Maternal, Newborn, and Child Health
- Is Early Childhood Development Care at Public Health Facilities in Pakistan Effective? A Cluster Randomized Controlled Trial
An integrated early childhood development care intervention effectively reduced global development delays and improved growth outcomes in rural Pakistan.
- Unveiling Maternal Health Insights During the COVID-19 Pandemic in Pakistan: Using Causal Loop Diagrams to Illuminate and Prevent Unintended Policy Effects
The authors explain that using causal loop diagrams can visualize retrospectively the unintended negative consequences of COVID-19 related policies on maternal health and has potential to be used prospectively to foster decision-making to prevent those consequences.
- Health System Strengthening Through Professional Midwives in Bangladesh: Best Practices, Challenges, and Successes
The authors detail the establishment of the profession of globally standard midwives deployed into the national health care system in Bangladesh that improved the quality and availability of sexual, reproductive, maternal, newborn, and adolescent health services.
- Exploring the Adaptations of the Free Maternity Policy Implementation by Health Workers and County Officials in Kenya
To achieve the objectives of the free maternity policy in Kenya and overcome implementation challenges, health care workers and county officials—as policy implementers—covertly and unofficially developed local arrangements and adaptive strategies.
- Lessons Learned From Building a Global Health Partnership on Obstetric Care in Madagascar
The authors share experiences of a global health partnership that worked to promote equity through a commitment to shared values and goals, engagement and communication, and mutual trust and respect.
- Out-of-Pocket Expenditure for Antenatal Care Amid Free Health Care Provision: Evidence From a Large Pregnancy Cohort in Rural Sri Lanka
The authors report that even with the free health care services provided by the government, out-of-pocket expenditure for antenatal care in Sri Lanka is high, and women in low-income groups have a higher expenditure compared to higher-income groups.
- Lessons From Implementing Ask-Boost-Connect-Discuss, a Peer-Delivered Psychosocial Intervention for Young Mothers Living With HIV in Malawi, Tanzania, Uganda, and Zambia
To respond to the distinct needs of young mothers living with HIV, peer supporters can be trained to provide structured psychosocial support. The authors assessed the feasibility of using young peers to deliver this psychosocial support.
- Repeatability of Pulse Oximetry Measurements in Children During Triage in 2 Ugandan Hospitals
This analysis of spot measurements of oxygen saturation in children during routine triage in Ugandan hospitals indicates the importance of signal quality and duration of measurement in achieving repeatable pulse oximetry measurements.
- The Journey Toward Establishing Inpatient Care for Small and Sick Newborns in Ethiopia, India, Malawi, and Rwanda
Documenting the journey to establish inpatient care for small and sick newborns in Ethiopia, India, Malawi, and Rwanda, the authors showcase the remarkable progress and share lessons with stakeholders in other countries who aim to do the same.
- Digitalizing Clinical Guidelines: Experiences in the Development of Clinical Decision Support Algorithms for Management of Childhood Illness in Resource-Constrained Settings
Clinical decision support systems can strengthen the quality of IMCI but can vary because of the need for interpretation when translating narrative guidelines into decision logic combined with considerations of context and design choices.