Maternal, Newborn, and Child Health
- Health System Factors Influencing the Integration of Pre-Exposure Prophylaxis into Antenatal and Postnatal Clinic Services in Cape Town, South Africa
Integrating PrEP for pregnant and breastfeeding women into antenatal and postnatal clinic services requires supportive PrEP prescription and HIV testing policies, improved availability of trained nurses and counselors, together with simplified access to PrEP and related information, both in clinics and communities.
- The Case for Parent-Implemented Programs to Mitigate Musculoskeletal Complications in Children With Severe Cerebral Palsy in Resource-Limited Settings
Children with severe cerebral palsy are vulnerable to orthopedic complications, particularly in resource-limited settings, which can compound disability. A focus on home-based programs may help to improve their quality of life and participation.
- The Impact of Health Information System Interventions on Maternal and Child Health Service Utilizations in Ethiopia: A Quasi-Experimental Study
Implementing health information system interventions to improve data quality improved the use of data for evidence-based decision-making at different health system levels and increased maternal and child health service utilization.
- Emergency Obstetric Care Access Dynamics in Kampala City, Uganda: Analysis of Women’s Self-Reported Care-Seeking Pathways
The findings of this cross-sectional survey suggest that care pathways of women with obstetric complications in Kampala often involve at least 2 formal providers and reflect possible inefficiencies in the referral process, including potential delays and unnecessary steps.
- Recommendations for Using Health Service Coverage Cascades to Measure Effective Coverage for Maternal, Newborn, Child, and Adolescent Health Services or Interventions
Using health service coverage cascades to measure effective coverage for maternal, newborn, child, and adolescent health services on a global scale is premature and requires further research and validation to reach consensus.
- Improving Maternity Care Where Home Births Are Still the Norm: Establishing Local Birthing Centers in Guatemala That Incorporate Traditional Midwives
Comadronas (traditional midwives) strongly advocate for and participate in attending their clients’ births in local birthing centers in rural Guatemala, where Indigenous women have previously preferred home births because of geographic, sociocultural, and economic barriers to giving birth at a higher-level health facility.
- National Politics’ Role in Developing Primary Health Care Policy for Maternal Health in Papua New Guinea: A Qualitative Document Analysis
This article examines the factors and mechanisms that influenced the development of the free primary health care policy for maternal health in Papua New Guinea.
- Antenatal Care Interventions to Increase Contraceptive Use Following Birth in Low- and Middle-Income Countries: Systematic Review and Narrative Synthesis
Interventions delivered during the antenatal period that included a multifaceted package of initiatives appeared to be most likely to be effective at increasing voluntary postpartum contraception. By contrast, interventions with minimal counseling did not appear to be effective.
- Development and Piloting of Implementation Strategies to Support Delivery of a Clinical Intervention for Postpartum Hemorrhage in Four sub-Saharan Africa Countries
We describe the systematic approach taken to identify areas of suboptimal postpartum hemorrhage detection and management to develop implementation strategies to support the delivery of the E-MOTIVE intervention in 4 countries.
- Implementation of Maternal and Newborn Health Mobile Phone E-Cohorts to Track Longitudinal Care Quality in Low- and Middle-Income Countries
We describe the feasibility, lessons learned, and challenges of implementing a longitudinal phone survey that followed women from their first antenatal care visit through delivery and until 3 months postpartum to assess health system competence, user experience, and health outcomes in Ethiopia, India, Kenya, and South Africa.