Minimum dietary diversity and associated factors among lactating mothers in Ataye District, North Shoa Zone, central Ethiopia: A community-based cross-sectional study
Background. Low dietary diversity superimposed with poor-quality monotonous diets is a major problem that often results in undernutrition, mainly micronutrient deficiencies. However, there is limited evidence on minimum dietary diversity and associated factors among lactating mothers in resource-poor settings, including the study area. Therefore, the objective of the study is to assess the prevalence of […]
Dietary intake and processes of behaviour change in a nutrition education intervention for pregnant women in rural Malawi: A cluster-randomised controlled trial
AbstractObjective: To examine if increased intake of locally available nutrient-dense foods among pregnant women improved the quality of their dietary intake and if use of the Theory of Planned Behaviour could explain changes in their dietary behaviour.Design: We used data from a randomised controlled trial where the intervention group received nutrition education and dietary counselling. […]
Food sharing is linked to urinary oxytocin levels and bonding in related and unrelated wild chimpanzees
Humans excel in cooperative exchanges between unrelated individuals. Although this trait is fundamental to the success of our species, its evolution and mechanisms are poorly understood. Other social mammals also build long-term cooperative relationships between non-kin, and recent evidence shows that oxytocin, a hormone involved in parent-offspring bonding, is likely to facilitate non-kin as well […]
Weight gain during pregnancy among women initiating dolutegravir in Botswana
Background: Recent data suggests clinically significant weight gain among non-pregnant HIV-positive adults after starting dolutegravir-based ART (DTG). Excess or insufficient weight gain in pregnancy could adversely impact pregnancy outcomes, but data for pregnant women receiving DTG are limited. Methods: The Tsepamo Study captured data at delivery sites in Botswana from 2014 to 2019. HIV testing, […]
Effect of continuum-of-care intervention package on improving contacts and quality of maternal and newborn healthcare in Ghana: A cluster randomised controlled trial
Objective To evaluate the effect of a continuum-of-care intervention package on adequate contacts of women and newborn with healthcare providers and their reception of high-quality care. Design Cluster randomised controlled trial. Setting 32 subdistricts in 3 rural sites in Ghana. Participants The baseline survey involved 1480 women who delivered before the trial, and the follow-up […]
“our girls need to see a path to the future” – Perspectives on sexual and reproductive health information among adolescent girls, guardians, and initiation counselors in Mulanje district, Malawi
Background: Malawi has one of the highest adolescent pregnancy rates worldwide; at 141 births/1000 girls it is 3-fold higher than the global average. Adolescent pregnancy contributes to poor maternal and neonatal outcomes, school dropout, and poverty. In preparation for an information, education, and communication (IEC) intervention to reduce unintended pregnancy among adolescent girls, formative research […]
The views of key stakeholders in Zimbabwe on the introduction of postgraduate family medicine training: A qualitative study
Background: Strengthening primary health care (PHC) is a priority for all effective health systems, and family physicians are seen as a key member of the PHC team. Zimbabwe has joined a number of African countries that are seriously considering the introduction of postgraduate family medicine training. Implementation of training, however, has not yet happened. Aim: […]
Utilization of Institutional Delivery Service in a Predominantly Pastoralist Community of Northeast Ethiopia
Background: Maternal mortality is high in sub-Saharan Africa, and most deaths occur around childbirth. In Ethiopia, most births happen at home without skilled delivery attendants, and particularly, the least utilization of skilled delivery is recorded in Afar Region. The factors that influence this utilization are not well documented in the region where utilization has been […]
Determinants of Poor Sleep Quality During the COVID-19 Pandemic Among Women Attending Antenatal Care Services at the Health Facilities of Debre Berhan Town, Ethiopia: An Institutional-Based Cross-Sectional Study
Background: Women’s ability to get sleep can be affected by pregnancy-related hormonal changes or other external stressful situations like the coronavirus disease 2019 (COVID-19). Objective: The objective of this study was to assess the proportion of poor sleep quality during the COVID-19 pandemic and its determinants among pregnant women attending antenatal care (ANC) services. Methods: […]
How a communication intervention in zambia re-oriented health services to the needs of the least-supported
Despite decades of training health workers in communication, complaints from clients and communities about poor health worker attitudes abound. This was found to be so in Zambia where the More Mobilizing Access to Maternal Health Services in Zambia (MORE MAMaZ) program was trying to ensure the inclusion of under-supported women in a community-based maternal and […]