TAILIEUCHUNG - Assessment of facilitators and barriers to maternal and child health services in four rural and urban districts of Zimbabwe

A detailed situational analysis of the nutrition situation in country, determinants of malnutrition and current nutrition interventions, strengths, weaknesses, opportunities and threats can be found in annex 2. In brief, eighteen years of war and insecurity have had devastating effects on the nutrition and health status of the people of Somalia, which was already precarious even before. The combination of conflict, insecurity, mass displacement, recurrent droughts and flooding and extreme poverty, coupled with very low basic social service coverage, has seriously affected food security and livelihoods and greatly increased vulnerability to disease and malnutrition. The MDG health-related indicators are among. | Assessment of facilitators and barriers to maternal and child health services in four rural and urban districts of Zimbabwe Report CCHRE Collaborating Centre for Operational Research and Evaluation R Loewenson A Kadungure S Shamu Training and Research Support Centre TARSC With S Laver W Mushayi UNICEF Collaborating Centre for Operational Research and Evaluation CCORE Harare May 2012 Table of Contents Executive 1. 2. Aims and objectives of the 3. 4. Features of the population Health service Children s health and health Women s health and health Health service accessibility and Health service uptake and Community perceptions of barriers and facilitators to health service 5. Characteristics of the Health needs and equity in Availability and physical facilitators and Accessibility and financial facilitators and Acceptability and social facilitators and Perceived strategies and views on dealing with 6. Conclusions. 39 7. 8. Appendix A Household questionnaire .43 Appendix B Key informant interview Cite as Loewenson R Kadungure A Laver S Shamu S Mushayi W 2012 Assessment of facilitators and barriers to maternal and child health services in four rural and urban districts of Zimbabwe TARSC UNICEF CCORE Harare Design R Loewenson S Laver A Kadungure S Shamu W Mushayi Field work A Kadungure S Macheka K Ndlovu P Mcijo R Chikara R Chasinda T Muchefa T Mudyiwa S Marima T Zhoya M Majaha B Zikhali Analysis R Loewenson A Kadungure S Shamu Peer review .D Dhlakama S Laver W Mushayi Report R Loewenson A Kadungure S Shamu We acknowledge the permission of Ministry of Health and Child Welfare to implement this study and the peer review by Dr D Dhlakama of the protocol and draft report 1 .

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