Aug
17

African Journal of Reproductive Health - IMCHA Special Edition

Vol 25, No 3s (2021)  Click here to access the publication
Aug
16

Improving Access to Family Planning Services in Rorya District, Tanzania

Webber, G., Chirangi, B., & Magatti, N. (2021) Improving Access to Family Planning Services in Rorya District, Tanzania: Qualitative Findings from a Pilot Study. Tanzania Medical Journal 32 (3): 67-83. DOI: https://doi.org/10.4314tmj.v32i3.428  
Jun
18

Gender intentional approaches to enhance health social enterprises in Africa: a qualitative study of constraints and strategies

​ Health social enterprises are experimenting with community health worker (CHW) models that allow  for various income-generating opportunities to motivate and incentivize CHWs. Although evidence shows that  improving gender equality contributes to the achievement of health outcomes, gender-based constraints faced by  CHWs working wi...
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Jun
18

How workers respond to social rewards: evidence from community health workers in Uganda

  This paper investigates the effect of a non-financial incentive—a competitive annual award—on  community health workers' (CHWs) performance, an issue in the public health literature that has  not been explored to its potential. Combining data on a competitive social 'Best CHW' award with  the monthly performance of 4050 CHWs a...
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Jun
18

Gender Intentional Strategies to Enhance Health Social Enterprises in Africa:

  There has been a resurgence of interest in using community health  workers (CHWs) to enhance frontline primary health care given their  potential to fill gaps and reach remote communities. In light of this,  health social enterprises are experimenting with CHW models that  allow for various income-generating opportunities...
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Jun
18

Gender and health social enterprises in Africa: a research agenda

Health social enterprises in Africa working with community health workers (CHWs) are growing rapidly but understudied. In particular, gender equality issues related to their work has important public health and  equity implications.     Download PDF File Here
Jun
01

A day in the life of a community health worker

There is renewed commitment to the use and role of community health  workers (CHWs) to enhance front line primary health care given their potential to fill gaps and reach remote communities. In light of this, health social enterprises are experimenting with CHW models that allow for various income-generating opportunities to motivate and incen...
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May
26

Improving sexual and reproductive health knowledge and practice in Mozambican families with media campaign and volunteer family health champions

Maternal and neonatal mortality rates in Mozambique are high: 451.6 maternal deaths per 100.000 live births (2017).1 In primary healthcare centres, death occurs more frequently within the first 2 hours of the pregnant woman reaching the hospital, highlighting the precarious conditions and women's late arrival to the health centre (HC).

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May
05

Scaling up newborn care technologies from tertiary- to secondary-level hospitals in Malawi: an implementation case study of health professional perspectives on bubble CPAP

While Malawi has achieved success in reducing overall under-five mortality, reduction of neonatal mortality remains a persistent challenge. There has, therefore, been a push to strengthen the capacity for quality newborn care at district hospitals through the implementation of innovative neonatal technologies such as bubble continuous positive airw...
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May
05

Experiences of a multiple intervention trial to increase maternity care access in rural Tanzania: Focus group findings with women, nurses and community health workers

In order to improve maternal health and women's access to maternity care services in Rorya District, Mara, Northern Tanzania, we introduced several interventions across the district from 2018 to 2019. The interventions were workshops with nurses to encourage respectful care of women and transportation subsidies for women to reach the health facilit...
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May
05

Leaving no one behind: using action research to promote male inovlement in maternal and child health in Irginga region, Tanzania

Male involvement has been reported to improve maternal and child health (MCH) outcomes. However, most studies in low-income and middle-income countries have reported low participation of men in MCH-related programmes. While there is a growing interest in the involvement of men in MCH, little is known on how male involvement can be effectively promo...
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May
05

Harnessing the health systems strengthening potential of quality improvement using realist evaluation: an example from southern Tanzania

Quality improvement (QI) is a problem-solving approach in which stakeholders identify context-specific problems and create and implement strategies to address these. It is an approach that is increasingly used to support health system strengthening, which is widely promoted in Sub-Saharan Africa. However, few QI initiatives are sustained and implem...
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May
05

It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi

Kangaroo mother care (KMC) is an effective intervention for preterm and low birth weight infants. Effective implementation of KMC relies on a multidisciplinary team centering on the newborn's caregiver, who delivers care with support from health care workers. This study explored the experiences of caregivers on the implementation of KMC. Read more....
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May
05

Impact of home visits to pregnant women and their spouses on gender norms and dynamics in Bauchi State, Nigeria: Narratives from visited men and women

Maternal and newborn child health are priority concerns in Bauchi State, northern Nigeria. Increased male involvement in reproductive health is recommended by the World Health Organization. A trial of a program of universal home visits to pregnant women and their spouses, with an intention to increase male involvement in pregnancy and childbirth, s...
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May
05

So sometimes, it looks like it’s a neglected ward”: Health worker perspectives on implementing kangaroo mother care in southern Malawi

Kangaroo mother care (KMC) involves continuous skin-to-skin contact of baby on mother's chest to provide warmth, frequent breastfeeding, recognizing danger signs of illness, and early discharge. Though KMC is safe, effective and recommended by the World Health Organization, implementation remains limited in practice. The objective of this study is ...
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May
05

IMCHA Research Digest December 2020 - February 2021

Engaging men Engagement of men in defining relevant solutions is key to changing harmful social norms and to reaching successful maternal and child health outcomes. 

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May
05

IMCHA publications March - May 2020

IMCHA research team "Quality improvement for maternal and newborn health at district-level scale in Mtwara Region Tanzania" studied how to improve the quality improvement methodology whereby stakeholders identify problems in their own contexts and create strategies to improve them.

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May
05

“It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi

Kangaroo mother care (KMC) is an effective intervention for preterm and low birth weight infants. Effective implementation of KMC relies on a multidisciplinary team centering on the newborn's caregiver, who delivers care with support from health care workers. This study explored the experiences of caregivers on the implementation of KMC. Read more....
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May
05

Leaving no one behind: using action research to promote male inovlement in maternal and child health in Irginga region, Tanzania

Male involvement has been reported to improve maternal and child health (MCH) outcomes. However, most studies in low-income and middle-income countries have reported low participation of men in MCH-related programmes. While there is a growing interest in the involvement of men in MCH, little is known on how male involvement can be effectively promo...
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May
05

Experiences of a Multiple Intervention Trial to Increase Maternity Care Access in Rural Tanzania: Focus Group Findings with Women, Nurses and Community Health Workers Women’s Health

In order to improve maternal health and women's access to maternity care services in Rorya District, Mara, Northern Tanzania, we introduced several interventions across the district from 2018 to 2019. The interventions were workshops with nurses to encourage respectful care of women and transportation subsidies for women to reach the health facilit...
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May
05

Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Read more...

Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Read more...  
May
05

No effects of pilot performance-based intervention implementation and withdrawal on the coverage of maternal and child health services in the Koulikoro region, Mali: an interrupted time series analysis

Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Read more...  
May
05

Stakeholder perceptions and context of the implementation of performance-based financing in district hospitals in Mali

To improve the performance of the healthcare system, Mali's government implemented a pilot project of performance-based financing (PBF) in the field of reproductive health. It was established in the Koulikoro region. This research analyses the process of implementing PBF at district hospital (DH) level, something which has rarely been done in Afric...
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May
05

From Amsterdam to Bamako: a qualitative case study on diffusion entrepreneurs’ contribution to performance-based financing propagation in Mali

For the past 15 years, several donors have promoted performance-based financing (PBF) in Africa for improving health services provision. European and African experts known as 'diffusion entrepreneurs' (DEs) assist with PBF pilot testing. In Mali, after participating in a first pilot PBF in 2012–13, the Ministry of Health and Public Hygiene included...
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May
05

Implementing performance-based financing in peripheral health centres in Mali: what can we learn from it? 

Numerous sub-Saharan African countries have experimented with performance-based financing (PBF) with the goal of improving health system performance. To date, few articles have examined the implementation of this type of complex intervention in Francophone West Africa. This qualitative research aims to understand the process of implementing a PBF p...
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May
05

Harnessing the health systems strengthening potential of quality improvement using realist evaluation: an example from southern Tanzania

Quality improvement (QI) is a problem-solving approach in which stakeholders identify context-specific problems and create and implement strategies to address these. It is an approach that is increasingly used to support health system strengthening, which is widely promoted in Sub-Saharan Africa. However, few QI initiatives are sustained and implem...
Continue reading
May
05

Scaling up newborn care technologies from tertiary- to secondary-level hospitals in Malawi: an implementation case study of health professional perspectives on bubble CPAP

While Malawi has achieved success in reducing overall under-five mortality, reduction of neonatal mortality remains a persistent challenge. There has, therefore, been a push to strengthen the capacity for quality newborn care at district hospitals through the implementation of innovative neonatal technologies such as bubble continuous positive airw...
Continue reading
May
05

Effects of terrorist attacks on access to maternal healthcare services: a national longitudinal study in Burkina Faso

Most of the literature on terrorist attacks' health impacts has focused on direct victims rather than on distal consequences in the overall population. There is limited knowledge on how terrorist attacks can be detrimental to access to healthcare services. The objective of this study is to assess the impact of terrorist attacks on the utilisation o...
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May
05

User fee policies and women’s empowerment: a systematic scoping review

Over the past decade, an increasing number of low- and middle-income countries have reduced or removed user fees for pregnant women and/or children under five as a strategy to achieve universal health coverage. Despite the large number of studies (including meta-analyses and systematic reviews) that have shown this strategy's positive effects impac...
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May
05

Improving sexual and reproductive health knowledge and practice in Mozambican families with media campaign and volunteer family health champions

 Increase knowledge, attitudes and practice of sexual and reproductive health and family planning and to reduce maternal and neonatal mortality rates in Mozambique. Read more...
May
05

Promoting the use of evidence in health policymaking in the ECOWAS region: the development and contextualization of an evidence-based policymaking guidance

The Economic Commission of the West African States (ECOWAS), through her specialised health Institution, the West African Health Organization (WAHO) is supporting Members States to improve health outcomes in West Africa. There is a global recognition that evidence-based health policies are vital towards achieving continued improvement in health out...
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May
05

How Tanzania’s spousal escort policy frustrates antenatal health care

Good care during pregnancy is important for the health of mothers and the development of unborn babies. Antenatal care contributes to a woman's overall good health as well as linking her and her family to the health system, and increasing her chances of using a skilled attendant at birth. Read more...  
May
05

“Kunika women are always sick”: views from community focus groups on short birth interval (kunika) in Bauchi state, northern Nigeria

In Northern Nigeria, short birth interval is common. The word kunika in the Hausa language describes a woman becoming pregnant before weaning her last child. A sizeable literature confirms an association between short birth interval and adverse perinatal and maternal health outcomes. Yet there are few reported studies about how people view short bi...
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May
05

Gender Equality, Social Enterprise and Community Health Workers: A Rapid Evidence Assessment and Research Agenda

Health social enterprises in Africa working with community health workers (CHWs) are growing rapidly but understudied. In particular, gender equality issues related to their work has important public health and equity implications. Read more...  
May
05

Factors associated with short birth interval in low- and middle-income countries: a systematic review

There is ample evidence of associations between short birth interval and adverse maternal and child health outcomes, including infant and maternal mortality. Short birth interval is more common among women in low- and middle-income countries. Identifying actionable aspects of short birth interval is necessary to address the problem. Read more... &n...
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May
05

Assessing quality of newborn care at district facilities in Malawi

Malawi is celebrated as one of the few countries in sub-Saharan Africa to meet the Millennium Development Goal of reducing under-5 mortality by two-thirds between 1990 and 2015. However, within this age range neonatal mortality rates are the slowest to decline, even though rates of facility births are increasing. Examining the quality of neonatal c...
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May
05

Longitudinal analysis of the capacities of community health workers mobilised for seasonal malaria chemoprevention in Burkina Faso

Seasonal malaria chemoprevention (SMC) relies on community health workers to distribute drugs. This study assessed: (1) the capacity of community-based distributors (CBDs) at the start and end of a campaign and from one campaign to another after training or refresher courses before each round; (2) to what extent CBDs' experience over several campai...
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May
05

Why rural women do not use primary health centres for pregnancy care: evidence from a qualitative study in Nigeria

While Primary Health Care has been designed to provide universal access to skilled pregnancy care for the prevention of maternal deaths in Nigeria, available evidence suggests that pregnant women in rural communities often do not use Primary Health Care Centres for skilled care. The objective of this study was to investigate the reasons why women d...
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May
05

A qualitative study of community elders’ perceptions about the underutilization of formal maternal care and maternal death in rural Nigeria

Underutilization of formal maternal care services and accredited health attendants is a major contributor to the high maternal mortality rates in rural communities in Nigeria. Perceptions of a poor quality of care and inaccessible services in health facilities strongly influence the low use of formal maternal care services. There is therefore a nee...
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May
05

Men’s perception of barriers to women’s use and access of skilled pregnancy care in rural Nigeria: a qualitative study

Greater paternal engagement is positively associated with improved access to and utilization of maternal services. Despite evidence that male involvement increased uptake of maternal and child services, studies show that few men are participating in MNCH programs. Community leaders have long been engaged in public health promotion in rural settings...
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May
05

Health workers’ views on factors affecting caregiver engagement with bubble CPAP

Severe respiratory distress is a leading cause of mortality among neonates in Malawi. Despite evidence on the safety, cost effectiveness and efficacy of bubble continuous positive airway pressure (CPAP) in managing the condition, its use in Malawian health facilities is limited and little is known about caregivers' engagement with perspectives of b...
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May
05

Barriers and facilitators to implementing bubble CPAP to improve neonatal health in sub-Saharan Africa: a systematic review

Bubble continuous positive airway pressure (CPAP) has been shown to be effective in supporting breathing in newborns with respiratory distress. The factors that influence implementation in resource-constrained settings remain unclear. The objective of this review is to evaluate the barriers and facilitators of CPAP implementation for newborn care a...
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May
05

Health policy mapping and system gaps impeding the implementation of reproductive, maternal, neonatal, child, and adolescent health programs in South Sudan: a scoping review

Pregnant women, neonates, children, and adolescents are at higher risk of dying in fragile and conflict-affected settings. Strengthening the healthcare system is a key strategy for the implementation of effective policies and ultimately the improvement of health outcomes. South Sudan is a fragile country that faces challenges in implementing its re...
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May
05

“Midwives do not appreciate pregnant women who come to the maternity with torn and dirty clothing”: institutional delivery and postnatal care in Torit County, South Sudan: a mixed method study

South Sudan has one of the highest maternal mortality ratios in the world, at 789 deaths per 100,000 live births. The majority of these deaths are due to complications during labor and delivery. Institutional delivery under the care of skilled attendants is a proven, effective intervention to avert some deaths. The aim was to determine the prevalen...
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May
05

Quality of perinatal depression care in primary care setting in Nigeria

Even though integrating mental health into maternal and child health (MCH) is widely accepted as a means of closing the treatment gap for maternal mental health conditions in low- and middle-income countries (LMIC), there are not many studies on the quality of the currently available mental health care for mothers in these countries. This study ass...
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May
05

Comparative case studies in integrated care implementation from across the globe: a quest for action

Integrated care is the coordination of general and behavioral health and is a highly promising and practical approach to improving healthcare delivery and patient outcomes. While there is growing interest and investment in integrated care implementation internationally, there are no formal guidelines for integrated care implementation applicable to...
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May
05

Maternal Near Miss morbidity: Is this evidence of maternal health quality in sub-Saharan Africa.

The article by Samuel Oppong et al. makes interesting reading (Oppong et al. BJOG 2019; 126:755–62). It describes a study carried out in three tertiary referral hospitals in southern Ghana that investigated the incidence of and factors associated with maternal near‐miss morbidity. Read more...  
May
05

Using livelihoods to support primary health care for South Sudanese refugees in Kiryandongo, Uganda

Conflict in South Sudan has displaced 2.3 million people, of whom 789,098 (35%) have taken refuge in Uganda – a country that allows refugees to work, own property, start their own businesses and access public health services. In this context, refugees have identified livelihoods and primary health care as key priorities for their wellbeing. Read mo...
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May
05

Subnational health management and the advancement of health equity: a case study of Ethiopia

Health equity is a cross-cutting theme in the United Nations 2030 Agenda for Sustainable Development, and a priority in health sector planning in countries including Ethiopia. Subnational health managers in Ethiopia are uniquely positioned to advance health equity, given the coordination, planning, budgetary, and administration tasks that they are ...
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May
05

Gender Inequality as Barrier to Women’s Access to Skilled Pregnancy care in Rural Nigeria: A Qualitative Study.

Maternal mortality has been an issue of global importance, with continued efforts by the international development community towards its reduction. The provision of high quality maternal healthcare has been identified as a key strategy in preventing maternal mortality. Gendered intrahousehold power structures, gendered dynamics of resource allocati...
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May
05

Assessing the knowledge and skills on emergency obstetrics care among health providers: Implications for health systems strengthening in Nigeria

Available evidence indicate that while 303,000 women died in 2015 from preventable causes related to pregnancy and childbirth, sub-Saharan Africa accounted for 66% of these deaths [ 1 ]. Within sub-Saharan Africa, nearly 29% of the maternal deaths occurred in Nigeria with an estimated 58,000 pregnant women dying annually in the country mainly from ...
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May
05

Maternity waiting areas – serving all women? Barriers and enablers of an equity-oriented maternal health intervention in Jimma Zone, Ethiopia

In Ethiopia, maternal waiting areas (MWAs) – residential areas near health facilities where women can stay while waiting to give birth – are community-based, equity-oriented interventions to improve maternal outcomes among rural populations. In this qualitative study we sought to explore the barriers and enablers that Health Extension Workers (HEWs...
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May
05

A quality assessment of Health Management Information System (HMIS) data for maternal and child health in Jimma Zone, Ethiopia

Health management information system (HMIS) data are important for guiding the attainment of health targets in low- and middle-income countries. However, the quality of HMIS data is often poor. High-quality information is especially important for populations experiencing high burdens of disease and mortality, such as pregnant women, newborns, and c...
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May
05

Talking health: Identifying trusted health messengers and effective ways of delivering health messages in rural Ethiopia

Access to trusted health information has contribution to improve maternal and child health outcomes. However, limited research to date has explored the perceptions of communities regarding credible messenger and messaging in rural Ethiopia. Therefore, this study aimed to explore sources of trusted maternal health information and preferences for the...
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May
05

Why do pregnant women in Iringa region in Tanzania start antenatal care late? A qualitative analysis

When started early in pregnancy and continued up till childbirth, antenatal care (ANC) can be effective in reducing adverse pregnancy outcomes. While the proportion of women who attend ANC at least once in low income countries is high, most pregnant women attend their first ANC late. In Tanzania, while over 51% of pregnant women complete ≥4 visits,...
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May
05

A mixed methods systematic review of success factors of mhealth and telehealth for maternal health in Sub-Saharan Africa

Access to health care is still limited for many women in sub-Saharan Africa (SSA), while it remains an important determinant of maternal mortality and morbidity. Information and communication technologies (ICTs), such as mhealth and telehealth, can help to facilitate this access by acting on the various obstacles encountered by women, be they socio...
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May
05

Business models for incentivizing Community Health Workers in Post Conflict Uganda and South Sudan

Publication charges for this supplement were funded by the Symposium. The Supplement Editors declare that they have no competing interests. Read more...
May
05

Nigerian trial shows how universal home visits can help reduce maternal risks

Nigerian women are at high risk of death related to pregnancy and child birth. Accurate figures are hard to come by, but the World Health Organisation estimates there are more than 800 maternal deaths for every 100,000 live births in Nigeria. That's about 100 times higher than rates in Canada or the United Kingdom. Read more...  
May
05

Using equitable impact sensitive tool (EQUIST) to promote implementation of evidence informed policymaking to improve maternal and child health outcomes: a focus on six West African Countries

United Nations Children's Fund (UNICEF) designed EQU itable I mpact S ensitive T ool (EQUIST) to enable global health community address the issue of equity in maternal, newborn and child health (MNCH) and minimize health disparities between the most marginalized population and the better-off. Read more...  
May
05

Dramatic delivery. How soap-opera-style videos are helping educate couples in northern Nigeria about maternal and child health

The peppy music starts, and all of a sudden we get a glimpse of life in a northern Nigerian village. Three women are sitting cross-legged in the shade against a wall, heads covered with colourful scarves. One strips leaves from a branch; the other two are preparing food in large shallow dishes. Behind them, two men in long tunics and matching loose...
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May
05

Perceptions and experiences related to health and health inequality among rural communities in Jimma Zone, Ethiopia: a rapid qualitative assessment

The Safe Motherhood Research Project studies the implementation and scale-up of maternal, newborn and child health (MNCH) initiatives in Jimma Zone, Ethiopia. This qualitative rapid assessment study was undertaken to explore community perceptions and experiences related to health, health inequality and other MNCH themes. Read more...  
May
05

A review of the process of knowledge transfer and use of evidence in reproductive and child health in Ghana

The paper carries out a situational analysis to examine the production, dissemination and utilisation of reproductive and child health-related evidence to inform policy formulation in Ghana's health sector. Read more...  
May
05

Gender and health social enterprises in Africa: a research agenda

Health social enterprises in Africa working with community health workers (CHWs) are growing rapidly but understudied. In particular, gender equality issues related to their work has important public health and equity implications. Read more...  
May
05

Designed in Canada, deployed in Mozambique

It's a problem that plagues Mozambique. The southern African nation has one of the world's highest maternal mortality rates, at 489 deaths per 100,00 live births (compared to seven deaths per 100,000 live births in Canada), and in places such as Nampula province in the country's north, it's not uncommon for women to die simply because they can't ge...
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May
05

Decomposing the rural-urban gap in the factors of under-five mortality in sub-Saharan Africa. Evidence from 35 countries.

Understanding urban-rural gap in childhood survival is essential for health care interventions and to explain disparities in the determinants of Under-5 mortality. There is dearth of information about the factors explaining differentials in urban-rural Under-5 mortality especially in sub-Saharan Africa (SSA). In this study, we sought to quantify th...
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May
04

Assessment of policy makers’ individual and organizational capacity to acquire, assess, adapt and apply research evidence for maternal and child health policy making in Nigeria: a cross-sectional quantitative survey.

Throughout the world, there is increasing awareness and acknowledgement of the value of research evidence in the development of effective health policy and in quality health care practice and administration. Among the major challenges associated with the lack of uptake of research evidence into policy and practice in Nigeria is the capacity constra...
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May
04

An assessment of policymaker’s engagement initiatives to promote evidence informed health policy making in Nigeria

In most developing countries including Nigeria, one of the most challenging issues associated with evidence-to-policy link is the capacity constraints of policymakers to access, synthesize, adapt and utilize available research evidence. The purpose of this review is to assess the efforts and various initiatives that have been undertaken to delibera...
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May
04

Spanning maternal, newborn and child health (MNCH) and health systems research boundaries: conducive and limiting health systems factors to improving MNCH outcomes in West Africa

Despite improvements over time, West Africa lags behind global as well as sub-Saharan averages in its maternal, newborn and child health (MNCH) outcomes. This is despite the availability of an increasing body of knowledge on interventions that improve such outcomes. Beyond our knowledge of what interventions work, insights are needed on others fact...
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May
04

Promoting research to improve maternal, newborn, infant and adolescent health in West Africa: the role of West African Health Organisation

West Africa has adopted numerous strategies to counter maternal and infant mortality, provides national maternal and infant health programmes, and hosts many active technical and financial partners and non-governmental organisations. Despite this, maternal and infant morbidity and mortality indicators are still very high. In this commentary, intern...
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May
04

Improving maternal and child health policymaking process in Nigeria: an assessment of policymakers’ needs, barriers and facilitators of evidence-informed policymaking.

In Nigeria, interest in the evidence-to-policy process is gaining momentum among policymakers involved in maternal, newborn and child health (MNCH). However, numerous gaps exist among policymakers on use of research evidence in policymaking. The objective of this study was to assess the perception of MNCH policymakers regarding their needs and the ...
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May
04

Prevalence and determinants of childhood mortality in Nigeria

Childhood mortality has remained a major challenge to public health amongst families in Nigeria and other developing countries. The menace of incessant childhood mortality has been a major concern and this calls for studies to generate new scientific evidence to determine its prevalence and explore predisposing factors associated with it in Nigeria...
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May
04

Maternal death review and outcomes: An assessment in Lagos State, Nigeria

The objective of the study was to investigate the results of Maternal and Perinatal Death Surveillance and Response (MPDSR) conducted in three referral hospitals in Lagos State, Nigeria over a two-year period and to report the outcomes and the lessons learned. MPDRS panels were constituted in the three hospitals, and beginning from January 2015, we...
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May
04

An Assessment of National Maternal and Child Health Policy-Makers’ Knowledge and Capacity for Evidence- Informed Policy-Making in Nigeria

There is increasing interest globally in the use of more rigorous processes to ensure that maternal, newborn, and child health (MNCH) care recommendations are informed by the best available research evidence use. The purpose of this study was to engage Nigerian MNCH policy-makers and other stakeholders to consider issues around research to policy a...
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May
04

An assessment of maternal, newborn and child health implementation studies in Nigeria: implications for evidence informed policymaking and practice

The introduction of implementation science into maternal, newborn and child health (MNCH) research has facilitated better methods to improve uptake of research findings into practices. With increase in implementation research related to MNCH world-wide, stronger scientific evidence are now available and have improved MNCH policies in many countries...
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May
04

Unlocking the Benefits of Emergency Obstetric Care in Africa

Emergency Obstetric care (EmOC) is the form of clinical care that responds to un-expected complications of pregnancy such as haemorrhage and hypertensive crisis in pregnancy. Read more...
May
04

Improving the standards-based management recognition initiative to provide high quality, equitable maternal services in Malawi: an implementation research protocol

This project addresses a key concern of the Malawian Ministry of Health (MOH), namely, the persistence of a high maternal mortality ratio (MMR) of 675/100 000 live births despite a facility birth rate of 73%.1 With the goal of reducing MMR to 155/ 100 000, the MOH wants to understand how interventions aimed at enhancing quality of care that have pr...
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May
04

The impact of universal home visits with pregnant women and their spouses on maternal outcomes: a cluster randomised controlled trial in Bauchi State, Nigeria

Introduction   Maternal mortality in Nigeria is extremely high. Access to quality antenatal and obstetric care is limited. In Bauchi State, we found maternal morbidity was associated with domestic violence, heavy work in pregnancy, ignorance of danger signs, and lack of spousal communication. This cluster randomized controlled trial tested the...
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May
04

Narrative depictions of working with language interpreters in cross-language qualitative research

The role of the interpreter in cross-language qualitative research warrants methodological consideration at the onset and throughout the research. This study used a narrative approach to portray how two researchers' epistemological positionings about the interpreter role were negotiated within the practical realities of conducting research. Data we...
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May
04

Knowledge acquisition of Helping Babies Survive in rural Tanzania.

While the effectiveness of Helping Babies Breathe (HBB) training in Tanzania has been reported, no published studies of Essential Care for Every Baby (ECEB) and Essential Care for Small Babies (ECSB) in this setting have been found. This study compared knowledge before and after HBB, ECEB and ECSB training in Tanzania. Read more...  
May
04

"Promoting Respectful Maternity Care in Rural Tanzania: Nurses’ Experiences of the “Health Workers for Change” Program"

Disrespectful and abusive care of women during their pregnancies has been shown to be a barrier for women accessing health care services for antenatal care and delivery. As part of an implementation research study to improve women's access to health care services in Rorya District, Mara, Tanzania, we conducted a pilot study training reproductive he...
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May
04

Interventions for depression delivered by non-physician primary health care workers in Nigeria

The WPA Action Plan 2017‐2020 1 has been released by H. Herrman, new WPA President, during the recent World Congress of Psychiatry in Berlin. An agreement that could assist in achieving the objectives of that Action Plan in an African context has been produced during the WPA‐World Health Organization (WHO) Africa Mental Health Forum meeting that to...
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May
04

Prevalence and risk factors for maternal mortality in referral hospitals in Nigeria: a multicenter study

While reports from individual hospitals have helped to provide insights into the causes of maternal mortality in low-income countries, they are often limited for policymaking at national and subnational levels. This multisite study was designed to determine maternal mortality ratios (MMRs) and identify the risk factors for maternal deaths in referr...
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May
04

Promoting evidence informed policymaking for maternal and child health in Nigeria: lessons from a knowledge translation workshop

Knowledge translation (KT) is a process that ensures that research evidence gets translated into policy and practice. In Nigeria, reports indicate that research evidence rarely gets into policymaking process. A major factor responsible for this is lack of KT capacity enhancement mechanisms. The objective of this study was to improve KT competence o...
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May
04

Increasing women’s access to skilled pregnancy care to reduce maternal and perinatal mortality in rural Edo State, Nigeria: a randomized controlled trial

Nigeria presently has the second highest absolute number of maternal deaths and perinatal deaths (stillbirth and neonatal deaths) in the world. The country accounts for up to 14% of global maternal deaths and is second only to India in the number of women who die during childbirth. Although all parts of the country are worsened by these staggering ...
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May
04

Impact of universal home visits on maternal and infant outcomes in Bauchi state, Nigeria: protocol of a cluster randomized controlled trial

Maternal mortality in Nigeria is one of the highest in the world. Access to antenatal care is limited and the quality of services is poor in much of the country. Previous research in Bauchi State found associations between maternal morbidity and domestic violence, heavy work in pregnancy, lack of knowledge about danger signs, and lack of spousal co...
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May
04

Assessment of policy makers’ individual and organizational capacity to acquire, assess, adapt and apply research evidence for maternal and child health policy making in Nigeria: a cross-sectional quantitative survey.

Throughout the world, there is increasing awareness and acknowledgement of the value of research evidence in the development of effective health policy and in quality health care practice and administration. Among the major challenges associated with the lack of uptake of research evidence into policy and practice in Nigeria is the capacity constra...
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May
04

High Impact Interventions On Quality-Of-Care Improvements In Facilities For Maternal, Newborn And Child Health / Sexual And Reproductive Health In Sub-Saharan Africa

The sub-Saharan African (SSA) region has over two thirds of the global burden of maternal deaths and records high infant mortality rates. The region recorded an average of 534 maternal deaths per 100,000 live births in 2017 (WorldBank 2017). 

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May
04

Issue Brief On Gender Integration

The issue brief on gender integration was prepared as part of the summative evaluation of the Innovating for Maternal and Child Health in Africa (IMCHA) initiative to improve maternal, newborn and child health outcomes by strengthening health systems, using primary health care as an entry point. IMCHA was launched in March 2014 by the International...
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May
04

Innovating For Maternal And Child Health In Africa (Imcha) Summative Evaluation

The Innovating for Maternal and Child Health in Africa (IMCHA) initiative is jointly funded by the International Development Research Centre (IDRC), the Canadian Institutes of Health Research (CIHR) and Global Affairs Canada (GAC). It was launched in March 2014 with a funding volume of C$ 36 million over seven years and supports 28 research grants ...
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May
04

Issue Brief On Knowledge Translation And Policy Influence

The issue brief on knowledge translation (KT) was prepared as part of the summative evaluation of the Innovating for Maternal and Child Health in Africa (IMCHA) initiative to improve maternal, newborn and child health outcomes by strengthening health systems, using primary health care as an entry point. IMCHA was launched in March 2014 by the Inter...
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May
04

“It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi

Background Kangaroo mother care (KMC) is an effective intervention for preterm and low birth weight infants. Effective implementation of KMC relies on a multidisciplinary team centering on the newborn's caregiver, who delivers care with support from health care workers. This study explored the experiences of caregivers on the implementation of KMC....
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May
04

Leaving no one behind: using action research to promote male involvement in maternal and child health in Iringa region, Tanzania

Introduction Male involvement has been reported to improve maternal and child health (MCH) outcomes. However, most studies in low-income and middle-income countries have reported low participation of men in MCH-related programmes. While there is a growing interest in the involvement of men in MCH, little is known on how male involvement can be effe...
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May
04

Strengthening maternal and child health in conflict-affected South Sudan

  IDRC-supported research has been underway in South Sudan and northern Uganda since 2015 to improve maternal and child health. In these post-conflict settings, researchers are strengthening local health systems, reducing barriers to access, empowering women, and mobilizing communities to take action on their health needs. When the project beg...
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May
04

How to Strengthen Health Systems Research for MNCH

Health Systems frameworks in their political context: framing divergent agendas. BMC Public Health. http://www.biomedcentral.com/1471-2458/12/774 Converging Health Systems Frameworks: Towards a concepts-to-actions road map for health systems strengthening in low and middle income countries. Global Health Governance Volume III No. 2 (Spring 2010) ht...
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May
04

Contextualizing Implementation Research

Implementation Research in Health: A Practical Guide. http://apps.who.int/iris/bitstream/10665/91758/1/9789241506212_eng.pdf Implementation research: what it is and how to do it. British Journal of Sports Medicine. 2013;347:f6753. http://bjsm.bmj.com/content/48/8/731.short Health Sector Reform and the interpretation of policy context. http://www.sc...
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May
04

Let’s Talk Gender and Equity – Strengthening Research Methodology to Meet the Challenge

United Nations Children's Fund (UNICEF) (2011) Promoting Gender Equality through UNICEF-Supported Programming in Young Child Survival and Development. Operational Guidance. UNICEF. New York, New York. http://www.unicef.org/gender/files/Survival_Layout_Web.pdf Symington, A. (2004). "Intersectionality: a tool for gender and economic justice." Associa...
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May
04

Good Practice in Knowledge Translation as a Tool for Applied Research

Focus. (2005). What is Knowledge Translation. National Centre for the Dissemination of Disability Research. Technical Brief #10. http://www.ncddr.org/kt/products/focus/focus10/ Grimshaw, J.M., Eccles, M.P., Lavis, J.N., Hill, S.J. and J.E. Squires (2012). Knowledge translation of research findings. Implementation Science, 7(50): 1-17. http://www.im...
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May
04

Innovations in MNCH Research

Say, L., et al. (2014). "Global causes of maternal death: a WHO systematic analysis." The Lancet Global Health 2(6): e323-e333. http://www.sciencedirect.com/science/article/pii/S2214109X1470227X World Health, O. (2014). "Trends in maternal mortality: 1990 to 2013. Estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Div...
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May
04

Setting Standards for Evaluation and Monitoring in IMCHA

Neufeld, V., Cole, D.C., Boyd, A., Njelesani, D., Bates, I., and S.R. Hanney (2014). Perspectives on Evaluating Global Health Research for Development: A Background Paper. Taking stock of current practice and ways to improve it. http://www.ccghr.ca/wp-content/uploads/2014/07/EGHR4D-final-paper.pdf
May
04

Ethical Considerations in Knowledge Translation and Implementation Research

Dawson, A. and Y. Paul (2006). "Mass public health programmes and the obligations of sponsoring and participating organisations." Journal of medical ethics 32(10): 580-583. http://jme.bmj.com/content/32/10/580.short Nixon, S. and L. Forman (2008). "Exploring synergies between human rights and public health ethics: A whole greater than the sum of it...
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