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Maternal child public health

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https://www.readbyqxmd.com/read/29165118/age-at-first-birth-and-long-term-mortality-for-mothers-the-ohsaki-cohort-study
#1
Taichi Sakai, Yumi Sugawara, Ikue Watanabe, Takashi Watanabe, Yasutake Tomata, Naoki Nakaya, Ichiro Tsuji
BACKGROUND: Although maternal age at first birth has been rising in many developed countries, its long-term effects on the health of the mothers themselves are unclear. In this study, we investigated the relationship between maternal age at first birth and long-term mortality. METHODS: We conducted a cohort study of 20,624 parous Japanese women aged between 40 and 79 years in 1994 and followed up their survival for 14 years. Based on maternal age at first birth, the women were divided into four groups: ≤19 years, 20-24 years, 25-29 years, and ≥30 years...
April 4, 2017: Environmental Health and Preventive Medicine
https://www.readbyqxmd.com/read/29164765/maternal-pre-pregnancy-obesity-and-child-neurodevelopmental-outcomes-a-meta-analysis
#2
REVIEW
C E Sanchez, C Barry, A Sabhlok, K Russell, A Majors, S H Kollins, B F Fuemmeler
This review examined evidence of the association between maternal pre-pregnancy overweight/obesity status and child neurodevelopmental outcomes. PubMed and PsycINFO databases were systematically searched for empirical studies published before April 2017 using keywords related to prenatal obesity and children's neurodevelopment. Of 1483 identified papers, 41 were included in the systematic review, and 32 articles representing 36 cohorts were included in the meta-analysis. Findings indicated that compared with children of normal weight mothers, children whose mothers were overweight or obese prior to pregnancy were at increased risk for compromised neurodevelopmental outcomes (overweight: OR = 1...
November 22, 2017: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/29163151/ongoing-initiatives-to-improve-the-quality-and-efficiency-of-medicine-use-within-the-public-healthcare-system-in-south-africa-a-preliminary-study
#3
Johanna C Meyer, Natalie Schellack, Jacobus Stokes, Ruth Lancaster, Helecine Zeeman, Douglas Defty, Brian Godman, Gavin Steel
Introduction: South Africa has an appreciable burden of both communicable and non-communicable diseases as well as high maternal, neonatal, and child morbidity. In recent years there have been significant strides with improving the public health system, and addressing current inequalities, with the right to health a constitutional provision in South Africa. Initiatives include the introduction of National Health Insurance, programmes to enhance access to medicines for patients with chronic diseases, as well as activities to improve care in hospitals, including improving pharmacovigilance...
2017: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/29162140/using-a-multi-state-learning-community-as-an-implementation-strategy-for-immediate-postpartum-long-acting-reversible-contraception
#4
Carla L DeSisto, Cameron Estrich, Charlan D Kroelinger, David A Goodman, Ellen Pliska, Christine N Mackie, Lisa F Waddell, Kristin M Rankin
BACKGROUND: Implementation strategies are imperative for the successful adoption and sustainability of complex evidence-based public health practices. Creating a learning collaborative is one strategy that was part of a recently published compilation of implementation strategy terms and definitions. In partnership with the Centers for Disease Control and Prevention and other partner agencies, the Association of State and Territorial Health Officials recently convened a multi-state Learning Community to support cross-state collaboration and provide technical assistance for improving state capacity to increase access to long-acting reversible contraception (LARC) in the immediate postpartum period, an evidence-based practice with the potential for reducing unintended pregnancy and improving maternal and child health outcomes...
November 21, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29160184/awareness-use-and-information-sources-of-folic-acid-supplementation-to-prevent-neural-tube-defects-in-pregnant-japanese-women
#5
Shumi Yamamoto, Yoshinao Wada
OBJECTIVE: Folic acid supplementation and folate-rich diets are recommended for women of childbearing age worldwide to prevent congenital anomalies. We aimed to determine the current status of folic acid supplementation among pregnant Japanese women and identify means to increase the intake of these supplements. DESIGN: Cross-sectional study. SUBJECTS: A total of 1862 pregnant women who consulted the perinatal centre from September 2014 to December 2015 completed a questionnaire concerning knowledge about folic acid, sources of information and the use of folic acid supplements...
November 21, 2017: Public Health Nutrition
https://www.readbyqxmd.com/read/29143682/using-the-lives-saved-tool-to-aid-country-planning-in-meeting-mortality-targets-a-case-study-from-mali
#6
Youssouf Keita, Hamadoun Sangho, Timothy Roberton, Emilia Vignola, Mariam Traoré, Melinda Munos
BACKGROUND: Mali is one of four countries implementing a National Evaluation Platform (NEP) to build local capacity to answer evaluation questions for maternal, newborn, child health and nutrition (MNCH&N). In 2014-15, NEP-Mali addressed questions about the potential impact of Mali's MNCH&N plans and strategies, and identified priority interventions to achieve targeted mortality reductions. METHODS: The NEP-Mali team modeled the potential impact of three intervention packages in the Lives Saved Tool (LiST) from 2014 to 2023...
November 7, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29137513/trends-in-the-alignment-and-harmonization-of-reproductive-maternal-newborn-and-child-health-funding-2008-13
#7
Melisa Martinez-Alvarez, Arnab Acharya, Leonardo Arregoces, Lara Brearley, Catherine Pitt, Christopher Grollman, Josephine Borghi
Donor financing to low- and middle-income countries for reproductive, maternal, newborn, and child health increased substantially from 2008 to 2013. However, increased spending by donors might not improve outcomes, if funds are delivered in ways that undermine countries' public financial management systems and incur high transaction costs for project implementation. We combined quantitative and qualitative methods to examine the quality of funding for reproductive, maternal, newborn, and child health globally and in Tanzania, based on two principles of aid effectiveness: the alignment of donor financing with the recipient country's public health financial management systems, and donor harmonization for coordinated, transparent, and collectively effective actions...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137510/accountable-care-reforms-improve-women-s-and-children-s-health-in-nepal
#8
Duncan Maru, Sheela Maru, Isha Nirola, Jonathan Gonzalez-Smith, Andrea Thoumi, Prajwol Nepal, Pushpa Chaudary, Indira Basnett, Krishna Udayakumar, Mark McClellan
Over the past decade the Ministry of Health of Nepal and the nonprofit Possible have partnered to deliver primary and secondary health care via a public-private partnership. We applied an accountable care framework that we previously developed to describe the delivery of their integrated reproductive, maternal, newborn, and child health services in the Achham district in rural Nepal. In a prospective pre-post study, examining pregnancies at baseline and 541 pregnancies in follow-up over the course of eighteen months, we found an improvement in population-level indicators linked to reducing maternal and infant mortality: receipt of four antenatal care visits (83 percent to 90 percent), institutional birth rate (81 percent to 93 percent), and the prevalence of postpartum contraception (19 percent to 47 percent)...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29132449/using-mobile-apps-to-communicate-vaccination-records-a-city-wide-evaluation-with-a-national-immunization-app-maternal-child-registry-and-public-health-authorities
#9
Katherine M Atkinson, Ziad El-Khatib, Geoffery Barnum, Cameron Bell, Marie-Claude Turcotte, Malia S Q Murphy, Mari Teitelbaum, Pranesh Chakraborty, Lucie Laflamme, Kumanan Wilson
Medicine is experiencing a paradigm shift, where patients are increasingly involved in the management of their health data. We created a mobile app which permitted parental reporting of immunization status to public health authorities. We describe app use as a proxy for feasibility and acceptability as well as data utility for public health surveillance. The evaluation period ran from April 27, 2015, to April 18, 2017, during which time 2,653 unique children's records were transmitted, containing 36,105 vaccinations...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/29121494/being-a-mother-of-preterm-multiples-in-the-context-of-socioeconomic-disadvantage-perceived-stress-and-psychological-symptoms
#10
Joana Baptista, Vanessa Moutinho, Vera Mateus, Hercília Guimarães, Fátima Clemente, Sara Almeida, Maria Agostinha Andrade, Clara Paz Dias, Alice Freitas, Carla Martins, Isabel Soares
OBJECTIVE: This study aimed to examine the differences between mothers of preterm multiples and mothers of preterm singletons regarding perceived stress and maternal psychological symptoms, and to explore the putative adverse amplified effect of socioeconomic disadvantage. METHOD: Ninety-five mothers of 1-year-olds born preterm participated in this cross-sectional study. Data collection was carried out in two public hospitals from Northern Portugal. To assess maternal perceived daily stress and psychological symptoms, mothers completed two questionnaires...
November 6, 2017: Jornal de Pediatria
https://www.readbyqxmd.com/read/29120310/preconception-health-interventions-delivered-in-public-health-and-community-settings-a-systematic-review
#11
Hilary K Brown, Melissa Mueller, Sarah Edwards, Catriona Mill, Joanne Enders, Lisa Graves, Deanna Telner, Cindy-Lee Dennis
OBJECTIVES: The objective of this systematic review was to assess the effects of preconception health interventions, delivered to individuals of reproductive age in public health and community settings, on reproductive, maternal, and child health outcomes. METHODS: A search of Ovid MEDLINE, CINAHL, EMBASE, PsychINFO, Scopus, Gender Studies Database, and SocINDEX from July 1999 through July 2016 was performed. We included studies that reported original data, used an interventional study design, included reproductive-aged women or men, were written in English, and were published in peer-reviewed journals...
November 9, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/29119823/maternal-depressive-symptoms-and-child-nutritional-status-a-cross-sectional-study-in-socially-disadvantaged-pakistani-community
#12
Qamar Saeed, Nadia Shah, Sumera Inam, Kashif Shafique
Malnutrition is a primary cause of child morbidity and mortality. The effects of maternal depressive symptoms on children's health, especially their nutritional status, have received less attention in developing countries but needs to be evaluated to understand the public health implications of maternal depression. The aim of the current study was to investigate the association between maternal depressive symptoms and children's nutritional status using data from low socioeconomic community in Pakistan. Maternal depressive symptoms defined as Aga Khan University Anxiety and Depression Scale score of 20 or greater was assessed for mothers with children under two years of age...
September 2017: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://www.readbyqxmd.com/read/29117323/group-b-streptococcal-disease-worldwide-for-pregnant-women-stillbirths-and-children-why-what-and-how-to-undertake-estimates
#13
Joy E Lawn, Fiorella Bianchi-Jassir, Neal J Russell, Maya Kohli-Lynch, Cally J Tann, Jennifer Hall, Lola Madrid, Carol J Baker, Linda Bartlett, Clare Cutland, Michael G Gravett, Paul T Heath, Margaret Ip, Kirsty Le Doare, Shabir A Madhi, Craig E Rubens, Samir K Saha, Stephanie Schrag, Ajoke Sobanjo-Ter Meulen, Johan Vekemans, Anna C Seale
Improving maternal, newborn, and child health is central to Sustainable Development Goal targets for 2030, requiring acceleration especially to prevent 5.6 million deaths around the time of birth. Infections contribute to this burden, but etiological data are limited. Group B Streptococcus (GBS) is an important perinatal pathogen, although previously focus has been primarily on liveborn children, especially early-onset disease. In this first of an 11-article supplement, we discuss the following: (1) Why estimate the worldwide burden of GBS disease? (2) What outcomes of GBS in pregnancy should be included? (3) What data and epidemiological parameters are required? (4) What methods and models can be used to transparently estimate this burden of GBS? (5) What are the challenges with available data? and (6) How can estimates address data gaps to better inform GBS interventions including maternal immunization? We review all available GBS data worldwide, including maternal GBS colonization, risk of neonatal disease (with/without intrapartum antibiotic prophylaxis), maternal GBS disease, neonatal/infant GBS disease, and subsequent impairment, plus GBS-associated stillbirth, preterm birth, and neonatal encephalopathy...
November 6, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29110866/prenatal-care-utilization-in-zimbabwe-examining-the-role-of-community-level-factors
#14
Marshall Makate, Clifton Makate
This paper assesses the importance of community-level factors on prenatal care utilization in Zimbabwe. The analysis is performed using data from the two most recent rounds of the nationally representative Demographic and Health Survey for Zimbabwe conducted in 2005/06 and 2010/11 linked with other community-level data. We use logistic, generalized linear regressions as well as multilevel mixed models to examine the factors associated with the frequency, timing and quality of prenatal care. Our results suggest that contraceptive prevalence, religious composition, density of nurses, health expenditures per capita and availability of government hospitals in communities are important predictors of prenatal care use in Zimbabwe...
December 2017: Journal of Epidemiology and Global Health
https://www.readbyqxmd.com/read/29094630/the-role-of-public-health-nutrition-in-achieving-the-sustainable-development-goals-in-the-asia-pacific-region
#15
Colin Binns, Mi Kyung Lee, Wah Yun Low, Alfred Zerfas
The Sustainable Development Goals (SDGs) replaced the Millennium Development Goals (MDCs) in 2015, which included several goals and targets primarily related to nutrition: to eradicate extreme poverty and hunger and to reduce child mortality and improve maternal health. In the Asia-Pacific Academic Consortium for Public Health (APACPH) member countries as a group, infant and child mortality were reduced by more than 65% between 1990 and 2015, achieving the MDG target of two-thirds reduction, although these goals were not achieved by several smaller countries...
October 2017: Asia-Pacific Journal of Public Health
https://www.readbyqxmd.com/read/29094035/women-s-marriage-age-matters-for-public-health-a-review-of-the-broader-health-and-social-implications-in-south-asia
#16
REVIEW
Akanksha A Marphatia, Gabriel S Ambale, Alice M Reid
In many traditional societies, women's age at marriage acts simultaneously as a gateway to new family roles and the likelihood of producing offspring. However, inadequate attention has previously been given to the broader health and social implications of variability in women's marriage age for public health. Biomedical scientists have primarily been concerned with whether the onset of reproduction occurs before the woman is adequately able to nurture her offspring and maintain her own health. Social scientists have argued that early marriage prevents women from attaining their rightful education, accessing employment and training opportunities, developing social relationships with peers, and participating in civic life...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/29092713/randomized-controlled-trial-and-economic-evaluation-of-nurse-led-group-support-for-young-mothers-during-pregnancy-and-the-first-year-postpartum-versus-usual-care
#17
Jacqueline Barnes, Jane Stuart, Elizabeth Allen, Stavros Petrou, Joanna Sturgess, Jane Barlow, Geraldine Macdonald, Helen Spiby, Dipti Aistrop, Edward Melhuish, Sung Wook Kim, Diana Elbourne
BACKGROUND: Child maltreatment is a significant public health problem. Group Family Nurse Partnership (gFNP) is a new intervention for young, expectant mothers implemented successfully in pilot studies. This study was designed to determine the effectiveness and cost-effectiveness of gFNP in reducing risk factors for maltreatment with a potentially vulnerable population. METHODS: A multi-site, randomized controlled, parallel-arm trial and prospective economic evaluation was conducted, with allocation via remote randomization (minimization by site, maternal age group) to gFNP or usual care...
November 1, 2017: Trials
https://www.readbyqxmd.com/read/29091923/the-impact-of-antenatal-care-iron-folic-acid-supplementation-and-tetanus-toxoid-vaccination-during-pregnancy-on-child-mortality-in-bangladesh
#18
Tanvir Abir, Felix Akpojene Ogbo, Garry John Stevens, Andrew Nicolas Page, Abul Hasnat Milton, Kingsley Emwinyore Agho
BACKGROUND: Appropriate antenatal care (ANC) is an important preventive public health intervention to ensure women's and newborn health outcomes. The study aimed to investigate the impact of ANC, iron-folic acid (IFA) supplementation and tetanus toxoid (TT) vaccination during pregnancy on child mortality in Bangladesh. METHOD: A cross-sectional study of three datasets from the Bangladesh Demographic and Health Surveys for the years 2004, 2007 and 2011 were pooled and used for the analyses...
2017: PloS One
https://www.readbyqxmd.com/read/29078815/study-protocol-incentives-for-increased-access-to-comprehensive-family-planning-for-urban-youth-using-a-benefits-card-in-uganda-a-quasi-experimental-study
#19
Afra Nuwasiima, Elly Nuwamanya, Patricia Navvuga, Janet U Babigumira, Francis T Asiimwe, Solomon J Lubinga, Joseph B Babigumira
BACKGROUND: The use of contraception is one of the most cost-effective public health interventions and has the potential to prevent about 30% of maternal and 10% of child deaths in developing countries. Voucher-based initiatives for family planning are an effective and viable means of increasing contraceptive use. In this paper, we present a protocol for a pilot study of a novel incentive, a family planning benefits card (FPBC) program to increase uptake of family planning services among urban poor youth in Uganda while leveraging private sector funding...
October 27, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29073222/maternal-experience-of-intimate-partner-violence-and-low-birth-weight-of-children-a-hospital-based-study-in-bangladesh
#20
Jannatul Ferdos, Md Mosfequr Rahman
OBJECTIVE: Intimate partner violence (IPV) is the most prevalent form of gender-based violence worldwide. IPV either before or during pregnancy has been documented as a risk factor for the health of the mother and her unborn child. The aim of this study was to examine the relationship between maternal experience of IPV and low birth weight (LBW). STUDY DESIGN: A hospital-based survey was conducted among women in the postnatal wards of a large public hospital at Rajshahi, Bangladesh...
2017: PloS One
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