The access paradox: Abortion law, policy and practice in Ethiopia, Tanzania and Zambia

Introduction: Unsafe abortion is a major contributor to the continued high global maternal mortality and morbidity rates. Legal abortion frameworks and access to sexuality education and contraception have been pointed out as vital to reduce unsafe abortion rates. This paper explores the relationship between abortion law, policy and women’s access to safe abortion services within […]

The false reporter will get a praise and the one who reported truth will be discouraged’: a qualitative study on intentional data falsification by frontline maternal and newborn healthcare workers in two regions in Ethiopia

Introduction Health Management Information Systems (HMIS) are vital to ensure accountability and for making decisions including for tracking the Sustainable Development Goals. The Ethiopia Health Sector Transformation Plan II includes preventing data falsification as a major strategic initiative and our study aimed to explore the reasons why healthcare providers intentionally falsify maternal and newborn health […]

Incidence and predictors of under-five mortality in East Africa using multilevel Weibull regression modeling

Background: In 2017, an estimated 5.3 million under-five children died annually in Sub-Saharan African countries, more than half of those deaths occurred in East Africa. Though East African countries share the huge burden of global under-five mortality, there is limited evidence on the incidence and predictors of under-five mortality. Therefore, this study investigated the incidence […]

Health care seeking behavior for common childhood illnesses in Ethiopia: a systematic review and meta-analysis

Background: Numerous deaths in under-five children occur from preventable and treatable causes. Seeking medical care for a sick child is an important aspect of child health. Parents decide the type and frequency of health care service utilization for their children. A number of factors influence mothers’/caregivers’ health care seeking behavior for sick children. This systematic […]

Lived experiences and perceptions of childbirth among pastoralist women in north-eastern Ethiopia: A multimethod qualitative analysis to the WHO health systems responsiveness framework

Maternity should be a time of hope and joy. However, for women in pastoralist communities in Ethiopia, the reality of motherhood is often grim. This problem is creating striking disparities of skilled birth uptake among the agrarian and pastoral communities in Ethiopia. So far, the depth and effects of the problem are not well understood. […]

Equity in antenatal care quality: an analysis of 91 national household surveys

Background: Emerging data show that many low-income and middle-income country (LMIC) health systems struggle to consistently provide good-quality care. Although monitoring of inequalities in access to health services has been the focus of major international efforts, inequalities in health-care quality have not been systematically examined. Methods: Using the most recent (2007–16) Demographic and Health Surveys […]

The effects of geographical accessibility to health facilities on antenatal care and delivery services utilization in Benin: a cross-sectional study

Background: The world is making progress toward achieving maternal and child health (MCH) related components of the Sustainable Development Goals. Nevertheless, the progress of many countries in Sub-Saharan Africa is lagging. Geographical accessibility from residence to health facilities is considered a major obstacle hampering the use of appropriate MCH services. Benin, a country where the […]

Trends of infant mortality and its determinants in Ethiopia: mixed-effect binary logistic regression and multivariate decomposition analysis

Background: Infant mortality remains a serious global public health problem. The global infant mortality rate has decreased significantly over time, but the rate of decline in most African countries, including Ethiopia, is far below the rate expected to meet the SDG targets. Therefore, this study aimed to investigate the trends of infant mortality and its […]

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