May
26

Improving sexual and reproductive health knowledge and practice in Mozambican families with media campaign and volunteer family health champions

Maternal and neonatal mortality rates in Mozambique are high: 451.6 maternal deaths per 100.000 live births (2017).1 In primary healthcare centres, death occurs more frequently within the first 2 hours of the pregnant woman reaching the hospital, highlighting the precarious conditions and women's late arrival to the health centre (HC).

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1155 Hits
May
05

Scaling up newborn care technologies from tertiary- to secondary-level hospitals in Malawi: an implementation case study of health professional perspectives on bubble CPAP

While Malawi has achieved success in reducing overall under-five mortality, reduction of neonatal mortality remains a persistent challenge. There has, therefore, been a push to strengthen the capacity for quality newborn care at district hospitals through the implementation of innovative neonatal technologies such as bubble continuous positive airw...
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  1308 Hits
LinkedIn
1308 Hits
May
05

Experiences of a multiple intervention trial to increase maternity care access in rural Tanzania: Focus group findings with women, nurses and community health workers

In order to improve maternal health and women's access to maternity care services in Rorya District, Mara, Northern Tanzania, we introduced several interventions across the district from 2018 to 2019. The interventions were workshops with nurses to encourage respectful care of women and transportation subsidies for women to reach the health facilit...
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  1242 Hits
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1242 Hits
May
05

Leaving no one behind: using action research to promote male inovlement in maternal and child health in Irginga region, Tanzania

Male involvement has been reported to improve maternal and child health (MCH) outcomes. However, most studies in low-income and middle-income countries have reported low participation of men in MCH-related programmes. While there is a growing interest in the involvement of men in MCH, little is known on how male involvement can be effectively promo...
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  1191 Hits
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1191 Hits
May
05

Harnessing the health systems strengthening potential of quality improvement using realist evaluation: an example from southern Tanzania

Quality improvement (QI) is a problem-solving approach in which stakeholders identify context-specific problems and create and implement strategies to address these. It is an approach that is increasingly used to support health system strengthening, which is widely promoted in Sub-Saharan Africa. However, few QI initiatives are sustained and implem...
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  1350 Hits
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1350 Hits
May
05

It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi

Kangaroo mother care (KMC) is an effective intervention for preterm and low birth weight infants. Effective implementation of KMC relies on a multidisciplinary team centering on the newborn's caregiver, who delivers care with support from health care workers. This study explored the experiences of caregivers on the implementation of KMC. Read more....
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  1118 Hits
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1118 Hits
May
05

Impact of home visits to pregnant women and their spouses on gender norms and dynamics in Bauchi State, Nigeria: Narratives from visited men and women

Maternal and newborn child health are priority concerns in Bauchi State, northern Nigeria. Increased male involvement in reproductive health is recommended by the World Health Organization. A trial of a program of universal home visits to pregnant women and their spouses, with an intention to increase male involvement in pregnancy and childbirth, s...
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  1194 Hits
LinkedIn
1194 Hits
May
05

So sometimes, it looks like it’s a neglected ward”: Health worker perspectives on implementing kangaroo mother care in southern Malawi

Kangaroo mother care (KMC) involves continuous skin-to-skin contact of baby on mother's chest to provide warmth, frequent breastfeeding, recognizing danger signs of illness, and early discharge. Though KMC is safe, effective and recommended by the World Health Organization, implementation remains limited in practice. The objective of this study is ...
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  1189 Hits
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1189 Hits
May
05

IMCHA Research Digest December 2020 - February 2021

Engaging men Engagement of men in defining relevant solutions is key to changing harmful social norms and to reaching successful maternal and child health outcomes. 

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1189 Hits
May
05

IMCHA publications March - May 2020

IMCHA research team "Quality improvement for maternal and newborn health at district-level scale in Mtwara Region Tanzania" studied how to improve the quality improvement methodology whereby stakeholders identify problems in their own contexts and create strategies to improve them.

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  1238 Hits
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1238 Hits
May
05

“It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi

Kangaroo mother care (KMC) is an effective intervention for preterm and low birth weight infants. Effective implementation of KMC relies on a multidisciplinary team centering on the newborn's caregiver, who delivers care with support from health care workers. This study explored the experiences of caregivers on the implementation of KMC. Read more....
Continue reading
  1194 Hits
LinkedIn
1194 Hits
May
05

Leaving no one behind: using action research to promote male inovlement in maternal and child health in Irginga region, Tanzania

Male involvement has been reported to improve maternal and child health (MCH) outcomes. However, most studies in low-income and middle-income countries have reported low participation of men in MCH-related programmes. While there is a growing interest in the involvement of men in MCH, little is known on how male involvement can be effectively promo...
Continue reading
  1139 Hits
LinkedIn
1139 Hits
May
05

Experiences of a Multiple Intervention Trial to Increase Maternity Care Access in Rural Tanzania: Focus Group Findings with Women, Nurses and Community Health Workers Women’s Health

In order to improve maternal health and women's access to maternity care services in Rorya District, Mara, Northern Tanzania, we introduced several interventions across the district from 2018 to 2019. The interventions were workshops with nurses to encourage respectful care of women and transportation subsidies for women to reach the health facilit...
Continue reading
  1214 Hits
LinkedIn
1214 Hits
May
05

Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Read more...

Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Read more...  
  1097 Hits
LinkedIn
1097 Hits
May
05

No effects of pilot performance-based intervention implementation and withdrawal on the coverage of maternal and child health services in the Koulikoro region, Mali: an interrupted time series analysis

Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Read more...  
  1080 Hits
LinkedIn
1080 Hits
May
05

Stakeholder perceptions and context of the implementation of performance-based financing in district hospitals in Mali

To improve the performance of the healthcare system, Mali's government implemented a pilot project of performance-based financing (PBF) in the field of reproductive health. It was established in the Koulikoro region. This research analyses the process of implementing PBF at district hospital (DH) level, something which has rarely been done in Afric...
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  1154 Hits
LinkedIn
1154 Hits
May
05

From Amsterdam to Bamako: a qualitative case study on diffusion entrepreneurs’ contribution to performance-based financing propagation in Mali

For the past 15 years, several donors have promoted performance-based financing (PBF) in Africa for improving health services provision. European and African experts known as 'diffusion entrepreneurs' (DEs) assist with PBF pilot testing. In Mali, after participating in a first pilot PBF in 2012–13, the Ministry of Health and Public Hygiene included...
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  1163 Hits
LinkedIn
1163 Hits
May
05

Implementing performance-based financing in peripheral health centres in Mali: what can we learn from it? 

Numerous sub-Saharan African countries have experimented with performance-based financing (PBF) with the goal of improving health system performance. To date, few articles have examined the implementation of this type of complex intervention in Francophone West Africa. This qualitative research aims to understand the process of implementing a PBF p...
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  1143 Hits
LinkedIn
1143 Hits
May
05

Harnessing the health systems strengthening potential of quality improvement using realist evaluation: an example from southern Tanzania

Quality improvement (QI) is a problem-solving approach in which stakeholders identify context-specific problems and create and implement strategies to address these. It is an approach that is increasingly used to support health system strengthening, which is widely promoted in Sub-Saharan Africa. However, few QI initiatives are sustained and implem...
Continue reading
  1138 Hits
LinkedIn
1138 Hits
May
05

Scaling up newborn care technologies from tertiary- to secondary-level hospitals in Malawi: an implementation case study of health professional perspectives on bubble CPAP

While Malawi has achieved success in reducing overall under-five mortality, reduction of neonatal mortality remains a persistent challenge. There has, therefore, been a push to strengthen the capacity for quality newborn care at district hospitals through the implementation of innovative neonatal technologies such as bubble continuous positive airw...
Continue reading
  1098 Hits
LinkedIn
1098 Hits
       
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