Public health risks of humanitarian crises in Mozambique
Mozambique has been experiencing various humanitarian crises with important public health implications over the last years. These crises compound underlying disease burden dominated by human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS), neonatal disorders, tuberculosis, and malaria [1]. Despite important health gains over the last two decades, the number of deaths and disability-adjusted […]
Prediction of pre-eclampsia at St. Mary’s hospital lacor, a low-resource setting in northern Uganda, a prospective cohort study
Background: Pre-eclampsia is the second leading cause of maternal death in Uganda. However, mothers report to the hospitals late due to health care challenges. Therefore, we developed and validated the prediction models for prenatal screening for pre-eclampsia. Methods: This was a prospective cohort study at St. Mary’s hospital lacor in Gulu city. We included 1,004 […]
Effect of an innovative community based health program on maternal health service utilization in north and south central Ethiopia: A community based cross sectional study
Among Millennium Development Goals, achieving the fifth goal (MDG-5) of reducing maternal mortality poses the greatest challenge in Sub-Saharan Africa. Ethiopia has one of the highest maternal mortality ratios in the world with unacceptably low maternal health service utilization. The Government of Ethiopia introduced an innovative community-based intervention as a national strategy under the Health […]
EMBRACE intervention to improve the continuum of care in maternal and newborn health in Ghana: The RE-AIM framework-based evaluation
Background: Improving maternal and newborn health remains one of the most critical public health challenges, particularly in low- and lower-middle-income countries. To overcome this challenge, interventions to improve the continuum of care based on real-world settings need to be provided. The Ghana Ensure Mothers and Babies Regular Access to Care (EMBRACE) Implementation Research Team conducted […]
Determinants of dietary practices during pregnancy: A longitudinal qualitative study in Niger
Undernutrition is associated with maternal morbidity and poor pregnancy outcomes. This qualitative study seeks to understand the multilevel factors influencing maternal dietary practices in Niger, including the impact of pregnancy illnesses on diet. Criterion-based, purposive sampling was used to select pregnant women and household members from 24 villages in a rural district of the Maradi […]
“They must understand we are people”: Pregnancy and maternity service use among signing Deaf women in Cape Town
Background Women with disabilities are at disproportionate risk for adverse pregnancy outcomes, however, there is limited information on their pregnancy histories. This mixed-methods study focuses on signing Deaf women whose access to health care may be compromised by language barriers related to their disability. Objective To describe and compare the pregnancy outcomes and maternity service […]
Spatial inequalities in skilled attendance at birth in Ghana: a multilevel analysis integrating health facility databases with household survey data
Objective: This study aimed at using survey data to predict skilled attendance at birth (SBA) across Ghana from healthcare quality and health facility accessibility. Methods: Through a cross-sectional, observational study, we used a random intercept mixed effects multilevel logistic modelling approach to estimate the odds of having SBA and then applied model estimates to spatial […]
Impact of COVID-19 on utilization of maternal, newborn and child health services in Nigeria: protocol for a countrylevel mixed-methods study [version 2; peer review: 2 approved]
Background: Battling with COVID-19 and providing essential services along the continuum of care could be challenging. This study will evaluate the impact of COVID-19 on utilization of maternal, newborn and child health (MNCH) services in Nigeria and explore the barriers being experienced by women and their families in getting access to MNCH services, as well […]
Factors associated with prelacteal feeding practices in a rural Northern nigerian setting
Introduction: Prelacteal feeding practice contravenes the recommendation of World Health Organisation that breastfeeding be initiated within an hour of childbirth. Consequently, the health, social, emotional and economic benefits of optimal breastfeeding are limited. Therefore, to break this vicious cycle of prelacteal feeding and suboptimal breastfeeding, factors associated with the practice must be identified. Objective: To […]
Maternal health care services utilisation in the context of ‘Abiye’ (safe motherhood) programme in Ondo State, Nigeria
Background: The Nigeria Demographic and Health Survey (NDHS) of 2008 show that Ondo State had the worst maternal outcomes in the South Western region of Nigeria. To address this problem, the “Abiye” (safe motherhood) programme – which included community engagement, health system strengthening and user fee removal – was implemented by the state government. We […]