Sensitivity of hospital-based surveillance for severe disease: A geographic information system analysis of access to care in Kilifi district, Kenya
Objective To explore the relationship between homestead distance to hospital and access to care and to estimate the sensitivity of hospital-based surveillance in Kilifi district, Kenya. Methods In 2002-2006, clinical information was obtained from all children admitted to Kilifi District Hospital and linked to demographic surveillance data. Travel times to the hospital were calculated using […]
Wasting and associated factors among children under 5 years in five south asian countries (2014–2018): Analysis of demographic health surveys
Child wasting continues to be a major public health concern in South Asia, having a prevalence above the emergency threshold. This paper aimed to identify factors associated with wasting among children aged 0–23 months, 24–59 months, and 0–59 months in South Asia. A weighted sample of 564,518 children aged 0–59 months from the most recent […]
Maternal and newborn health needs for women with walking disabilities; “the twists and turns”: A case study in Kibuku District Uganda
Background: In Uganda 13% of persons have at least one form of disability. The United Nations’ Convention on the Rights of Persons with Disabilities guarantees persons with disabilities the same level of right to access quality and affordable healthcare as persons without disability. Understanding the needs of women with walking disabilities is key in formulating […]
Community’s experience and perceptions of maternal health services across the continuum of care in Ethiopia: A qualitative study
Background Continuum of care is an effective strategy to ensure that every woman receives a series of maternal health services continuously from early pregnancy to postpartum stages. The community perceptions regarding the use of maternal services across the continuum of care are essential for utilization of care in low-income settings but information in that regard […]
The Tanzania Connect Project: A cluster-randomized trial of the child survival impact of adding paid community health workers to an existing facility-focused health system
Background: Tanzania has been a pioneer in establishing community-level services, yet challenges remain in sustaining these systems and ensuring adequate human resource strategies. In particular, the added value of a cadre of professional community health workers is under debate. While Tanzania has the highest density of primary health care facilities in Africa, equitable access and […]
Determinants of place birth: a multinomial logistic regression and spatial analysis of the Ethiopian mini demographic and health survey data, 2019
Background: Maternal and neonatal health significantly improves when birth is attended at health institutions where there are quality services and skilled attendants. In contrary, home birth results in high rates of maternal and neonatal mortality. Thus, this study aimed to determine the spatial distribution of home birth and to identify determinants of place of birth […]
Indirect effects of COVID-19 on maternal, neonatal, child, sexual and reproductive health services in Kampala, Uganda
Background COVID-19 impacted global maternal, neonatal and child health outcomes. We hypothesised that the early, strict lockdown that restricted individuals’ movements in Uganda limited access to services. Methods An observational study, using routinely collected data from Electronic Medical Records, was carried out, in Kawempe district, Kampala. An interrupted time series analysis assessed the impact on […]
The socio-cultural challenges to maternal and neonatal care: The views of women with disabilities receiving maternity care in the Chereponi district of the Northern Ghana
Persons with disabilities form a significant proportion of the global population, majority of which are women. The United Nations Convention guarantees persons with disabilities equal rights to reproduction and healthcare access. Similarly, the Sustainable Development Goal 3 targets improvement of the health and well-being of individuals including persons with disabilities. However, women with disabilities have […]
Determinants of mother to child transmission of HIV in Addis Ababa, Ethiopia
Background: According to the 2019 UNAIDS reports, globally 38 million people were living with HIV (36.2 million adult and 1.8 million Children). About 25.4 million were accessing antiretroviral therapy. Only 81% knew their HIV status. About 85% pregnant women living with HIV had access to antiretroviral medicines. Objective: The purpose of this study was to […]
Ethiopia’s assessment of emergency obstetric and newborn care: Setting the gold standard for national facility-based assessments
Objective: To describe the methods used to implement Ethiopia’s 2008 emergency obstetric and newborn care services (EmONC) assessment; highlight how the collaborative process contributed to immediate integration of results into national and subnational planning; and explain how the experience informed the development of a set of tools providing best practices and guidelines for other countries […]
