A5002850726- Global Maternal and Child Health
- Pregnancy and preeclampsia studies
- Child Nutrition and Water Access
- Birth, Development, and Health
- Maternal and Perinatal Health Interventions
- Ureteral procedures and complications
- Blood Pressure and Hypertension Studies
- Vaccine Coverage and Hesitancy
- HIV/AIDS Research and Interventions
- ICT in Developing Communities
- Mobile Health and mHealth Applications
- Maternal and fetal healthcare
- Adolescent Sexual and Reproductive Health
- Colorectal Cancer Screening and Detection
- Hemoglobinopathies and Related Disorders
- Global Health and Surgery
- demographic modeling and climate adaptation
- Healthcare Systems and Reforms
- Breastfeeding Practices and Influences
- Global Cancer Incidence and Screening
- Complementary and Alternative Medicine Studies
- COVID-19 epidemiological studies
- Data-Driven Disease Surveillance
- Gestational Diabetes Research and Management
- Pharmaceutical industry and healthcare
Manhiça Health Research Centre
2016-2025
Eduardo Mondlane University
2016
In countries, such as Mozambique, where maternal mortality remains high, the greatest contribution of comes from poor and vulnerable communities, who frequently reside in remote rural areas with limited access to health care services. This study aimed understand women's seeking practices during pregnancy, taking into account underlying social, cultural structural barriers accessing timely appropriate Maputo Gaza Provinces, southern Mozambique. ethnographic collected data through in-depth...
Geographic proximity to health facilities is a known determinant of access maternal care. Methods quantifying geographical care have largely ignored the impact precipitation and flooding. Further, travel has been imagined as unimodal where one transport mode used for entire journeys seek This study proposes new approach modeling potential spatio-temporal by evaluating floods on services using multiple modes, in southern Mozambique. A facility assessment was classify 56 centres. GPS...
Pre-eclampsia is a leading cause of maternal mortality and morbidity that involves pregnancy-related stressors on the cardiovascular metabolic systems. As nutrition important to support optimal development placenta for developing fetus, diets may play role in preventing pre-eclampsia. The purpose this scoping review map nutritional deficiencies imbalances associated with pre-eclampsia incidence discuss evidence consistency linkages current understandings etiology
Delays to seek medical help can contribute maternal deaths particularly in community settings at home or on the road a health facility. Community engagement (CE) improve care-seeking behaviours and complements community-based interventions strengthening health. The purpose of this paper is describe process undertaken develop implement large-scale strategy rural southern Mozambique. CE was developed within context "Community-Level Interventions for Pre-eclampsia" (NCT01911494) conducted...
Background Intermittent Preventive Treatment (IPTp) and insecticide treated nets (ITNs) are recommended malaria in pregnancy preventive interventions sub-Saharan Africa. Despite their cost-effectiveness seemingly straight-forward delivery mechanism, uptake remains low. We aimed at describing perceptions of pregnant women regarding the prevention to understand barriers help improve effectiveness. Methods findings used mixed methods collect data among 85 from a rural area Southern Mozambique....
Mozambique has one of the highest rates maternal mortality in sub-Saharan Africa. The main influences on health encompass social, economic, political, environmental and cultural determinants health. To effectively address post-2015 agenda, interventions need to consider so that their delivery is not limited sector. objective this exploratory qualitative study was identify key community groups' perspectives perceived rural areas southern Mozambique.Eleven focus group discussions were...
Mozambique has drastically improved an array of health indicators in recent years, including maternal mortality rates which decreased 63 % from 1990–2013 but the still high. Pre-eclampsia and eclampsia constitute third major cause death country. Women rural areas, with limited access to facilities are at greatest risk. This study aimed assess current state knowledge regular practices regarding pre-eclampsia by community workers southern Mozambique. mixed methods was conducted 2013 2014,...
Vital signs measurement can identify pregnant and postpartum women who require urgent treatment or referral. In low-resource settings, healthcare workers have limited access to accurate vital measuring devices suitable for their environment training. The CRADLE Signs Alert (VSA) is a novel device blood pressure pulse that in pregnancy designed settings. Its traffic light early warning system alerts the need escalation of care with hypertension, haemorrhage sepsis. This study evaluated...
Sub-Saharan Africa has the highest maternal mortality ratio at 500 deaths per 100,000 live births. In Mozambique is estimated 249-480 births and eclampsia third leading cause of death. The objective this study was to describe community understanding pre-eclampsia eclampsia, as a crucial step improve perinatal health in southern Mozambique. This qualitative conducted Maputo Gaza Provinces Twenty focus groups were convened with pregnant women, partners husbands, matrons traditional birth...
Pregnancy hypertension is the third leading cause of maternal mortality in Mozambique and contributes significantly to fetal neonatal mortality. The objective this trial was assess whether task-sharing care might reduce adverse pregnancy outcomes related delays triage, transport, treatment.
Pregnant and lactating women in sub-Saharan Africa are vulnerable to micronutrient inadequacies, with risk of adverse pregnancy outcomes. Adequate intakes diverse foods associated better status recommended by the World Health Organization as part healthy eating counselling during antenatal care. However, our understanding community knowledge dietary diversity within context maternal diets is limited. We used a descriptive qualitative approach explore perceptions lactation, well influencing...
Globally, pre-eclampsia and eclampsia are major contributors to maternal perinatal mortality; of which the vast majority deaths occur in less developed countries. In addition, a disproportionate number morbidities mortalities due delayed access health services. The Community Level Interventions for Pre-eclampsia (CLIP) Trial aims task-shift community workers identification emergency management improve timely care. Literature revealed paucity published feasibility assessments prior initiating...
Blood pressure measurement is a marker of antenatal care quality. In well resourced settings, lower blood cutoffs for hypertension are associated with adverse pregnancy outcomes. We aimed to study the associations between thresholds and outcomes diagnostic test properties these in low-resource settings.We did secondary analysis data from 22 intervention clusters Community-Level Interventions Pre-eclampsia (CLIP) cluster randomised trials (NCT01911494) India (n=6), Mozambique Pakistan (n=10)....
<h3>ABSTRACT</h3> <h3>Introduction:</h3> Delays due to long distances health facilities, poor road infrastructure, and lack of affordable transport options contribute the burden maternal deaths in Mozambique. This study aimed assess implementation uptake an innovative community-based program improve access emergency obstetric care southern <h3>Methods:</h3> From April 2016 February 2017, a community strategy was implemented as part Community Level Interventions for Pre-eclampsia Trial. The...
Abstract Background Iron-deficiency anemia is a known risk factor for several adverse perinatal outcomes, but data on its impact specific maternal morbidities less robust. Further, information associations between in early pregnancy and subsequent outcomes are understudied. Methods The study population was derived from the Community Level Interventions Pre-eclampsia (CLIP) trial Karnataka State, India (NCT01911494). Included were women who enrolled either arm, delivered by end date, had...
Key Messages While some framework data are available in LMICs, there is a lack of coordinated effort to create and share these support health GIS research settings. Manual digitizing can be used generate data, increasingly becoming cheaper faster due widely free satellite imagery open mapping standards that allow distributed capture. Efforts should done collaboration with local authorities have the mandate for creating at scale.
Obstetric fistula is one of the most devastating consequences unmet needs in obstetric services. Systematic reviews suggest that pooled incidence fistulae community-based studies 0.09 per 1000 recently pregnant women; however, as facility delivery increasing, for part, Africa, should decrease. Few population-based on have been undertaken Sub-Saharan including Mozambique. This study aimed to estimate delivered mothers, and describe clinical characteristics care, well outcome, after surgical...
Abstract Background Maternal mortality is an important public health problem in low-income countries. Delays reaching facilities and insufficient care professionals call for innovative community-level solutions. There limited evidence on the role of community workers management pregnancy complications. This study aimed to describe feasibility task-sharing initial screening initiation obstetric emergency pre-eclampsia/eclampsia from primary healthcare providers Mozambique document facility...
Objectives To identify and measure the place-specific determinants that are associated with adverse maternal perinatal outcomes in southern region of Mozambique. Design Retrospective cohort study. Choice variables informed by literature Delphi consensus. Setting Study conducted during baseline phase a community level intervention for pre-eclampsia was led health workers. Participants A household census identified 50 493 households were home to 80 483 women reproductive age (age 12–49 years)....
Obstetric fistula is still common in low- and middle-income countries (LMIC) despite the on-going shift to increased facility deliveries same settings. The social behavioural circumstances which fistula, as well its consequences, occur are poorly documented, particularly from perspective of experiences women with obstetric fistula. This study sought describe women's antenatal, partum post-partum care southern Mozambique, pinpoint those that unique order understand care-seeking provision...
The Three Delays Framework was instrumental in the reduction of maternal mortality leading up to, and during Millennium Development Goals. However, this paper suggests original framework might be reconsidered, now that most mothers give birth facilities, quality continuity clinical care is growing importance.The explores factors contributed to deaths rural Pakistan Mozambique, using 76 verbal autopsy narratives from Community Level Interventions for Pre-eclampsia (CLIP) Trial.Qualitative...
The PRECISE Network is a cohort study established to investigate hypertension, fetal growth restriction and stillbirth (described as "placental disorders") in Kenya, Mozambique Gambia. Several pregnancy or birth cohorts have been set up low- middle-income countries, focussed on maternal child health. Qualitative research methods are sometimes used alongside quantitative data collection from these cohorts. Researchers affiliated with also planning use qualitative methods, the perspective of...