Maltreatment in childhood and intimate partner violence: A latent class growth analysis in a South African pregnancy cohort
Intimate partner violence (IPV) is a significant global problem, prevalent in low and middle-income countries (LMICs). IPV is particularly problematic during the perinatal and early postnatal period, where it is linked with negative maternal and child health outcomes. There has been little examination of profiles of IPV and early life adversity in LMIC contexts. We […]
Reduction of in utero lead exposures in South African populations: Positive impact of unleaded petrol
Background: Prenatal exposure to lead (Pb) has been shown to have negative and irreversible health impacts on foetal and early childhood development, affecting morbidity and mortality in adulthood. This study aimed to assess in utero Pb exposure, examine birth outcomes, and identify confounding factors in the large cohort of South African population, following the legislated […]
Health information and health-seeking behaviour in Yemen: Perspectives of health leaders, midwives and mothers in two rural areas of Yemen
Background: Humanitarian crises can lead to the rapid change in the health needs of women and newborns, which may give rise to a complex situation that would require various interventions as solutions. This study aimed to examine the health education and promotion patterns, health-seeking behaviour of mothers, and barriers to the use of maternal health […]
Examining changes in maternal and child health inequalities in Ethiopia
Background: Ethiopia has made considerable progress in maternal, newborn, and child health in terms of health outcomes and health services coverage. This study examined how different groups have fared in the process. It also looked at possible factors behind the inequalities. Methods: The study examined 11 maternal and child health outcomes and services: stunting, underweight, […]
Predictors of facility-based delivery utilization in central Ethiopia: A case-control study
Background Improving access to maternal health services has been a priority for the health sector in lowincome countries; the utilization of facility delivery services has remained low. Although Ethiopia provides free maternal health services in all public health facilities utilization of services has not been as expected. Objective This study examined predictors of facility delivery […]
Geographic access modeling of emergency obstetric and neonatal care in Kigoma Region, Tanzania: Transportation schemes and programmatic implications
Background: Access to transportation is vital to reducing the travel time to emergency obstetric and neonatal care (EmONC) for managing complications and preventing adverse maternal and neonatal outcomes. This study examines the distribution of travel times to EmONC in Kigoma Region, Tanzania, using various transportation schemes, to estimate the proportion of live births (a proxy […]
The impact of young maternal age at birth on neonatal mortality: Evidence from 45 low and middle income countries
Objectives This study explores the impact of early motherhood on neonatal mortality, and how this differs between countries and regions. It assesses whether the risk of neonatal mortality is greater for younger adolescent mothers compared with mothers in later adolescence, and explores if differences reflect confounding socio-economic and health care utilisation factors. It also examines […]
Reflections on Digital Maternal and Child Health Support for Mothers and Community Health Workers in Rural Areas of Limpopo Province, South Africa
Introduction: Digital health support using mobile and digital technologies, such as MomConnect and WhatsApp, is providing opportunities to improve maternal and child healthcare in low- and middle-income countries. Yet, the perspective of health service providers, pregnant women, and mothers as recipients of digital health support is under-researched in rural areas. Material and Methods: An exploratory-descriptive […]
Estimating mother-to-child HIV transmission rates in Cameroon in 2011: A computer simulation approach
Background: Despite the progress in the Prevention of the Mother-to-Child Transmission of HIV (PMTCT), the paediatric HIV epidemic remains worrying in Cameroon. HIV prevalence rate for the population of pregnant women was 7.6 % in 2010 in Cameroon. The extent of the paediatric HIV epidemic is needed to inform policymakers. We developed a stochastic simulation […]
Can community health officer-midwives effectively integrate skilled birth attendance in the community-based health planning and services program in rural Ghana?
Background: The burden of maternal mortality in sub-Saharan Africa is very high. In Ghana maternal mortality ratio was 380 deaths per 100,000 live births in 2013. Skilled birth attendance has been shown to reduce maternal mortality and morbidity, yet in 2010 only 68 percent of mothers in Ghana gave birth with the assistance of skilled […]