Dr. ibrahim abdi hassan this article is very good .pptx

Dr. ibrahim abdi hassan this article is very good .pptx

1. IBRAHIM ABDI HASSAN ID: 242220007273087

2. D department of Public Health Major In NUTRITION THE EFFECTS OF MATERNAL AND CHILD HEALTH CARE SERVICE UTILIZATIONS ON NUTRITIONAL STATUS OF INFANTS IN BANAIR HOSPITAL IN MOGADISHU SOMALIA

3. Research Question What is the proportion of mothers utilizing antenatal care services nutritional status of infants in Mogadishu, Banadir Hospital? What is the effect of maternal and child health service utilization on nutritional status of infants in Mogadishu, Banadir Hospital? What is the effect of infant feeding practices on nutritional status of infants in Mogadishu, Banadir Hospital? What is the barriers of maternal and child health service utilization on nutritional status of infants?

4. Objectives of the Study GENERAL OBJECTIVES OF THE STUDY The general objective of the study is to determine the effect of maternal and child health service utilization on nutritional status of infants in Banadir Hospital, Somalia SPECEFIC OBJECTIVES OF THE STUDY To examine the proportion of mothers utilizing antenatal care services Nutritional status of infants in Mogadishu, Banadir Hospital To determine the effect of maternal and child health service utilization on Nutritional status of infants in Mogadishu, Banadir Hospital To determine the effect of infant feeding practices on nutritional status of infants in Mogadishu, Banadir Hospital To evaluate the barriers of maternal and child health service utilization on nutritional status of infants

5. The conceptual framework

6. Methodology

7. Study design The study was a quantitative descriptive type of cross-sectional study. Study area The place of This study where conducted is banadir hospital that is governmental hospital the main population works this hospital are the maternity women and their children in Mogadishu Somalia Study Period The study was conducted from (June -2024 – September 2024). Study population The study population of the study were 60 respondents

8. Selection Criteria Inclusion Criteria All the maternity and the hospital staff of the department of mother and child Exclusion Criteria Every Sick mothers and babies and Everyone else on staff who wasn't employed by Banadir Hospitals' Maternity section and wasn't supposed to take part in this study

9. Sample size To determine the ideal sample size for the population ,the study was used Yamane, sample size calculation formula (1973) which is; The simple technique was random sampling. Sampling Technique = 52 N= Population, e= error (always 5%).

10. Data Collection method The data were collected from the participants using a self-administered and some guidance semi-structured questionnaire. The questionnaire was pre-tested before starting the data collection.

11. Data Analysis After the collection of data, all interviewed questionnaires were checked for completeness, correctness, and internal consistency to exclude missing or inconsistent data, and those were discarded. Corrected data was entered into Statistical Package for Social Sciences (SPSS) statistical software version 22 for the analysis.

12. Ethical Consideration The study project was sent to DIU” Daffodil International University for approval. Written informed consent was taken from the study subjects before data collection. The anonymity of the respondents was kept confidential, and study subjects were informed that they could leave the program at any stage of data collection.

13. Results

14. Respondent rate Categories Numbers Percentages Printed number 52 100% No Returned 52 100% Total 52 100% The 52 respondents, including walking patients and staff from Banadir Hospital, were the study's target sample. On the other hand, 52 respondents received 52 questionnaires, all of them filled them out completely and returned them, meaning that the response rate was 100%. The study's chosen method of gathering data, in which the researcher distributed questionnaires and waited for respondents to complete them, allowed for the response rate.

15. Figure 4.1 Response Rate

16. Gender of Respondent   Male 42 80.8 Female 10 19.2 Totals 52 100 respondents by gender Based on the data shown in Table, it was be observed that 42 (80.8%) of the respondents were female, and 10 (19.2%) were male. Gender respondents

17. Table 4.3 : Distribution of the Respondents According to age (n=52)   Frequency Percent 25-30 10 19.2 30-45 25 48.1 >45 17 32.7 Total 52 100

18. Table 4.4: Distribution of the Respondents According to marital status (n=52) Marital status of the Respondents Frequencies Percent     Single 10 8.6   Married 42 91.4   Total 52 100  

19. Marital Status

20. Marital status of the respondents

21. T able 4.5 : Distribution of the Respondents According to education(n=52 )  Categories Frequencies Percentages Illiterate 22 42 Secondary 8 15 Diploma 17 33 Bachelor 5 10 Total 52 100

22. Figure 4.5 level education

23. Analyzing the Variables of the Study Proportion of mothers utilizing of antenatal care services on nutritional status The table below displays the first variable's mean and standard deviation. The responders Table 4.6 Proportion of mothers utilizing of antenatal care services on nutritional status Responder's Questions N Mean Std. Deviation During antenatal visits, my weight and height were measured 52 2.21 1.391 Overall, antenatal care services helped me have a healthy pregnancy 52 2.21 1.177 Receiving nutrition counselling positively impacted my diet 52 3.88 1.149 Utilizing antenatal care services improved my nutritional status. 52 1.60 .823 Nutritional status of mother & children 52 3.88 1.149

24. This is the figure of the Proportion of mothers utilizing of antenatal care services on nutritional status

25. Table 4.4.3 : Maternal and child health service utilization (n=52) Categorical of questions N Mean Std. Deviation Postnatal care of mother’s health is very important after birth 52 3.33 1.043 Maternal and child health services are important for nutrition. 52 2.98 1.196 Services help monitor my family's nutritional status 52 2.40 1.361 Antenatal care services helped identify my nutritional needs. 52 2.35 1.251 Services supported adequate nutrition recovery after birth. 52 2.21 1.473 Table 4.7 maternal and child health service utilization on nutritional status of infants

26. Maternal And Child Health Service Utilization On Nutritional Status Of Infants

27. Categorical of questions N Mean Std. Deviation Breastfeeding exclusively for the first six months 52 2.94 1.514 Complementary food introduction begins at six months. 52 2.56 1.162 diversity Dietary of complementary foods are very important 52 2.40 1.034 Feeding frequency of complementary foods is very crucial one 52 2.40 1.272 Appropriate feeding during/after illness is the best for the child 52 1.63 .817 Table 4.8 Infant Feeding Practice On Notional Status

28. Figure 4.8 Infant Feeding Practice On Notional Status

29. Table 4.9 Barriers of mother and child health service utilization on nutritional status of infants Categorical of questions N Mean Std. Deviation Geographical barriers (long distances) limit access to services 52 2.71 1.091 Financial barriers (high costs) limit access to services 52 2.58 .997 Poor quality of care (shortages, rude staff) reduces motivation to use services 52 2.17 .901 Cultural/social factors (stigma, lack of support) influence service use 52 1.71 .825 Lack of perceived benefits discourages service uptake 52 1.33 .474

30. Figure 4.9 Barriers of mother and child health service utilization

31. Table 4.10 Nutritional Status for mother and infants (n=52) Categorical of questions N Mean Std. Deviation The feed of my infant a diverse diet from different food groups. 52 3.88 1.149 The exclusively breastfed your infant for the first 6 months 52 2.21 1.177 The breastfeed on demand, whenever the infant wants the breast 52 2.21 1.391 The normal continuation of breastfeeding up until 2 years and beyond. 52 2.15 1.334

32. Table 4.10 : Distribution of respondents according Nutritional Status for mother and infants (n=52)

33. this is Pearson Correlational analysis   Table 4.11 Correlational analysis V1 V2 V3 V4   V1 Pearson Association 1         sig. (2-tailed)           V2 Pearson Association .558** 1       sig. (2-tailed) .000         V3 Pearson Association .611** .779** 1     sig. (2-tailed) .000 .000       V4 Pearson Association .569** .765** .566** 1   sig. (2-tailed) .000 .000 .000     Nutritional Status Pearson Association .489** .707** .512** .573** 1 sig. (2-tailed) .000 .000 .000 .000  

34. Correlational analysis (n=52) The link between the independent and dependent variables is the main topic of this investigation. The results indicate that the nutritional state of the patients at Benadir Hospital and the independent factors have a significant and favorable link. More specifically, there is a significant positive correlation (r=.489, p<.001) between the percentage of moms who use and their nutritional status.

35. The link between the use of maternal and child health services at Benadir Hospital and its significance at 0.05 (r=.707, p<.001) is robust and positive. The findings imply that improved maternal and child health service consumption is associated with a noteworthy improvement in the nutritional status of both mothers and their newborns Therefore, hospital doctors' and nurses' endeavors to use maternal and child health services are essential to achieving a state of nutritional status for mothers and their newborns. Infant feeding practices There is a positive correlation between barriers to the use of maternal and pediatric health services. At 0.05, the association is substantial and moderate (r=.512, p<.001). The outcome thus implies that the more services the Banadir hospital kindly provides for the health of mothers and children, the better the mothers' and children's nutritional status is at the Banadir hospital. There is a strong and positive correlation between maternal and child health services and nutritional status. Attempts (r=.573, p<.001). The nutritional status of mothers and infants in the hospital is thus a result of the Benadir Hospital's excellent service utilization efforts. This suggests that the Bandar region could expect to utilize more maternal and child health services in relation to nutritional status.

36. 4.5 Regression Analysis The fundamental component of this research is the linear regression analysis of the variables under investigation. We verified the regression assumptions before moving on to additional analysis. The role of newborns' nutritional status in Banadir Hospital, the dependent variable in this study, was normally distributed with respect to all other variables. Additionally, the outliers, linearity, and collinearity were examined. As a result, the observed were in the table below.

37. Table 4.12 MODEL OF SUMMERY THE MODEL OF SUMMERY R R Square .906a .820 a. Predictors: (Constant), v4, v1, v2, v3

38. Continu. Model Of Summery The regression model showed a strong relationship between the predictor variables (maternal and child health service utilization) and the dependent variable (nutritional status of infants). The multiple correlation coefficient, R, was 0.906, indicating a substantial degree of association between the independent variables and the dependent variable. The coefficient of determination, R-squared, was 0.820, meaning that the independent variables in the model accounted for approximately 82% of the variance observed in the nutritional status of infants at Benadir Hospital. This suggests that the maternal and child health service utilization factors included in the analysis were able to explain a large proportion of the differences in infant nutritional outcomes.

39. Conclusion Finally, considering the results, it can be said that the study's goals were met. The study's findings indicate that: the study was conducted at Banadir Hospital in Somalia and concentrated on the impact of maternal and child health service utilization on newborns' nutritional condition. This study's outcome demonstrated that the independent and dependent variables influencing the nutritional condition of Benadir Hospital patients had a strong and positive link.

40. Recommendations The study makes the following recommendations, Based on study results, the researchers recommend the following: Here are the key recommendations from the study on the effect of maternal and child health service utilization on the nutritional status of infants in Banadir Hospital, Somalia: To improve access to and utilization of antenatal care services: The study found that mothers who attended antenatal care visits had infants with better nutritional status. Therefore, it is recommended to increase the accessibility and utilization of antenatal care services in the Banadir region. To Promote postnatal care attendance: The study showed that infants whose mothers attended postnatal care visits had better nutritional outcomes. Efforts should be made to encourage and facilitate postnatal care visits for new mothers. To Strengthen infant and young child feeding practices: The research revealed that appropriate breastfeeding and complementary feeding practices were associated with better nutritional status of infants. Interventions to promote optimal infant and young child feeding behaviors should be implemented. To Enhance community-based health education: The study highlighted the need to improve maternal knowledge and awareness about proper nutrition, health, and hygiene practices. Increased community-based health education programs could help address this. To Ensure availability of essential medicines and supplies: The study recommended improving the availability and distribution of essential medicines, supplements, and other necessary supplies at the Banadir Hospital and in the surrounding communities to support maternal and child health.

41. THANK YOU