Quality of care and maternal mortality in a tertiary-level hospital in Mozambique: a retrospective study of clinicopathological discrepancies
Background: Although an increasing number of pregnant women in resource-limited areas deliver in health-care facilities, maternal mortality remains high in these settings. Inadequate diagnosis and management of common life-threatening conditions is an important determinant of maternal mortality. We analysed the clinicopathological discrepancies in a series of maternal deaths from Mozambique and assessed changes over 10 […]
Maternal anemia is a potential risk factor for anemia in children aged 6-59 months in Southern Africa: A multilevel analysis
Background: The effect of maternal anemia on childhood hemoglobin status has received little attention. Thus, we examined the potential association between maternal anemia and childhood anemia (aged 6-59 months) from selected Southern Africa countries. Methods: A cross-sectional study using nationally representative samples of children aged 6-59 months from the 2010 Malawi, 2011 Mozambique, 2013 Namibia, […]
Health and socio-demographic profile of women of reproductive age in rural communities of southern Mozambique
Reliable statistics on maternal morbidity and mortality are scarce in low and middle-income countries, especially in rural areas. This is the case in Mozambique where many births happen at home. Furthermore, a sizeable number of facility births have inadequate registration. Such information is crucial for developing effective national and global health policies for maternal and […]
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 […]
HIV Encephalopathy in ART-Naïve, Hospitalized Infants in Mozambique
Introduction: The neurodevelopmental impact of HIV infection in older children has been well-described, with characterization of HIV-associated encephalopathy (HIVE) and associated cognitive defects. HIVE is relatively common in older children who were vertically infected. The sparse literature on HIVE in infants suggests that incidence may be up to 10% in the first year of life, […]
VidaGás: Delivering better health to Northern Mozambique with LPG
Purpose: The purpose of this paper is to document the manner in which a pro-poor company can deliver ongoing health benefits and improve environmental sustainability in a manner that addresses child and maternal mortality (in line with millennium development goals 4, 5 and 7). Design/methodology/approach: Field research in Mozambique including 12 in-depth interviews with key […]
Scaling up misoprostol to prevent postpartum hemorrhage at home births in Mozambique: A case study applying the ExpandNet/WHO framework
Background: Mozambique has a high maternal mortality ratio, and postpartum hemorrhage (PPH) is a leading cause of maternal deaths. In 2015, the Mozambican Ministry of Health (MOH) commenced a program to distribute misoprostol at the community level in selected districts as a strategy to reduce PPH. This case study uses the ExpandNet/World Health Organization (WHO) […]
Place-specific factors associated with adverse maternal and perinatal outcomes in Southern Mozambique: A retrospective cohort study
Objectives To identify and measure the place-specific determinants that are associated with adverse maternal and perinatal outcomes in the southern region of Mozambique. Design Retrospective cohort study. Choice of variables informed by literature and Delphi consensus. Setting Study conducted during the baseline phase of a community level intervention for pre-eclampsia that was led by community […]
Geographic access to emergency obstetric services: A model incorporating patient bypassing using data from Mozambique
Introduction Targeted approaches to further reduce maternal mortality require thorough understanding of the geographic barriers that women face when seeking care. Common measures of geographic access do not account for the time needed to reach services, despite substantial evidence that links proximity with greater use of facility services. Further, methods for measuring access often ignore […]
Public health risks of humanitarian crises in Mozambique
Mozambique has been experiencing various humanitarian crises with important public health implications over the last years. These crises compound underlying disease burden dominated by human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS), neonatal disorders, tuberculosis, and malaria [1]. Despite important health gains over the last two decades, the number of deaths and disability-adjusted […]
