Ethiopia has been expanding maternity waiting homes to bridge geographical gaps between health facilities and communities in order improve access skilled care. In 2015, the Ministry of Health revised its national guidelines standardize rapid expansion homes. Little done document their distribution, service availability readiness. This paper addresses these as well association with perinatal mortality obstetric complication rates. We utilized data from 2016 Emergency Obstetric Newborn Care...

Most women in Ghana obtain oral contraceptives and condoms from shops run by licensed chemical sellers, but such are not legally permitted to sell the country's most widely used method, injectable. Allowing injectable could increase access use of method.In 2012-2013, semistructured telephone interviews were conducted among convenience samples 94 seller shop operators two districts who trained 298 purchased method these shops. Follow-up with 92 clients approximately three months after their...

Countries with high maternal and newborn mortality can benefit from national facility level data that describe intra-facility emergency referral patterns for major obstetric complications. This paper assesses the relationship between facilities' readiness to treat complications at each of health system in Ghana. We also investigate other characteristics associated referral.The National Emergency Obstetric Newborn Care Assessment 2010 provided aggregated information 977 facilities. Readiness...

The paper's primary purpose is to determine changes in magnitude and causes of institutional maternal mortality Mozambique. We also describe shifts the location deaths availability prevention treatment measures for malaria HIV infection. Two national cross-sectional assessments health facilities with childbirth services were conducted 2007 2012. Each collected retrospective data on deliveries their causes. In 2007, 2,199 cases documented over a 12 month period; 2012, 459 identified three...

Targeted approaches to further reduce maternal mortality require thorough understanding of the geographic barriers that women face when seeking care. Common measures access do not account for time needed reach services, despite substantial evidence links proximity with greater use facility services. Further, methods measuring often ignore frequently bypass close facilities based on perceptions service quality. This paper aims adapt existing better reflect women's bypassing behaviour, using...

Objectives To measure the effects of COVID-19 pandemic on maternal and perinatal health services outcomes in Mozambique. Design This is an observational study analysing routine service delivery data using interrupted time series analysis. We used 43 months district-level panel with April 2020 as point interruption, adjusting for seasonality population growth to analyse utilisation outcomes. Setting The 222 public facilities Nampula Province, Mozambique, from January 2018 July 2021. Outcome...

Ethiopia is one of five countries that account for half the world's 2.6 million newborn deaths. A quarter neonatal deaths in are caused by birth asphyxia. Understanding different dimensions quality care newborns with breathing difficulties can lead to improving service provision environments and practice. We describe facility readiness treat difficulties, extent which resuscitation provided, modeling survival breathing, we identify key factors suggest how mortality from asphyxia be reduced....

Abstract Objectives To map access to depot medroxyprogesterone acetate (DMPA) from licensed chemical sellers (LCS); estimate the proportion of women reproductive age in areas with access; and examine affordability variability costs. Methods A geospatial analysis was conducted using data collected 298 who purchased DMPA 49 geocoded LCS shops Amansie West Ejisu‐Juabeng districts Ghana June 4 August 31, 2012. The reported on cost average distance traveled purchase DMPA. Results In West, 21.1%...

<h3>ABSTRACT</h3> <h3>Background:</h3> With increasing interest in strengthening community health programs nationally comes a need for operationalizing them realistic and achievable way. Limited information is available to help program managers establish appropriate parameters their context. We examined aspects of implementation related deployment patterns workers, called agents communautaires or ACs, 2 districts Madagascar. <h3>Methods:</h3> By analyzing data publicly datasets geographic...

Purpose The purpose of this paper is to examine the impact savings and loan groups (SGs), alone combined with a rotating labor scheme ( Ajuda Mútua ), on economic conditions rural poor in Nampula province Mozambique. Design/methodology/approach Three pairs districts were randomized into receiving SG, SG AM, or no intervention. study used mixed-methods sequential explanatory design. Data from longitudinal survey 1,276 households analyzed using difference-in-difference estimation assess SGs...

Abstract Background Improving maternal and newborn health indicators are key if Ethiopia is to achieve the Sustainable Development Goals. To do so, women need access skilled attendance at birth emergency obstetric care. maximize their impact, understanding gaps in workers’ knowledge required remedy weakness. This assessment determines levels of clinical management healthcare factors that influence knowledge. Methods study used data from National Emergency Obstetric Neonatal Care conducted...

Abstract Pandemic-related health service adaptations raised concerns about provision of quality, respectful maternity care globally. Despite this, little research has focused on the experiences those using intrapartum during this time. This study aimed to elevate voices and document birthing people in Nampula Province, Mozambique COVID-19 pandemic. We conducted a longitudinal qualitative from March-August 2021 present an analysis 17 follow-up in-depth interviews with participants who had...

Introduction Ensuring adequate access to contraceptive implant removal services requires an understanding of potential clinical, logistical, and geographic challenges. Methods We conducted a cross-sectional survey 39 public health facilities in two districts Senegal. To assess facility readiness, we reported the proportion meeting all minimum conditions for regular difficult removals. then describe characteristics referral networks. Geographic modeling was information system estimate women...

Background: Global and national efforts to reduce maternal newborn mortality rely on expanded availability of timely access life-saving emergency obstetric care services (EmONC). Subnational local-level information about EmONC the impact health system improvements can help planners target investments.Methods: Using data from a 2016 facility-based assessment in Ethiopia, with other georeferenced sources, we modelled comprehensive along three pathways: 1) via nearest facility; 2) facility...