Women’s preferences for maternal healthcare services in bangladesh: Evidence from a discrete choice experiment
Despite substantial improvements in several maternal health indicators, childbearing and birthing remain a dangerous experience for many women in Bangladesh. This study assessed the relative importance of maternal healthcare service characteristics to Bangladeshi women when choosing a health facility to deliver their babies. The study used a mixed-methods approach. Qualitative methods (expert interviews, focus group […]
Supplementary feeding and infection control in pregnant adolescents—A secondary analysis of a randomized trial among malnourished women in Sierra Leone
Undernutrition during pregnancy in adolescence confers a high risk of maternal morbidity and adverse birth outcomes, particularly in low-resource settings. In a secondary analysis, we hypothesized that younger undernourished pregnant adolescents (20 years) from the intervention of supplementary food and anti-infective treatments. The original trial in Sierra Leone enrolled 236 younger adolescents (
Integration of contraceptive services into anticoagulation management services improves access to long-acting reversible contraception
Objective: Integration of services is a promising way to improve access to contraception in sub-Saharan Africa, but few studies have evaluated this strategy to increase access to contraception among women requiring anticoagulation. Our objective was to evaluate a model of care integrating contraceptive counseling and provision within an anticoagulation management clinic in Eldoret, Kenya, to […]
Pregnancy outcomes and blood pressure visit-to-visit variability and level in three less-developed countries
In pregnancy in well-resourced settings, limited data suggest that higher blood pressure (BP) visit-to-visit variability may be associated with adverse pregnancy outcomes. Included were pregnant women in 22 intervention clusters of the CLIP (Community- Level Interventions for Preeclampsia) cluster randomized trials, who had received at least 2 prenatal contacts from a community health worker, including […]
Eclampsia, study of 342 cases
Objectives. To conduct a prospective review of all cases of eclampsia over a 4-year period and to establish prognostic factors that may assist in reducing morbidity and mortality in these patients. Methods. The population studied was split into two groups: Group1 (survivors) and Group 2 (deceased). We compared their demographic, clinical, biological and radiological data. […]
Community-linked maternal death review (CLMDR) to measure and prevent maternal mortality: A pilot study in rural Malawi
Background: In Malawi, maternal mortality remains high. Existing maternal death reviews fail to adequately review most deaths, or capture those that occur outside the health system. We assessed the value of community involvement to improve capture and response to community maternal deaths. Methods: We designed and piloted a community-linked maternal death review (CLMDR) process in […]
Maternal near miss among women admitted in major private hospitals in eastern Ethiopia: a retrospective study
Background: Since maternal mortality is a rare event, maternal near miss has been used as a proxy indicator for measuring maternal health. Maternal near miss (MNM) refers to a woman who nearly died but survived of complications during pregnancy, childbirth or within 42 days of termination of pregnancy. Although study of MNM in Ethiopia is […]
Mapping of research on maternal health interventions in low- and middle-income countries: A review of 2292 publications between 2000 and 2012
Background: Progress in achieving maternal health goals and the rates of reductions in deaths from individual conditions have varied over time and across countries. Assessing whether research priorities in maternal health align with the main causes of mortality, and those factors responsible for inequitable health outcomes, such as health system performance, may help direct future […]
eRegistries: Governance for electronic maternal and child health registries
Background: The limited availability of maternal and child health data has limited progress in reducing mortality and morbidity among pregnant women and children. Global health agencies, leaders, and funders are prioritizing strategies that focus on acquiring high quality health data. Electronic maternal and child health registries (eRegistries) offer a systematic data collection and management approach […]
A model for predicting utilization of mHealth interventions in low-resource settings: case of maternal and newborn care in Kenya
Background: In low-resource settings, there are numerous socioeconomic challenges such as poverty, inadequate facilities, shortage of skilled health workers, illiteracy and cultural barriers that contribute to high maternal and newborn deaths. To address these challenges, there are several mHealth projects particularly in Sub-Sahara Africa seeking to exploit opportunities provided by over 90% rate of mobile […]