A5046524128- Global Maternal and Child Health
- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Healthcare Systems and Reforms
- COVID-19 epidemiological studies
- Vaccine Coverage and Hesitancy
- COVID-19 and healthcare impacts
- Emergency and Acute Care Studies
- Mosquito-borne diseases and control
- COVID-19 Pandemic Impacts
- Healthcare Policy and Management
- Sepsis Diagnosis and Treatment
- African Botany and Ecology Studies
- Primary Care and Health Outcomes
- Poverty, Education, and Child Welfare
- Evaluation and Performance Assessment
- Neonatal and Maternal Infections
- Neonatal and fetal brain pathology
- Neonatal Respiratory Health Research
- Malaria Research and Control
- Chronic Disease Management Strategies
U.S. President's Malaria Initiative
2025
Center for Human Reproduction
2024
University of Malawi
2024
Colorado School of Public Health
2013
University of Colorado Denver
2013
Maternal infections are an important cause of maternal mortality and severe morbidity. We report the main findings WHO Global Sepsis Study, which aimed to assess frequency in health facilities, according characteristics outcomes, coverage core practices for early identification management.We did a facility-based, prospective, 1-week inception cohort study 713 facilities providing obstetric, midwifery, or abortion care, where women could be admitted because complications pregnancy,...
Infections are among the leading causes of maternal mortality and morbidity. The Global Maternal Sepsis Neonatal Initiative, launched in 2016 by WHO partners, sought to reduce burden infections sepsis was basis upon which Study (GLOSS) implemented 2017. In this Article, we aimed describe availability facility resources services analyse their association with outcomes.GLOSS a facility-based, prospective, 1-week inception cohort study 713 health-care facilities 52 countries included 2850...
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...
Evidence suggests that women value and benefit from having a labour companion during childbirth. However, the applicability of evidence to low-income lower-middle-income countries is limited varies. Thus, we assessed association between presence companions mistreatment in 16 hospitals Benin, Malawi, Tanzania Uganda. We conducted cross-sectional survey using validated questionnaire administered at discharge after birth December 2021 March 2024. The main outcomes were factor-weighted...
Timely access to comprehensive, high-quality emergency obstetric and neonatal care can prevent maternal mortality, but remains challenging in Benin. We examine geographic accessibility childbirth Grand Nokoue, the largest conurbation with five urban areas gathered data on boundaries, health facilities, road network, elevation, land cover, relative wealth, urbanicity geo-traced travel speeds Nokoue. modelled times facility offering (stratified by level sector) using least-cost path algorithm,...
Abstract Introduction Birth asphyxia is a leading cause of neonatal mortality in sub‐Saharan Africa. The relationship to grand multiparity (GM), controversial pregnancy risk factor, remains largely unexplored, especially the context large multinational studies. We investigated birth and its association with GM referral Benin, Malawi, Tanzania Uganda. Material methods This was prospective cross‐sectional study. Data were collected using perinatal e‐Registry 16 hospitals (four per country)....
Abstract Background Pregnancy-related infections are important contributors to maternal sepsis and mortality. We aimed describe clinical, microbiological characteristics use of antibiotics by source infection country income, among hospitalized women with suspected or confirmed pregnancy-related infections. Methods used data from WHO Global Maternal Sepsis Study (GLOSS) on in women, 52 low-middle- high-income countries conducted between November 28th December 4th, 2017, the frequencies...
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...
The goal of the study is to investigate if local agricultural practices have an impact on malaria transmission in four villages located same geographical area within a radius 15 kilometers. Among villages, one (Itassoumba) characterized by presence large market garden and fishpond basins, three others (Itakpako, Djohounkollé Ko-koumolou) are traditional food-producing agriculture. Malaria was evaluated using human-landing catches, both indoors outdoors, two nights per month for 12 months....
In sub-Saharan Africa, there is a need to better understand and guide the practice of primary care physicians (PCPs), especially in crisis context like COVID-19 pandemic. This study analyses experiences PCPs facing Benin draws policy lessons.The followed fully mixed sequential dominant status design. Data were collected between April August 2020 from sample Benin. We performed descriptive on quantitative data. also bivariate for testing associations various outcomes public/private PCPs,...
<title>Abstract</title> Background In Benin, the number of primary care physicians (PCPs) is increasing. This phenomenon challenges current prevailing policy task shifting from to nurses adopted in Benin’s system and raises a few questions. To date, information on PCPs their practices remains scarce. study aims describe PCP propose typology these practices. Methods A fully mixed sequential equal-status design was used. Quantitative data were gathered 155 through survey, whereas qualitative...
Background: Maternal mortality remains a major public health issue in Benin. This study aimed to determine the hospital-based maternal ratio and factors related with deaths. Subjects Method: We conducted case-control over two years from 1st January 2020 31 December 2021 four Cotonou hospitals. It included 264 deaths (case) matched controls by delivery mode. The dependent variable was status at discharge. Independent variables socio-demographic characteristics, gyneco-obstetric information,...
Abstract Evidence-based quality care is essential for reducing the high burden of maternal and newborn mortality morbidity in sub-Saharan Africa. Provision results from interaction between several components health system including competent midwifery providers. We assessed providers’ childbirth immediate competencies as part Action Leveraging Evidence to Reduce perinatal morTality (ALERT) project Benin, Malawi, Tanzania, Uganda. used a self-administered questionnaire assessing knowledge,...