A5008144559- Global Maternal and Child Health
- Maternal and Perinatal Health Interventions
- Breastfeeding Practices and Influences
- Child Nutrition and Water Access
- Global Health Workforce Issues
- Mobile Health and mHealth Applications
- Migration, Health and Trauma
- Maternal Mental Health During Pregnancy and Postpartum
- Grief, Bereavement, and Mental Health
- Reproductive Health and Contraception
- Adolescent Sexual and Reproductive Health
- Infant Development and Preterm Care
- Poverty, Education, and Child Welfare
- Emergency and Acute Care Studies
- Global Health Care Issues
- Family and Patient Care in Intensive Care Units
- Child and Adolescent Health
- Healthcare Policy and Management
- Global Health and Epidemiology
- Healthcare Systems and Reforms
- Medical Malpractice and Liability Issues
- Intergenerational Family Dynamics and Caregiving
- Blood Pressure and Hypertension Studies
- ICT in Developing Communities
- Migration and Labor Dynamics
University of Michigan
2016-2025
Office of International Affairs
2018-2025
Dodowa Health Research Centre
2024
Ghana Health Service
2024
Corewell Health
2024
Michigan United
2017-2023
Komfo Anokye Teaching Hospital
2023
Ann Arbor Center for Independent Living
2021
World Health Organization Regional Office for the Americas
2019
Bingham University
2017
A primary cause of high maternal mortality in Bangladesh is lack access to professional delivery care. Examining the role family, particularly husband, during pregnancy and childbirth important understanding women's utilization health services that can prevent mortality. This qualitative study examines husbands' involvement care a rural sub-district Netrokona district, Bangladesh. Using purposive sampling, ten households utilizing skilled attendant birth youngest child were selected matched...
To examine whether exposure to group antenatal care increased women's health literacy by improving their ability interpret and utilize messages compared women who received standard, individual in Ghana. We used a prospective cohort design. The setting was busy urban district hospital Kumasi, the second most populous city Pregnant (N = 240) presenting for first visit between 11 14 weeks gestation were offered participation study. A 27% drop-out rate experienced due miscarriage, transfer or...
Despite global attention, high levels of maternal mortality continue to plague many low- and middle-income settings. One important way improve the care women in labour is increase proportion who deliver a health facility. However, due poor quality care, including being disrespected abused, are reluctant come facilities for delivery care. The current study sought examine disrespectful abusive treatment towards labouring from perspective midwifery students were within months graduation. Key...
In this qualitative study we used an interpretive, critical ethnographic approach to provide understanding of childbirth and maternal illness death in Liberia through the lens women, families, communities. We identified three major themes from data: (a) secrecy surrounding pregnancy childbirth; (b) power authority; (c) distrust health care system. The interpretive theory, Behind House, generated data analysis provides larger social cultural context Liberia. Our findings a more complete...
Abstract In this cross‐sectional study, the strengths, challenges and current status of baccalaureate nursing education in G hana were described using a descriptive design. The W orld H ealth O rganization lobal S tandards for I nitial E ducation N urses M idwives used as organizing framework, with baseline data on from two state‐funded universities presented. A serious shortage qualified faculty was identified, along need significant upgrading to existing infrastructure. Additionally,...
Purpose: Access to skilled care and facilities with capacity provide emergency obstetric newborn is critical reducing maternal mortality. In rural areas of Zambia, 42% women deliver at home, suggesting persistent challenges for in seeking, reaching, receiving quality maternity care. This study assessed the determinants home delivery among remote Zambia. Methods: A household survey was administered a random selection recently delivered living 10 km or more from their catchment area health...
Introduction Maternity waiting homes (MWHs) aim to improve access facility delivery in rural areas. However, there is limited rigorous evidence of their effectiveness. Using formative research, we developed an MWH intervention model with three components: infrastructure, management and linkage services. This protocol describes a study measure the impact on among women living farthest (≥10 km) from designated health Zambia. will generate key new inform decision-making for policy Zambia...
Abstract Background Quality maternal health reduces and neonatal mortality morbidity. Healthcare professionals, including midwives, are significant agents for the promotion of quality health. Frequents reports disrespect abuse childbearing women by midwives during intrapartum care becoming common, suggesting that many these engaging in practices compromise Thus, understanding midwives’ descriptions experiences phenomenon is critical to addressing threat. This paper, therefore, explored on...
Abstract Background Although the majority of Ghanaian women receive antenatal care (ANC), many exhibit low health literacy by misinterpreting and incorrectly operationalizing ANC messages, leading to poor maternal newborn outcomes. Prior research in low-resource settings has found group (G-ANC) feasible for providers. This study aims determine effect G-ANC on increasing literacy. We hypothesized that pregnant randomized into would a greater increase than routine, individual ANC. Methods A...
Purpose: The purpose of this study was to describe provider characteristics African American pregnant women identified as important when interacting with their prenatal care providers in an outpatient office setting. Study Design and Method: A descriptive qualitative design used explore desired by receiving at two inner-city hospital—based obstetric clinics. total 22 between the ages 19 28 years participated study. Findings: Four major characteristic themes emerged from data: (a)...
Abstract Purpose: To report findings on knowledge and skill acquisition following a 3‐day training session in the use of short message service (SMS) texting with non‐ low‐literacy traditional midwives. Design: A pre‐ post‐test study design was used to assess 99 midwives SMS for real‐time, remote data collection rural Liberia, West Africa. Methods: Paired sample t‐tests were conducted establish if overall mean scores varied significantly from pre‐test immediate post‐test. Analysis variance...
Abstract Purpose To explore Ghanaian pregnant women's understanding and recognition of danger signs in pregnancy, birth preparedness complication readiness, their newborn care. Design An exploratory, qualitative study design was used. Methods Data were gathered through six focus group discussions with 68 women attending antenatal care at a busy urban hospital Ghana. Qualitative descriptive data analyzed using SPSS version 21. Health literacy used as the guiding framework to analyze data....
As communities' fears of Ebola virus disease (EVD) in West Africa exacerbate and their trust healthcare providers diminishes, EVD has the potential to reverse recent progress made promoting facility-based delivery. Using retrospective data from a study focused on maternal newborn health, this analysis examined influence use maternity care Bong Country, Liberia, which shares boarder with Sierra Leone - near epicenter outbreak. case series design, logbooks were collected at 12 sites one...
Between June 2011 and December 2016, the Saving Mothers, Giving Life (SMGL) initiative in Uganda Zambia implemented a comprehensive approach targeting persistent barriers that impact woman's decision to seek care (first delay), ability reach (second receive adequate (third delay). This article addresses how SMGL partners strategies specifically second delay, including decreasing distance facilities capable of managing emergency obstetric newborn complications, ensuring sufficient numbers...
Despite significant improvements, postpartum family planning uptake remains low for women in sub-Saharan Africa. Transmitting education a comprehensible way during antenatal care (ANC) has the potential long-term positive impact on contraceptive use. We followed one-year to examine and continuation of following enrollment group versus individual ANC. A longitudinal, prospective cohort design was used. Two hundred forty were assigned ANC (n = 120) or standard, at their first visit. Principal...
Abstract Background In Ghana, studies documenting the effectiveness of evidence-based specialized training programs to promote respectful maternity care (RMC) practices in healthcare facilities are few. Thus, we designed a four-day RMC workshop and piloted it with selected midwives tertiary facility Kumasi, Ghana. The present paper evaluated impact by exploring midwives’ experiences implementing knowledge their daily 4 months after workshop. Methods Through descriptive qualitative research...
Abstract Background Understanding factors affecting adoption of an innovation is critical to its long-term success. Maternity waiting homes (MWHs) increase access facility-based delivery in low-resourced settings; yet, quality issues deter utilization this innovative approach. We sought understand how attributes that are thought promote diffusion innovations (e.g., relative advantage, compatibility, observability, complexity, etc.) affected MWH use after implementation improved model rural...