Effects of parenting classes and economic strengthening for caregivers on the cognition of HIV-exposed infants: A pragmatic cluster randomised controlled trial in rural Zimbabwe

Introduction HIV-exposed children show signs of developmental delay. We assessed the impact of a pragmatic multicomponent intervention for caregivers of HIV-exposed children aged 0-2 years in Zimbabwe. Methods We conducted a cluster-randomised trial from 2016 to 2018. Clusters were catchments surrounding clinics, allocated (1:1) to either National HIV guidelines standard of care or standard care […]

Dietary Diversity among Children Aged 6-23 Months in Aleta Wondo District, Southern Ethiopia

Background. Dietary diversity (DD) is among the core infant and young child feeding (IYCF) indicators. However, in many developing countries, meeting the minimum standards of DD is challenging and information concerning its determinants is limited. Objective. To assess the level and predictors of DD among children aged 6-23 months in rural communities of Aleta Wondo […]

“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

Background: 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 […]

Implementation and evaluation of nonclinical interventions for appropriate use of cesarean section in low- And middle-income countries: Protocol for a multisite hybrid effectiveness-implementation type III trial

Background: While cesarean sections (CSs) are a life-saving intervention, an increasing number are performed without medical reasons in low- and middle-income countries (LMICs). Unnecessary CS diverts scarce resources and thereby reduces access to healthcare for women in need. Argentina, Burkina Faso, Thailand, and Vietnam are committed to reducing unnecessary CS, but many individual and organizational […]

Socioeconomic inequalities in child growth failure in Ethiopia: Findings from the 2000 and 2016 Demographic and Health Surveys

Objective Socioeconomic inequalities in child growth failure (CGF) remain one of the main challenges in Ethiopia. This study examined socioeconomic inequalities in CGF and determinants that contributed to these inequalities in Ethiopia. Methods The Ethiopia Demographic and Health Surveys 2000 and 2016 data were used in this study. A pooled unweighted sample of the two […]

Count Models Analysis of Factors Associated with Under-Five Mortality in Ethiopia

Background. Under-five mortality has continued a key challenge to public health in Ethiopia, and other sub-Saharan Africa countries. The threat of under-five mortality is incessant and more studies are needed to generate new scientific evidence. This study aimed to model the number of under-five deaths a mother has experienced in her lifetime and factors associated […]

Participatory learning and action cycles with women’s groups to prevent neonatal death in low-resource settings: A multi-country comparison of cost-effectiveness and affordability

WHO recommends participatory learning and action cycles with women’s groups as a cost-effective strategy to reduce neonatal deaths. Coverage is a determinant of intervention effectiveness, but little is known about why cost-effectiveness estimates vary significantly. This article reanalyses primary cost data from six trials in India, Nepal, Bangladesh and Malawi to describe resource use, explore […]

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