A curriculum model for multidisciplinary training of midwife sonographers in a low resource setting
In many low-resource settings, less than 5% of pregnant women can access ultrasound during pregnancy. Thus, gestational age is often difficult to determine, multiple pregnancies are diagnosed late and foetal and pregnancy-related anomalies can go undetected. A pilot solution was designed beyond the traditional approach of increasing numbers of qualified radiologists, gynaecologists and sonographers. An […]
Association Between Obsessive-Compulsive Symptom Dimensions in Mothers and Psychopathology in Their Children
Background: The non-clinical presentation of obsessive–compulsive symptoms (OCS) in women may impact not only their daily lives and well-being but also increase the risk for emotional and behavioral problems in their children. This study aims to investigate the OCS dimension distribution in a large sample of mothers from a cohort of school age children and […]
Factors associated with declining under-five mortality rates from 2000 to 2013: An ecological analysis of 46 African countries
Objective: Inadequate overall progress has been made towards the 4th Millennium Development Goal of reducing under-five mortality rates by two-thirds between 1990 and 2015. Progress has been variable across African countries. We examined health, economic and social factors potentially associated with reductions in under-five mortality (U5M) from 2000 to 2013. Setting: Ecological analysis using publicly […]
Promoting the use of evidence in health policy-making in the economic commission of the West African States Region: Exploring the perception of policy-makers on the necessity of an evidence-based policy-making guidance
Background: The West African Health Organization (WAHO) is promoting the use of evidence in policy-making within West Africa. The need for increased understanding of the complexities of the evidence-to-policy process among policy-makers in West Africa necessitates the development of evidence-based policy-making (EBPM) guidance. The purpose of this study was to interact with policy-makers from West […]
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 […]
Determinants of postnatal care utilization in sub-Saharan Africa: a meta and multilevel analysis of data from 36 sub-Saharan countries
Introduction: Globally, over 65% of maternal deaths occur during the first 42 days of postpartum while the same proportion of neonatal deaths occur during the first 7 days of life. In sab- Saharan Africa, 4.7 million mothers, newborns, and children die on annual basis. As to our knowledge, there is no study on postnatal care […]
Crude childhood vaccination coverage in West Africa: Trends and predictors of completeness [version 1; Referees: 1 approved, 3 approved with reservations]
Background: Africa has the lowest childhood vaccination coverage worldwide. If the full benefits of childhood vaccination programmes are to be enjoyed in sub-Saharan Africa, all countries need to improve on vaccine delivery to achieve and sustain high coverage. In this paper, we review trends in vaccination coverage, dropouts between vaccine doses and explored the country-specific […]
Identifying a Basket of Surgical Procedures to Standardize Global Surgical Metrics: An International Delphi Study
Objective:We aimed to define a globally applicable list of surgical procedures, or “basket,”which could represent a health system’s capacity to provide surgical care and standardize global surgical measurement.Summary of Background Data:Six indicators have been proposed to assess access to safe, affordable, timely surgical and anesthesia care, with a focus on laparotomy, cesarean section, and treatment […]
Maternal and Perinatal Outcomes by Mode of Delivery in Senegal and Mali: A Cross-Sectional Epidemiological Survey
Objective: In the context of rapid changes regarding practices related to delivery in Africa, we assessed maternal and perinatal adverse outcomes associated with the mode of delivery in 41 referral hospitals of Mali and Senegal. Study Design: Cross-sectional survey nested in a randomised cluster trial (1/10/2007-1/10/2008). The associations between intended mode of delivery and (i) […]
