A5012839334- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Maternal and Perinatal Health Interventions
- COVID-19 epidemiological studies
- Primary Care and Health Outcomes
- Maternal and fetal healthcare
- Healthcare Policy and Management
- Global Health Care Issues
- Child Nutrition and Water Access
- Reproductive Health and Contraception
- COVID-19 Pandemic Impacts
- Vaccine Coverage and Hesitancy
- Global Health and Surgery
- Global Public Health Policies and Epidemiology
- Global Health Workforce Issues
- SARS-CoV-2 and COVID-19 Research
- Adolescent Sexual and Reproductive Health
- Air Quality and Health Impacts
- Climate Change and Health Impacts
- Mobile Health and mHealth Applications
- Emergency and Acute Care Studies
- Health Policy Implementation Science
- Vibrio bacteria research studies
- Evaluation and Performance Assessment
- Electronic Health Records Systems
U.S. President's Malaria Initiative
2025
Instituut voor Tropische Geneeskunde
2018-2024
Centre National Hospitalier et Universitaire Hubert Koutoukou MAGA
2016-2024
International Institute of Tropical Agriculture
2022
Faculty of Public Health
2020-2022
Research Institute for Tropical Medicine
2020-2022
Public Health Institute
2022
Objectives The study aimed to assess the determinants of modern contraceptive method use among young women in Benin. Design A mixed-methods design. Setting and participants We used Benin 2017–2018 Demographic Health Survey datasets for quantitative analysis. Data collection was conducted using multiple-cluster sampling through household survey. Qualitative part city Allada, one Fon cultural capitals were purposively selected. Outcomes Contraceptive prevalence rate, unmet need percentage...
Countries of sub-Saharan Africa are increasingly turning to public contributory health insurance as a mechanism advance UHC goals. Eight countries in have introduced national (NHI) systems, and at least seven more plans or passed legislation establish NHI. Examining the experience that taken this path, some lessons emerge about whether how may not be viable path toward Africa. Only Gabon, Ghana Rwanda been able extend NHI coverage significant share population. None with peformed better on...
Introduction Globally, the majority of births happen in urban areas. Ensuring that women and their newborns benefit from a complete package high-quality care during pregnancy, childbirth postnatal period present specific challenges large cities. We examine health service utilisation content along maternal continuum (CoC) 22 African Methods analysed data most recent Demographic Health Survey (DHS) since 2013 any country with at least one city ≥ 1 million inhabitants 2015. Women live survey...
Abstract Background Insufficient reductions in maternal and neonatal deaths stillbirths the past decade are a deterrence to achieving Sustainable Development Goal 3. The majority of occur during intrapartum immediate postnatal period. Overcoming knowledge-do-gap ensure implementation known evidence-based interventions this period has potential avert at least 2.5 million mothers their offspring annually. This paper describes study protocol for implementing evaluating multi-faceted health care...
Abstract Background Persistent inequalities in coverage of maternal health services sub-Saharan Africa (SSA), a region home to two-thirds global deaths 2017, poses challenge for countries achieve the Sustainable Development Goal (SDG) targets. This study assesses wealth-based continuum care 16 SSA with objective informing targeted policies ensure equity region. Methods We conducted secondary analysis Demographic and Health Survey (DHS) data from (Angola, Benin, Burundi, Cameroon, Ethiopia,...
The initial program theory (IPT) is a core element of realist evaluation. An IPT presents hypothesis about how, for whom, why, and in what contexts an intervention effective. Despite their importance within studies, methodological guidance on how to develop relatively scarce. We describe the process eliciting facility-based maternal death reviews (FbMDRs), multicomponent improve quality care. used four-step approach elicit through combination literature review, document in-depth interviews...
Abstract Identification of interacting vulnerabilities is essential to reduce maternal and perinatal mortality in sub-Saharan Africa (SSA). High parity (≥ 5 previous births) an underemphasized biological vulnerability linked poverty affecting a sizeable proportion SSA births. Despite increased risk, high women rarely use hospitals for childbirth. We assessed whether emergency referral during childbirth was associated with adverse events Benin, Malawi, Tanzania Uganda. used e-registry data...
Introduction: Vaccination against COVID-19 is an essential tool in the fight pandemic, but adherence to vaccination programmes a major challenge, particularly African countries. This study aimed identify determinants of uptake first dose vaccine using large-scale data collected from Beninese population. Methods: We conducted cross-sectional and analytical telephone survey between December 2021 January 2022. The covered aged 18 over. Marginal quota sampling (n = 858) was used, with age,...
ABSTRACT Supportive supervision (SS) programs aim to enhance the quality of care by strengthening performance health providers. Commonly part broader improvement efforts, SS are increasingly used in low-and middle-income countries improve malaria case management. Despite substantial investments and some positive outcomes, little is known about what drives their effectiveness. A realist evaluation was conducted Tanzania Benin explain how, why, under circumstances can facility-based management...
Background In 2009, the Benin government introduced a user fee exemption policy for caesarean sections. We analyse this with regard to how existing ideas and institutions related fees influenced key steps of cycle draw lessons that could inform dialogue universal health coverage in West African region. Methods Following stages model, we agenda setting, formulation legitimation phase, assess implementation fidelity results. adopted an embedded case study design, using quantitative qualitative...
Continuum of care (CoC) in maternal health is built on evidence suggesting that the integration effective interventions across pregnancy, childbirth, and postnatal period leads to better perinatal outcomes. We explored gaps along CoC Benin.
Reducing maternal mortality still remains a major challenge in low-income countries. This study aims to explore how digital communication tools can be used evaluate the deaths surveillance and response (MDSR) system at health district level Guinea. A descriptive cross-sectional was conducted, using an innovative approach called District.Team, from April September 2017. targeted all 38 medical officers In addition officers, participation of actors regional central levels were also expected...
There has been much talk about decolonizing global health lately. The movement, which arisen in various communities around the world, suggests an interesting critique of Western dominant model representations. Building upon 'decolonial thinking' movement from perspective Francophone African philosophers, we comment on its potential for inspiring field healthinterventions. Using existing literature and personal reflections, reflect two widely known illustrations interventions implemented...
Abstract Objective To assess stillbirth mortality by Robson ten‐group classification and the usefulness of this approach for understanding trends. Design Cross‐sectional study. Setting Prospectively collected perinatal e‐registry data from 16 hospitals in Benin, Malawi, Tanzania Uganda. Population All women aged 13–49 years who gave birth to a live or stillborn baby weighting >1000 g between July 2021 December 2022. Methods We compared risk classification, across countries, calculated...
There are limited global data on ectopic pregnancy (EP) and molar (MP), making it important to understand their epidemiology management across different regions. Our study aimed describe prevalence for both conditions, severity of complications among women in selected health facilities 17 countries Africa Latin America the Caribbean (LAC).
It is very exceptional that a new disease becomes true pandemic. Since its emergence in Wuhan, China, late 2019, SARS-CoV-2, the virus causes COVID-19, has spread to nearly all countries of world only few months. However, different countries, COVID-19 epidemic takes variable shapes and forms how it affects communities. Until now insights gained on have been largely dominated by epidemics lockdowns Europe, United States. But this variety global trajectories little described, analysed, or...
<strong>Background:</strong> Forty years after Alma Ata, there is renewed commitment to strengthen primary health care as a foundation for achieving universal coverage, but limited consensus on how build strong systems achieve these goals. <strong>Methods:</strong> We convened diverse group of global stakeholders high-level dialogue create an enabling ecosystem disruptive innovation. focused our discussion four themes: workforce innovation and strengthening; impactful use data technology;...
To improve access to maternal health services, Benin introduced in 2009 a user fee exemption policy for caesarean sections. Similar other low- and middle-income countries, its implementation showed mixed results. Our study aimed at understanding why which circumstances the of this hospitals succeeded or failed. We adopted realist evaluation approach tested initial programme theory through multiple embedded case design. selected two with contrastive outcomes. used data from 52 semi-structured...
Evidence-based quality care is essential for reducing sub-Saharan Africa's high burden of maternal and newborn mortality morbidity. Provision results from interaction between several components the health system including competent midwifery providers working environment. We assessed providers' ability to provide intrapartum selected aspects environment as part Action Leveraging Evidence Reduce perinatal morTality morbidity (ALERT) project in Benin, Malawi, Tanzania, Uganda. used a...