Maternal, Newborn, and Child Health
- Social Distancing in the Era of COVID-19: A Call for Maintaining Social Support for the Maternal Population
In the era of COVID-19, pregnant and postpartum women, an already vulnerable group, are facing unforeseen and compounding stressful events with reduced social protections. We argue that to prevent harmful consequences that may surpass the effects of the crisis itself for pregnant women and their families, it is imperative to prioritize maintaining formal and informal sources of social support for mothers in proposed infection control policies.
- Initiation of Breastfeeding in Low- and Middle-Income Countries: A Time-to-Event Analysis
This article uses country-specific data to provide information for stakeholders about delays in breastfeeding, especially for babies born via cesarean delivery, and provide evidence to support skin-to-skin contact to promote early breastfeeding.
- Institutionalizing a Regional Model for Improving Quality of Newborn Care at Birth Across Hospitals in Eastern Uganda: A 4-Year Story
A locally developed, low-cost package of interventions implemented in a regional network of hospitals resulted in significant reductions in mortality for mothers and newborns as well as the institutionalization of the quality improvement initiative. This work demonstrates that it is possible to achieve the World Health Organization/United Nations Children's Fund Quality of Care targets in hospitals.
- From Passive Surveillance to Response: Suriname's Efforts to Implement Maternal Death Surveillance and Response
To implement Maternal Death Surveillance and Response successfully in Suriname, recommendations to reduce maternal death should be acted upon. Delineating the roles and responsibilities for action, establishing accountability mechanisms, and influencing stakeholders in a position to act are critical to ensure a response to recommendations to avert maternal mortality.
- Improving Services for HIV-Exposed Infants in Zambia and Cameroon Using a Quality Improvement Collaborative Approach
To bridge the gap between what is known and what is done, quality improvement collaboratives (QICs) enable health programs to rapidly address quality challenges at scale. Two QICs in Cameroon and Zambia improved coverage of early infant HIV testing and initiating antiretroviral therapy in HIV-exposed infants. The QIC approach empowers health care workers to design solutions tailored for their specific settings.
- Economic Evaluation of Provision of Postpartum Intrauterine Device Services in Bangladesh and Tanzania
Provision of a postpartum intrauterine device (PPIUD) within 48 hours of delivery was highly cost-effective compared with standard practice in 2 lower middle-income countries. Policy makers should consider expansion of postpartum family planning counseling and introduction of immediate PPIUD services as an added tool to address the unmet need for contraception.
- Implementing a Social Accountability Approach for Maternal, Neonatal, and Child Health Service Performances in Ethiopia: A Pre-Post Study Design
Implementing a community scorecard approach may help increase utilization of maternal, neonatal, and child health services in primary health care facilities. The results of our study show the importance of engaging both the community and health workers to measure and continuously improve health care processes and improve the health system performance.
- Human Resources for Health-Related Challenges to Ensuring Quality Newborn Care in Low- and Middle-Income Countries: A Scoping Review
We mapped evidence from low- and middle-income countries of the human resources for health-related challenges to providing quality facility-based newborn care into tangible thematic areas. The mapping provides valuable insight that informed new World Health Organization strategies to systematically address the challenges identified and to strengthen human resources for health for newborn care globally and nationally.
- Inpatient Point-of-Care HIV Early Infant Diagnosis in Mozambique to Improve Case Identification and Linkage to Antiretroviral Therapy
Introduction of point-of-care early infant diagnosis on the inpatient wards of 2 of the largest pediatric referral hospitals in Mozambique increased HIV testing volume and pediatric HIV case identification with improved linkage to antiretroviral therapy.
- Levels, Trends, and Inequalities in Using Institutional Delivery Services in Low- and Middle-Income Countries: A Stratified Analysis by Facility Type
Despite improvements in the use of institutional delivery services around the world, progress has not been uniform across low- and middle-income countries. Persistent and growing inequalities in the utilization of institutional delivery services warrant the attention of policy makers for further investments and policy reviews.