Background: Performance Monitoring for Action Ethiopia (PMA-Ethiopia) is a survey project that builds on the PMA2020 and PMA Maternal Newborn Health projects to generate timely actionable data range of reproductive, maternal, newborn health (RMNH) indicators using combination cross-sectional longitudinal collection. Objectives: This manuscript 1) describes protocol PMA- Ethiopia, 2) measures included in research areas may be interest RMNH stakeholders. Methods: Annual family planning are...

Although hindrances to the sexual and reproductive health of women are expected because COVID-19, actual effect pandemic on contraceptive use unintended pregnancy risk in women, particularly sub-Saharan Africa, remains largely unknown. We aimed examine population-level changes need for contraception by during COVID-19 pandemic, determine if these differed sociodemographic characteristics, compare observed with trends 2 preceding years.In this study, we used four rounds Performance Monitoring...

Evidence from health emergencies suggests COVID-19 will disrupt women's sexual and reproductive (SRH). In sub-Saharan Africa, which experiences the highest rates of unintended pregnancy unsafe abortion globally, is projected to slow recent progress toward universal access contraceptive services.We used longitudinal data collected women at risk in Burkina Faso (n=1186) Kenya (n=2784) before (November 2019-February 2020) during (May-July quantify dynamics COVID-19; examine sociodemographic...

Very few postpartum women want to become pregnant within the next 2 years, but approximately 60% of in low- and middle-income countries are not using contraceptive methods. The World Health Organization recommends that receive family planning (PPFP) counseling during antenatal, immediate postpartum, postnatal services. Our objective was establish whether PPFP is being provided antenatal care services SNNPR, Ethiopia receipt improved uptake use by 6 months postpartum.Longitudinal data from...

Understanding contraceptive use dynamics is critical to addressing unmet need for contraception. Despite evidence that male partners may influence decision-making, few studies have prospectively examined the supportive ways men women's and continuation.This study sought understand predictive effect of partner influence, defined as partner's fertility intentions support contraception, discussions about avoiding pregnancy prior use, on (continuation, discontinuation, switching, adoption) over...

The individual impacts of several components family planning service quality on contraceptive use have been studied, but the influence a composite measure synthesizing these has not often investigated. We (1) develop score for based health facility data from Burkina Faso, Ethiopia, Kenya and Uganda (2) examine structural practice in four countries. used nationally representative cross-sectional survey facilities women reproductive age. First, we constructed scores using principal component...

The importance of the family planning service environment and community-level factors on contraceptive use has long been studied. Few studies, however, have able to link individual health facility data from surveys that are nationally representative, concurrently fielded, geographically linked. Data Performance Monitoring Accountability 2020 address these limitations. To assess relative influences delivery community, household, a woman's likelihood using modern in five culturally diverse...

•Agency, a domain of empowerment, is measurable construct amongst early adolescents age 10-14.•Three sub-scales - Voice, Freedom Movement, and Behavioral Control Decision-making comprise the measurement agency.•Differences in Movement sub-scale show growing equity gap between boys girls across multiple countries.•Users scales must consider context when adapting items to account for differences culture environment.

Health priorities since the UN Millennium Declaration have focused strongly on children younger than 5 years. The health of older (age 5-9 years) and adolescents 10-14 has been neglected until recently, especially in low-income middle-income countries, mortality measures for these age groups often derived from overly flexible models. We report global regional empirical estimates aged 5-14 years compare them with ones existing models.For this analysis, we obtained birth-history data surveys...

Abstract Norms and beliefs toward contraception, both positive negative, motivate contraceptive use; however, they have seldom been explored longitudinally in low‐ middle‐income countries, limiting our understanding of their influence on dynamics. We used PMA2020 Uganda national longitudinal data reproductive aged women 2018 (baseline) 2019 (follow‐up) to explore discontinuation switching among modern users at baseline (n = 688) use follow‐up nonusers 1,377). Multivariable simple multinomial...

Abstract Background There is substantial evidence that contraceptive side-effects are a major deterrent to consistent use of contraception but few studies in low- or middle-income countries explore the role specific on dynamics. This study used population-based, longitudinal data effect continuation, discontinuation, and switching Uganda. Methods Data for this come from two rounds survey collection Uganda: PMA2020’s sixth cross-sectional follow-up conducted 1 year later. The main outcomes...

Fertility intentions are expected to decline due the COVID-19 pandemic but limited empirical research on this topic has been conducted in sub-Saharan Africa. Longitudinal data from Kenya, with baseline (November 2019) and follow-up (June 2020) data, were used 1) assess extent which individual-level fertility changed, 2) examine how security, specifically economic health affected intentions. The final sample included 3,095 women. primary outcomes change quantum timing. Exploratory analyses...

Objectives This multimethods study aimed to: (1) compare the prevalence of intimate partner violence (IPV) during pregnancy pre-COVID-19 and COVID-19 pandemic using quantitative data (2) contextualise pregnant women’s IPV experiences through supplemental interviews. Design Quantitative analyses use from Performance Monitoring for Action-Ethiopia, a cohort 2868 women that collects at pregnancy, 6 weeks, months 1-year postpartum. Following 6-week postpartum survey, in-depth semistructured...

Background The COVID-19 pandemic and response have the potential to disrupt access use of reproductive, maternal, newborn health (RMNH) services. Numerous initiatives aim gauge indirect impact on RMNH. Methods We assessed RMNH coverage in early stages using panel survey data from PMA-Ethiopia. Enrolled pregnant women were surveyed 6-weeks post-birth. compared odds service receipt, RMNCH indicators, outcomes within cohort who gave birth prior affected cohort. calculated impacts nationally by...

Global efforts to improve sanitation have emphasized the needs of women and girls. Managing menstruation is one such need, yet there scarce research capturing current practices. This study investigated relationships between household women’s experience menstrual management. Secondary analyses were undertaken on data from 1994 girls collected through Performance Monitoring Accountability 2020 survey in Kaduna, Nigeria. In multivariable models, had higher odds using main facility for...

Studies in several sub-Saharan geographies conducted early the COVID-19 pandemic suggested little impact on contraceptive behaviours. Initial results may mask widening disparities with rising poverty, and changes to women's pregnancy desires use amid prolonged health service disruptions. This study examined trends behaviours four African settings 1 year into pandemic. Nationally regionally representative longitudinal surveys. Burkina Faso, Kenya, Democratic Republic of Congo (Kinshasa)...

Kobe Refugee camp hosts roughly 39,000 refugees displaced from Somalia during the 2011-2012 Horn of Africa Crisis. Sexual and reproductive health, as with greater issues health well-being for adolescents this crisis remain largely unknown neglected. In 2013, Women's Commission, Johns Hopkins University, International Medical Corps in Ethiopia, implemented qualitative quantitative research to explore factors risks that impact very young (VYAs), those 10-14 years age, setting. This paper...

The risk of maternal death in Afghanistan is among the highest world; however, risks within country are poorly understood. Subnational mortality estimates needed along with a broader understanding determinants to guide future health programmes. Here we aimed study and causes, care-seeking patterns, costs country.We did household survey (RAMOS-II) urban area Kabul city rural Ragh, Badakshan. Questionnaires were administered senior female members data collected by team interviewers secondary...

Our objectives were to assess the prevalence of specific side-effects experienced by current and recent contraceptive users, describe patterns that users concerned about, share measurement lessons learned.Data come from PMA Ethiopia 2019 nationally-representative, cross-sectional survey. analytic sample included women who (weighted n = 2190; unweighted 2020) or (past 24 months; weighted 627; 622) a hormonal method IUD. We provide descriptive statistics percentage current/recent report...

Abstract Background Humanitarian emergencies are postulated to increase rates of early marriage and childbearing, as drivers both heightened or exacerbated in crisis settings. There is a critical need for research that explores the causal mechanisms motivate family formation, i.e. process from into how this affected by conflict displacement. Objective This paper aims describe displacement living within camp context has norms around focusing on lived experience female male adolescents young...