Clinical decision making in basic emergency obstetric and newborn care among nurses and midwives: the role of the safe delivery mhealth application_pre-post-intervention study (research protocol)
Most maternal and newborn deaths in low-income countries, including Rwanda, are attributable to preventable causes. Timely access to Basic Emergency Obstetric and Newborn Care (BEmONC) guidelines to support clinical decisions could lead to better obstetric care thus reduction of maternal and newborn deaths. Besides, innovative methods such as the usage and reference to healthcare guidelines […]
Maternal and perinatal outcomes among maternity waiting home users and non-users in rural Rwanda
Most maternal and perinatal deaths could be prevented through timely access to skilled birth attendants. Women should access appropriate obstetric care during pregnancy, labor, and puerperium. Maternity waiting homes (MWHs) permit access to emergency obstetric care when labor starts. This study compared maternal and perinatal outcomes among MWH users and nonusers through a retrospective cohort […]
Determinants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the East Africa region: A pooled analysis of nine East African countries
Background In low-income nations, high-risk fertility behavior is a prevalent public health concern that can be ascribed to unmet family planning needs, child marriage, and a weak health system. As a result, this study aimed to determine the factors that influence high-risk fertility behavior and its impact on child stunting and anemia. Method This study […]
Comprehensive approach to improving maternal health and achieving MDG 5: Report from the mountains of Lesotho
Background: Although it is now widely recognized that reductions in maternal mortality and improvements in women’s health cannot be achieved through simple, vertical strategies, few programs have provided successful models for how to integrate services into a comprehensive program for maternal health. We report our experience in rural Lesotho, where Partners In Health (PIH) in […]
Trends and antecedents of inequalities in maternal healthcare coverage in four African countries
Using data between 2003 and 2016, this paper assesses the degree and evolution of socio-economic inequalities in maternal health outcomes in four African countries. The study measures the trends of socio-economic inequalities in maternal healthcare and assesses the sources of socio-economic inequalities in maternal health through a decomposition approach. We find cross-country differences in the […]
Determinants of access to health care among women in East African countries: A multilevel analysis of recent demographic and health surveys from 2008 to 2017
Background: Access to essential health care is one of the major factors associated with maternal mortality. In developing countries, improving women’s access to health care has significantly reduced maternal death. Therefore, this study aimed to identify the determinants of access to health care among women in East African countries based on 2008 to 2017 Demographic […]
“I cannot say no when a pregnant woman needs my support to get to the health centre”: Involvement of community health workers in Rwanda’s maternal health
Background: In Rwanda, maternal community health workers (M-CHWs) are involved in the country’s overall health system. In maternal health, their role includes the provision of preventive and promotional health services at the community level. They provide services such as health education on maternal health wellbeing, advice and information on access and timely utilization of health […]
Beyond the numbers of maternal near-miss in Rwanda – a qualitative study on women’s perspectives on access and experiences of care in early and late stage of pregnancy
Background: Rwanda has made remarkable progress in decreasing the number of maternal deaths, yet women still face morbidities and mortalities during pregnancy. We explored care-seeking and experiences of maternity care among women who suffered a near-miss event during either the early or late stage of pregnancy, and identified potential health system limitations or barriers to […]