of pregnancy in 197 volunteers. Anthropometric measures and questionnaires to determine personal details were collected at these times and 2 months post-partum. Health records were used to supply infant measures. The time spent on each activity category was calculated, and used to calculate overall daily metabolic equivalents (METs). Low socioeconomic (SES) group 24 h activity levels were significantly higher than for high SES or welfare groups (p = 0.013). Activity declined throughout pregnancy in all groups (p = 0.002). Women with children had higher 24 h activity, spending 41% more time walking and (or) on housework than nulliparous women (p = 0.013). Reduced well-being was associated with lower levels of activity. Sleep and lying down time influenced 2 month post-partum body mass (upper quartile gained 2.54 kg, lower quartile lost 0.24 kg, p < 0.001). Mean infant gestational age increased with increasing 24 h activity (p = 0.047). No infants were born prematurely to mothers who spent more than 190 min/d walking or doing housework activities in month 4. Probability of infant admission to the neonatal intensive care unit (NICU) declined with time spent walking or doing housework in month 4 (p = 0.007). Mean (SE) birth weight was 3883 (±165) g in the 10% of women spending less than 530 min sleeping or lying down per day, compared with 3413 (±104) g in the 10% of women spending 725 min or more sleeping or lying down. Socioeconomic factors were therefore important influences on activity levels during pregnancy. Inactivity, especially in early pregnancy, was associated with more maternal weight retention at 2 months post-partum and a greater probability of admission to NICU and premature delivery.
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Agampodi, Thilini, Neerodha Dharmasoma, Thushari Dissanayaka, Iresha Koralagedara, Janith Warnasekara, Suneth Agampodi, and Rafael Pérez-Escamilla. "Sri Lanka; The First Ever Only “Green Nation” in the World for Breastfeeding; Yet Lessons to Learn Through Exploring Maternal Perspectives." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 929. http://dx.doi.org/10.1093/cdn/nzaa054_001.

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Abstract Objectives Sri Lanka has been awarded the first-ever ‘Green’ breastfeeding (BF) nation status by the World Breastfeeding Trends Initiative (WBTi) in January 2020. Our objective was to explore the maternal perceptions of unrevealed barriers for the provision of promotion, protection and support of optimal exclusive breast feeding (EBF) up to six months. Methods We used in-depth interviews with 16 mothers with infants completed six months, who had been unable to practice EBF, attending six child-welfare clinics in Anuradhapura, Sri Lanka. Initial thematic analysis built upon force field and social learning theories were conducted to identify the barriers for optimal EBF practices during the first six months life. Results Main challenges to EBF were notably clustered at three occasions over the six months and first during the first 2–3 days after the delivery. Factors related to child birth influencing self-efficacy and confidence on establishing breastfeeding included cesarean section, pain and poor positioning due to pain, exhaustion, and perceived “inadequate milk”. Suboptimal policies on ward environment and practice of health staff that could lead to maternal worry and maternal stress related to demand for EBF were also identified as key barriers. Despite the early challenges, mothers who interrupted EBF within the first few days, desired to go back to EBF and was able to do so. The second occasion of cessation of EBF occurred around 2–3 weeks postpartum by introducing water or infant formula. These mothers lacked family support for BF leading to physical and mental exhaustion. Additionally, the mother's perception that “healthy infants should be chubby” also led to introduction of infant formula. On-demand feeding was reported to be a challenge due to misconceptions such as feeding according to a time table. Working mother reported ending EBF between 4 and 5 months, and they lacked self-efficacy, resulting from the lack of enabling environments and social support to express and continue only breast milk. Conclusions Although Sri Lanka has attained the “green” breastfeeding top status, interventions are needed to better the support the BF needs of mothers after cesarean section and to practice on-demand feeding and to improve the support for mothers that are employed in order to optimize EBF until completion of six months. Funding Sources No funding source.
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Walekhwa, Michael, Margaret Muturi, and Elizabeth Bukusi. "Immunogenicity of 10-valent pneumococcal conjugate vaccine among infants attending Mbagathi District Hospital, Kenya." F1000Research 4 (June 23, 2015): 165. http://dx.doi.org/10.12688/f1000research.6087.1.

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Introduction: This study aimed to determine the serum concentration of IgG antibodies as an indicator of immunogenicity, alongside the assessment of socio-demographic factors that affect IgG antibody levels in infants immunized with 10-valent pneumococcal conjugate vaccine (PCV-10) at the Mbagathi District Hospital in Kenya.Materials and methods: This cross-sectional study measured serum IgG antibodies among infants who had completed a 3-dose course of PCV-10. IgG antibodies to pneumococcal serotype-specific capsular polysaccharide were measured through enzyme-linked immunosorbent assay (ELISA).Results: The majority (83%) of infants who completed the required dose of pneumococcal conjugate vaccine had serum titres of pneumococcal disease- (PD) specific IgG antibodies of between 0.34 mg/dl and 0.36 mg/dl. 4% of infants had serum titres of 0.30 mg/dl to 0.33 mg/dl. The remaining 2% had IgG antibody titres of either ≤0.25 mg/dl, or between 0.25 mg/dl to 0.29 mg/dl. Additionally, there was multi-collinearity among the IgG antibody levels of the infants studied and several variables that had an effect on these levels. These included: alcohol consumption by infants’ biological mothers during pregnancy (r =.595, p ≤ 0.05); maternal diet during pregnancy (r =.137, p ≤ 0.05); breastfeeding frequency (r =.220, p ≤ 0.05); proximity to other children (r =.133, p ≤ 0.05); child hospitalization (r =.131, p ≤ 0.05) and chronic illness (r =.154, p ≤0.01).Conclusion: PCV-10 is immunogenic against PD four weeks after completion of 3-doses among the infants attending the Child Welfare clinic at the Mbagathi District Hospital in Kenya. Socio-demographic factors which include consumption of alcoholic drinks by infant’s biological mother during pregnancy and study infant chronic illness negatively affect the development of PD specific IgG. A balanced maternal diet during pregnancy and a breastfeeding frequency superior to three times per day have a significant positive effect on serum pneumococcal IgG levels among infants.
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Kumar, Piyush. "What is the impact of COVID-19 pandemic era 2020 on JsskJanani-Shishu Suraksha Karyakram (mother-child protection program) services utilization in India – A cross-sectional comparative research study?" Public Health Open Access 6, no. 2 (2022): 1–17. http://dx.doi.org/10.23880/phoa-16000213.

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In India due to the elevated fertility rate and vast population (globally next to china) mother (Janani) and child (Shishu) protection programs (Suraksha Karyakaram) are quite significant for public healthcare provision systems, especially in the ongoing COVID-19 pandemic era during which most of the necessary pregnancy and infant care protective health services utilization are disrupted. The Government of India started JSSK (Janani Shishu Suraksha Karyakaram) on 1st June 2011 for the benefit of millions of pregnant women (PW) and infants utilizing Government (public) health facilities across all the States and UTs (union territories) of India. The Government JSSK scheme provides various free entitlements and services to PW and infants. This may improve maternal and child health services utilization at public health facilities which can reduce MMR (maternal mortality rate) and IMR (infant mortality rate) in the country. The ongoing COVID 19 pandemic era has disrupted several routine health services utilization in India due to lockdowns etc particularly RCH (reproductive and child health) healthcare services which made a situation of rethinking necessary to take necessary steps in the healthcare system's current scenario to prioritize the services according to need and urgency as well as to construct a robust plan to ensure public health services utilization amidst pandemic or any disasters. This research study was done to provide reference to the scientific community and decision-makers with concrete data analysis from accredited HMIS (Health Management Information system) source (Government of India- MoHFW (Ministry of Health and Family Welfare)) to find out the COVID-19 impact on JSSK services utilization by the PW and sick infants of India attending public healthcare facilities across 36 states and UTs of India. This research study was public health facility-based, retrospective, mixed, cross-sectional study that was conducted for infants and pregnant women who utilized the available free services under JSSK in the public health facilities across 36 states and UTs of India from 1st January 2018 to 31st December 2020. The first COVID-19 patient in India was confirmed on the 27th of January 2020. Hence for this research study, the year before 2020 i.e. 2018, and 2019 were considered as the pre-pandemic period and the year 2020 was considered as the pandemic period. This research study revealed that there is an increase in almost all JSSK service utilization at public health facilities in India compared to the pre-pandemic era on a cumulative all India bases.
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Mohamed, Shariff Faiz. "Enhancing Utilization of Long-Acting Contraceptive Methods among Women: A Study in Hoima Regional Referral Hospital." IDOSR JOURNAL OF BIOLOGY, CHEMISTRY AND PHARMACY 9, no. 1 (March 13, 2024): 11–20. http://dx.doi.org/10.59298/idosr/jbcp/24/91.1120.

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Family planning is crucial for reducing fertility rates, maternal mortality, and infant welfare. Reversible long-acting contraceptives (LACMs) are effective for women who want to limit childbearing and space births, potentially playing a significant role in reducing maternal mortality. However, the use of LACMs has not kept pace with short acting methods like oral contraceptives and injectables. A study was conducted to determine the level of utilization of long-acting contraceptive methods among women attending the MCH clinic at Hoima Regional Referral Hospital and related factors. The majority of participants (50.9%) were aged 30-39, married (68.4%), housewives (40.4%), protestant (36.8%), and had attained tertiary education (47.4%). The most common contraceptives used were pills (33.3%), injectable (24.6%), condoms (15.8%), implants (10.5%), IUCD (3.5%), and others (12.3%). Eight participants were using long-acting methods, accounting for 14.0% of the study. Factors associated with the utilization of long-acting contraceptive methods included marital status, level of education, residence, partner involvement, knowledge of LACMs, attitude towards LACMs, and access to the desired method of contraception. The study highlights the need for improved access to long-acting contraceptive methods among women of reproductive age. Keywords: Long-Acting Contraceptive, Women, MCH Clinic, Maternal mortality
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Barker, Mary, Caroline H. Fall, Clive Osmond, Cyrus Cooper, Tom P. Fleming, Kent L. Thornburg, and Graham J. Burton. "David James Purslove Barker. 29 June 1938—27 August 2013." Biographical Memoirs of Fellows of the Royal Society 67 (August 7, 2019): 29–57. http://dx.doi.org/10.1098/rsbm.2019.0021.

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Professor David James Purslove Barker was a physician and one of the most influential medical scientists of our time. His fetal programming hypothesis (known as the Barker Hypothesis) transformed thinking about what causes chronic diseases that are the scourge of modern society: cancer, cardiovascular disease and diabetes. The Barker Hypothesis proposed that the environment of the fetus and infant determined by maternal nutrition and exposure to infection subsequently predisposes the pathologies of later life. He challenged the idea that chronic diseases result from a combination of bad genes and unhealthy adult lifestyle. The environment of the fetus and infant, he suggested, permanently set or ‘programmed’ the body's metabolism and growth, and thereby pathologies of old age. His initially controversial, but now widely accepted, ideas have produced an explosion of research worldwide into the complex processes of nutrition and growth during intrauterine and early post-natal life and how these cause adult diseases. His discoveries created a new field of research, developmental origins of health and disease (DOHaD), influencing global scientific thinking. David believed that ‘the poorer health of people in lower socio-economic groups or living in impoverished places was linked to past and present neglect of the welfare of mothers and babies’. Tackling the epidemics of diabetes and heart disease in the Western world and in developing countries would require, he said, a shift in focus to prioritize the health and nutrition of adolescent girls, pregnant women and infants. This focus has subsequently been enshrined in global health policies and priorities.
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McGrath, Marie, Mirkuzie Woldie, Melkamu Berhane, Mubarek Abera, Endashaw Hailu, Ritu Rana, Betty Lanyero, et al. "Mapping the range of policies relevant to care of small and nutritionally at-risk infants under 6 months and their mothers in Ethiopia: a scoping review protocol." BMJ Open 13, no. 9 (September 2023): e069359. http://dx.doi.org/10.1136/bmjopen-2022-069359.

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IntroductionEvidence gaps limit management of small and/or nutritionally at-risk infants under 6 months and their mothers, who are at higher risk of death, illness, malnutrition and poor growth and development. These infants may be low birth weight, wasted, stunted and/or underweight. An integrated care model to guide their management (MAMI Care Pathway) is being tested in a randomised controlled trial in Ethiopia. Evaluating the extent to which an innovation is consistent with national policies and priorities will aid evidence uptake and plan for scale.Methods and analysisThis review will evaluate the extent to which the MAMI Care Pathway is consistent with national policies that relate to the care of at-risk infants under 6 months and their mothers in Ethiopia. The objectives are to describe the range and characteristics, concepts, strategic interventions, coherence and alignment of existing policies and identify opportunities and gaps. It will be conducted in accordance with the JBI methodology for scoping reviews (PRISMA-ScR). Eligible documents include infant and maternal health, nutrition, child development, food and social welfare-related policies publicly available in English and Amharic. The protocol was registered on the Open Science Framework Registry on 20 June 2022 (https://osf.io/m4jt6).Grey literature will be identified through government and agency websites, national and subnational contacts and Google Scholar, and published policies through electronic database searches (MEDLINE, EMBASE and Global and Health Information). The searches will take place between October 2023 and March 2024. A standardised data extraction tool will be used. Descriptive analysis of data will be undertaken. Data will be mapped visually and tabulated. Results will be described in narrative form. National stakeholder discussions will inform conclusions and recommendations.Ethics and disseminationEthical approval is not required as data consist solely of publicly available material. Findings will be used to evidence national and international policy and practice.
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Lalan, Arshika, Shresth Verma, Paula Rodriguez Diaz, Panayiotis Danassis, Amrita Mahale, Kumar Madhu Sudan, Aparna Hegde, Milind Tambe, and Aparna Taneja. "Improving Health Information Access in the World’s Largest Maternal Mobile Health Program via Bandit Algorithms." Proceedings of the AAAI Conference on Artificial Intelligence 38, no. 21 (March 24, 2024): 22913–19. http://dx.doi.org/10.1609/aaai.v38i21.30329.

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Harnessing the wide-spread availability of cell phones, many nonprofits have launched mobile health (mHealth) programs to deliver information via voice or text to beneficiaries in underserved communities, with maternal and infant health being a key area of such mHealth programs. Unfortunately, dwindling listenership is a major challenge, requiring targeted interventions using limited resources. This paper focuses on Kilkari, the world's largest mHealth program for maternal and child care -- with over 3 million active subscribers at a time -- launched by India's Ministry of Health and Family Welfare (MoHFW) and run by the non-profit ARMMAN. We present a system called CHAHAK that aims to reduce automated dropouts as well as boost engagement with the program through the strategic allocation of interventions to beneficiaries. Past work in a similar domain has focused on a much smaller scale mHealth program and used markovian restless multiarmed bandits to optimize a single limited intervention resource. However this paper demonstrates the challenges in adopting a markovian approach in Kilkari; therefore CHAHAK instead relies on non-markovian time-series restless bandits, and optimizes a layered set of multiple interventions to improve listenership. We use real Kilkari data from the Odisha state in India to show CHAHAK's effectiveness in harnessing multiple interventions to boost listenership, benefiting marginalized communities. When deployed CHAHAK will assist the largest maternal mHealth program to date.
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Prasetyaningsih and Setia Nisa. "The Effect of Providing Contraceptive Education on the Knowledge Level of Reproductive Age Couples in the Working Area of Pariaman Public Health Center." International Journal of Public Health Excellence (IJPHE) 2, no. 1 (December 2, 2022): 225–28. http://dx.doi.org/10.55299/ijphe.v2i1.177.

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The family planning program is an effort to improve the awareness and participation of the society through the maturity of marriage, birth control, family nurturing, and improvement of family welfare to create a happy and prosperous family. It can reduce 25% of maternal mortality and 18% infant mortality. The higher number of family planning means the more contraceptive use in reproductive age couples, then the higher the reduction number of maternal and infant mortality rates. This study aims to observe The Effect Of Providing Contraceptive Education On The Knowledge Level Of Reproductive Age Couples.This is a pre-experimental study with One Group Pretest-Posttest Design. The analysis used is paired sample t-test and Shapiro-Wilk test.. The research sampel was 50 of reproductive women spouses. It was obtained that the average of knowledge before contraceptive education was given is 44.56 with 15.38 of standard deviation. However, the average of knowledge after contraceptive education was given was given is 61,26 with 12,14 of standard deviation. It shows that the difference of the mean value before and after giving contraceptive education is 16.70 with 10.00 of standard deviation. Statistical test results obtained value of P-value = 0.000. There is a significant effect of giving contraceptive education to the knowledge level of couples with reproductive age in Pariaman Public Health Center in 2020 .The public health center is expected to improve family planning services for couples in fertility age by providing continuous counseling to increase their understanding of choosing and using proper contraception consistently.
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Parlier-Ahmad, Anna Beth, Michelle Eglovitch, Sarah Martin, Dace S. Svikis, and Caitlin E. Martin. "Project BETTER: A Family-Centered, Technology-Delivered Intervention for Pregnant People with Opioid Use Disorder." Children 10, no. 2 (February 11, 2023): 359. http://dx.doi.org/10.3390/children10020359.

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Birthing people with opioid use disorder (OUD) face unique stressors during the transition from pregnancy to postpartum that can negatively impact the maternal–infant dyad. This study aimed to describe the development of a family-centered, technology-delivered intervention tailored to help pregnant people receiving medication for OUD (MOUD) prepare for this transition. Formative data from patients and providers identified intervention content: (1) recovery-oriented strategies for the pregnancy-to-postpartum transition; (2) guidance around caring for an infant with opioid withdrawal symptoms; and (3) preparation for child welfare interactions. The content was reviewed in successive rounds by an expert panel and modified. Pregnant and postpartum people receiving MOUD pre-tested the intervention modules and provided feedback in semi-structured interviews. The multidisciplinary expert panel members (n = 15) identified strengths and areas for improvement. Primary areas for improvement included adding content, providing more structure to help participants navigate the intervention more easily, and revising language. Pre-testing participants (n = 9) highlighted four themes: reactions to intervention content, navigability of the intervention, feasibility of the intervention, and recommendation of the intervention. All iterative feedback was incorporated into the final intervention modules for the prospective randomized clinical trial. Family-centered interventions tailored for pregnant people receiving MOUD should be informed by patient-reported needs and multidisciplinary perspectives.
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42

Thorley, Virginia. "Accounts of infant-feeding advice received by mothers: Queensland, Australia, 1945-1965." Nursing Reports 2, no. 1 (October 31, 2012): 12. http://dx.doi.org/10.4081/nursrep.2012.e12.

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In the period 1945-1965 most women in the state of Queensland, Australia, gave birth in hospitals and thereafter they used a variety of services and individuals for advice on infant feeding. The services available were similar throughout the period. As mothers rarely worked outside the home, being <em>good mothers</em> was important to their identity. In this historical study, telephone interviews and written responses involving 44 mothers and former nurses from every region of this geographically vast state were used in order to investigate sources of personal advice on infant feeding used during this period, mothers&rsquo; experience relating to this advice, and the extent to which they followed the advice. The free, nurse-run well-baby clinics and related services conducted by the state&rsquo;s Maternal and Child Welfare service were the most commonly mentioned services. However, the uptake of advice from this source showed considerable variation as women also drew upon family members, their general practitioners, advice columns, radio broadcasts, other mothers and their own judgment. Only rarely was a specialist pediatrician consulted. A minority of mothers was advised by pharmacists, private baby nurses, or entered residential mothercraft facilities. An important finding is that attendance at the baby clinics did not necessarily equate with compliance, especially as mothers became more experienced.
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43

Suparji, Suparji, Heru Santoso Wahito Nugroho, Sunarto Sunarto, Abdul Latif, and Agus Sarwo Prayogi. "Impact, Implications, Challenges of Accelerating Maternal Mortality Rates in Indonesia." Health Dynamics 1, no. 3 (March 31, 2024): 104–7. http://dx.doi.org/10.33846/hd10306.

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This article discusses the impacts, implications and challenges of accelerating maternal mortality rates in Indonesia. Maternal Mortality Rate (MMR) in Indonesia is still a serious public health problem. MMR in Indonesia shows a downward trend throughout the 1991-2015 period. However, in 2012 the infant mortality rate increased again and then fell in 2018. Even though it shows a decline, the MMR in Indonesia is still relatively high and still above the MDGS target of 102 per 100,000 live births. MMR in Indonesia in 2021 compared to 2020. The impact of a high MMR is a decline in the productive and competitive workforce, a decline in social welfare and poverty, a decline in life expectancy and quality of life in society, a decline in fertility rates and population growth, which can affect the demographic structure and demographic bonus. and declining reproductive and nutritional health status of women and children. Meanwhile, the implications arising from a high MMR are implications in terms of health, social, economic and development status. The challenges faced by Indonesia in reducing MMR are the low health budget allocation, the lack of health facilities and personnel, low access to PONED (Basic Emergency Neonatal Obstetric Services) and PONEK (Comprehensive Emergency Neonatal Obstetric Services) facilities, high disparities in socio-economic levels, and low awareness and healthy living behavior in the community. The conclusion of this short article about the maternal mortality rate in Indonesia is that the maternal mortality rate in Indonesia is still high and has not yet reached the Sustainable Development Goals (SDGs) target set by the UN, namely 70 per 100,000 live births in 2030. This article recommends Reducing MMR requires comprehensive and collaborative efforts from all parties, including central and regional governments, health institutions, civil society organizations, academics, media and society.
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44

Jenson, Jane. "Paradigms and Political Discourse: Protective Legislation in France and the United States Before 1914." Canadian Journal of Political Science 22, no. 2 (June 1989): 235–58. http://dx.doi.org/10.1017/s0008423900001293.

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AbstractThis article examines the differences in pre-1914 France and the United States in two kinds of state policies regulating women's behaviour, those “protecting” the condition under which women participated in certain occupations and those providing infant and maternal protection. Those policies are examined to illuminate the argument that politics, including state policies, makes an important contribution to the maintenance and change of ongoing systems of social relations. Central to this argument is the notion that meaning systems around which actors constitute collective identities are a crucial analytic focus for understanding stability and change. At the end of the nineteenth century hegemonic societal paradigms, constructed out of the processes institutionalizing new social relations, emerged in France and the US. The French paradigm of “citizen-producer” and the American one of “specialized citizenship” had quite different implications for the patterns of gender relations embedded within them. These implications are visible in the treatment of women's work and maternity in these years of the emerging welfare state.
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45

Shannon, Michael W., and John W. Graef. "Lead Intoxication in Infancy." Pediatrics 89, no. 1 (January 1, 1992): 87–90. http://dx.doi.org/10.1542/peds.89.1.87.

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Four years of experience in the evaluation and management of lead intoxication in the first year of life were reviewed. This study was conducted in a lead referral program within the state of Massachusetts, whose comprehensive lead laws include extensive (and now mandatory) lead screening of all children. Over the period of study, 50 (14%) of 370 new patients enrolled in the program were Infants aged 12 months or younger. Median age of these infants was 11 months (range 1 through 12 months). Mean peak lead level was 39.0 µg/dL while the mean peak erythrocyte protoporphyrin concentration was 111.9 µg/dL of whole blood. Thirty-two percent of infants were ambulatory at the time lead intoxication was diagnosed; only 24% had a history of pica. Twenty-six percent of parents were welfare dependent. Apparent sources of plumbism included household renovation (n = 20), direct ingestion of paint chips (n = 10), formula preparation with lead-contaminated water (n = 9), lead dust importation (n = 1), and congenital exposure to elevated maternal lead level (n = 1). In 9 cases the source was not found. When this profile was compared with that of a randomly selected group of 47 children aged 18 through 30 months, who were seen in the lead program during the same interval, apparent sources of intoxication in the older group were paint chip ingestion (n = 41), household renovation (n = 2), and unknown (n = 4) (P &lt; .0001). On the basis of these data, it is concluded that lead intoxication in infants is common and has significantly different origins from that in toddlers. Lead intoxication from infant formula reconstituted with contaminated water may account for many of these cases. These findings support recommendations that lead screening begin at the age of 6 months for children with any likelihood of lead exposure.
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46

Salsabila, Salsabila, Zakiyatul Faizah, and Budi Prasetyo. "Faktor Sosial Budaya yang Memengaruhi Kesehatan Ibu dan Anak (Studi Etnografi)." Oksitosin : Jurnal Ilmiah Kebidanan 9, no. 1 (February 1, 2022): 67–79. http://dx.doi.org/10.35316/oksitosin.v9i1.1651.

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Maternal and child health as a key indicator of community welfare is measured by Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). The problem of maternal and child mortality is a problem that cannot be separated from the culture or behavior of the community itself. The social and cultural system in the community is an important consideration in health services that can be utilized more optimally. The purpose of this study was to determine what cultural factors affect the health of mothers and children. This research is a rapid ethnographic assessment procedure (REAP) with a qualitative approach. Sampling technique using snowball or chain referral sampling. It is carried out sequentially from one participant to another. Is a variation of the purposive sample. The number of respondents as many as 8 people who fit the inclusion criteria. The data shown were the result of indepth interviews and FGDs (Focus Group Discussion). This study resulted in findings about: (1) Kyai become community role models in responding to life's problems ranging from political choices to choices of access to health. (2) Women do not have sufficient full power or empower themselves to choose health services, especially during pregnancy and childbirth. (3) The element of belief inherited from generation to generation also forms the knowledge system of the Cibitung community. (4) The livelihood system of farm laborers as the main source of the economy in Cibitung. Keywords: Socio-Cultural, Ethnographic, Religious Systems, Kinship Systems, Knowledge Systems, Livelihood Systems
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47

Trevillion, Kylee, Rebekah Shallcross, Elizabeth Ryan, Margaret Heslin, Andrew Pickles, Sarah Byford, Ian Jones, et al. "Protocol for a quasi-experimental study of the effectiveness and cost-effectiveness of mother and baby units compared with general psychiatric inpatient wards and crisis resolution team services (The ESMI study) in the provision of care for women in the postpartum period." BMJ Open 9, no. 3 (March 2019): e025906. http://dx.doi.org/10.1136/bmjopen-2018-025906.

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IntroductionResearch into what constitutes the best and most effective care for women with an acute severe postpartum mental disorder is lacking. The effectiveness and cost-effectiveness of psychiatric mother and baby units (MBUs) has not been investigated systematically and there has been no direct comparison of the outcomes of mothers and infants admitted to these units, compared with those accessing generic acute psychiatric wards or crisis resolution teams (CRTs). Our primary hypothesis is that women with an acute psychiatric disorder, in the first year after giving birth, admitted to MBUs are significantly less likely to be readmitted to acute care (an MBU, CRTs or generic acute ward) in the year following discharge than women admitted to generic acute wards or cared for by CRTs.Methods and analysisQuasi-experimental study of women accessing different types of acute psychiatric services in the first year after childbirth. Analysis of the primary outcome will be compared across the three service types, at 1-year postdischarge. Cost-effectiveness will be compared across the three service types, at 1-month and 1-year postdischarge; explored in terms of quality-adjusted life years. Secondary outcomes include unmet needs, service satisfaction, maternal adjustment, quality of mother–infant interaction. Outcomes will be analysed using propensity scoring to account for systematic differences between MBU and non-MBU participants. Analyses will take place separately within strata, defined by the propensity score, and estimates pooled to produce an average treatment effect with weights to account for cohort attrition.Ethics and disseminationThe study has National Health Service (NHS) Ethics Approval and NHS Trust Research and Development approvals. The study has produced protocols on safeguarding maternal/child welfare. With input from our lived experience group, we have developed a dissemination strategy for academics/policy-makers/public.
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48

Tunggadewi, Ayudya Prameswari, Shrimarti Rukmini Devi, and Oedojo Soedirham. "Patterns of Pregnancy Care Based on Indonesian Culture." Jurnal Promosi Kesehatan Indonesia 19, no. 1 (May 31, 2023): 11–23. http://dx.doi.org/10.14710/jpki.19.1.11-23.

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Background: The health of pregnant women is one of the nation’s health indicators. Maternal mortality rate (MMR) and infant mortality rate (IMR) are important indicators to assess a country's welfare and public health conditions. The majority of infant mortality occurs during the neonatal period, which is related to the mother’s health during pregnancy, the awareness of the mother and family about the importance of antenatal care, the participation of health workers, and the availability of medical facilities. In addition, communities in some regions still believe in myths and have a culture that is contrary to the health sciences, which has an impact on the health of pregnant women. This study aims to describe the pattern of pregnancy care in Indonesia.Method: This study is a literature review study. In the data identification process, a total of 263 articles were identified and filtered based on inclusion criteria, language, and research location. Then, the relevant research articles were extracted, sequenced, and examined to identify the subtopics and topics. After the screening and eligibility process, 14 relevant final articles were selected.Results: This study is a literature review study. In the data identification process, a total of 263 articles were identified and filtered based on inclusion criteria, language, and research location. Then, the relevant research articles were extracted, sequenced, and examined to identify the subtopics and topics. After the screening and eligibility process, 14 relevant final articles were selected.
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49

Nurmega, Nurmega, Sarma Nursani Lumbanraja, and Ramadhani Syafitri Nasution. "Factors Influencing PUS Women on the Selection of Long-Term Contraceptive Methods (MKJP) at Puskesmas MON Geudong Kec. Banda Sakti Lhokseumawe City." PROMOTOR 7, no. 2 (April 1, 2024): 218–26. http://dx.doi.org/10.32832/pro.v7i2.604.

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The Family Planning (KB) program is crucial in efforts to control birth rates, improve family welfare, and reduce maternal, infant and child mortality rates. This article highlights the implementation of family planning in Indonesia, the focus is on the selection of Long-Term Contraceptive Methods (MKJP) at the Mongeudong Health Center, Banda Sakti District, Lhoksemauwe City in 2023. Through an analytical survey, data from 95 respondents of women of childbearing age who use family planning were analyzed, including characteristics, knowledge, attitudes, husband's support, socio- cultural aspects, and MHJP selection. The results show that the majority of respondents have good knowledge and positive attitudes, but their husbands' support and socio- cultural conditions are less supportive, and the majority do not choose MHJP. The analysis shows a significant relationship between knowledge, attitudes, husband's support, socio-cultural conditions, and MHJP selection. These variables have a strong influence on the selection of MHJP. However, the role of health workers does not appear significant in the context of MHJP selection in this study.
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50

Safitri, Sella Dwi, and Shohebatuz Sofiyah. "Components of Herbal Plants That Inhibit HIV in Public Health Welfare Efforts: Literature Review." Journal of Advances in Medicine and Pharmaceutical Sciences 1, no. 1 (October 2, 2022): 1–6. http://dx.doi.org/10.36079/lamintang.jamaps-0101.424.

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The highest number of HIV/AIDS sufferers is of childbearing age. Stigma, discrimination, and lack of knowledge about HIV and AIDS are the biggest problems in Indonesia in an effort to reduce the prevalence of PLWHA. Most people still do not know about the causes and modes of transmission of HIV/AIDS. Predisposition is a factor that causes a mother or baby with HIV/AIDS to have a great chance of contributing to maternal and infant mortality, which greatly determines the health status of a country's population. The number of people living with HIV is increasing in 50 countries, including Indonesia, with more than 1.8 million people newly infected with this deadly virus in 2017. Around 180,000 children (0-14 years) are infected with the HIV virus and 110,000 children die from related diseases with AIDS. The purpose of this study is to provide services that can improve health, especially for mothers and children infected with the HIV virus and improve the welfare of the community from HIV/Aids disease by being able to accept their condition, be sincere, and be able to maintain relationships with the community. By using the literature review method collected through national and international journals and research articles. The result of this literature review is to obtain the latest innovations in HIV/AIDS prevention by giving herbal medicines that can play an active role in suppressing the levels of the HIV virus in the prevention of HIV/AIDS in pregnant women and their babies, through the health services provided by medical personnel and government infrastructure, is expected to reduce the rate of HIV transmission to the mother and fetus.
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