Dietary intake and processes of behaviour change in a nutrition education intervention for pregnant women in rural Malawi: A cluster-randomised controlled trial
AbstractObjective: To examine if increased intake of locally available nutrient-dense foods among pregnant women improved the quality of their dietary intake and if use of the Theory of Planned Behaviour could explain changes in their dietary behaviour.Design: We used data from a randomised controlled trial where the intervention group received nutrition education and dietary counselling. […]
Food sharing is linked to urinary oxytocin levels and bonding in related and unrelated wild chimpanzees
Humans excel in cooperative exchanges between unrelated individuals. Although this trait is fundamental to the success of our species, its evolution and mechanisms are poorly understood. Other social mammals also build long-term cooperative relationships between non-kin, and recent evidence shows that oxytocin, a hormone involved in parent-offspring bonding, is likely to facilitate non-kin as well […]
Impact of mobile phone delivered reminders and unconditional incentives on measles-containing vaccine timeliness and coverage: A randomised controlled trial in western Kenya
Introduction Short message service (SMS) reminders coupled with a small monetary incentive conditioned on prompt vaccination have been shown to improve first-dose measles-containing vaccine (MCV1) uptake. We assessed whether SMS reminders and unconditional monetary incentives – more amenable to programmatic implementation – can improve MCV1 uptake in Kenya. Methods Caregivers of eligible infants aged 6-8 […]
Effect of continuum-of-care intervention package on improving contacts and quality of maternal and newborn healthcare in Ghana: A cluster randomised controlled trial
Objective To evaluate the effect of a continuum-of-care intervention package on adequate contacts of women and newborn with healthcare providers and their reception of high-quality care. Design Cluster randomised controlled trial. Setting 32 subdistricts in 3 rural sites in Ghana. Participants The baseline survey involved 1480 women who delivered before the trial, and the follow-up […]
Scaling up context-tailored clinical guidelines and training to improve childbirth care in urban, low-resource maternity units in Tanzania: A protocol for a stepped-wedged cluster randomized trial with embedded qualitative and economic analyses (The PartoMa Scale-Up Study)
While facility births are increasing in many low-resource settings, quality of care often does not follow suit; maternal and perinatal mortality and morbidity remain unacceptably high. Therefore, realistic, context-tailored clinical support is crucially needed to assist birth attendants in resource-constrained realities to provide best possible evidence-based and respectful care. Our pilot study in Zanzibar suggested […]
“our girls need to see a path to the future” – Perspectives on sexual and reproductive health information among adolescent girls, guardians, and initiation counselors in Mulanje district, Malawi
Background: Malawi has one of the highest adolescent pregnancy rates worldwide; at 141 births/1000 girls it is 3-fold higher than the global average. Adolescent pregnancy contributes to poor maternal and neonatal outcomes, school dropout, and poverty. In preparation for an information, education, and communication (IEC) intervention to reduce unintended pregnancy among adolescent girls, formative research […]
The views of key stakeholders in Zimbabwe on the introduction of postgraduate family medicine training: A qualitative study
Background: Strengthening primary health care (PHC) is a priority for all effective health systems, and family physicians are seen as a key member of the PHC team. Zimbabwe has joined a number of African countries that are seriously considering the introduction of postgraduate family medicine training. Implementation of training, however, has not yet happened. Aim: […]
Utilization of Institutional Delivery Service in a Predominantly Pastoralist Community of Northeast Ethiopia
Background: Maternal mortality is high in sub-Saharan Africa, and most deaths occur around childbirth. In Ethiopia, most births happen at home without skilled delivery attendants, and particularly, the least utilization of skilled delivery is recorded in Afar Region. The factors that influence this utilization are not well documented in the region where utilization has been […]
Exploring knowledge on danger signs of common childhood illnesses and associated factors among mothers of under-five children in central tigrai, ethiopia: A cross-sectional study
Introduction Globally, a large number of under-five deaths have occurred from preventable and treatable common childhood illnesses. Therefore, early identification of general danger signs of common childhood illnesses and adhering to appropriate treatment helps to reduce morbidity and mortality. This study aimed to assess the knowledge of mothers and associated factors on general danger signs […]
Cluster-Randomized Controlled Study of SMS Text Messages for Prevention of Mother-to-Child Transmission of HIV in Rural Kenya
Background. Antiretroviral medications are key for prevention of mother-to-child transmission (PMTCT) of HIV, and transmission mitigation is affected by service delivery, adherence, and retention. Methods. We conducted a cluster-randomized controlled study in 26 facilities in Nyanza, Kenya, to determine the efficacy of SMS text messages on PMTCT outcomes. The relative risk and confidence intervals were […]
