Mobile consulting as an option for delivering healthcare services in low-resource settings in low- and middle-income countries: A mixed-methods study
Objective: Remote or mobile consulting is being promoted to strengthen health systems, deliver universal health coverage and facilitate safe clinical communication during coronavirus disease 2019 and beyond. We explored whether mobile consulting is a viable option for communities with minimal resources in low- and middle-income countries. Methods: We reviewed evidence published since 2018 about mobile […]
Knowledge of obstetric fistula and its associated factors among women of reproductive age in Northwestern Ethiopia: a community-based cross-sectional study
Background: Obstetric fistula has been a major maternal health challenges in low and middle-income countries, especially in Ethiopia, due to high child marriage and poor access to healthcare. Obstetric fistula is common among teenage mothers that results in a vast social, economic and cultural sequel. In Ethiopia, there is a paucity of research evidence on […]
The effect of the community midwifery model on maternal and newborn health service utilization and outcomes in Busia County of Kenya: a quasi-experimental study
Background: Poor women in hard-to-reach areas are least likely to receive healthcare and thus carry the burden of maternal and perinatal mortality from complications of childbirth. This study evaluated the effect of an enhanced community midwifery model on skilled attendance during pregnancy/childbirth as well as on maternal and perinatal outcomes against the backdrop of protracted […]
Effects of the COVID-19 pandemic on antenatal care utilisation in Kenya: A cross-sectional study
Objective The aim of this study was to assess the effects of COVID-19 on antenatal care (ANC) utilisation in Kenya, including women’s reports of COVID-related barriers to ANC and correlates at the individual and household levels. Design Cross-sectional study. Setting Six public and private health facilities and associated catchment areas in Nairobi and Kiambu Counties […]
The large contribution of twins to neonatal and post-neonatal mortality in The Gambia, a 5-year prospective study
Background: A high twinning rate and an increased risk of mortality among twins contribute to the high burden of infant mortality in Africa. This study examined the contribution of twins to neonatal and post-neonatal mortality in The Gambia, and evaluated factors that contribute to the excess mortality among twins. Methods: We analysed data from the […]
Long-acting reversible contraceptives utilization and its determinants among married Yemeni women of childbearing age who no longer want children
Some contraceptive methods, such as long-acting and permanent methods, are more effective than others in preventing conception and are key predictors of fertility in a community. This study aimed to determine which factors were linked to married women of childbearing age who no longer desired children using long-acting reversible contraceptives (LARCs) in Yemen. We used […]
Socioeconomic determinants of malnutrition among mothers in the Amoron’i Mania region of Madagascar: A cross-sectional study
Background: Maternal malnutrition, which has been a problem in Madagascar for several years, has been rising despite interventions to improve the situation. This study aims to identify the socioeconomic determinants of malnutrition among mothers who are one of the most vulnerable groups. Methods: A cross sectional study was carried out among 670 mothers aged 18 […]
Effects of treating helminths during pregnancy and early childhood on risk of allergy-related outcomes: Follow-up of a randomized controlled trial
Background: Helminth infections, common in low-income countries, may protect against allergy-related disease. Early exposure may be a key. In the Entebbe Mother and Baby Study, treating helminths during pregnancy resulted in increased eczema rates in early childhood. We followed the cohort to determine whether this translated to increased asthma rates at school age. Methods: This […]
Can the Non-pneumatic Anti-Shock Garment (NASG) reduce adverse maternal outcomes from postpartum hemorrhage? Evidence from Egypt and Nigeria
Background. Postpartum hemorrhage (PPH) is the leading cause of maternal mortality and severe maternal morbidity. The Non-pneumatic Anti-Shock Garment (NASG), a first-aid lower-body compression device, may decrease adverse outcomes from obstetric hemorrhage. This article is the first to report the effect of the NASG for PPH. Methods. This pre-intervention/NASG study of 854 women was conducted […]
Community-based evaluation of PMTCT uptake in Nyanza Province, Kenya
Introduction: Facility-based assessments of prevention of mother-to-child HIV transmission (PMTCT) programs may overestimate population coverage. There are few community-based studies that evaluate PMTCT coverage and uptake. Methods: During 2011, a cross-sectional community survey among women who gave birth in the prior year was performed using the KEMRI-CDC Health and Demographic Surveillance System in Western Kenya. […]