Challenging the Challenger on Equity, Maternal and Child Healthcare Promotion: A Clinical - Based Description Study in the North Kivu Division of the Health System, Democratic Republic of Congo


Authors : Lévis Kahandukya Nyavanda , Jane Mumma , Kambale Karafuli Leopold , Jean-Bosco Kahindo Mbeva

Volume/Issue : Volume 4 - 2019, Issue 5 - May

Google Scholar : https://goo.gl/DF9R4u

Scribd : https://bit.ly/2kHPjGZ

 Background In many circumstances mothers have confront healthcare difficulties during delivery and these have led to mortality. In North health division, about 104 children and 68 women died from a direct complication related to pregnancy out of 100000Live Births, 15 women have a disability due to childbirth out of 100000 Live Births during that particular time of the survey.  Objectives To describe analysis of RDC-DHS 2014 that are related to maternal and child health promotion by the North Kivu Division of the health System in DR Congo; identify the profiles and level of interventions that have been made to prevent maternal-child death and equity promotion during nutritional crisis influenced by socio- political instabilities.  Design This is a clinical-based description cross-sectional study on data analysis (DHS2014) on maternal health service utilisation in the Health division system of North Kivu Province, DR Congo.  Results Chart 2. Of the study shows that maternal deaths occurred during neonatal period influenced by of nutrition crisis are caused directly by sexual violence (31%), followed by haemorrhage (27%), and hypertension (18%). And that child deaths of aged 0-59 months is caused by malaria (15), followed by pneumonia (14%) and Diarrhea (14%). In terms of coverage interventions for reproductive health, the contraceptive prevalence rate is 27%. Concerning preventing deaths and promoting equity during gestation, intrapartum and postpartum health interventions. Is that only a half of women had at least four antenatal care visits (50%), most of women were assisted by skilled birth attendants (75%) and only less than half women (49%) received early initiation for breast feeding.  Conclusion Since reproductive health services are limited and reproductive maternal epidemiology problems are increasingly complex in nutritional crisis periods, thus the North Kivu division system needs an urgent integration of community-based services linkage to hospital services that can contribute the process of providing maternity education to community members. It has been noticed that children births skills that influence infant’s lives and mothers are ready reviewed but still in the North Kivu Division of the health system these information have not yet impacted on the clinicians experiences.

Keywords : DR Congo, Clinic-Based Description, Nutrition Crisis, Maternal-Child Deaths Prevention, Equity In Health, Health Well-Being, Maternity Healthcare Services, Four Lacks, SMART Methodology, Socio-Demographic Survey.

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