May
05

Effects of terrorist attacks on access to maternal healthcare services: a national longitudinal study in Burkina Faso

Most of the literature on terrorist attacks' health impacts has focused on direct victims rather than on distal consequences in the overall population. There is limited knowledge on how terrorist attacks can be detrimental to access to healthcare services. The objective of this study is to assess the impact of terrorist attacks on the utilisation o...
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  1084 Hits
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1084 Hits
May
05

User fee policies and women’s empowerment: a systematic scoping review

Over the past decade, an increasing number of low- and middle-income countries have reduced or removed user fees for pregnant women and/or children under five as a strategy to achieve universal health coverage. Despite the large number of studies (including meta-analyses and systematic reviews) that have shown this strategy's positive effects impac...
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  1196 Hits
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1196 Hits
May
05

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

 Increase knowledge, attitudes and practice of sexual and reproductive health and family planning and to reduce maternal and neonatal mortality rates in Mozambique. Read more...
  1157 Hits
LinkedIn
1157 Hits
May
05

Promoting the use of evidence in health policymaking in the ECOWAS region: the development and contextualization of an evidence-based policymaking guidance

The Economic Commission of the West African States (ECOWAS), through her specialised health Institution, the West African Health Organization (WAHO) is supporting Members States to improve health outcomes in West Africa. There is a global recognition that evidence-based health policies are vital towards achieving continued improvement in health out...
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  1065 Hits
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1065 Hits
May
05

How Tanzania’s spousal escort policy frustrates antenatal health care

Good care during pregnancy is important for the health of mothers and the development of unborn babies. Antenatal care contributes to a woman's overall good health as well as linking her and her family to the health system, and increasing her chances of using a skilled attendant at birth. Read more...  
  1143 Hits
LinkedIn
1143 Hits
May
05

“Kunika women are always sick”: views from community focus groups on short birth interval (kunika) in Bauchi state, northern Nigeria

In Northern Nigeria, short birth interval is common. The word kunika in the Hausa language describes a woman becoming pregnant before weaning her last child. A sizeable literature confirms an association between short birth interval and adverse perinatal and maternal health outcomes. Yet there are few reported studies about how people view short bi...
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  1086 Hits
LinkedIn
1086 Hits
May
05

Gender Equality, Social Enterprise and Community Health Workers: A Rapid Evidence Assessment and Research Agenda

Health social enterprises in Africa working with community health workers (CHWs) are growing rapidly but understudied. In particular, gender equality issues related to their work has important public health and equity implications. Read more...  
  1019 Hits
LinkedIn
1019 Hits
May
05

Factors associated with short birth interval in low- and middle-income countries: a systematic review

There is ample evidence of associations between short birth interval and adverse maternal and child health outcomes, including infant and maternal mortality. Short birth interval is more common among women in low- and middle-income countries. Identifying actionable aspects of short birth interval is necessary to address the problem. Read more... &n...
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  1123 Hits
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1123 Hits
May
05

Assessing quality of newborn care at district facilities in Malawi

Malawi is celebrated as one of the few countries in sub-Saharan Africa to meet the Millennium Development Goal of reducing under-5 mortality by two-thirds between 1990 and 2015. However, within this age range neonatal mortality rates are the slowest to decline, even though rates of facility births are increasing. Examining the quality of neonatal c...
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  1167 Hits
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1167 Hits
May
05

Longitudinal analysis of the capacities of community health workers mobilised for seasonal malaria chemoprevention in Burkina Faso

Seasonal malaria chemoprevention (SMC) relies on community health workers to distribute drugs. This study assessed: (1) the capacity of community-based distributors (CBDs) at the start and end of a campaign and from one campaign to another after training or refresher courses before each round; (2) to what extent CBDs' experience over several campai...
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  1050 Hits
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1050 Hits
May
05

Why rural women do not use primary health centres for pregnancy care: evidence from a qualitative study in Nigeria

While Primary Health Care has been designed to provide universal access to skilled pregnancy care for the prevention of maternal deaths in Nigeria, available evidence suggests that pregnant women in rural communities often do not use Primary Health Care Centres for skilled care. The objective of this study was to investigate the reasons why women d...
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  1093 Hits
LinkedIn
1093 Hits
May
05

A qualitative study of community elders’ perceptions about the underutilization of formal maternal care and maternal death in rural Nigeria

Underutilization of formal maternal care services and accredited health attendants is a major contributor to the high maternal mortality rates in rural communities in Nigeria. Perceptions of a poor quality of care and inaccessible services in health facilities strongly influence the low use of formal maternal care services. There is therefore a nee...
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  1154 Hits
LinkedIn
1154 Hits
May
05

Men’s perception of barriers to women’s use and access of skilled pregnancy care in rural Nigeria: a qualitative study

Greater paternal engagement is positively associated with improved access to and utilization of maternal services. Despite evidence that male involvement increased uptake of maternal and child services, studies show that few men are participating in MNCH programs. Community leaders have long been engaged in public health promotion in rural settings...
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  1102 Hits
LinkedIn
1102 Hits
May
05

Health workers’ views on factors affecting caregiver engagement with bubble CPAP

Severe respiratory distress is a leading cause of mortality among neonates in Malawi. Despite evidence on the safety, cost effectiveness and efficacy of bubble continuous positive airway pressure (CPAP) in managing the condition, its use in Malawian health facilities is limited and little is known about caregivers' engagement with perspectives of b...
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  1189 Hits
LinkedIn
1189 Hits
May
05

Barriers and facilitators to implementing bubble CPAP to improve neonatal health in sub-Saharan Africa: a systematic review

Bubble continuous positive airway pressure (CPAP) has been shown to be effective in supporting breathing in newborns with respiratory distress. The factors that influence implementation in resource-constrained settings remain unclear. The objective of this review is to evaluate the barriers and facilitators of CPAP implementation for newborn care a...
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  1069 Hits
LinkedIn
1069 Hits
May
05

Health policy mapping and system gaps impeding the implementation of reproductive, maternal, neonatal, child, and adolescent health programs in South Sudan: a scoping review

Pregnant women, neonates, children, and adolescents are at higher risk of dying in fragile and conflict-affected settings. Strengthening the healthcare system is a key strategy for the implementation of effective policies and ultimately the improvement of health outcomes. South Sudan is a fragile country that faces challenges in implementing its re...
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  1062 Hits
LinkedIn
1062 Hits
May
05

“Midwives do not appreciate pregnant women who come to the maternity with torn and dirty clothing”: institutional delivery and postnatal care in Torit County, South Sudan: a mixed method study

South Sudan has one of the highest maternal mortality ratios in the world, at 789 deaths per 100,000 live births. The majority of these deaths are due to complications during labor and delivery. Institutional delivery under the care of skilled attendants is a proven, effective intervention to avert some deaths. The aim was to determine the prevalen...
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  1091 Hits
LinkedIn
1091 Hits
May
05

Quality of perinatal depression care in primary care setting in Nigeria

Even though integrating mental health into maternal and child health (MCH) is widely accepted as a means of closing the treatment gap for maternal mental health conditions in low- and middle-income countries (LMIC), there are not many studies on the quality of the currently available mental health care for mothers in these countries. This study ass...
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  1108 Hits
LinkedIn
1108 Hits
May
05

Comparative case studies in integrated care implementation from across the globe: a quest for action

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 integrated care implementation applicable to...
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  1121 Hits
LinkedIn
1121 Hits
May
05

Maternal Near Miss morbidity: Is this evidence of maternal health quality in sub-Saharan Africa.

The article by Samuel Oppong et al. makes interesting reading (Oppong et al. BJOG 2019; 126:755–62). It describes a study carried out in three tertiary referral hospitals in southern Ghana that investigated the incidence of and factors associated with maternal near‐miss morbidity. Read more...  
  1063 Hits
LinkedIn
1063 Hits
       
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