Maternal & Child Health

SMS Versus Voice Messaging to Deliver MNCH Communication in Rural Malawi: Assessment of Delivery Success and User Experience

To determine the difference in delivery success of health messages delivered through pushed SMS, pushed
voice messages sent to personal phones, and voice messages retrieved from a community phone (‘‘retrieved voice
messaging’’), as well as the difference in quality of the user experience. [from abstract]

SMS Versus Voice Messaging to Deliver MNCH Communication in Rural Malawi: Assessment of Delivery Success and User Experience

To determine the difference in delivery success of health messages delivered through pushed SMS, pushed
voice messages sent to personal phones, and voice messages retrieved from a community phone (‘‘retrieved voice
messaging’’), as well as the difference in quality of the user experience. [from abstract]

Overview of Maternal, Neonatal and Child Deaths in South Africa: Challenges, Opportunities, Progress and Future Prospects

The overview involved a synthesis and review of recent data and information from key
national representative peer reviewed articles and grey literature from the National Department of
Health and related stakeholder reports. [from abstract]

Successfully Providing Essential Newborn Care for Term and Premature Babies: A Midwife’s Perspective

During the three-and-a-half years of implementation, Ethiopia’s [Federal Ministry of Health] developed a new community health strategy for the Health Extension Program consisting of Primary Health Care Units (health centers and health posts) and the Health Development army. [adapted from abstract]

Accelerating Progress On Maternal Health In Africa: Lessons From Emerging Policy And Institutional Innovations

This paper examines three groups of innovative ideas have been institutionalized in African countries to improve maternal health: policy, institutional and experimental innovations. [adapted from abstract]

Meeting Community Health Worker Needs for Maternal Health Care Service Delivery Using Appropriate Mobile Technologies in Ethiopia

This project aimed to meet the technical needs of Health Extension Workers and midwives in Ethiopia for maternal health using appropriate mobile technologies tools. [from introduction]

Factors Affecting Compliance with Clinical Practice Guidelines for Pap Smear Screening among Healthcare Providers in Africa: Systematic Review and Meta-Summary of 2045 Individuals

The aim of this study was to conduct a systematic review and meta-summary to identify factors affecting compliance among healthcare providers in Africa with clinical practice guidelines for pap screening to reduce cancer incidence and mortality. [adapted from abstract]

Effect of Ethiopia’s Health Extension Program on Maternal and Newborn Health Care Practices in 101 Rural Districts: A Dose-Response Study

The national Health Extension Program aims to provide universal access to primary health care services through more than 34,000 government-salaried female health extension workers. This article reports the effect of the project’s community-based newborn survival interventions on changes in maternal and newborn health care practices. [adapted from introduction]

Review of Generalist and Specialist Community Health Workers for Delivering Adolescent Health Services in Sub-Saharan Africa

This paper reviews the literature on generalist and specialist community health workers to assess their potential for strengthening the delivery of adolescent health services. [from abstract]

Comparison of Methods for Assessing Quality of Care for Community Case Management of Sick Children: An Application with Community Health Workers in Malawi

As part of an assessment of quality of community case management services in Malawi, this report examines the bias associated with measuring community health worker performance by using register review, case scenarios, and direct observation only methods compared with direct observation with re-examination by a higher-level clinician, and discusses the relative strengths and weaknesses of the four assessment methods in the Malawi context. [adapted from author]

Community Health Workers Providing Government Community Case Management for Child Survival in Sub-Saharan Africa: Who Are They and What Are They Expected to Do?

This article describes community health workers in government community case management programs for child survival across sub-Saharan Africa. [from abstract]

Health Workers' and Managers' Perceptions of the Integrated Community Case Management Program for Childhood Illness in Malawi: The Importance of Expanding Access to Child Health Services

Community case management (CCM) is a promising task-shifting strategy for expanding treatment of childhood illness that is increasingly adopted by low-income countries. This study uses qualitative methods to explore health workers’ and managers’ perceptions about CCM provided by health surveillance assistants during the program’s first year in Malawi. [adapted from abstract]

Scaling Up Integrated Community Case Management of Childhood Illness: Update from Malawi

This paper documents progress in the scale up of a program to train an existing cadre of community based health workers, known as health surveillance assistants, to provide integrated community case management of childhood illness between 2008 and 2011. It describes some critical challenges that affect the effectiveness and sustainability of the program, and proposes solutions. [adapted from introduction]

Introduction of Newborn Care within Integrated Community Case Management in Uganda

This article assessed how a program for integrated community case management (iCCM) for children under 5 years addresses newborn care in three mid-western districts through document reviews, structured interviews, and focus group discussions with village health team members trained in iCCM, caregivers, and other stakeholders. [adapted from abstract]

Increased Use of Community Medicine Distributors and Rational Use of Drugs in Children Less than Five Years of Age in Uganda Caused by Integrated Community Case Management of Fever

This study compared effectiveness and use of community medicine distributors and drug use under integrated community case management and home-based management strategies in children 6–59 months of age in eastern Uganda. [adapted from abstract]

Nursing for Nutrition

This briefing argues that the global shortage of skilled health workers means that children in the world’s poorest countries don’t get the care that would stop them dying from causes related to malnutrition. It advocates for the need for more health workers who are trained and supported to prevent and treat malnutrition in the places of greatest need. [adapted from publisher]

Impact Evaluation of a Quality Improvement Intervention on Maternal and Child Health Outcomes in Northern Ghana: Early Assessment of a National Scale-up Project

This study aimed to evaluate the influence of a national child survival quality improvement project, on key maternal and child health outcomes. [adapted from abstract]

Effect on Postpartum Hemorrhage of Prophylactic Oxytocin (10 IU) by Injection by Community Health Officers in Ghana: A Community-Based, Cluster-Randomized Trial

This study assessed the effectiveness, safety, and feasibility of prevention of postpartum hemorrhage using oxytocin injected by peripheral health care providers without midwifery skills at home births. [adapted from abstract]

Reducing Inequities in Neonatal Mortality through Adequate Supply of Health Workers: Evidence from Newborn Health in Brazil

Using the case of Brazil, this study investigates the extent to which policies and interventions seeking to increase the accessibility of health services among the poor have been effective in decreasing neonatal mortality. [adapted from abstract]

Removing Financial Barriers to Access Reproductive, Maternal and Newborn Health Services: The Challenges and Policy Implications for Human Resources for Health

This research aimed to assess how policies reducing demand-side barriers to access to health care have affected service delivery with a particular focus on human resources for health using case studies in five countries (Ghana, Nepal, Sierra Leone, Zambia and Zimbabwe). In each the authors reviewed financing and HRH policies, considered the impact financing policy change had made on health service utilization rates, analysed the distribution of health staff and their actual and potential workloads, and compared remuneration terms in the public sectors. [from abstract]

HIV and Maternal Health: Faith Groups' Activities, Contributions and Impact

This report documents the contributions to and impact of faith groups in relation to providing HIV/AIDS and maternal health services, and identifies the challenges to faith groups, at local, national and international levels, in delivering these health services. [adapted from author]

Guidelines for In-Service Training in Basic and Comprehensive Emergency Obstetric and Newborn Care

These guidelines provide the information and guidance needed to implement effective basic and comprehensive emergency obstetric and newborn care training. Recommendations are made for selecting participants and clinical sites, training schedules, and where to find the materials and resources needed for effective clinical skills practice. Use of these guidelines will enable facilitators to train providers who are competent in evidence-based practices and who will ensure that their facilities offer quality services. [from author]

Quality of Care, Risk Management, and Technology in Obstetrics to Reduce Hospital-Based Maternal Mortality in Senegal and Mali (QUARITE): A Cluster-Randomised Trial

This article assesses the effect of a trial multifaceted intervention to promote maternity death reviews and onsite training for health workers in emergency obstetric care in referral hospitals with high maternal mortality rates in Senegal and Mali. [adapted from summary]

Operations Research to Add Postpartum Family Planning to Maternal and Neonatal Health to Improve Birth Spacing in Sylhet District, Bangladesh

This article documents the intervention package and evaluation design of a study conducted in a rural district of Bangladesh to evaluate the effects of an integrated, community-based maternal and neonatal health and postpartum family planning program on contraceptive use and birth-interval lengths.

Reaching Mothers and Babies with Early Postnatal Home Visits: The Implementation Realities of Achieving High Coverage in Large-Scale Programs

Community-based maternal and newborn care programs with postnatal home visits from providers who can deliver preventive or curative services that save lives have been tested in Bangladesh, Malawi, and Nepal. This paper examines coverage and content of home visits in pilot areas and factors associated with receipt of postnatal visits. [adapted from abstract]

Quality of Sick Child Care Delivered by Health Surveillance Assistants in Malawi

This study was carried out to assess the quality of care provided by Health Surveillance Assistants—a cadre of community-based health workers—as part of a national scale-up of community case management of childhood illness in Malawi. [from abstract]

Integrating Child Health Services into Malaria Control Services of Village Malaria Workers in Remote Cambodia: Service Utilization and Knowledge of Malaria Management of Caregivers

This study aimed to identify determinants of caregivers’ use of village malaria workers services for childhood illness and caregivers’ knowledge of malaria management. [adapted from abstract]

Quality of Intrapartum Care at Mulago National Referral Hospital, Uganda: Clients' Perspective

The study contributes to quality improvement programs responsible for accelerating reduction of maternal and neonatal morbidity and mortality in Uganda. It documents and informs clinicians, hospital managers, and policy makers about quality of care aspects that need to be improved in promoting newborns and maternal survival and well being during labor to promote women’s utilization of skilled attendance at birth. [from author]

Evaluation of the Quality of IMCI Assessments among IMCI Trained Health Workers in South Africa

This report is an evaluation of integrated management of childhood illness, a strategy to reduce mortality and morbidity in children under 5 years by improving health workers’ case management of common and serious illnesses at primary health care level, in two provinces of South Africa. [adapted from abstract]

Community Health Workers Can Identify and Manage Possible Infections in Neonates and Young Infants: MINI, a Model from Nepal

This article describes the Morang Innovative Neonatal Intervention
(MINI), which tested a replicable model for the community management of neonatal infections within the existing government health system through the use of female community health volunteers. [adapted from author]