Abstract:
BACKGROUND:In Rwanda, maternal community health workers (M-CHWs) are involved in the country's overall health system. In maternal health, their role includes the provision of preventive and promotional health services at the community level. They provide services such as health education on maternal health wellbeing, advice and information on access and timely utilization of health facilities for prenatal, delivery and postpartum care. The contribution of M-CHWs in the health sector combined with other government initiatives led the country to achieving the fifth Millennium Development Goal (MDG) - target 5A- that aimed to improve maternal health through the reduction of maternal mortality ratio by 75% between 1990 and 2015). The objective of this study was to explore M-CHWs' perceptions and experiences on access and provision of maternal health services. METHODS:We used a case study methodology, a qualitative research approach to explore M-CHWs' experiences and perceptions on access and provision of maternal health services at the community level in Rwanda. For the period of June-August 2014, in-depth interviews were conducted with sixteen M-CHWs who had been providing maternal health services in the Eastern Province of Rwanda. Participants shared their experiences and perceptions on access and provision of maternal health service in their communities. RESULTS:The results of this research highlight the role of M-CHWs in promoting the use of health facilities for prenatal care and delivery and the ways they use to reach out to women. Several challenges prohibit M-CHWs to deliver adequate maternal health services and these are related to the poor resources settings in which they operate. CONCLUSION:The results of this study highlight the experiences and perceptions of M-CHWs on the provision and access to maternal health services in their communities. The fact that M-CHWs are volunteers operating in limited resources settings with no formal training in maternal health and with considerable workloads translates into challenges regarding the quality and quantity of services they provide in their communities. Such challenges create an impact on M-CHWs service provision, satisfaction and retention. The voices of M-CHWs and the communities they serve are needed to explore areas that are specific to each community context that would contribute to making the M-CHW program sustainable to achieve equitable access to maternal health services.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Tuyisenge G,Hategeka C,Luginaah I,Cechetto DF,Rulisa Sdoi
10.1186/s12913-020-05405-0subject
Has Abstractpub_date
2020-06-09 00:00:00pages
524issue
1issn
1472-6963pii
10.1186/s12913-020-05405-0journal_volume
20pub_type
杂志文章abstract:BACKGROUND:Among the important stress factors for physicians nowadays are poorly functioning, time consuming and inadequate information systems. The present study examined the predictors of physicians' stress related to information systems (SRIS) among Finnish physicians. The examined predictors were cognitive workload...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3094-x
更新日期:2018-04-13 00:00:00
abstract:BACKGROUND:Dementia is an irreversible chronic disease with wide-ranging effects on patients', caregivers' and families' lives. Hospitalizations are significant events for people with dementia. They tend to have poorer outcomes compared to those without dementia. Most of the previous studies focused on diagnoses leadin...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2484-9
更新日期:2017-08-04 00:00:00
abstract:BACKGROUND:In the past decade the provision of home care services in Canada has doubled; with this increase there has been a growing interest in improving quality and safety. National-level data are captured in the Home Care Reporting System (HCRS), using the interRAI-HC tools. Data in the HCRS provide decision-makers ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-5018-9
更新日期:2020-03-25 00:00:00
abstract:BACKGROUND:Overcrowding of high-level health facilities is a major concern in a Vietnamese health system. This may increase an economic burden to the households since health insurance is still insufficient in providing financial risk protection. This paper sought to examine the association between the use of high-level...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4115-0
更新日期:2019-05-21 00:00:00
abstract:BACKGROUND:Since 1950, the hospitals had been permitted to take a 15% mark-up of drug purchase price to remedy the loss of public hospitals and doctors' salaries in China due to tight government budget. This policy resulted in an increasing over-prescriptions which increased burden for patients eventually. The soaring ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05378-0
更新日期:2020-06-08 00:00:00
abstract:BACKGROUND:Ensuring access to timely and appropriate primary healthcare for people living in poverty is an issue facing all countries, even those with universal healthcare systems. The transformation of healthcare practices and organization could be improved by involving key stakeholders from the community and the heal...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-92
更新日期:2013-03-11 00:00:00
abstract:BACKGROUND:Partnerships between clinicians and researchers could increase the generalizability of research findings and increase uptake of research results across populations. Yet engaging clinicians in research is challenging. Clinical Data Research Networks (CDRNs) provide access to a broad array of clinical data, pa...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3399-9
更新日期:2018-07-20 00:00:00
abstract:BACKGROUND:Strengthening primary care is key to Hong Kong's ongoing health system reform. Primary care remains unregulated, private sector dominated and financed mainly out-of-pocket. This study sought to examine the association between patients' socioeconomic status (SES), source of health payments and the quality of ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-487
更新日期:2013-11-25 00:00:00
abstract:BACKGROUND:The GRADE method represents a new approach to grading the quality of evidence and strength of recommendations in the preparation of Clinical Practice Guidelines (CPG). In the context of a pilot study to assess the implementability of the system in Spain, we considered it relevant to gain an insight into the ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-6-138
更新日期:2006-10-23 00:00:00
abstract:BACKGROUND:We examined the utilization of rehabilitation resources among children with autism spectrum condition (ASC), a neurodevelopmental condition, in Taiwan. METHODS:We derived from the National Health Insurance Research Database of Taiwan data pertaining to 3- to 12-year-old children for the period 2008-2010. Ba...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4193-z
更新日期:2019-06-04 00:00:00
abstract:BACKGROUND:There are many instruments available freely for evaluating obstetric care quality in low-resource settings. However, this profusion can be confusing; moreover, evaluation instruments need to be adapted to local issues. In this article, we present tools we developed to guide the choice of instruments and desc...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/1472-6963-10-20
更新日期:2010-01-20 00:00:00
abstract:BACKGROUND:Newborn hearing screening programs aim to lower the ages at audiological intervention among hearing-impaired children. In Wallonia and Brussels (Belgium), audiological intervention data are not collected in the screening program, and the ages at initiating audiological care have never been assessed. This stu...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-2878-3
更新日期:2018-01-30 00:00:00
abstract:BACKGROUND:Health systems research is increasingly being conducted in low and middle-income countries (LMICs). Such research should aim to reduce health disparities between and within countries as a matter of global justice. For such research to do so, ethical guidance that is consistent with egalitarian theories of so...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-016-1868-6
更新日期:2016-11-15 00:00:00
abstract:BACKGROUND:This paper presents a protocol for a randomised controlled trial of the Cardiac-Diabetes Transcare program which is a transitional care, multi-modal self-management program for patients with acute coronary syndrome comorbid with type 2 diabetes. Prior research has indicated people hospitalised with dual card...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12913-017-2043-4
更新日期:2017-02-02 00:00:00
abstract:BACKGROUND:The philosophy of evidence-based medicine (EBM) was introduced in the early 90s as a new approach to the practice of medicine, using the best available evidence to make decisions about health care. Despite ongoing controversy, EBM has developed enormously and physicians' attitude towards it is generally posi...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-9-80
更新日期:2009-05-15 00:00:00
abstract:BACKGROUND:The Stroke Canada Optimization of Rehabilitation by Evidence Implementation Trial (SCORE-IT) was a cluster randomized controlled trial that evaluated two knowledge translation (KT) interventions for the promotion of the uptake of best practice recommendations for interventions targeting upper and lower extre...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2389-7
更新日期:2017-06-26 00:00:00
abstract:BACKGROUND:There have been concerns in Korea that the availability of cheaper generics can appreciably increase prescribed volumes thereby negating their beneficial effects on overall pharmaceutical expenditure. Consequently, this study aimed to explore market changes after newly entered generics including market expan...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1356-z
更新日期:2016-04-14 00:00:00
abstract:BACKGROUND:Reduction of cardiovascular disease (CVD) is a worldwide health priority and innovative uses of technology-based interventions may assist patients with improving prevention behaviours. Targeting these interventions to recipients most likely to benefit requires understanding how contexts of use influence resp...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-020-05597-5
更新日期:2020-08-18 00:00:00
abstract:BACKGROUND:Continuity of care has been explored largely from academic and service provider perspectives, and in relation to adult patient/client groups. We interviewed parents of children with complex chronic health conditions to examine how their experiences and perceptions of continuity of care fit with these perspec...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-9-242
更新日期:2009-12-21 00:00:00
abstract:BACKGROUND:In Brazil, health is fundamental human right guaranteed by the Constitution of 1988, which created the Brazilian Universal Health System (Sistema Único de Saúde - SUS). The SUS provides medications for outpatient care via policy of pharmaceutical assistance (PA) programmes. Despite the advances in PA policie...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2430-x
更新日期:2017-07-19 00:00:00
abstract:BACKGROUND:There is a growing body of international research that displays the prevalence and character of abuse in health care. Even though most of these studies are conducted from a patient perspective little is known about how patients conceptualize their agency in relation to such situations. This study aimed to ex...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3902-y
更新日期:2019-01-23 00:00:00
abstract:BACKGROUND:Integrated care is the coordination of general and behavioral health and is a highly promising and practical approach to improving healthcare delivery and patient outcomes. While there is growing interest and investment in integrated care implementation internationally, there are no formal guidelines for int...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4661-5
更新日期:2019-11-27 00:00:00
abstract:BACKGROUND:Health care systems initiating major behavioral health programs often face challenges with variable implementation and uneven patient engagement. One large health care system, Veterans Health Administration (VHA), recently initiated the MOVE!® Weight Management Program, but it is unclear if veterans most in ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-511
更新日期:2013-12-10 00:00:00
abstract:BACKGROUND:This study examined access to health care in an occupational context in an urban city of India. Many people migrate from rural areas to cities, often across Indian states, for employment prospects. The purpose of the study is to explore the barriers to accessing health care among a vulnerable group - interna...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05482-1
更新日期:2020-07-06 00:00:00
abstract:BACKGROUND:Limited access to drugs is a crucial barrier to reducing the growing impact of cancer in low- and middle-income countries. Approaches based on drug donations or adaptive pricing strategies yield promising but varying results across countries or programs, The Glivec International Patient Assistance Program (G...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-304
更新日期:2013-08-10 00:00:00
abstract:BACKGROUND:This study examined the daily surgical scheduling problem in a teaching hospital. This problem relates to the use of multiple operating rooms and different types of surgeons in a typical surgical day with deterministic operation durations (preincision, incision, and postincision times). Teaching hospitals pl...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-464
更新日期:2014-10-15 00:00:00
abstract:BACKGROUND:Innovative and sustainable programs are required to support the well-being of stroke survivors. Peer support is a potentially low cost way to enhance well-being of recent stroke survivors and the well-being and community reintegration of their peer supporters. This article describes the perceptions of stroke...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-256
更新日期:2014-06-16 00:00:00
abstract:BACKGROUND:Research on team effectiveness in healthcare has focussed on whether effective teams yield positive outcomes for patients and on the effectiveness of team interventions to improve performance. Limited understanding exists of what works for whom within an effective team, or how and why the context in which th...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-018-3331-3
更新日期:2018-07-11 00:00:00
abstract:BACKGROUND:Policy that supports rural allied health service delivery is important given the shortage of services outside of Australian metropolitan centres. The shortage of allied health professionals means that rural clinicians work long hours and have little peer or service support. Service delivery to rural and remo...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-70
更新日期:2012-03-21 00:00:00
abstract:BACKGROUND:Concerns have been raised regarding the reasonableness of using personal health responsibility as a principle or criterion for setting priorities in healthcare. While this debate continues, little is known about clinicians' views on the role of patient responsibility in clinical contexts. This paper contribu...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05364-6
更新日期:2020-06-03 00:00:00