Disparities in pregnancy-related deaths: Spatial and Bayesian network analyses of maternal mortality ratio in 54 African countries
Background Maternal mortality remains a public health problem despite several global efforts. Globally, about 830 women die of pregnancy-related death per day, with more than two-third of these cases occurring in Africa. We examined the spatial distribution of maternal mortality in Africa and explored the influence of SDoH on the spatial distribution. Methods We used […]
Effect of the CRADLE vital signs alert device intervention on referrals for obstetric haemorrhage in low-middle income countries: a secondary analysis of a stepped- wedge cluster-randomised control trial
Background: Obstetric haemorrhage is the leading cause of maternal death worldwide, 99% of which occur in low and middle income countries. The majority of deaths and adverse events are associated with delays in identifying compromise and escalating care. Management of severely compromised pregnant women may require transfer to tertiary centres for specialised treatment, therefore early […]
Prevalence and associated factors of common childhood illnesses in sub-Saharan Africa from 2010 to 2020: A cross-sectional study
Objective This study aimed to assess the prevalence and determinants of common childhood illnesses in sub-Saharan Africa. Design Cross-sectional study. Setting Sub-Saharan Africa. Participants Under-5 children. Primary outcome Common childhood illnesses. Methods Secondary data analysis was conducted using data from recent Demographic and Health Survey datasets from 33 sub-Saharan African countries. We used the Kids […]
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 (
Changing women’s lives and livelihoods: Motorcycle taxis in rural Liberia and Sierra Leone
In rural Liberia and Sierra Leone about half of motorcycle taxi passengers are female, with this proportion increasing on market days. However, all motorcycle taxi operators in rural areas are male. This study assessed if and how motorcycle taxis have contributed to the livelihoods of rural women and whether there is appetite among them to […]
Caesarean section performed by medical doctors and associate clinicians in Sierra Leone
Background: Many countries lack sufficient medical doctors to provide safe and affordable surgical and emergency obstetric care. Task-sharing with associate clinicians (ACs) has been suggested to fill this gap. The aim of this study was to assess maternal and neonatal outcomes of caesarean sections performed by ACs and doctors. Methods: All nine hospitals in Sierra […]
Exclusive breastfeeding rates and associated factors in 13 “economic community of West African states” (ECOWAS) countries
Exclusive breastfeeding (EBF) has important protective effects on child survival and also increases the growth and development of infants. This paper examined EBF rates and associated factors in 13 “Economic Community of West African States” (ECOWAS) countries. A weighted sample of 19,735 infants from the recent Demographic and Health Survey dataset in ECOWAS countries for […]
Striving for excellence: Nurturing midwives’ skills in freetown, sierra leone
Midwives provide critical, life-saving care to women and babies. Effective midwives must be clinically competent, with the required knowledge, skills, and attitudes to provide quality care. Their success depends on an environment of supportive supervision, continuing education, enabling policies, and access to equipment and referral facilities.In Freetown, Sierra Leone, the Aberdeen Women’s Centre launched a […]
Strengthening equitable health systems in West Africa: The regional project on governance research for equity in health systems
The West African Health Organization (WAHO) supported an innovative regional initiative that contributes to building effective decision making, community and researcher partnerships to strengthen equitable health systems and influence local programmes and policies. Four projects were funded in Nigeria, Sierra Leone, Burkina Faso and Senegal, supported by a Regional Advisory Committee of experts and local […]
Institutional maternal and perinatal deaths: A review of 40 low and middle income countries
Background: Understanding the magnitude and clinical causes of maternal and perinatal mortality are basic requirements for positive change. Facility-based information offers a contextualized resource for clinical and organizational quality improvement. We describe the magnitude of institutional maternal mortality, causes of death and cause-specific case fatality rates, as well as stillbirth and pre-discharge neonatal death rates. […]
