Background About half of births in rural Tanzania are assisted by skilled providers. Point-of-care mobile phone applications hold promise boosting job support for community health workers aiming to ensure safe motherhood through increased facility delivery awareness, access and uptake. We conducted a controlled comparison evaluate smartphone-based application designed assist with data collection, education delivery, gestational danger sign identification, referrals. Methods Community 32...

Abstract Improved infant and young child feeding ( IYCF ) practices have the potential to improve health development outcomes in poorly resourced communities. In B angladesh, approximately 60% of rural girls become mothers before age 18, but most interventions target older mothers. We investigated knowledge, attitudes perceptions regarding among adolescent women aged 15–23 years old two regions north‐west angladesh identified main points concordance with, or mismatch to, key international...

Infant feeding and caregiving by adolescent girls young women in rural Bangladesh remains relatively understudied despite high potential vulnerability of younger mothers their children due to poverty rates early marriage childbearing. This key knowledge gap may hamper the effectiveness maternal, infant child health interventions not specifically tailored teenage mothers. study aimed narrow this documenting barriers optimal perceived Bangladesh.Focus group discussions in-depth semi-structured...

Adolescents are especially vulnerable due to increased biological, social and economic risks associated with early pregnancy childbirth, yet most childbirth-related complications preventable through a combination of proven, cost-effective clinical interventions including timely antenatal care (ANC). The voices specific needs adolescents currently underrepresented in the literature on maternity care. Objectives were a) increase our understanding adolescents' experiences with, perceptions of,...

Background Programmes promoting the postpartum intrauterine device (PPIUD) have proliferated throughout South Asia and sub-Saharan Africa in recent years, with proponents touting this long-acting reversible contraceptive (LARC) method’s high efficacy potential to meet unmet need. While critiques of LARC-first programming abound Global North, there been few studies impact LARC-centric programmes on patient-centred outcomes South. Methods Here, we explore a PPIUD intervention at five Tanzanian...

Birth spacing is a critical pathway to improving reproductive health. WHO recommends minimum of 33-month interval between two consecutive births reduce maternal, perinatal, infant morbidity and mortality. Our study evaluated factors associated with short birth intervals (SBIs) less than 33 months births, in Karachi, Pakistan.We used data from cross-sectional among married women age (MWRA) who had at least one live the 6 years preceding survey (N=2394). Information regarding their...

Abstract Mobile health (mHealth) applications have been developed for community workers (CHW) to help simplify tasks, enhance service delivery and promote healthy behaviours. These strategies hold promise, particularly support of pregnancy childbirth in low-income countries (LIC), but their design implementation must incorporate CHW clients’ perspectives be effective sustainable. Few studies examine how mHealth influences client supervisor perceptions performance quality care LIC. This study...

<h3>ABSTRACT</h3> <h3>Background:</h3> This qualitative study assessed implementation of the Postpartum Intrauterine Device (PPIUD) Initiative in Tanzania, a country with high rates unintended pregnancy and low contraceptive prevalence. The PPIUD was implemented to reduce unmet need for contraception among new mothers through postpartum family planning counseling delivered during antenatal care offering insertion immediately following birth. <h3>Methods:</h3> We used outcomes framework an...

To assess: (1) the impact of a reproductive health program on modern contraceptive use from baseline to close; (2) sustained follow-up 36 months later; and (3) exposure-adjusted at close follow-up.Retrospective, cross-sectional matched control study.Karachi, Pakistan.2561 married women aged 16-49 years.The Willows Program, community-based family planning counselling referral implemented 2013 2015.The primary outcome was community-level prevalence rate (mCPR), measured for January (baseline),...

Abstract Despite the numerous benefits of postpartum copper intrauterine device (PPIUD), which is inserted within 48 hours after giving birth, it underutilized in many resource‐constrained settings, including Tanzania. We conducted in‐depth interviews with 20 pregnant women who received contraceptive counseling during routine antenatal care 2016–2017 and 27 had a PPIUD 2018 to understand reasons for use versus nonuse continuation discontinuation. Primary motivators using included:...

Abstract Community-based demand-generation family planning programmes have been associated with increased contraceptive use in rural areas of Ghana. However, rigorous evaluations such urban contexts are lacking. We used a retrospective, cross-sectional comparison group design to estimate the immediate and sustained impact Willows intervention on modern Kumasi, The is home-based counselling referral programme for women low-income settlements. analysed data from representative survey 1205...

Abortion is particularly difficult to measure, especially in legally restrictive settings such as Pakistan. The List Experiment-a technique for measuring sensitive health behaviors indirectly-may minimize respondents' underreporting of abortion due stigma or legal restrictions, but has not been previously applied estimate prevalence Pakistan.A sample 4,159 married women reproductive age were recruited from two communities Karachi 2018. Participants completed a survey that included double...

To examine the prevalence and predictors of family planning (FP) know-do gaps among married women reproductive age (MWRA) in low socio-economic urban areas Karachi, Pakistan.This was a cross-sectional survey randomly selected 7288 MWRA (16-49 years) to identify gap FP using logistic regression model.More than one third (35.5%) had gap, i.e., despite having knowledge contraceptives desire limit or delay childbearing, they were not contraceptives. Women less likely use if getting older (25-35...

<ns3:p>Gene drive technology has been recognized for its potential to provide durable and cost-effective solutions previously intractable problems in public health, conservation, agriculture. In recognition of the rapid advances this field, 2016 U.S. National Academies Sciences, Engineering, Medicine issued a report making several recommendations aimed at researchers, funders, policymakers safe responsible research development gene technology. Subsequently, 2017 sixteen global organizations...

Abstract Introduction Birth spacing is a critical pathway to improving reproductive health. The World Health Organization recommends minimum of 33-month interval between two consecutive births reduce maternal, perinatal, and infant morbidity mortality. Our study evaluated factors associated with short birth intervals (SBIs) less than 33 months births, in three peri-urban municipalities Karachi, Pakistan. Methods We used data from cross-sectional among married women age (MWRA) who had at...

Welcome to Annals of Global Health,Annals Health is a peer-reviewed, fully open access, online journal dedicated publishing high quality articles all aspects global health. The journal's mission advance health, promote research, and foster the prevention treatment disease worldwide. Its goals are improve health well-being people, equity, wise stewardship earth's environment. latest impact factor 3.64.Annals supported by Program for Public Common Good at Boston College. It was founded in 1934...