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International Journal of MCH and AIDS

Gopal K Singh, Gem P Daus, Michelle Allender, Christine T Ramey, Elijah K Martin, Chrisp Perry, Andrew A De Los Reyes, Ivy P Vedamuthu
Objectives: This study describes key population health concepts and examines major empirical trends in US health and healthcare inequalities from 1935 to 2016 according to important social determinants such as race/ethnicity, education, income, poverty, area deprivation, unemployment, housing, rural-urban residence, and geographic location. Methods: Long-term trend data from the National Vital Statistics System, National Health Interview Survey, National Survey of Children's Health, American Community Survey, and Behavioral Risk Factor Surveillance System were used to examine racial/ethnic, socioeconomic, rural-urban, and geographic inequalities in health and health care...
2017: International Journal of MCH and AIDS
Ndidiamaka Amutah-Onukagha, Monica Rodriguez, Ijeoma Opara, Michelle Gardner, Maame Araba Assan, Rodney Hammond, Jesus Plata, Kimberly Pierre, Ehsan Farag
Background and Objectives: Despite advances in modern healthcare, Traditional Birth Attendants (TBA) have continued to be heavily utilized in rural communities in Nigeria. Major disparities in maternal health care in Nigeria remain present despite the goal of the United Nations Millennium Development Goal to reduce maternal mortality by 2015. The objective of this study is to review the contribution of TBAs in the birthing process in Nigeria, and to examine barriers and opportunities for utilizing TBAs in improving maternal and child health outcomes in Nigeria...
2017: International Journal of MCH and AIDS
Yaw Owusu, Prerana Medakkar, Elizabeth M Akinnawo, Althea Stewart-Pyne, Eta E Ashu
Background and Introduction: Emigration of healthcare workers from developing countries is on the rise and there is an urgent need for policies that increase access to and continuity of healthcare. In this commentary, we highlight some of the negative impacts of emigration on maternal and child health and discuss whether team-based healthcare delivery could possibly mitigate the shortfall of maternal and child health professionals in developing countries. Methodology: We cross-examine the availability of supporting structures to implement team-based maternal and child healthcare delivery in developing countries...
2017: International Journal of MCH and AIDS
George Chidi Anwuri, Michael S Dunn, Frederick Schulze
Background: Human Immunodeficiency Virus (HIV) testing remains the best public health preventive strategy in the fight against HIV/AIDS. We assessed the factors that determined voluntary counseling and screening/testing for HIV among college students. Methods: In this cross-sectional study, a purposeful sample of 189 college students was analyzed using three health belief model (HBM) variables as the theoretical framework. Results: All the HBM variables were positively associated with intention to test for HIV, and with perceived benefits (p = 0...
2017: International Journal of MCH and AIDS
Manpreet Singh Khurmi, Felix Sayinzoga, Atakilt Berhe, Tatien Bucyana, Assumpta Kayinamura Mwali, Emmanuel Manzi, Maharajan Muthu
Background and Objective: The Newborn Survival Case study in Rwanda provides an analysis of the newborn health and survival situation in the country. It reviews evidence-based interventions and coverage levels already implemented in the country; identifies key issues and bottlenecks in service delivery and uptake of services by community/beneficiaries, and provides key recommendations aimed at faster reduction in newborn mortality rate. Methods: This study utilized mixed method research including qualitative and quantitative analyses of various maternal and newborn health programs implemented in the country...
2017: International Journal of MCH and AIDS
Johnbull Egharevba, Jennifer Pharr, Brian van Wyk, Echezona Ezeanolue
BACKGROUND AND OBJECTIVE: In Nigeria, most deliveries take place at home or with traditional birth attendants (TBAs). This study examined the factors that influenced or determined utilization of healthcare facility delivery services among women who attended antenatal care (ANC) services. METHODS: A cross-sectional survey was conducted with 220 women who registered for ANC at a hospital and delivered within 18 months. Associations between independent variables and choice of healthcare facility delivery were analyzed...
2017: International Journal of MCH and AIDS
Vatsla Dadhwal, Aparna Sharma, Kavita Khoiwal, Dipika Deka, Plaboni Sarkar, P Vanamail
BACKGROUND AND OBJECTIVES: There is conflicting data on the effect of HIV infection as well as antiretroviral therapy (ART) on pregnancy outcome. The objectives of this study were to compare pregnancy outcomes in women with and without HIV infection, and to evaluate the effect of HAART on pregnancy in HIV-infected women. METHODS: This is a prospective case record analysis of 212 HIV-infected women delivering between 2002 and 2015, in a tertiary health care center in India...
2017: International Journal of MCH and AIDS
Lucien Honoré Etame Sone, Roger Ahouga Voufo, Henriette Thérèse Dimodi, Michel Kengne, Cédric Gueguim, Nnanga Ngah, Julius Oben, Judith Laure Ngondi
OBJECTIVE: To determine the prevalence of Hepatitis B Virus (HBV) infection in pregnant women and identify markers associated with vertical transmission of HBV. METHODS: Prospective and cross-sectional study over 10 months on 298 pregnant women attending antenatal clinics in the Cité Verte and Efoulan District hospitals in Cameroon. A dry tube blood collection was performed on all pregnant women and babies born to HBsAg-positive mothers. Serum from the women was used to test for HBsAg through immunochromatography and then confirmed by ELISA...
2017: International Journal of MCH and AIDS
Gerald J Makuka, Moses M Sango, Ayubu E Mashambo, Abednego E Mashambo, Sia E Msuya, Sabina P Mtweve
OBJECTIVE: To know and understand the perspectives of women on the quality of maternal health services provided at their health facility (HF) and to incite community self-propelled problem identification and way forward. METHODS: A qualitative action- oriented research was conducted in a rural setting in Tanzania from 2011 to 2014. Twenty In-Depth Interviews (IDIs) and two Focus Group Discussions were held. The IDIs were conducted with mothers who had attended antenatal care at the HF and delivered there...
2017: International Journal of MCH and AIDS
Foluke Adenike Olatona, Jesupelumi Oreoluwa Adenihun, Sunday Adedeji Aderibigbe, Oluwafunmilayo Funke Adeniyi
BACKGROUND AND OBJECTIVES: Inappropriate complementary feeding is a major cause of child malnutrition and death. This study determined the complementary feeding knowledge, practices, minimum dietary diversity, and acceptable diet among mothers of under-five children in an urban Local Government Area of Lagos State, Southwest Nigeria. METHODS: This descriptive cross-sectional study was conducted in Eti-Osa area of Lagos State, Nigeria. Multi-stage sampling technique was employed to select 355 mothers and infants...
2017: International Journal of MCH and AIDS
Neza Guillaine, Wilberforce Mwizerwa, Jackline Odhiambo, Bethany L Hedt-Gauthier, Lisa R Hirschhorn, Placidie Mugwaneza, Jean Paul Umugisha, Felix Rwabukwisi Cyamatare, Christine Mutaganzwa, Neil Gupta
BACKGROUND AND OBJECTIVES: Despite recent improvements in accessibility of services to prevent mother-to-child transmission of HIV, maternal retention in HIV care remains a challenge in the post-partum period. This study assessed service utilization, program retention, and linkage to routine services, as well as clinical outcomes for mothers and infants, following implementation of an integrated mother-infant clinic in rural Rwanda. METHODS: We conducted a retrospective cohort study of all HIV-positive mothers and their infants enrolled in the integrated clinics in two rural districts between July 1, 2012, and June 30, 2013...
2017: International Journal of MCH and AIDS
Karen M Hampanda, Lisa L Abuogi, Yusuf Ahmed
BACKGROUND AND OBJECTIVES: HIV-positive women's adherence to antiretrovirals is critical for prevention of mother-to-child transmission. We aimed to establish if mothers taking triple lifelong antiretroviral therapy report higher adherence compared to mothers taking short-course prophylaxis under Option A in Lusaka, Zambia. METHODS: In this clinic-based cross-sectional study, we interviewed 320 HIV-positive mothers at a large public health facility in Lusaka in 2014...
2017: International Journal of MCH and AIDS
Stephen Stephen, Chiwoneso Gwyneth Elizabeth Muchaneta-Kubara, Marshall Wesley Munjoma, Gibson Mandozana
BACKGROUND: Cervical chlamydia infection poses high risk of pregnancy complications and neonatal infection. Reference methods for the detection of chlamydia infection are not available for routine use in developing countries. Point-of-care (POC) tests can bridge this gap. This study evaluated Cortez Onestep Chlamydia Rapicard™ insta test for the detection of Chlamydia trachomatis in pregnant women at Mbare Polyclinic and determined the prevalence of C. trachomatis. METHODS: This was a cross sectional study in 242 pregnant women aged ≥18 years attending their first ANC visit at Mbare polyclinic in Harare, Zimbabwe...
2017: International Journal of MCH and AIDS
Xiaoxiao Lu, Hee-Soon Juon, Sunmin Lee
BACKGROUND: Hepatitis B virus (HBV) infection disproportionately affects Asian Americans but HBV screening rates among Asian American are substantially low. This study examines the impact of multiple recommendations and self-efficacy on HBV screening uptake among Asian Americans. METHODS: Data for this study were from 872 Chinese, Korean and Vietnamese recruited for a liver cancer prevention program in the Washington D.C - Baltimore metropolitan area. RESULTS: 410 (47%) respondents reported previous HBV screening...
2017: International Journal of MCH and AIDS
María Isabel Roldós, Phaedra Corso, Justin Ingels
CONTEXT: There is an established association between the provision of health care services and maternal mortality. In Ecuador, little is known if the societal value is greater than the resources expended in preventive medicine. AIMS: The purpose of this research is to investigate Ecuadorians' willingness to pay to prevent maternal death and disabilities due to complications of care during childbirth in the context of universal coverage. METHODS AND MATERIALS: The study elicited a "contingent" market on morbidity and mortality outcomes, specific to Ecuador's epidemiologic profiles between a hypothetical market that included a 50% reduction in the risk of maternal mortality from 100 to 50 per 100,000, and a market that included a 50% reduction in the risk of maternal morbidity from 4,000 to 2,000 per 100,000...
2017: International Journal of MCH and AIDS
Kpurkpur Tyoalumun, Sani Abubakar, Nongu Christopher
BACKGROUND AND OBJECTIVES: Intestinal parasitic infections are highly prevalent in developing countries, contributing to high incidence of malnutrition and morbidity. This study aimed to find the prevalence of intestinal parasitic infections and their association with nutritional status of children in Benue State, Nigeria. METHODS: A cross sectional study conducted from January-June 2016, among 418 school children under-5 years of age. Anthropometric data, height-for-age, weight-for-height, and weight-for-age Z-scores from each child and fecal samples were collected and screened for intestinal parasites using standard laboratory methods...
2016: International Journal of MCH and AIDS
Eshetu Bekele Worku, Selamawit Alemu Woldesenbet
BACKGROUND AND OBJECTIVES: In resource-limited settings, the uptake of antenatal care visits among women, especially teenage pregnant women, is disturbingly low. Factors that influence the uptake of ANC services among teenage women is largely understudied and poorly understood in John Taolo Gaetsewe (JTG), a predominantly rural and poor district of South Africa. The aim of this study was to determine the factors that influence uptake of ANC services among teenage mothers in JTG district...
2016: International Journal of MCH and AIDS
Ernest Tambo, Chidiebere E Ugwu, Yayi Guan, Ding Wei, Xiao-Ning, Zhou Xiao-Nong
BACKGROUND AND INTRODUCTION: This review paper examines the growing implications of China's engagement in shaping innovative national initiatives against infectious diseases and poverty control and elimination in African countries. It seeks to understand the factors and enhancers that can promote mutual and innovative health development initiatives, and those that are necessary in generating reliable and quality data for evidence-based contextual policy, priorities and programs. METHODS: We examined the China-Africa health cooperation in supporting global health agenda on infectious diseases such as malaria, schistosomiasis, Ebola, TB, HIV/AIDS, neglected tropical diseases (NTDs) prevention, control and elimination spanning a period of 10 years...
2016: International Journal of MCH and AIDS
Mamour Gueye, Mame D Ndiaye-Gueye, Serigne M Kane-Gueye, Omar Gassama, Moussa Diallo, Jean C Moreau
BACKGROUND AND INTRODUCTION: Gestational trophoblastic disease (GTD) is a disease of the proliferative trophoblastic allograft. Diagnosis and treatment of GTN in low resource-income countries is challenging due to numerous factors. The objective of this study was to review outcomes of gestational trophoblastic neoplasia in women of low socioeconomic status with limited resources and social support. METHODS: This study was performed at Gynecologic and Obstetric Clinic of Dakar Teaching Hospital, the reference Centre of Gestational trophoblastic diseases in Senegal from 2006 to 2015...
2016: International Journal of MCH and AIDS
Pangi Vijaya Nirmala, Mani Gudivada, ChikkamVijaya Lashmi
BACKGROUND AND INTRODUCTION: Diabetes is increasing at alarming rate among Indians especially South Indians with prevalence of diabetes mellitus (PODM) varying in populations of different regions. This study assesses PODM in three geographical areas, namely: tribal, semi-urban, and urban, and to compare the diabetes risk in northern coastal districts of Andhra Pradesh state in India. METHODOLOGY: A random sampling method was followed to study the prevalence of diabetes in about 3,000 individuals of age group between 15-68 years, selecting 1,000 individuals from each area...
2016: International Journal of MCH and AIDS
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