Maternal, Newborn, and Child Health
- 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.
- Individual, Community, and Health Facility Predictors of Postnatal Care Utilization in Rural Tanzania: A Multilevel Analysis
PNC visits are an opportunity to promote physical and emotional recovery, offer infant care and feeding advice, detect and treat postpartum complications, and discuss birth spacing. Offering PNC in nearby health facilities with adequate quality of care can increase usage rates.
- Determinants of Kangaroo Mother Care Uptake for Small Babies Along the Health Facility to Community Continuum in Karnataka, India
In Karnataka, India, the initiation and duration of kangaroo mother care (KMC) for small babies improved following KMC support for mothers and family members at the health facility and improved KMC competence of health care workers.
- Strengthening Kampala’s Urban Referral System for Maternal and Newborn Care Through Establishment of an Emergency Call and Dispatch Center
An emergency call and ambulance dispatch center facilitated maternal and newborn transport, and a smartphone application helped deploy and track ambulances to improve coordination and efficiency in emergency case referral and transport.
- From Pre-Implementation to Institutionalization: Lessons From Sustaining a Perinatal Audit Program in South Africa
The authors explored the implementation history of South Africa’s perinatal audit program and identified lessons learned, policy and operational gaps, and issues with an existing measurement tool found while measuring the program’s implementation in 5 districts.
- Establishing the Ethiopian Obstetric Surveillance System for Monitoring Maternal Outcomes in Eastern Ethiopia: A Pilot Study
The authors’ pilot of the Ethiopian Obstetric Surveillance System demonstrates the feasibility of establishing similar systems to monitor maternal outcomes in other low-resource settings.
- The Godmother Project: A Virtual Initiative to Support Pregnant and Postpartum Women in Brazil During the COVID-19 Pandemic
WhatsApp groups of pregnant and postpartum women led by dedicated nurse educators can help educate and support women during the perinatal period, especially in contexts of physical distancing requirements or where social support is unavailable.
- Scale-Up of a Newborn Resuscitation Capacity-Building and Skill Retention Program Associated With Improved Neonatal Outcomes in Gandaki Province, Nepal
A program in Nepal based on the Helping Babies Breathe training curriculum successfully scaled up newborn resuscitation training and skill retention and could serve as an evidence-based model in other resource-constrained settings.