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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
    Impact of the Saving Mothers, Giving Life Approach on Decreasing Maternal and Perinatal Deaths in Uganda and Zambia
    Florina Serbanescu, Thomas A. Clark, Mary M. Goodwin, Lisa J. Nelson, Mary Adetinuke Boyd, Adeodata R. Kekitiinwa, Frank Kaharuza, Brenda Picho, Diane Morof, Curtis Blanton, Maybin Mumba, Patrick Komakech, Fernando Carlosama, Michelle M. Schmitz and Claudia Morrissey Conlon on behalf of the Saving Mothers, Giving Life Working Group
    Global Health: Science and Practice March 2019, 7(Supplement 1):S27-S47; https://doi.org/10.9745/GHSP-D-18-00428

    Through district system strengthening, integrated services, and community engagement interventions, the Saving Mothers, Giving Life initiative increased emergency obstetric care coverage and access to, and demand for, improved quality of care that led to rapid declines in district maternal and perinatal mortality. Significant reductions in intrapartum stillbirth rate and maternal mortality ratios around the time of birth attest to the success of the initiative.

  • Open Access
    Addressing the First Delay in Saving Mothers, Giving Life Districts in Uganda and Zambia: Approaches and Results for Increasing Demand for Facility Delivery Services
    Florina Serbanescu, Mary M. Goodwin, Susanna Binzen, Diane Morof, Alice R. Asiimwe, Laura Kelly, Christina Wakefield, Brenda Picho, Jessica Healey, Agnes Nalutaaya, Leoda Hamomba, Vincent Kamara, Gregory Opio, Frank Kaharuza, Curtis Blanton, Fredrick Luwaga, Mona Steffen and Claudia Morrissey Conlon on behalf of the Saving Mothers, Giving Life Working Group
    Global Health: Science and Practice March 2019, 7(Supplement 1):S48-S67; https://doi.org/10.9745/GHSP-D-18-00343

    The Saving Mothers, Giving Life initiative used 3 coordinated approaches to reduce maternal deaths resulting from a delay in deciding to seek health care, known as the “first delay”: (1) promoting safe motherhood messages and facility delivery using radio, theater, and community engagement; (2) encouraging birth preparedness and increasing demand for facility delivery through community outreach worker visits; and (3) providing clean delivery kits and transportation vouchers to reduce financial barriers for facility delivery. These approaches can be adapted in other low-resource settings to reduce maternal and perinatal mortality.

  • Open Access
    Saving Mothers, Giving Life: It Takes a System to Save a Mother
    Claudia Morrissey Conlon, Florina Serbanescu, Lawrence Marum, Jessica Healey, Jonathan LaBrecque, Reeti Hobson, Marta Levitt, Adeodata Kekitiinwa, Brenda Picho, Fatma Soud, Lauren Spigel, Mona Steffen, Jorge Velasco, Robert Cohen and William Weiss on behalf of the Saving Mothers, Giving Life Working Group
    Global Health: Science and Practice March 2019, 7(Supplement 1):S6-S26; https://doi.org/10.9745/GHSP-D-18-00427

    A multi-partner effort in Uganda and Zambia employed a districtwide health systems strengthening approach, with supply- and demand-side interventions, to address timely use of appropriate, quality maternity care. Between 2012 and 2016, maternal mortality declined by approximately 40% in both partnership-supported facilities and districts in each country. This experience has useful lessons for other low-resource settings.

  • Open Access
    Addressing the Second Delay in Saving Mothers, Giving Life Districts in Uganda and Zambia: Reaching Appropriate Maternal Care in a Timely Manner
    Thandiwe Ngoma, Alice R. Asiimwe, Joseph Mukasa, Susanna Binzen, Florina Serbanescu, Elizabeth G. Henry, Davidson H. Hamer, Jody R. Lori, Michelle M. Schmitz, Lawrence Marum, Brenda Picho, Anne Naggayi, Gertrude Musonda, Claudia Morrissey Conlon, Patrick Komakech, Vincent Kamara and Nancy A. Scott on behalf of the Saving Mothers, Giving Life Working Group
    Global Health: Science and Practice March 2019, 7(Supplement 1):S68-S84; https://doi.org/10.9745/GHSP-D-18-00367

    The Saving Mothers, Giving Life initiative employed 2 key strategies to improve the ability of pregnant women to reach maternal care: (1) increase the number of emergency obstetric and newborn care facilities, including upgrading existing health facilities, and (2) improve accessibility to such facilities by renovating and constructing maternity waiting homes, improving communication and transportation systems, and supporting community-based savings groups. These interventions can be adapted in low-resource settings to improve access to maternity care services.

  • Open Access
    Addressing the Third Delay in Saving Mothers, Giving Life Districts in Uganda and Zambia: Ensuring Adequate and Appropriate Facility-Based Maternal and Perinatal Health Care
    Diane Morof, Florina Serbanescu, Mary M. Goodwin, Davidson H. Hamer, Alice R. Asiimwe, Leoda Hamomba, Masuka Musumali, Susanna Binzen, Adeodata Kekitiinwa, Brenda Picho, Frank Kaharuza, Phoebe Monalisa Namukanja, Dan Murokora, Vincent Kamara, Michelle Dynes, Curtis Blanton, Agnes Nalutaaya, Fredrick Luwaga, Michelle M. Schmitz, Jonathan LaBrecque, Claudia Morrissey Conlon, Brian McCarthy, Charlan Kroelinger and Thomas Clark on behalf of the Saving Mothers, Giving Life Working Group
    Global Health: Science and Practice March 2019, 7(Supplement 1):S85-S103; https://doi.org/10.9745/GHSP-D-18-00272

    Saving Mothers, Giving Life used 6 strategies to address the third delay—receiving adequate health care after reaching a facility—in maternal and newborn health care. The intervention approaches can be adapted in low-resource settings to improve facility-based care and reduce maternal and perinatal mortality.

  • Open Access
    Beyond the Safe Motherhood Initiative: Accelerated Action Urgently Needed to End Preventable Maternal Mortality
    Mary Ellen Stanton, Barbara E. Kwast, Theresa Shaver, Betsy McCallon and Marge Koblinsky
    Global Health: Science and Practice October 2018, 6(3):408-412; https://doi.org/10.9745/GHSP-D-18-00100

    Many countries will need to double, or more than double, their current annual rate of reduction of maternal mortality to ensure sufficient progress toward national targets and the global Sustainable Development Goals. Dedication to the principles and actions of quality, equity, dignity, social justice, and human rights are key.

  • Open Access
    Helping Babies Breathe, Second Edition: A Model for Strengthening Educational Programs to Increase Global Newborn Survival
    Beena D. Kamath-Rayne, Anu Thukral, Michael K. Visick, Eileen Schoen, Erick Amick, Ashok Deorari, Carrie Jo Cain, William J. Keenan, Nalini Singhal, George A. Little and Susan Niermeyer
    Global Health: Science and Practice October 2018, 6(3):538-551; https://doi.org/10.9745/GHSP-D-18-00147

    The revised neonatal resuscitation curriculum updates not only the science of resuscitation but also the educational and implementation approaches needed to further enhance neonatal survival, including promoting ongoing practice to retain skills and linkages with quality improvement initiatives.

  • Open Access
    Use of Mid-Upper Arm Circumference by Novel Community Platforms to Detect, Diagnose, and Treat Severe Acute Malnutrition in Children: A Systematic Review
    Jessica Bliss, Natasha Lelijveld, André Briend, Marko Kerac, Mark Manary, Marie McGrath, Zita Weise Prinzo, Susan Shepherd, Noël Marie Zagre, Sophie Woodhead, Saul Guerrero and Amy Mayberry
    Global Health: Science and Practice October 2018, 6(3):552-564; https://doi.org/10.9745/GHSP-D-18-00105

    Limited studies suggest that with robust program inputs caregivers and CHWs can correctly use mid-upper arm circumference to detect severe acute malnutrition (SAM) and that properly trained and supported CHWs can treat uncomplicated SAM in communities.

  • Open Access
    Childbirth and Early Newborn Care Practices in 4 Provinces in China: A Comparison With WHO Recommendations
    Tao Xu, Qing Yue, Yan Wang, John Murray and Howard Sobel
    Global Health: Science and Practice October 2018, 6(3):565-573; https://doi.org/10.9745/GHSP-D-18-00017

    In the 10 hospitals studied, we found that hospital policies, protocols, and interventions only partially align with WHO early newborn care recommendations, and that many hospitals still use outdated and non-medically sound practices.

  • Open Access
    Update of: Sarma et al., Effectiveness of SMS Technology on Timely Community Health Worker Follow-Up for Childhood Malnutrition: A Retrospective Cohort Study in sub-Saharan Africa
    Global Health: Science and Practice October 2018, 6(3):611; https://doi.org/10.9745/GHSP-D-18-00357

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  • Cross-Cutting Topics
    • Behavior Change Communication (36)
    • Digital Health (47)
    • Health Systems (143)
    • Health Workers (97)
    • Service Integration (20)
    • Surgery (9)
  • Health Topics
    • COVID (34)
    • Family Planning and Reproductive Health (213)
    • HIV/AIDS (56)
    • Immunization/Vaccines (36)
    • Malaria (19)
    • Maternal, Newborn, and Child Health (172)
    • Non-Communicable Diseases (16)
    • Nutrition (42)
    • Other Communicable Diseases (26)
    • Postabortion Care (18)
    • Tuberculosis (19)
US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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