A5014577157- Global Maternal and Child Health
- Adolescent Sexual and Reproductive Health
- Child Nutrition and Water Access
- Pregnancy and preeclampsia studies
- HIV/AIDS Research and Interventions
- Maternal and Perinatal Health Interventions
- Healthcare Systems and Reforms
- Poverty, Education, and Child Welfare
- Ureteral procedures and complications
- HIV/AIDS Impact and Responses
- Birth, Development, and Health
- Grief, Bereavement, and Mental Health
- Maternal and fetal healthcare
- Healthcare Policy and Management
- Global Health Care Issues
- Breastfeeding Practices and Influences
- Economic and Financial Impacts of Cancer
- Child and Adolescent Health
- Intimate Partner and Family Violence
- Hemophilia Treatment and Research
- Infant Development and Preterm Care
- Diverticular Disease and Complications
- Global Health Workforce Issues
- Gestational Diabetes Research and Management
- Primary Care and Health Outcomes
Population Council
2015-2024
University of Massachusetts Chan Medical School
2024
Medscape
2014-2024
British Council
2009-2023
John Wiley & Sons (United States)
2021
Population Council
2011-2020
Kenyatta National Hospital
2018
St George's Hospital
2018
Medical Laboratory Science Council of Nigeria
2018
University of London
2017
Background Poor quality of care including fear disrespect and abuse (D&A) perpetuated by health workers influences women's decisions to seek maternity care. Key manifestations D&A include: physical abuse, non-consented care, non-confidential non-dignified discrimination, abandonment, detention in facilities. This paper describes experienced Kenya measures their prevalence. Methods is based on baseline data collected during a before-and-after study designed measure the effect package...
PerspectivesIn the field of maternal and newborn health, there have been calls to prioritize intra-partum period promote facility delivery meet mortality reduction goals. This aim is based on a decade epide-miological work identifying causes death, systematically reviewing effective interventions, modelling impact intervention coverage mortality.
Disrespect and abuse (D & A) during labor delivery are important issues correlated with human rights, equity, public health that also affect women’s decisions to deliver in facilities, which provide appropriate management of maternal neonatal complications. Little is known about interventions aimed at lowering the frequency disrespectful abusive behaviors. Between 2011 2014, a pre-and-post study measured D A levels three-tiered intervention 13 facilities Kenya under Heshima project. The...
Disrespect and abuse or mistreatment of women by health care providers in maternity settings has been identified as a key deterrent to seeking delivery care. Mistreatment includes physical verbal abuse, stigma discrimination, poor relationship between policy systems challenges. This paper uses qualitative data describe Kenya.Data are drawn from implementation research conducted 13 facilities communities. Researchers range in-depth interviews with (n-50) who had given birth facility makers...
Abstract Background Increases in the proportion of facility-based deliveries have been marginal many low-income countries African region. Preliminary clinical and anthropological evidence suggests that one major factor inhibiting pregnant women from delivering at facility is disrespectful abusive treatment by health care providers maternity units. Despite acknowledgement this behavior policy makers, program staff, civil society groups community members, problem appears to be widespread but...
The Government of Kenya is making plans to implement a social health insurance program by transforming the National Hospital Insurance Fund (NHIF) into universal coverage program. objective this study was examine determinants associated with ownership among women in Kenya.Data came from 2008-09 Demographic and Health Survey, nationally representative survey. sample comprised 8,435 aged 15-49 years. Descriptive statistics multivariable logistic regression analysis were used describe...
The measurement of progress in maternal and newborn health often relies on data provided by women surveys the quality care they received. majority these indicators, however, including widely tracked "skilled attendance at birth" indicator, have not been validated. We assess validity a large set indicators that are included or potential to be population-based surveys.We compare women's reports received during labor delivery two Kenyan hospitals prior discharge against reference standard...
Promoting respect and dignity is a key component of providing quality care during facility-based childbirth becoming critical indicator maternal health care. Providing requires essential skills attitudes from healthcare providers, as their role central to optimizing interventions in maternity settings.In 13 facilities Kenya we conducted mixed methods, pre-post study design assess providers' perspectives multi-component intervention (the Heshima project), which aimed mitigate aspects...
Tracking progress on maternal and newborn survival requires accurate information the coverage of essential interventions. Despite widespread use, most indicators measuring intervention have not been validated. This study assessed ability women delivering in two Kenyan hospitals to recall critical elements care received during intrapartum immediate postnatal period at time points: hospital discharge 13-15 months following delivery.Women's reports were compared against observations by trained...
Objective To measure whether there was an association between the introduction of output-based voucher programme and odds a facility-based delivery in two Nairobi informal settlements. Data sources Urban Health Demographic Surveillance System (NUHDSS) cross-sectional household surveys Korogocho Viwandani settlements 2004–05 2006–08. Methods Odds were estimated before after voucher. Supporting NUHDSS data used to determine any trend maternal health care coincident with immunizations,...
This paper examines community-level association between exposure to the reproductive health vouchers programme in Kenya and utilization of services. The data are from a household survey conducted among 2527 women (15–49 years) voucher comparable non-voucher sites. Analysis entails cross-tabulations with Chi-square tests significant proportions as well estimation multi-level logit models predict service by programme. results show that for births occurring after began, communities had been...
In settings where sexually transmitted infection (STI) and HIV prevalence is high, the postpartum period a time of increased biological susceptibility to pregnancy related sepsis. Enabling women living with avoid unintended pregnancies during can reduce vertical transmission maternal mortality associated infection. We describe family planning (FP) practices fertility desires HIV-positive HIV-negative in Swaziland. Data are drawn from baseline survey four-year multi country prospective cohort...
Abstract Background The rapid urbanization of Kenya has led to an increase in the growth informal settlements. There are challenges with access maternal, newborn, and child health (MNCH) services higher maternal mortality rates Kuboresha Afya Mitaani (KAM) study aimed improve MNCH services. We evaluate one component KAM study, PROMPTS (Promoting Mothers through Pregnancy Postpartum), innovative digital intervention at improving outcomes. is a two-way AI-enabled SMS-based platform that sends...
Maternal morbidity and mortality in India continue to be high populations places with limited access quality health services. Major barriers include out of pocket expenditure, lack autonomy information around maternal services weak implementation pro-poor policies. Addressing demand-side enablers is critical improving healthcare uptake adherence along the pregnancy-postnatal continuum. This paper describes three well known operational spaces, financing, digital health, self-care...
In sub-Saharan Africa (SSA) there are strong arguments for the provision of integrated sexual and reproductive health (SRH) HIV services. Most transmissions sexually transmitted or associated with pregnancy, childbirth, breastfeeding. Many behaviours that prevent transmission also infections unintended pregnancies. There is potential integration to increase coverage services, as individuals who use SRH services can benefit from vice-versa, well cost-savings. However, a dearth empirical...