Barriers to providing quality emergency obstetric care in Addis Ababa, Ethiopia: Healthcare providers’ perspectives on training, referrals and supervision, a mixed methods study
Background: Increasing women’s access to and use of facilities for childbirth is a critical national strategy to improve maternal health outcomes in Ethiopia; however coverage alone is not enough as the quality of emergency obstetric services affects maternal mortality and morbidity. Addis Ababa has a much higher proportion of facility-based births (82%) than the national […]
Dietary diversity among school age children in Merawi town, Amhara region, Ethiopia, 2018: A community based cross-sectional study
Background: Malnutrition with its constituents of protein energy malnutrition and micro-nutrient deficiencies continues to be a major health burden in low and middle-income countries. To end all forms of malnutrition, we need to address poverty, which is associated with the insecure supply of food and diversified nutrition. The objective of this study was to determine […]
Envenoming after carpet viper (Echis ocellatus) bite during pregnancy: Timely use of effective antivenom improves maternal and foetal outcomes
The report describes successful management of 10 women in 2nd and 3rd pregnancy trimesters with EchiTab IgG antivenom after carpet viper (Echis ocellatus) envenoming. All women survived but foetal loss in a victim with delayed presentation and a case of mild hypersensitivity reaction were recorded. Excellent outcomes can be achieved in rural and semi-nomadic populations […]
Improving coverage of postnatal care in rural Ethiopia using a community-based, collaborative quality improvement approach
Introduction: Ethiopia has high maternal and neonatal mortality and low use of skilled maternity care. The Maternal and Newborn Health in Ethiopia Partnership (MaNHEP), a 3.5-year learning project, used a community collaborative quality improvement approach to improve maternal and newborn health care during the birth-to-48-hour period. This study examines how the promotion of community maternal […]
Strengthening maternal and newborn health in rural Ethiopia: Early results from frontline health worker community maternal and newborn health training
Objective: to describe early results from the Community Maternal and Newborn Health (CMNH) training programme of the Maternal and Newborn Health in Ethiopia Partnership (MaNHEP) project. Design: a non-experimental, descriptive design was employed to assess training implementation. Setting: six rural districts of Amhara and Oromiya regions, Ethiopia. Participants: 91 Health Extension Workers (HEWs) and 626 […]
Morbidity and mortality among a cohort of human immunodeficiency virus type 1-infected and uninfected pregnant women and their infants from Malawi, Zambia, and Tanzania
Background: Morbidity and mortality patterns among pregnant women and their infants (before antiretroviral therapy was widely available) determines HIV-1 diagnostic, monitoring, and care interventions. Methods: Data from mothers and their infants enrolled in a trial of antibiotics to reduce mother-to-child- transmission of HIV-1 at 4 sub-Saharan African sites were analyzed. Women were enrolled during pregnancy […]
Strengthening public health priority-setting through research on fistula, maternal health, and health inequities
Objective: Findings from 4 studies conducted by the Women’s Dignity Project and partners on the subjects of obstetric fistula, maternal mortality and morbidity, and health inequities are presented. Methods: The studies include qualitative and quantitative research, a survey, and an analysis of secondary data that examine women’s experiences of fistula; constraints in service delivery for […]
Assessing equity of access and affordability of care among South Sudanese refugees and host communities in two districts in Uganda: a cross-sectional survey
Background: The vast majority of refugees are hosted in low and middle income countries (LMICs), which are already struggling to finance and achieve universal health coverage for their own populations. While there is mounting evidence of barriers to health care access facing refugees, there is more limited evidence on equity in access to and affordability […]
Challenges and successes of distributing birth kits with misoprostol to reduce maternal mortality in rural Tanzania
The Saving Mothers Project was conducted from September 2015 to March 2017 in Bunda and Tarime Districts, Mara Region, Tanzania. The purpose of this project was to train community health workers (CHWs) to use mobile phones applications to register and educate pregnant women about safe deliveries and encourage them to access skilled health care providers […]
Disparities in abortion experience and access to safe abortion services in Ghana: Evidence from a retrospective survey
In Ghana, abortion mortality constitutes 11% of maternal mortality. Empirical studies on possible disparities in abortion experience and access to safe abortion services are however lacking. Based on a retrospective survey of 1,370 women aged 15-49 years in two districts in Ghana, this paper examines disparities in women’s experiences of abortion and access to safe […]