Bayesian Analysis of Trends in Utilization of Maternal Healthcare Services in Pakistan during 2006-2018
Objectives. This study is aimed at investigating the time trends and disparities in access to maternal healthcare in Pakistan using Bayesian models. Study Design. A longitudinal study from 2006 to 2018. Methods. The detailed analysis is based on the data from Pakistan Demographic and Health Survey (PDHS) conducted during 2006-2018. We have proposed Bayesian logistic […]
Association between type of birth attendants and neonatal mortality: Evidence from a National survey
Background: Although Lesotho has one of the highest childhood mortality levels in Southern Africa, there has been limited research on the link between type of birth attendant and neonatal mortality in Lesotho. This study examined the relationship between type of birth attendant and neonatal mortality while controlling for socio-demographic characteristics of mothers in Lesotho Methods: […]
Can people-centered community-oriented interventions improve skilled birth attendance? Evidence from a quasi-experimental study in rural communities of Cambodia, Kenya, and Zambia
Background: Skilled attendance at delivery is a key marker for reducing maternal mortality. Effective community engagement strategies complemented by community health worker (CHW) services can improve access to maternal health services in areas with limited health infrastructure or workforce. Methods: A quasi-experimental study with matched comparison groups was conducted in Cambodia, Kenya and Zambia to […]
Improving health care facility birth rates in Rorya District, Tanzania: a multiple baseline trial
Background: Rates of maternal mortality and morbidity in Africa remain unacceptably high, as many women deliver at home, without access to skilled birth attendants and life-saving medications. In rural Tanzania, women face significant barriers accessing health care facilities for their deliveries. Methods: From January 2017 to February 2019 we conducted a multiple baseline (interrupted time […]
Abortion as agentive action: reproductive agency among young women seeking post-abortion care in Uganda
Unsafe abortion in Africa continues to be a major contributor to the global maternal mortality which affects young women in particular. In Uganda, where abortion is legally restricted and stigmatised, unsafe abortion is a major public health issue. We explored reproductive agency in relation to unsafe abortion among young women seeking post-abortion care. Through in-depth […]
Adolescent girls, a forgotten population in resource-limited settings in the COVID-19 pandemic: implications for sexual and reproductive health outcomes
Adolescent sexual and reproductive health is an essential aspect that may be forgotten in the COVID-19 pandemic. Valuable insights gained from previous humanitarian crises indicate undesirable short and long-term adolescent maternal consequences in low resource settings. Young girls are at a higher risk of dropping out of school and being forced into early child marriages […]
Household energy insecurity: dimensions and consequences for women, infants and children in low- and middle-income countries
Energy insecurity, the lack of access to adequate, affordable, reliable, acceptable, and clean sources of energy for a healthy and sustainable livelihood, poses a challenge to several households. However, the conceptualization of its dimensions and role in the health outcomes of women, infants, and children in most sub-Saharan African countries have rarely been investigated systematically. […]
Observed trends in the magnitude of socioeconomic and area-based inequalities in use of caesarean section in Ethiopia: A cross-sectional study
Background: In Ethiopia, there is a paucity of studies on inequality in caesarean section using methodologically rigorous and well-established approaches. In this study, we showed extent and the overtime dynamics of inequality in caesarean section in Ethiopia following rigorous methodologies. Methods: The data for analysis came from Ethiopia Demographic and Health Surveys (EDHS) conducted between […]
The developmental effects of HIV and alcohol: A comparison of gestational outcomes among babies from South African communities with high prevalence of HIV and alcohol use
Background: There is growing evidence of the negative impact of alcohol on morbidity and mortality of individuals living with HIV but limited evidence of in utero effects of HIV and alcohol on exposure on infants. Methods: We conducted a population-based birth cohort study (N=667 mother-infant dyads) in South Africa to investigate whether maternal alcohol use […]
Variation in maternal mortality in Sidama National Regional State, southern Ethiopia: A population based cross sectional household survey
Introduction Maternal mortality studies conducted at national level do not provide information needed for planning and monitoring health programs at lower administrative levels. The aim of this study was to measure maternal mortality, identify risk factors and district level variations in Sidama National Regional State, southern Ethiopia. Methods A cross sectional population-based survey was carried […]