Effect of Mobile-health on maternal health care service utilization in Eastern Ethiopia: Study protocol for a randomized controlled trial
Background: Globally, the rapid development of mobile technology has created new ways of addressing public health challenges and shifted the paradigm of health care access and delivery. The primary aim of this study is to examine the effectiveness of Mobile-health on maternal health care service utilization in Eastern Ethiopia. Methods/design: Through, a cluster-randomized controlled trial, […]
Using the theory of planned behavior to explain birth in health facility intention among expecting couples in a rural setting Rukwa Tanzania: A cross-sectional survey
Background: According to the theory of planned behavior, an intention to carry out a certain behavior facilitates action. In the context of birth in health facility, the intention to use health facilities for childbirth may better ensure better maternal and neonatal survival. Little is known on the influence of the domains of theory of planned […]
Triple return on investment: The cost and impact of 13 interventions that could prevent stillbirths and save the lives of mothers and babies in South Africa
Background: The time of labor, birth and the first days of life are the most vulnerable period for mothers and children. Despite significant global advocacy, there is insufficient understanding of the investment required to save additional lives. In particular, stillbirths have been neglected. Over 20 000 stillbirths are recorded annually in South Africa, many of […]
A Comprehensive Approach to Improving Emergency Obstetric and Newborn Care in Kigoma, Tanzania
Introduction: To address high levels of maternal mortality in Kigoma, Tanzania, stakeholders increased women’s access to high-quality comprehensive emergency obstetric and newborn care (EmONC) by decentralizing services from hospitals to health centers where EmONC was delivered mostly by associate clinicians and nurses. To ensure that women used services, implementers worked to continuously improve and sustain […]
Multiple modifiable maternal, household and health service factors are associated with maternal nutrition and early breastfeeding practices in Burkina Faso
Low coverage of effective nutrition interventions in many high-burden countries, due to service provision and demand factors, result in poor uptake of recommended practices and nutrition outcomes. We examined the factors that influence maternal nutrition and early breastfeeding practices and determined the extent that the key factors could improve these practices in two regions in […]
Access to institutional delivery services and its associated factors among mothers in Jimma Zone, Southwest Ethiopia: A cross-sectional study
Background: Poor access to institutional delivery services has been known as a significant contributory factor to adverse maternal as well as newborn outcomes. Previous studies measured access in terms of utilization while it has different dimensions (geographic accessibility, availability, affordability, and acceptability) that requires to be measured separately. Therefore, this study was conducted to assess […]
Informing randomized clinical trials of respiratory syncytial virus vaccination during pregnancy to prevent recurrent childhood wheezing: A sample size analysis
Background: Early RSV illness is associated with wheeze-associated disorders in childhood. Candidate respiratory syncytial virus (RSV) vaccines may prevent acute RSV illness in infants. We investigated the feasibility of maternal RSV vaccine trials to demonstrate reductions in recurrent childhood wheezing in general paediatric populations. Methods: We calculated vaccine trial effect sizes that depended on vaccine […]
Using the unmet obstetric needs indicator to map inequities in life-saving obstetric interventions at the local health care system in Kenya
Background: Developing countries with high maternal mortality need to invest in indicators that not only provide information about how many women are dying, but also where, and what can be done to prevent these deaths. The unmet Obstetric Needs (UONs) concept provides this information. This concept was applied at district level in Kenya to assess […]
Individual and contextual factors associated with maternal healthcare utilisation in Mali: A cross-sectional study using Demographic and Health Survey data
Objective We examined the national prevalence as well as the individual and contextual factors associated with maternal healthcare utilisation in Mali. Setting The study was conducted in Mali. Participants We analysed data on 6335 women aged 15-49 years from Mali’s 2018 Demographic and Health Survey. Outcome variable Maternal healthcare utilisation comprising antenatal care (ANC) attendant, […]
Implementation of maternal and perinatal death reviews: A scoping review protocol
Introduction Maternal and perinatal death surveillance and response (MPDSR), or any related form of audit, is a systematic process used to prevent future maternal and perinatal deaths. While the existence of MPDSR policies is routinely measured, measurement and understanding of policy implementation has lagged behind. In this paper, we present a theory-based conceptual framework for […]