A qualitative focus group study concerning perceptions and experiences of Nigerian mothers on stillbirths
Objective: To explore the experiences and perceptions of stillbirth among mothers from a tertiary medical centre in Kano, Northern Nigeria. Design: Qualitative, interpretative. Setting: Tertiary healthcare facility, Murtala Muhammad Specialist Hospital (MMSH), Kano, Northern Nigeria. Sample: Mothers who had given birth to a liveborn baby at the MMSH in the prior 6 months (n = 31). […]
Fostering access to and use of contextualised knowledge to support health policy-making: Lessons from the Policy Information Platform in Nigeria
Background: Contextualising evidence to inform policy-making is increasingly recognised as key to developing and implementing effective health policies. Creating a one-stop shop for evidence is an approach that can facilitate timely access to the best evidence to inform policy decisions. We report outcomes after implementation of the Policy Information Platform (PIP), a pilot one-stop evidence […]
mhealth-based health promotion intervention to improve use of maternity care services among women in rural southwestern uganda: Iterative development study
Background: Antenatal care (ANC) prevents perinatal morbidity and mortality, but use of these services in Uganda remains low and maternal mortality rates are among the highest in the world. There is growing evidence that mobile health (mHealth) approaches improve timely communication of health-related information and produce positive health behavior change as well as health outcomes. […]
‘I am all alone’: Factors influencing the provision of termination of pregnancy services in two South African provinces
Background: Globally, universal access to sexual and reproductive health care services has been re-emphasised. One-third of maternal deaths could be averted by improving access to safe abortion services. Anecdotal evidence suggests that the implementation of the Choice of Termination of Pregnancy Act has been suboptimal in South Africa. Objectives: In two South African provinces, determine: […]
Pay for performance: An analysis of the context of implementation in a pilot project in Tanzania
Background: Pay for performance schemes are increasingly being implemented in low income countries to improve health service coverage and quality. This paper describes the context within which a pay for performance programme was introduced in Tanzania and discusses the potential for pay for performance to address health system constraints to meeting targets. Method: 40 in-depth […]
Health-seeking behaviour of Ethiopian caregivers when infants are unwell: a descriptive qualitative study
OBJECTIVES: To explore the health-seeking behaviour of Ethiopian caregivers when infants are unwell. DESIGN: A qualitative descriptive approach was employed using in-depth interviews and focus group discussions. Data were collected using semistructured interview guides. SETTING: The study was conducted in East Gojjam zone, Amhara region, northwest Ethiopia. PARTICIPANTS: Participants were selected using a maximum variation […]
The effects of maternity waiting homes on the health workforce and maternal health service delivery in rural Zambia: A qualitative analysis
Background: Maternity waiting homes (MWHs) are a potential strategy to address low facility delivery rates resulting from access-associated barriers in resource-limited settings. Within a cluster-randomized controlled trial testing a community-generated MWH model in rural Zambia, we qualitatively assessed how MWHs affect the health workforce and maternal health service delivery at their associated rural health centers. […]
Food insecurity associated with attendance to antenatal care among pregnant women: Findings from a community-based cross-sectional study in Southern Ethiopia
Purpose: Enrollment to antenatal care (ANC) is still not universal in Ethiopia. This study examines whether household food insecurity affects antenatal care attendance or not, as well as other factors associated with antenatal care. As optimal antenatal care is vital for the improvement of maternal and child health, the study will contribute to the efforts […]
Wealth-related inequality in early uptake of HIV testing among pregnant women: An analysis of data from a national cross-sectional survey, South Africa
Objectives Wealth-related inequality across the South African antenatal HIV care cascade has not been considered in detail as a potential hindrance to eliminating mother-to-child HIV transmission (EMTCT). We aimed to measure wealth-related inequality in early (before enrolling into antenatal care) uptake of HIV testing and identify the contributing determinants. Design Cross-sectional survey. Settings South African […]
“I cry every day and night, I have my son tied in chains”: Physical restraint of people with schizophrenia in community settings in Ethiopia
Background: A primary rationale for scaling up mental health services in low and middle-income countries is to address human rights violations, including physical restraint in community settings. The voices of those with intimate experiences of restraint, in particular people with mental illness and their families, are rarely heard. The aim of this study was to […]
