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"Continuum of care" and "maternal" and "child"

Patrick Opiyo Owili, Miriam Adoyo Muga, Yiing-Jenq Chou, Yi-Hsin Elsa Hsu, Nicole Huang, Li-Yin Chien
No abstract text is available yet for this article.
October 10, 2016: BMC Public Health
Joy E Lawn, Hannah Blencowe, Mary V Kinney, Fiorella Bianchi, Wendy J Graham
Despite the impressive progress gains for maternal and child health during the Millennium Development Goals era, over 5.6 million women and babies died in 2015 due to complications during pregnancy, birth and in the first month of life. In order to achieve the new mortality targets set out in the Sustainable Development Goals, there needs to be intentional efforts to maintain and accelerate action to end preventable maternal and newborn deaths and stillbirths. This paper outlines what progress is required to meet these new 2030 targets based on patterns of progress in the recent past; where the burden is the greatest; when to focus attention along the continuum of care; and what causes of death require concerted efforts...
July 28, 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
Nadia Akseer, Zaid Bhatti, Arjumand Rizvi, Ahmad S Salehi, Taufiq Mashal, Zulfiqar A Bhutta
BACKGROUND: Afghanistan has made considerable gains in improving maternal and child health and survival since 2001. However, socioeconomic and regional inequities may pose a threat to reaching universal coverage of health interventions and further health progress. We explored coverage and socioeconomic inequalities in key life-saving reproductive, maternal, newborn and child health (RMNCH) interventions at the national level and by region in Afghanistan. We also assessed gains in child survival through scaling up effective community-based interventions across wealth groups...
2016: BMC Public Health
Ramkrishnan Balakrishnan, Vijayaprasad Gopichandran, Sharadprakash Chaturvedi, Rahul Chatterjee, Tanmay Mahapatra, Indrajit Chaudhuri
BACKGROUND: Mobile phone technology is utilized for better delivery of health services worldwide. In low-and-middle income countries mobile phones are now ubiquitous. Thus leveraging mHealth applications in health sector is becoming popular rapidly in these countries. To assess the effectiveness of the Continuum of Care Services (CCS) mHealth platform in terms of strengthening the delivery of maternal and child health (MCH) services in a district in Bihar, a resource-poor state in India...
2016: BMC Medical Informatics and Decision Making
Lotus McDougal, Melanie L A Rusch, Jay G Silverman, Anita Raj
The continuum of care (CoC) is a fundamental approach to reproductive, maternal, newborn, and child health policy and programs, but linkages along the CoC are inadequately understood. This article assesses linkages in reproductive and maternal health (RMH) services in Bangladesh using the 2011 Bangladesh Demographic and Health Survey (n = 7170). Antenatal care (ANC) was positively associated with skilled birth attendance (SBA) among both pre-pregnancy contraceptive users and nonusers. Among women who used pre-pregnancy contraceptives but did not receive skilled ANC, there was a 26% decreased odds of SBA...
July 2016: Asia-Pacific Journal of Public Health
Cyril M Engmann, Abraham Hodgson, Raymond Aborigo, Philip L Adongo, Cheryl A Moyer
Although the past decade has brought global reductions in maternal, infant and child mortality, many low-resource settings have failed to make significant gains relative to their high-income counterparts. In Ghana, nearly 50% of under-five mortality in 2014 could be attributed to deaths during the first 28 days after birth. This article analyses the data across a mixed-methods study of the factors impacting maternal and neonatal care in northern Ghana. The stillbirth and neonatal death study (SANDS) was conducted in 2010 and included both quantitative (N = 20 497) and qualitative data collection (N = 253) to explore the issues associated with the continuum of reproductive health care...
June 28, 2016: Health Policy and Planning
Fatuma Manzi, Emmanuelle Daviaud, Joanna Schellenberg, Joy E Lawn, Theopista John, Georgina Msemo, Helen Owen, Diana Barger, Claudia Hanson, Josephine Borghi
Despite health systems improvements in Tanzania, gaps in the continuum of care for maternal, newborn and child health persist. Recent improvements have largely benefited those over one month of age, leading to a greater proportion of under-five mortality in newborns. Community health workers providing home-based counselling have been championed as uniquely qualified to reach the poorest. We provide financial and economic costs of a volunteer home-based counselling programme in southern Tanzania. Financial costs of the programme were extracted from project accounts...
June 21, 2016: Health Policy and Planning
Patrick Opiyo Owili, Miriam Adoyo Muga, Yiing-Jenq Chou, Yi-Hsin Elsa Hsu, Nicole Huang, Li-Yin Chien
BACKGROUND: Despite the progress in the Millennium Development Goals (MDGs) 4 and 5, inequity in the utilization of maternal, newborn and child health (MNCH) care services still remain high in sub-Saharan Africa (SSA). The continuum of care for MNCH that recognizes a tight inter-relationship between maternal, newborn and child health at different time periods and location is key towards reducing inequity in health. In this study, we explored the distributions in the utilization MNCH services in 12 SSA countries and further investigated the associations in the continuum of care for MNCH...
2016: BMC Public Health
Robert E Black, Carol Levin, Neff Walker, Doris Chou, Li Liu, Marleen Temmerman
As part of Disease Control Priorities 3rd Edition, the World Bank will publish a volume on Reproductive, Maternal, Newborn, and Child Health that identifies essential cost-effective health interventions that can be scaled up to reduce maternal, newborn, and child deaths, and stillbirths. This Review summarises the volume's key findings and estimates the effect and cost of expanded implementation of these interventions. Recognising that a continuum of care from the adolescent girl, woman, or mother to child is needed, the volume includes details of preventive and therapeutic health interventions in integrated packages: Maternal and Newborn Health and Child Health (along with folic acid supplementation, a key reproductive health intervention)...
April 8, 2016: Lancet
Joyce L Browne, Gbenga A Kayode, Daniel Arhinful, Samuel A J Fidder, Diederick E Grobbee, Kerstin Klipstein-Grobusch
OBJECTIVE: This study aims to evaluate the effect of maternal health insurance status on the utilisation of antenatal, skilled delivery and postnatal care. DESIGN: A population-based cross-sectional study. SETTING AND PARTICIPANTS: We utilised the 2008 Demographic and Health Survey data of Ghana, which included 2987 women who provided information on maternal health insurance status. PRIMARY OUTCOMES: Utilisation of antenatal, skilled delivery and postnatal care...
2016: BMJ Open
Michael K Mwaniki, Evaline J Baya, Faith Mwangi-Powell, Peter Sidebotham
BACKGROUND: Maternal and neonatal morbidity and mortality in Low Income Countries, especially in sub-Saharan Africa involves numerous interrelated causes. The three-delay model/framework was advanced to better understand the causes and associated Contextual factors. It continues to inform many aspects of programming and research on combating maternal and child morbidity and mortality in the said countries. Although this model addresses some of the core areas that can be targeted to drastically reduce maternal and neonatal morbidity and mortality, it potentially omits other critical facets especially around primary prevention, and pre- and post-hospitalization continuum of care...
2016: BMC Pregnancy and Childbirth
J Frederik Frøen, Sonja L Myhre, Michael J Frost, Doris Chou, Garrett Mehl, Lale Say, Socheat Cheng, Ingvild Fjeldheim, Ingrid K Friberg, Steve French, Jagrati V Jani, Jane Kaye, John Lewis, Ane Lunde, Kjersti Mørkrid, Victoria Nankabirwa, Linda Nyanchoka, Hollie Stone, Mahima Venkateswaran, Aleena M Wojcieszek, Marleen Temmerman, Vicki J Flenady
BACKGROUND: The Global Roadmap for Health Measurement and Accountability sees integrated systems for health information as key to obtaining seamless, sustainable, and secure information exchanges at all levels of health systems. The Global Strategy for Women's, Children's and Adolescent's Health aims to achieve a continuum of quality of care with effective coverage of interventions. The WHO and World Bank recommend that countries focus on intervention coverage to monitor programs and progress for universal health coverage...
2016: BMC Pregnancy and Childbirth
Louise Hulton, Zoë Matthews, Sarah Bandali, Abubakar Izge, Ramatu Daroda, William Stones
Quality of care is essential to maternal and newborn survival. The multidimensional nature of quality of care means that frameworks are useful for capturing it. The present paper proposes an adaptation to a widely used quality of care framework for maternity services. The framework subdivides quality into two inter-related dimensions-provision and experience of care-but suggests adaptations to reflect changes in the concept of quality over the past 15years. The application of the updated framework is presented in a case study, which uses it to measure and inform quality improvements in northern Nigeria across the reproductive, maternal, newborn, and child health continuum of care...
January 2016: International Journal of Gynaecology and Obstetrics
Francis Yeji, Akira Shibanuma, Abraham Oduro, Cornelius Debpuur, Kimiyo Kikuchi, Seth Owusu-Agei, Margaret Gyapong, Sumiyo Okawa, Evelyn Ansah, Gloria Quansah Asare, Keiko Nanishi, John Williams, Sheila Addei, Charlotte Tawiah, Junko Yasuoka, Yeetey Enuameh, Evelyn Sakeah, Peter Wontuo, Masamine Jimba, Abraham Hodgson
BACKGROUND: Slow progress has been made in achieving the Millennium Development Goals 4 and 5 in Ghana. Ensuring continuum of care (at least four antenatal visits; skilled birth attendance; postnatal care within 48 hours, at two weeks, and six weeks) for mother and newborn is crucial in helping Ghana achieve these goals and beyond. This study examined the levels and factors associated with continuum of care (CoC) completion among Ghanaian women aged 15-49. METHODS: A retrospective cross-sectional survey was conducted among women who experienced live births between January 2011 and April 2013 in three regions of Ghana...
2015: PloS One
Avinash K Shetty
Considerable progress has been made towards reducing under-5 childhood mortality in the Millennium Development Goals era. Reduction in newborn mortality has lagged behind maternal and child mortality. Effective implementation of innovative, evidence-based, and cost-effective interventions can reduce maternal and newborn mortality. Interventions aimed at the most vulnerable group results in maximal impact on mortality. Intervention coverage and scale-up remains low, inequitable and uneven in low-income countries due to numerous health-systems bottle-necks...
February 2016: Pediatric Clinics of North America
Angela E Shija, Judith Msovela, Leonard E G Mboera
High rate of maternal death is one of the major public health concerns in Tanzania. Most of maternal deaths are caused by factors attributed to pregnancy, childbirth and poor quality of health services. More than 80% of maternal deaths can be prevented if pregnant women access essential maternity care and assured of skilled attendance at childbirth as well as emergency obstetric care. The objective of this review was to analyse maternal mortality situation in Tanzania during the past 50 years and to identify efforts, challenges and opportunities of reducing it...
December 2011: Tanzania Journal of Health Research
Nighat Sultana, Babar Tasneem Shaikh
BACKGROUND: Each year an estimated 289,000 maternal deaths occur worldwide; of which 50 % of maternal deaths occur around labor, delivery and immediate postpartum period. Postnatal care (PNC) is crucial but relatively neglected component in the continuum of care, and hence a missing link toward safe motherhood. Despite the significant improvement in child health and safe motherhood interventions, maternal mortality ratio, perinatal mortality and neonatal mortality still remain a challenge in achieving the Millennium Development Goals 4 and 5 in Pakistan...
2015: BMC Research Notes
Selena J An, Asha S George, Amnesty E LeFevre, Rose Mpembeni, Idda Mosha, Diwakar Mohan, Ann Yang, Joy Chebet, Chrisostom Lipingu, Abdullah H Baqui, Japhet Killewo, Peter J Winch, Charles Kilewo
BACKGROUND: Integration of HIV into RMNCH (reproductive, maternal, newborn and child health) services is an important process addressing the disproportionate burden of HIV among mothers and children in sub-Saharan Africa. We assess the structural inputs and processes of care that support HIV testing and counselling in routine antenatal care to understand supply-side dynamics critical to scaling up further integration of HIV into RMNCH services prior to recent changes in HIV policy in Tanzania...
2015: BMC Health Services Research
Nadia Akseer, Joy E Lawn, William Keenan, Andreas Konstantopoulos, Peter Cooper, Zulkifli Ismail, Naveen Thacker, Sergio Cabral, Zulfiqar A Bhutta
The end of the Millennium Development Goal (MDG) era was marked in 2015, and while maternal and child mortality have been halved, MGD 4 and MDG 5 are off-track at the global level. Reductions in neonatal death rates (age <1 month) lag behind those for post-neonates (age 1-59 months), and stillbirth rates (omitted from the MDGs) have been virtually unchanged. Hence, almost half of under-five deaths are newborns, yet about 80% of these are preventable using cost-effective interventions. The Every Newborn Action Plan has been endorsed by the World Health Assembly and ratified by many stakeholders and donors to reduce neonatal deaths and stillbirths to 10 per 1000 births by 2035...
October 2015: International Journal of Gynaecology and Obstetrics
Zohra S Lassi, Philippa F Middleton, Caroline Crowther, Zulfiqar A Bhutta
BACKGROUND: Evidence-based interventions and strategies are needed to improve child survival in countries with a high burden of neonatal and child mortality. An overview of systematic reviews can focus implementation on the most effective ways to increase child survival. METHODS: In this overview we included published Cochrane and other systematic reviews of experimental and observational studies on antenatal, childbirth, postnatal and child health interventions aiming to prevent perinatal/neonatal and child mortality using the WHO list of essential interventions...
August 2015: EBioMedicine
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