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

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https://www.readbyqxmd.com/read/28946847/changing-times-gender-roles-and-relationships-in-maternal-newborn-and-child-health-in-malawi
#1
Lucinda Manda-Taylor, Daniel Mwale, Tamara Phiri, Aisling Walsh, Anne Matthews, Ruairi Brugha, Victor Mwapasa, Elaine Byrne
BACKGROUND: For years, Malawi remained at the bottom of league tables on maternal, neonatal and child health. Although maternal mortality ratios have reduced and significant progress has been made in reducing neonatal morality, many challenges in achieving universal access to maternal, newborn and child health care still exist in Malawi. In Malawi, there is still minimal, though increasing, male involvement in ANC/PMTCT/MNCH services, but little understanding of why this is the case. The aim of this paper is to explore the role and involvement of men in MNCH services, as part of the broader understanding of those community system factors...
September 25, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28877831/comparing-different-weights-to-construct-composite-indicators-of-maternal-and-child-s-basic-health-services-from-the-prospective-of-continuum-of-care-based-on-data-from-the-national-health-services-survey-2008-and-2013-in-jilin-province
#2
Ying Wang, Yu-Ting Song, Qi-Jun Zhang, Qiu-Yan Wang, Xing-Lin Feng
Objective To construct composite indicators of maternal and child's basic health services using different weights from the prospective of continuum of care and to compare them based on data from the National Health Services Survey 2008 and 2013 in Jilin Province. Methods The study selected indicators based on the countdown and the Lives Saved Tool(LiST),considering the data availability from the 2008 and 2013 National Health Surveys in Jilin.Equal weights,equal weights for different areas,epidemiology weights,and principal component weights were used to construct different composite indicators...
August 20, 2017: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
https://www.readbyqxmd.com/read/28810669/hiv-status-disclosure-facility-based-delivery-and-postpartum-retention-of-mothers-in-a-prevention-clinical-trial-in-rural-nigeria
#3
RANDOMIZED CONTROLLED TRIAL
Kidane A Sarko, Meridith Blevins, Aimalohi A Ahonkhai, Carolyn M Audet, Troy D Moon, Usman I Gebi, Ahmed M Gana, C William Wester, Sten H Vermund, Muktar H Aliyu
Background: Within the context of a cluster randomized prevention of mother-to-child HIV transmission (PMTCT) trial, we evaluated the impact of disclosure on selected PMTCT continuum of care measures. Methods: In 12 rural matched-pair clinics randomly assigned to an intervention package versus standard-of-care, we enrolled 372 HIV-infected pregnant women from April 2013 to March 2014. This secondary analysis included 327 (87.9%) women with unknown HIV status or who were treatment naïve at presentation to antenatal care...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28750577/assessing-option-b-retention-and-infant-follow-up-in-lilongwe-malawi
#4
Blake M Hauser, William C Miller, Hannock Tweya, Colin Speight, Tiwonge Mtande, Sam Phiri, L M Ball, Mina C Hosseinipour, Irving F Hoffman, Nora E Rosenberg
Malawi launched Option B+, a program for all pregnant or breastfeeding HIV-positive women to begin lifelong combination antiretroviral therapy (cART), in July 2011. This study characterises a portion of the continuum of care within an antenatal setting in Lilongwe. Women testing HIV-positive and having a cART initiation record at Bwaila Antenatal Clinic from July 2013 to January 2014 were included. Using logistic regression models, we analysed relationships between maternal characteristics and return for infant testing...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28716350/progress-and-priorities-for-reproductive-maternal-newborn-and-child-health-in-kenya-a-countdown-to-2015-country-case-study
#5
Emily C Keats, Anthony Ngugi, William Macharia, Nadia Akseer, Emma Nelima Khaemba, Zaid Bhatti, Arjumand Rizvi, John Tole, Zulfiqar A Bhutta
BACKGROUND: Progress in reproductive, maternal, newborn, and child health (RMNCH) in Kenya has been inconsistent over the past two decades, despite the global push to foster accountability, reduce child mortality, and improve maternal health in an equitable manner. Although several cross-sectional assessments have been done, a systematic analysis of RMNCH in Kenya was needed to better understand the push and pull factors that govern intervention coverage and influence mortality trends...
August 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28662730/effective-nutrition-education-and-communication-for-sustainable-maternal-and-child-health
#6
Mary W Murimi, Ana Florencia Moyeda-Carabaza
Maternal and child health (MCH) consists of an interdependent reproductive system that collectively determines the survival of the mother during childbirth, and determines the health and survival of the child. This interdependency underscores the importance of appropriate and timely interventions during pregnancy through the first 1000 d at the minimum. The Millennium Development Goals (MDG) recommended the use of the continuum of care for the development of interventions by addressing all the stages of MCH...
June 30, 2017: Proceedings of the Nutrition Society
https://www.readbyqxmd.com/read/28607675/improving-coverage-measurement-for-reproductive-maternal-neonatal-and-child-health-gaps-and-opportunities
#7
Melinda K Munos, Cynthia K Stanton, Jennifer Bryce
BACKGROUND: Regular monitoring of coverage for reproductive, maternal, neonatal, and child health (RMNCH) is central to assessing progress toward health goals. The objectives of this review were to describe the current state of coverage measurement for RMNCH, assess the extent to which current approaches to coverage measurement cover the spectrum of RMNCH interventions, and prioritize interventions for a novel approach to coverage measurement linking household surveys with provider assessments...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28398994/using-the-pmtct-cascade-to-accelerate-achievement-of-the-global-plan-goals
#8
REVIEW
Elizabeth Hamilton, Bernard Bossiky, John Ditekemena, Godfrey Esiru, Franck Fwamba, Ameena E Goga, Mary Pat Kieffer, Landry D Tsague, Roland van de Ven, Rose Wafula, Laura Guay
BACKGROUND: Development of country plans for prevention of mother-to-child HIV transmission (PMTCT), including expansion of comprehensive, integrated services, was key to Global Plan achievements. APPROACHES: Use of the PMTCT cascade, an evolving series of sequential steps needed to maximize the health of women and HIV-free survival of infants, was critical for development and implementation of PMTCT plans. Regular review of cascade data at national/subnational levels was a tool for evidence-based decision making, identifying areas of greatest need at each level, and targeting program interventions to address specific gaps...
May 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28334973/analysis-of-dropout-across-the-continuum-of-maternal-health-care-in-tanzania-findings-from-a-cross-sectional-household-survey
#9
Diwakar Mohan, Amnesty E LeFevre, Asha George, Rose Mpembeni, Eva Bazant, Neema Rusibamayila, Japhet Killewo, Peter J Winch, Abdullah H Baqui
The 'continuum of care' is proposed as a key framework for the delivery of maternal, neonatal and child health services. This study examined the extent of dropout as well as factors associated with retention across the MNCH continuum from antenatal care (ANC), through skilled birth attendance (SBA), to postnatal care (PNC).We analyzed data from 1931 women who delivered in the preceding 2-14 months, from a two-stage cluster sampling household survey in four districts of Tanzania's Morogoro region. The survey was conducted in 2011 as a part of a baseline for an independent evaluation of a maternal health program...
July 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28279186/continuum-of-care-in-maternal-newborn-and-child-health-in-pakistan-analysis-of-trends-and-determinants-from-2006-to-2012
#10
Sarosh Iqbal, Sidra Maqsood, Rubeena Zakar, Muhammad Zakria Zakar, Florian Fischer
BACKGROUND: Pakistan, being a developing country, presents the dismal picture of maternal and neonatal mortality and morbidity. The majority of maternal and neonatal deaths could be avoided if Continuum of Care (CoC) is provided in a structured pathway from pregnancy to birth and to the first week of life of the newborn child. This study aimed to analyse the trends of CoC at all three levels (antenatal care, skilled delivery and postpartum care) and to identify various factors affecting the continuation in receiving CoC in Pakistan during 2006 to 2012...
March 9, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28225798/effect-of-maternal-death-on-child-survival-in-rural-west-africa-25-years-of-prospective-surveillance-data-in-the-gambia
#11
Susana Scott, Lindsay Kendall, Pierre Gomez, Stephen R C Howie, Syed M A Zaman, Samba Ceesay, Umberto D'Alessandro, Momodou Jasseh
BACKGROUND: The death of a mother is a tragedy in itself but it can also have devastating effects for the survival of her children. We aim to explore the impact of a mother's death on child survival in rural Gambia, West Africa. METHODS: We used 25 years of prospective surveillance data from the Farafenni Health and Demographic surveillance system (FHDSS). Mortality rates per 1,000 child-years up to ten years of age were estimated and Kaplan-Meier survival curves plotted by maternal vital status...
2017: PloS One
https://www.readbyqxmd.com/read/28153041/understanding-the-role-of-intersectoral-convergence-in-the-delivery-of-essential-maternal-and-child-nutrition-interventions-in-odisha-india-a-qualitative-study
#12
Sunny S Kim, Rasmi Avula, Rajani Ved, Neha Kohli, Kavita Singh, Mara van den Bold, Suneetha Kadiyala, Purnima Menon
BACKGROUND: Convergence of sectoral programs is important for scaling up essential maternal and child health and nutrition interventions. In India, these interventions are implemented by two government programs - Integrated Child Development Services (ICDS) and National Rural Health Mission (NRHM). These programs are designed to work together, but there is limited understanding of the nature and extent of coordination in place and needed at the various administrative levels. Our study examined how intersectoral convergence in nutrition programming is operationalized between ICDS and NRHM from the state to village levels in Odisha, and the factors influencing convergence in policy implementation and service delivery...
February 2, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28146586/making-the-continuum-of-care-work-for-mothers-and-infants-does-gender-equity-matter-findings-from-a-quasi-experimental-study-in-bihar-india
#13
Lotus McDougal, Yamini Atmavilas, Katherine Hay, Jay G Silverman, Usha K Tarigopula, Anita Raj
BACKGROUND: Improvements in continuum of care (CoC) utilization are needed to address inadequate reductions in neonatal and infant mortality in India and elsewhere. This study examines the effect of Ananya, a health system training and community outreach intervention, on reproductive, maternal and newborn health continuum of care (RMNH CoC) utilization in Bihar, India, and explores whether that effect is moderated by gender equity factors (child marriage, restricted mobility and low decision-making control)...
2017: PloS One
https://www.readbyqxmd.com/read/27994283/summary-indices-for-monitoring-universal-coverage-in-maternal-and-child-health-care
#14
Fernando C Wehrmeister, Maria-Clara Restrepo-Mendez, Giovanny Va Franca, Cesar G Victora, Aluisio Jd Barros
OBJECTIVE: To compare two summary indicators for monitoring universal coverage of reproductive, maternal, newborn and child health care. METHODS: Using our experience of the Countdown to 2015 initiative, we describe the characteristics of the composite coverage index (a weighted average of eight preventive and curative interventions along the continuum of care) and co-coverage index (a cumulative count of eight preventive interventions that should be received by all mothers and children)...
December 1, 2016: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/27724905/erratum-to-associations-in-the-continuum-of-care-for-maternal-newborn-and-child-health-a-population-based-study-of-12-sub-saharan-africa-countries
#15
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
https://www.readbyqxmd.com/read/27707540/evidence-to-inform-the-future-for-maternal-and-newborn-health
#16
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...
October 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/27634540/coverage-and-inequalities-in-maternal-and-child-health-interventions-in-afghanistan
#17
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...
September 12, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27387548/continuum-of-care-services-for-maternal-and-child-health-using-mobile-technology-a-health-system-strengthening-strategy-in-low-and-middle-income-countries
#18
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...
July 7, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27371578/linkages-within-the-reproductive-and-maternal-health-continuum-of-care-in-bangladesh
#19
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
https://www.readbyqxmd.com/read/27354099/addressing-the-continuum-of-maternal-and-newborn-care-in-ghana-implications-for-policy-and-practice
#20
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...
December 2016: Health Policy and Planning
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