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Global Health: Science and Practice
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Global Health: Science and Practice

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Maternal, Newborn, and Child Health

  • Open Access
    Eliminating Mother-to-Child Transmission of HIV by 2030: 5 Strategies to Ensure Continued Progress
    Alexandra C. Vrazo, David Sullivan and Benjamin Ryan Phelps
    Global Health: Science and Practice June 2018, 6(2):249-256; https://doi.org/10.9745/GHSP-D-17-00097

    To keep up momentum in preventing mother-to-child transmission we propose: (1) advocating for greater political and financial commitment; (2) targeting high-risk populations such as adolescent girls and young women; (3) implementing novel service delivery models such as community treatment groups; (4) performing regular viral load monitoring during pregnancy and postpartum to ensure suppression before delivery and during breastfeeding; and (5) harnessing technology in monitoring and evaluation and HIV diagnostics.

  • Open Access
    Maternal and Neonatal Directed Assessment of Technologies (MANDATE): Methods and Assumptions for a Predictive Model for Maternal, Fetal, and Neonatal Mortality Interventions
    Bonnie Jones-Hepler, Katelin Moran, Jennifer Griffin, Elizabeth M McClure, Doris Rouse, Carolina Barbosa, Emily MacGuire, Elizabeth Robbins and Robert L Goldenberg
    Global Health: Science and Practice December 2017, 5(4):571-580; https://doi.org/10.9745/GHSP-D-16-00174

    MANDATE is a mathematical model designed to estimate the relative impact of different interventions on maternal, fetal, and neonatal lives saved in sub-Saharan Africa and India. A key advantage is that it allows users to explore the contribution of preventive interventions, diagnostics, treatments, and transfers to higher levels of care to mortality reductions, and at different levels of penetration, utilization, and efficacy.

  • Open Access
    Authors' Response to Editorial: Maternal Death Surveillance and Response: A Tall Order for Effectiveness in Resource-Poor Settings
    Helen Smith, Charles Ameh, Pamela Godia, Judith Maua, Kigen Bartilol, Patrick Amoth, Matthews Mathai and Nynke van den Broek
    Global Health: Science and Practice December 2017, 5(4):697-698; https://doi.org/10.9745/GHSP-D-17-00407
  • Open Access
    Maternal Death Surveillance and Response: A Tall Order for Effectiveness in Resource-Poor Settings
    Marge Koblinsky
    Global Health: Science and Practice September 2017, 5(3):333-337; https://doi.org/10.9745/GHSP-D-17-00308

    Most countries with high maternal (and newborn) mortality have very limited resources, overstretched health workers, and relatively weak systems and governance. To make important progress in reducing mortality, therefore, they need to carefully prioritize where to invest effort and funds. Given the demanding requirements to effectively implement the maternal death surveillance and response (MDSR) approach, in many settings it makes more sense to focus effort on the known drivers of high mortality, e.g., reducing geographic, financial, and systems barriers to lifesaving maternal and newborn care.

  • Open Access
    Implementing Maternal Death Surveillance and Response in Kenya: Incremental Progress and Lessons Learned
    Helen Smith, Charles Ameh, Pamela Godia, Judith Maua, Kigen Bartilol, Patrick Amoth, Matthews Mathai and Nynke van den Broek
    Global Health: Science and Practice September 2017, 5(3):345-354; https://doi.org/10.9745/GHSP-D-17-00130

    A national coordinating structure was established but encountered significant challenges including: (1) a low number of estimated maternal deaths identified that only included some occurring within facilities, (2) only half of those identified were reviewed, (3) reviewers had difficulties assessing the cause of death largely because of limited documentation in clinical records; and (4) resulting actions were limited. Successful implementation will require addressing many issues, including building support for the process lower down in the health system.

  • Open Access
    Geographic Access Modeling of Emergency Obstetric and Neonatal Care in Kigoma Region, Tanzania: Transportation Schemes and Programmatic Implications
    Yi No Chen, Michelle M Schmitz, Florina Serbanescu, Michelle M Dynes, Godson Maro and Michael R Kramer
    Global Health: Science and Practice September 2017, 5(3):430-445; https://doi.org/10.9745/GHSP-D-17-00110

    32% of estimated live births in the region may not be able to reach emergency obstetric and neonatal care (EmONC) services within 2 hours in dry season, regardless of the type of transportation available. However, bicycles, motorcycles, and cars provide a significant increase in geographic accessibility in some areas. Achieving good access may require upgrading non-EmONC facilities to EmONC facilities in some districts while incorporating bicycles and motorcycles into the health transportation strategy in others.

  • Open Access
    Infant Feeding Policy and Programming During the 2014–2015 Ebola Virus Disease Outbreak in Sierra Leone
    Amelia Brandt, Óscar Serrano Oria, Mustapha Kallon and Alessandra N. Bazzano
    Global Health: Science and Practice September 2017, 5(3):507-515; https://doi.org/10.9745/GHSP-D-16-00387

    Policies on breastfeeding and possible mother-to-child transmission of Ebola Virus Disease (EVD) during the outbreak evolved depending on public health priorities and the evidence available at that particular time. To improve responses to future outbreaks, research on vertical transmission of EVD should be prioritized; infant and young child feeding experts should be integrated into the outbreak response; and a digital repository of national policies and associated messages should be created.

  • Open Access
    Reducing Sepsis Deaths in Newborns Through Home Visitation and Active Case Detection: Is it Realistic?
    Stephen Hodgins and Robert McPherson
    Global Health: Science and Practice June 2017, 5(2):177-179; https://doi.org/10.9745/GHSP-D-17-00201

    Severe bacterial infection remains one of the major causes of newborn deaths in low-income countries. A key challenge for reducing this burden is making definitive treatment more easily available. Active case detection through early postnatal home visits can work under trial conditions but is difficult to implement at scale under routine conditions. In many settings, making treatment available at peripheral-level primary health care facilities may be more feasible.

  • Open Access
    Not Ready for Primetime: Challenges of Antenatal Ultrasound in Low- and Middle-Income Country Settings
    Global Health: Science and Practice June 2017, 5(2):180-181; https://doi.org/10.9745/GHSP-D-17-00213

    Even under optimized trial conditions, antenatal ultrasound was difficult to implement in Equateur Province, DRC. Moreover, the broader study across 5 countries failed to find an impact on pregnancy outcomes. Use of antenatal ultrasound screening appears not to be ready for wide application in low- and middle-income countries.

  • Open Access
    Integrated Person-Centered Health Care for All Women During Pregnancy: Implementing World Health Organization Recommendations on Antenatal Care for a Positive Pregnancy Experience
    Sarah de Masi, Maurice Bucagu, Özge Tunçalp, Juan Pablo Peña-Rosas, Theresa Lawrie, Olufemi T Oladapo and Metin Gülmezoglu
    Global Health: Science and Practice June 2017, 5(2):197-201; https://doi.org/10.9745/GHSP-D-17-00141

    The 2016 WHO guideline on routine antenatal care (ANC) recommends several health systems interventions to improve quality of care and increase use of services including:

    • Midwife-led continuity of care throughout the antenatal, intrapartum, and postnatal periods

    • Task shifting components of ANC, including promotion of health-related behaviors and distribution of nutrition supplements

    • Recruitment and retention of health workers in rural and remote areas

    • Community mobilization to improve communication and support to pregnant women

    • Women-held case notes

    • A model with a minimum of 8 antenatal care contacts

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  • Cross-Cutting Topics
    • Behavior Change Communication (15)
    • Digital Health (31)
    • Health Systems (70)
    • Health Workers (53)
    • Service Integration (7)
    • Surgery (6)
  • Health Topics
    • COVID (27)
    • Family Planning and Reproductive Health (136)
    • HIV/AIDS (47)
    • Immunization/Vaccines (26)
    • Malaria (13)
    • Maternal, Newborn, and Child Health (108)
    • Non-Communicable Diseases (6)
    • Nutrition (25)
    • Other Communicable Diseases (26)
    • Postabortion Care (16)
    • Tuberculosis (16)
US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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