Sexual Reproductive Health Challenges and Health-Care-Seeking Behaviour Among Children Who Live on the Streets in Harare
Drawing on interviews and focus group discussions with 26 participants aged between 10 and 17, the paper describes sexual reproductive health problems, health-seeking behaviour, access to and utilisation of sexual reproductive health services among children living on the street in Harare. An intersectionality approach showed how participants’ social location, age and gender created vulnerabilities leading […]
Food insecurity is a barrier to prevention of mother-to-child HIV transmission services in Zimbabwe: A cross-sectional study
Background: Food insecurity (FI) is the lack of physical, social, and economic access to sufficient food for dietary needs and food preferences. We examined the association between FI and women’s uptake of services to prevent mother-to-child HIV transmission (MTCT) in Zimbabwe. Methods: We analyzed cross-sectional data collected in 2012 from women living in five of […]
Accuracy of HBeAg to identify pregnant women at risk of transmitting hepatitis B virus to their neonates: a systematic review and meta-analysis
Background: Prevention of mother-to-child transmission (MTCT) of hepatitis B virus (HBV) involves neonatal immunoprophylaxis, with a birth dose of hepatitis B vaccine and immune globulin, and provision of peripartum antiviral prophylaxis in highly viraemic women. However, access to assays to quantify HBV DNA levels remains inadequate in resource-poor settings. This study was commissioned by WHO […]
Association between health insurance enrolment and maternal health care service utilization among women in Ethiopia
Background: Health insurance was considered as the third global health transition which can increase access to health care services by eliminating monetary obstacles to maternal health care use, particularly in emerging nations. Hence, this study aimed to assess the association between health insurance enrolment and maternal health care service utilization among women in Ethiopia. Methods: […]
Perceptions of the effects of armed conflict on maternal and reproductive health services and outcomes in Burundi and Northern Uganda: A qualitative study
Background: Armed conflict potentially poses serious challenges to access and quality of maternal and reproductive health (MRH) services, resulting in increased maternal morbidity and mortality. The effects of armed conflict may vary from one setting to another, including the mechanisms/channels through which the conflict may lead to poor access to and quality of health services. […]
How Climate Change May Threaten Progress in Neonatal Health in the African Region
Climate change is likely to have wide-ranging impacts on maternal and neonatal health in Africa. Populations in low-resource settings already experience adverse impacts from weather extremes, a high burden of disease from environmental exposures, and limited access to high-quality clinical care. Climate change is already increasing local temperatures. Neonates are at high risk of heat […]
Survival of neonates in rural Southern Tanzania: Does place of delivery or continuum of care matter?
Background: The concept of continuum of care has recently been highlighted as a core principle of maternal, newborn and child health initiatives, and as a means to save lives. However, evidence has consistently revealed that access to care during and post delivery (intra and postpartum) remains a challenge in the continuum of care framework. In […]
Abnormal birth weight in urban Nigeria: An examination of related factors
There is a knowledge gap on abnormal birth weight in urban Nigeria where specific community contexts can have a significant impact on a child’s health. Abnormal birth weight, classified into low birth weight and high birth weight, is often associated with adverse health outcomes and a leading risk for neonatal morbidity and mortality. The study […]
Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network’s Maternal Newborn Health Registry study
Background: Adolescent girls between 15 and 19 years give birth to around 16 million babies each year, around 11% of births worldwide. We sought to determine whether adolescent mothers are at higher risk of maternal and perinatal adverse outcomes compared with mothers aged 20-24 years in a prospective, population-based observational study of newborn outcomes in […]
Audit of antenatal care in a rural district of KZN, South Africa
Background: Maternal and perinatal mortality remain a big challenge in developing countries, including South Africa, where the figures are amongst the highest in the world. Provision of adequate antenatal care is regarded as a cornerstone of maternal and perinatal health care and is expected to have a considerable impact on achieving the Millennium Development Goals. […]