A5025219470- Global Maternal and Child Health
- Reproductive Health and Contraception
- Healthcare Systems and Reforms
- Global Health Care Issues
- Maternal and Perinatal Health Interventions
- Fiscal Policy and Economic Growth
- Healthcare Policy and Management
- Demographic Trends and Gender Preferences
- Health disparities and outcomes
- Child Nutrition and Water Access
- Poverty, Education, and Child Welfare
- Gender, Labor, and Family Dynamics
- Assisted Reproductive Technology and Twin Pregnancy
- Migration and Labor Dynamics
- Food Security and Health in Diverse Populations
- Energy, Environment, and Transportation Policies
- Migration, Health and Trauma
- Adolescent Sexual and Reproductive Health
- Indian Economic and Social Development
- Insurance, Mortality, Demography, Risk Management
- Microfinance and Financial Inclusion
- Urban and Rural Development Challenges
- Vitamin K Research Studies
- Employment and Welfare Studies
- Maternal Mental Health During Pregnancy and Postpartum
World Bank
2020-2023
World Bank Group
2018-2020
Harvard University
2019
The University of Sydney
2016
Harvard Global Health Institute
2016
During the year following birth of a child, 40% women are estimated to have an unmet need for contraception. The copper IUD provides safe, effective, convenient, and long-term contraceptive protection that does not interfere with breastfeeding during postpartum period. Postpartum (PPIUD) insertion should be performed by trained provider in early period reduce expulsion rates complications, but these services widely available. International Federation Obstetricians Gynecologists (FIGO) will...
Abstract Background Health system financing presents a challenge in many developing countries. We assessed two reform packages, performance-based (PBF) and direct facility (DFF), against each other business-as-usual for maternal child healthcare (MCH) provision Nigeria. Methods sampled 571 facilities (269 PBF; 302 DFF) 52 districts randomly assigned to PBF or DFF, 215 25 observable-matched control districts. received $2 ($1 operating grants plus $1 bonuses) every by DFF (operating alone)....
Despite substantial progress in improving maternal and newborn health, India continues to experience high rates of mortality stillbirths. One reason may be that many births happen health facilities lack advanced services-such as Caesarean section, blood transfusion, or intensive care. Stratification based on pregnancy risk factors is used guide 'high-risk' women facilities. To assess the utility stratification for guiding choice facility, we estimated frequency adverse outcomes among...
In Nepal, 54% of women have an unmet need for family planning within the 2 years following a birth. Provision long-acting and reversible contraceptive method at time birth in health facilities could improve access to postpartum who want space or limit their births. This paper examines impact intervention that introduced counseling antenatal care immediate intra-uterine device (PPIUD) insertion services institutional delivery, with intent eventually integrate PPIUD as part routine maternity...
Abstract Background The World Health Organization recommends postpartum family planning (PPFP) for healthy birth spacing. This study is an evaluation of intervention that sought to improve women’s access PPFP in Tanzania. included counseling on during antenatal and delivery care introducing intrauterine device (PPIUD) insertion as integrated part services women electing PPIUD the immediate period. Methods cluster-randomized controlled trial recruited 15,264 Tanzanian aged 18 or older who...
Abstract Background Though modern contraceptive use among married women in Nepal has increased from 26% 1996 to 43% 2016, it remains low postpartum women. Integration of counselling on family planning (FP) at the time antenatal care (ANC) and delivery potential increase post-partum use. This study investigates quality FP services provided during ANC visits women’s perceptions its effectiveness assisting them make a (PPFP) decision. Methods In-depth interviews (IDIs) were conducted with 24...
Health service providers play a key role in addressing women's need for pregnancy prevention, especially during the postpartum period. Yet, Nepal, little is known about their views on providing family planning (PPFP) services and contraceptive methods such as immediate intra-uterine devices (PPIUD). This paper explores perspectives of different types PPFP including PPIUD, confidence services, willingness to share knowledge skills with colleagues after receiving PPIUD training. In-depth...
Objectives To quantify sex ratios at births (SRBs) in hospital deliveries Nepal, and understand the socio-demographic correlates of skewed SRB. Skewed SRBs hospitals could be explained by selective abortion, and/or decision to have a son delivered hospital—increased -utero investments for male fetus. We use data on ultrasound links between prenatal knowledge sex, parity SRBs. Design Secondary analysis of: (1) de-identified from randomised controlled trial, (2) 2011 Nepal Demographic Health...
The International Federation of Gynaecology and Obstetrics (FIGO), in collaboration with the Sri Lankan College Gynaecologists (SLCOG), launched an initiative 2014 to institutionalize immediate postpartum IUD (PPIUD) services as a routine part antenatal counseling delivery room Lanka. In this study, we evaluate effect FIGO-SLCOG PPIUD intervention six hospitals by means cluster-randomized stepped-wedge trial.
Background: Nigeria piloted decentralized facility financing (DFF) and performance-based (PBF) programs under the State Health Investment Project (NSHIP), funded by World Bank. It aimed to increase utilization quality of maternal child health (MCH) services. Although many low- middle-income countries have launched or DFF and/or PBF like conducted impact evaluation, very few studies related PBF's its cost. This study evaluates incremental cost-effectiveness ratios (ICERs) facilities with...
Benefit-cost analyses of education policies in low- and middle-income countries have historically used the effect on future wages to estimate benefits. Strong evidence also points female reducing both under-five mortality rates their children adult rates. A more complete analysis would thus add value risk reduction wage increases. This paper estimates how net benefits benefit-cost ratios respond values education’s mortality-reducing impact including variation these estimates. We utilize a...
Objective To assess the differential impact of a copayment exemption compared to cash incentive on increasing skilled birth attendance (i.e., attended by health worker) in Nepal. Data Sources/Study Setting This study used data 8,785 children born between July 2005 and December 2008, obtained from nationally representative Demographic Health Surveys, 2006 2011. Study Design Twenty‐five districts received both policy interventions, remaining 50 control only incentive. We employed...