A5038267930- Global Maternal and Child Health
- Gender, Security, and Conflict
- Sexual Assault and Victimization Studies
- Migration, Health and Trauma
- Intimate Partner and Family Violence
- Adolescent Sexual and Reproductive Health
- Sex work and related issues
- Reproductive Health and Contraception
- Health and Conflict Studies
- Ureteral procedures and complications
- Maternal and fetal healthcare
- Global Health Workforce Issues
- Demographic Trends and Gender Preferences
- Global Health Care Issues
- Maternal and Perinatal Health Interventions
- Emergency and Acute Care Studies
- COVID-19 Impact on Reproduction
- Gender Politics and Representation
- Maternal Mental Health During Pregnancy and Postpartum
- Sexuality, Behavior, and Technology
- Global Health and Surgery
- Global Health and Epidemiology
- Child and Adolescent Health
- Healthcare Systems and Reforms
Médecins Sans Frontières
2013-2022
Médecins Sans Frontières
2020
Republic of Burundi
2016
Médecins Sans Frontières
2012-2013
Abstract Objectives In 2006, Médecins sans Frontières ( MSF ) established an emergency obstetric and neonatal care (Em ONC referral facility linked to ambulance system for the transfer of women with complications from peripheral maternity units in Kabezi district, rural Burundi. This study aimed (i) describe communication service together cost; (ii) examine association between times maternal early deaths; (iii) assess impact on coverage complicated cases caesarean sections. Methods Data were...
In Burundi, the annual incidence of obstetric fistula is estimated to be 0.2-0.5% all deliveries, with 1000–2000 new cases per year. Despite this relatively high incidence, national capacity for identifying and managing very limited. Thus, in July 2010, Medecins Sans Frontieres (MSF) set up a specialised Obstetric Fistula Centre Gitega (Gitega Centre, GFC), only permanent referral centre Burundi. A comprehensive model care offered including psychosocial support, conservative surgical...
During this pandemic, healthcare systems face difficult decisions about how to best adapt health services ensure that increasingly Summary box► The COVID-19 pandemic has begun severely limit access sexual and reproductive healthcare, including contraception safe abortion care (SAC), which have historically not been regarded as essential services.► Shutdown or delays of SAC during will disproportionately impact the most vulnerable populations, women girls in low-income middle-income...
Objectives Sexual violence can have a destructive impact on the lives of people. It is more common in unstable conditions such as during displacement or migration On Greek island Lesvos, Médecins Sans Frontières provided medical care to survivors sexual among population asylum seekers. This study describes patterns reported by migrants and seekers clinical them. Methods descriptive study, using routine program data. The consisted treated for related at clinic Lesvos Island (September...
Abstract Objectives To estimate the reduction in maternal mortality associated with emergency obstetric care provided by M édecins S ans F rontières ( MSF ) and to compare this fifth illennium D evelopment G oal of reducing mortality. Methods The impact 's intervention was approximated estimating how many deaths were averted among women transferred treated at facility K abezi, B urundi, a severe acute morbidity. Using estimate, resulting theoretical ratio abezi calculated compared for...
Outcomes of sexual violence care programmes may vary according to the profile survivors, type suffered, and local context. Analysis existing services could lead their better adaptation contexts. We therefore set out compare Médecins Sans Frontières in Democratic Republic Congo (DRC) a zone conflict (Masisi, North Kivu) post-conflict (Niangara, Haut-Uélé).A retrospective descriptive cohort study, using routine programmatic data from MSF Masisi Niangara, DRC, for 2012.In Masisi, 491 survivors...
Abstract Using routine data from three clinics offering care to survivors of sexual violence (SV) in Monrovia, Liberia, we describe the characteristics SV and pattern discuss how current approach could be better adapted meet survivors’ needs. There were 1500 seeking between January 2008 December 2009. Most women (98%) median age was 13 years (Interquartile range: 9–17 years). Sexual aggression occurred during day‐to‐day activities 822 (55%) cases survivor’s home 552 (37%) cases. The...
Unwanted pregnancy and unsafe abortion contribute significantly to the burden of maternal suffering, ill health death in Democratic Republic Congo (DRC). This qualitative study examines vulnerabilities women girls regarding unwanted abortion, better understand their health-seeking behaviour identify barriers that hinder them from accessing care. Data were collected three different areas eastern DRC, using in-depth individual interviews, group interviews focus discussions. Respondents...
Provision of Emergency Obstetric and Neonatal Care (EmONC) reduces maternal mortality should include three components: Basic (BEmONC) offered at primary care level, Comprehensive EmONC (CEmONC) secondary level a good referral system in-between. In conflict-affected province Afghanistan (Khost), we assessed the performance an Médecins Sans Frontières (MSF) run CEmONC hospital without system. Performance was in terms utilisation for obstetric emergencies quality care. A cross-sectional study...
Background Often neglected, male-directed sexual violence (SV) has recently gained recognition as a significant issue. However, documentation of male SV patients, assaults and characteristics presentation for care remains poor. Médecins Sans Frontières (MSF) systematically documented these in all victims admitted to eleven clinics seven African countries between 2011 2017, providing unique opportunity describe patterns cases compared females, according age categories contexts, thereby...
In developing countries such as Pakistan, poor training of mid-level cadres health providers, combined with unregulated availability labour-inducing medication can carry considerable risk for mother and child during labour. Here, we describe the exposure to its possible risks in a vulnerable population conflict-affected region Pakistan. A retrospective cohort study using programme data, compared outcomes obstetric groups women treated oxytocin, those regulated treatment. Of 6379 included...
Study goals To describe the differences between clients presenting after rape and who have consented to sex as a minor an SGBV clinic in Harare, Zimbabwe, how these affect their care requirements. Background Adolescents adults at specialized Sexual Gender Based Violence Harare are offered standardised package of free medical psychosocial care. Zimbabwe has HIV prevalence 14%, so prevention infection using PEP for those that present within 72 hours is key part response. STI treatment,...
Setting: A caesarean section (C-section) is a life-saving emergency intervention.Avoiding pregnancies for at least 24 months after C-section important to prevent uterine rupture and maternal death.Objectives: Two years following an C-section, in rural Burundi, we assessed complications death during the post-natal period, uptake compliance with family planning, subsequent their neonatal outcomes.Methods: household survey among women who underwent C-sections.Results: Of 156 116 (74%) were...
Objectives In a rural district hospital in Burundi offering Emergency Obstetric care-(EmOC), we assessed the a) characteristics of women at risk of, or with an obstetric complication and their types b) number type surgical procedures anaesthesia performed c) human resource cadres who surgery d) exit outcomes. Methods A retrospective analysis EmOC data (2011 2012). Results total 6084 were referred for whom 2534(42%) underwent major procedure while 1345(22%) required minor (36% did not require...
Abstract Context Despite instituting a policy in 2004, Médecins Sans Frontières (MSF) continuously struggled to routinely provide safe abortion care (SAC). In 2016, the organization launched an initiative aimed at increasing availability of SAC MSF projects and understanding abortion‐related dynamics humanitarian settings. Methodology From March 2017 April 2018, staff conducted support visits 10 country sub‐Saharan Africa. Each visit followed systematic approach with six key components...