Maternal and Child Health (MCH) / Santé maternelle et infantile (MCH)
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Item Restricted Social audit strengthens primary care and health information systems : a method fact sheet of the Nigeria Evidence-based Health System Initiative (NEHSI)(CIET, 2013) CIETSocial audits help to pinpoint actionable factors affecting the health of mothers and their children and facilitate discussions with communities, service workers and planners. The bulletin explains the steps of a social audit including interviews with thousands of people, and how through cycles of data collection, analysis, community feedback and interpretation, followed by socializing evidence for participatory action, social audits make sense of health challenges in light of available resources and government priorities. The Nigeria Evidence-based Health System Initiative (NEHSI) is a collaborative project between Nigeria and Canada, to support a fair, effective, and efficient primary healthcare system.Item Open Access Urban health symposium : taking action for healthy cities in Bangladesh - full report(2013-11-23) Adams, Alayne M.; Hillgrove, Tessa; Leterme, Gladys; Williams, Shoshannah; Ahmed, Rushdia; Sedalia, Saroj; Islam, Rubana; Shuvo, Tanzir Ahmed; Yusuf, Sifat; Kakoly, Nadira SultanaThe Urban Health Symposium in Dhaka (2013) provided a platform for international, national and regional policy makers, practitioners, engineers and academics to exchange ideas and explore avenues to improve the state of urban health in Bangladesh. Health challenges include historically critical areas, such as infectious disease control and environmental health and nutrition, as well as “newer” problems, such as Non-Communicable Diseases (NCDs). The Symposium’s ‘call to action’ builds on Bangladesh’s advantages and begins to chip away at the challenges. Priority actions require different levels of collaboration between vertical ministries for which institutional structures and mechanisms do not yet exist.Item Open Access Determinantes da natimortalidade ocorrida nas unidades sanitárias da província da Zambézia(2014) Píres, Germano; Rosa, Maria; Zangarote, Minó; Chicumbe, SérgioItem Open Access “Please Do Not Forget Us” - views of women, nurses, and traditional birth attendants on community distribution of medications to prevent postpartum hemorrhage and sepsis : a qualitative pilot study in rural Tanzania(2014-06-24) Webber, Gail; Chirangi, BwireThere is strong support from rural women, dispensary nurses and traditional birth attendants for a community distribution program of medications to prevent postpartum hemorrhage and sepsis. These are the most common causes of death for women in childbirth globally. This study established the feasibility of providing oral medications to women in rural Tanzania to self-administer after delivery, reducing bleeding and infection. This article covers details of the study including background, methods, and results. There are high non-facility birth rates in rural Tanzania, with more than 60% of women delivering in their villages without available attendants.Item Open Access Women's health in women's hands : a pilot study assessing the feasibility of providing women with medications to reduce postpartum hemorrhage and sepsis in rural Tanzania(Taylor & Francis, 2014-07-01) Webber, Gail C.; Chirangi, BwireThe pilot study established feasibility of distributing oral medications (such as misoprostol in pill form) to women in rural Tanzania to self-administer after delivery. Two of the largest causes of maternal mortality are bleeding and infection. Of the 642 women provided with medications, 90% took them appropriately, while the remaining 10% did not require them. Mara Region has one of the highest non-facility birth rates in Tanzania, with more than 60% of women delivering in their villages. Hundreds of thousands of women could be saved through access to this inexpensive medication. In Tanzania the maternal mortality ratio is 454 per 100,000 (2011).Item Open Access Improved health outcomes for mother and children in West Africa through evidence informed decision making(2014-10-20) West African Health Organisation (WAHO)The “Innovating for Maternal and Child Health in Africa” initiative aims to reduce maternal, child and infant mortality through the promotion of the use of evidence in decision making. From this initiative, the project entitled “Moving Maternal, Newborn and Child Health Evidence into Policy (MEP)” was implemented by the West African Health Organisation (WAHO). The project is outlined in the newsletter. It works to improve the demand for, the production of, and the use of research findings in decision-making in maternal, neonatal and child health (MNCH) programs and policies in the Economic Community of West African States (ECOWAS) region.Item Open Access Améliorer la santé des mères et des enfants en Afrique de l'Ouest par l'utilisation de l'évidence dans la prise de décisions(2014-10-20) Organisation Ouest Africaine de la Santé (OOAS)Item Open Access Organization Ouest Africaine de la santé peut-elle devenir un centre de promotion de transfert-application des connaissances en faveur de la santé maternelle néonatale et infantile?(2014-10-20) Ongolo-Zogo, Pierre; Sombie, Issiaka; Johnson, Ermel; Lokossou, Virgil; Keita, NamoudouItem Open Access Connaissances et capacités à utiliser les données probantes des parties prenantes de la santé maternelle et infantile au Burkina Faso(2014-10-20) Sombie, Issiaka; Zida, A.; Johnson, E.; Lokossou, V.; Mongbo, Y.; Bouwaye, A.; Keita, N.Item Open Access Transfert-application des données probantes dans les politiques et programmes de santé maternelle et infantile en Afrique de l'Ouest : état des lieux(2014-10-20) Sombie, Issiaka; Johnson, Ermel; Lokossou, Virgil; Keita, Namoudou; Mongbo, Yves; Bouwaye, AissaItem Open Access Transfert de connaissance et l'utilisation des evidences dans l'elaboration des politiques et programmes de santé maternelle et infantile en Afrique de l'Ouest(2014-10-20) Sombié, Issiaka; Jude, Aidam; Montorzi, Gabriela; Godt, SueItem Open Access Évaluation de l'efficience des dépenses de santé au Sénégal : cas des hôpitaux(2014-11) Université Cheikh Anta DiopItem Open Access L'équipe dans l'accès aux soins de santé au Sénégal : policy brief n°2(2014-11) Université Cheikh Anta DiopItem Open Access Strengthening data generation system for improved primary health care service delivery in Delta State : challenges and recommendations(2015) Centre for Population and Environmental Development (CPED); Onokerhoraye, Andrew G.This policy brief presents key challenges facing primary health information in Delta State (Nigeria). It outlines actionable recommendations regarding strengthening the system of data generation and collection. Adequate health information is crucial at the primary health care level, where information for subsequent health care planning and delivery of relevant health care is essential. Collected data must be accurate, complete, reliable, legible and accessible to authorized users. Pressures to separately collect data on specific health challenges often leads to a fragmented system.Item Open Access Ensuring the availability and access to essential drugs in primary health care facilities in Delta State : challenges and way forward(2015) Centre for Population and Environmental Development (CPED); Onokerhoraye, Andrew G.The findings of the survey of primary health care facilities owned by public and private sectors in Delta State (Nigeria) show lack of availability of essential medical products, drug supplies, services, and equipment. Overall, only one of ten health care facilities have regular supplies of water and electricity or amenities such as a functioning client latrine or protected waiting area. Health budgets should be increased to take care of the drug needs of primary health centres. As well, the selection of drugs should reflect affordability for low-income rural inhabitants.Item Open Access Empowering lay community-based health workers : improving primary health care service delivery in Delta State : how? and what works?(2015) Centre for Population and Environmental Development (CPED); Onokerhoraye, Emeritus Andrew G.This policy brief outlines some actions to be taken to train and integrate lay community-based health workers (CHW) into the primary health care system of Delta State (Nigeria) to enhance the health workforce. In some communities CHWs provide health education messages and gather data; in others, they provide higher level services, such as dispensing medications and assisting at births. Roles, trainings, credentials, and services vary by community. An essential step in the Harmonization Framework is to adopt a common definition and core set of agreed-upon CHW tasks and competencies for different cadres of CHWs in the country.Item Open Access Achieving community participation in primary health care service delivery : what should we do?(2015) Centre for Population and Environmental Development (CPED); Onokerhoraye, Andrew G.The survey of primary health care facilities in Delta State shows that community involvement in the management and delivery of primary health services is lacking. The empowerment and participation of women of child bearing age is needed as a key component of any strategy to involve community members towards effective delivery of maternal and child health care. This policy brief is based on the findings of ongoing research, “Strengthening the health system in Nigeria through improved equitable access to Primary Health Care (PHC): The Case of Delta State, Niger Delta region.”Item Open Access A snap shot assessment of obstetric care at rural hospitals of Mozambique(2015) Chicumbe, Sérgio; Chidassicua, Jose; Botao, Carlos; Magaço, Amilcar; Pires, Germano; Rodrigues, Humberto; Mbofana, FranciscoServing large catchment areas, rural hospitals (RH) in Mozambique are the first level of care where comprehensive response to perinatal complications begins. This one-page policy brief provides an overview of the maternal and child health care strategies and contexts for obstetric care in Mozambique. Strengthening the continuum of perinatal care is still required and recommended through a systemic approach. Vertical solutions and “one size-fits-all facilities” should be avoided.Item Open Access Shortage in health workforce : experiences of primary health care service providers in Delta State : recommendations for improvement(2015) Centre for Population and Environmental Development (CPED); Onokerhoraye, Emeritus Andrew G.The policy brief outlines actions that should be taken to enhance the health workforce in primary health centres located in rural areas of Delta State (Nigeria) for the attention of the government and other providers of primary health care in the state. Findings from a survey of personnel and health facilities are provided. Participatory community-based health interventions are proposed as part of a solution to inadequate or absent services. The general perception of rural populations and health care practitioners is often that of a grossly inefficient formal health sector that has simply failed to deliver.