Innovating for Maternal and Child Health in Africa (IMCHA) / Innovation pour la santé des mères et des enfants d’Afrique (IMCHA)
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Item Added value of multiple IMCHA research projects on maternal, newborn and child health policy and practice in Nigeria(2022-02) Johnson, Ermel; Sombié, IssiakaThe Innovating for Maternal and Child Health in Africa (IMCHA) initiative was designed to generate findings that could influence policies and practices at national and subnational levels. This case study documents the added value of IMCHA projects on maternal, newborn and child health policy and practice in Nigeria. Three research teams implemented five research projects representative of different country contexts, allowing analysis of different facets of MNCH problems including barriers to service utilisation and perinatal depression, as well as impacts of the projects. Future research funding could build on the IMCHA model to ensure political involvement and ownership at national level.Item Adolescent perinatal depression : a neglected public health issue(2020) Gureje, OyeThe presentation reports on a study regarding perinatal depression, with findings that show the rate of perinatal depression is much higher among adolescents compared to adults. A suggested course of action is reviewed: “Responding to the challenge of Adolescent Perinatal Depression (RAPiD).” Pregnant adolescents are often ostracized and receive little or no support from family members. The RAPiD programme provides training and resources for pregnant teenagers. This is a global health issue: WHO estimates 11% of all births are to girls aged 15-19 years. The highest rates are in sub-Saharan Africa (30% of live births are to girls under 18 years of age).Item Adolescents in rural Tanzania : a qualitative study(Research Square, 2020) Mweteni, Wemaeli; Kabirigi, Julieth; Matovelo, Dismas; Laisser, Rose; Yohani, VictoriaPregnant adolescents (ages 10-19) seeking antenatal services are compromised by a complex power imbalance that involves financial dependence, lack of choice, lack of personal autonomy in decision making, experiences of social stigma, judgement, violence and abuse. The study analyzed experiences of pregnant adolescents in accessing antenatal care in Misungwi district, Mwanza Region, Tanzania. Low and middle-income countries, including Tanzania, bear the largest proportion of adolescent perinatal deaths globally. Most adolescent girls in Tanzania do not access antenatal care at health facilities. Multi-level interventions are needed to empower adolescent girls, and to address policies and social constructs that may contribute to power imbalances.Item Adoption des CFU : leçons des analyses de mise en œuvre(2018-09-18) Coumaré, F.; Bicaba, A.; Haddad, S.; Traoré, M. N.Item 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 Analyse des effets de l’intervention du projet Bajenu Gox sur l’utilisation des services de santé maternelle néonatale et infantile dans les postes de santé : Abattoirs, Ndagane, Diaoulé, Ndandé et Parcelles Assainies Unité 4(2020-07) Diop, Rosalie Aduayi; Samb, Oumar Mallé; Sarr, Omar; Sarr, Samba Cor; Athie, Cheikh TidianeItem Analyse du rôle social & des motivations intrinsèques de la Bajenu Gox(2020) Diop, Rosalie Aduayi; Samb, Oumar Mallé; Sarr, Omar; Sarr, Samba Cor; Athie, Cheikh Tidiane; ; L'Institut de Formation et de Recherche en Population, Développement et Santé de la Reproduction (IPDSR) de l'Université Cheikh Anta Diop de Dakar (UCAD); L'Université du Québec en Abitibi-Témiscamingue; Santé de la Mère et de l'Enfant (DSME) du Ministère de la Santé et de l'Action Sociale; L'Organisation Ouest Africaine de la Santé (OOAS); Sombie, Issiaka; Johnson, ErmelItem Analysis of the quality of seasonal malaria chemoprevention provided by community health workers in Boulsa health district, Burkina Faso(BMC, 2019-07-10) Kombate, Gountante; Guiella, Georges; Baya, Banza; Serme, Luc; Bila, Alice; Haddad, Slim; Bicaba, AbelThe study evaluated the level of quality of care provided by community health workers (CHW) within the framework of the Seasonal Malaria Chemoprevention (SMC) strategy. Results have shown that despite the difficulties faced by community health workers, they manage to deliver acceptable quality of care. The SMC’s administration guide proposed by WHO was the standard for CHW’s quality assessment and an important factor supporting the study. The report reviews details of methodology and outcomes of the project as well as providing background to the SMC strategy. This study was conducted in the Boulsa health district, located in the north-central region of Burkina Faso.Item APHRC Newsletter : 2021 special edition(African Population and Health Research Center (APHRC), 2021-05) Kamau, Lynette; Nkonge, Moreen; Mangwana, Jane; Nakimuli, EvaThe Innovating for Maternal and Child Health (IMCH) initiative has supported 19 research teams in 11 countries. Research findings are rarely enough on their own for influencing health policy. For this reason, the initiative has established two Health Policy and Research Organizations (HPRO) in East and West Africa. This newsletter provides updates on current research, health care delivery and IMCH improvements in some of the poorest countries. High-quality African-led research is critical in identifying gaps in maternal health services.Item Appendix 9 : promoting maternal and child health in Ethiopia : how community health actors explain their roles(2018-10) Abebe, LakewThe presentation outlines some initiatives in Ethiopia that address infant mortality and pro-poor programming such as the Health Extension Program (HEP); the Child Survival Strategy; the Ethiopia Hospital Reform Initiative, and others. Tables of results show that infant and maternal mortality rates have been substantially reduced (year 2000 to 2014). The presentation also details the roles of health workers and community leaders and their influence on the health of pregnant women.Item Application de l'outil équitable sensible à l'impact (EQUIST) à l'élaboration de politiques fondées sur des données probantes pour améliorer les résultats en matière de santé maternelle et infantile au Burkina Faso(2018-03-28) Uneke, C. Jesse; Sombie, Issiaka; Uro-Chukwu, HenryItem Application of equitable impact sensitive tool (EQUIST) in evidence informed policymaking to improve maternal and child health outcomes in Burkina Faso(2018-03-28) Uneke, C. Jesse; Sombie, Issiaka; Uro-Chukwu, Henry; Johnson, ErmelThis brief puts forward policy options and strategies towards improved health equity and access to health care services in Benin. The concept of health equity is a critical component that requires strengthening to improve maternal, newborn and child health (MNCH) outcomes in Burkina Faso. UNICEF has designed the EQUitable Impact Sensitive Tool (EQUIST) to enable the global health community to improve equity in MNCH and to reduce health disparities. The brief reviews findings from a study using the EQUIST Situation Analysis of maternal and child health outcomes in Benin by sub-national categorization, wealth, and residence.Item Application of equitable impact sensitive tool (EQUIST) in evidence informed policymaking to improve maternal and child health outcomes in Senegal(2018-03-28) Uneke, Jesse; Sombie, Issiaka; Uro-Chukwu, Henry; Johnson, ErmelThe policy brief reviews evidence drawn from the application of EQUitable Impact Sensitive Tool (EQUIST). In terms of improving maternal, newborn and child health (MNCH) outcomes, extending services to the most deprived and marginalized communities not only averts more deaths, but also is more cost effective. UNICEF designed the EQUitable Impact Sensitive Tool (EQUIST online tool http://equist.info/en/pages/home) to enable the global health community to improve equity in MNCH and reduce health disparities between marginalized and wealthier groups. Among the most critical health systems components that requires strengthening is the concept of health equity.Item Approche NEP et prise de décisions factuelles dans le domaine de la SMNI(2016-02-19) Sangho, HamadounItem Assessing quality of newborn care at district facilities in Malawi(2020-03-18) Kawaza, Kondwani; Kinshella, Mai-Lei Woo; Hiwa, Tamanda; Njirammadzi, Jenala; Banda, Mwai; Vidler, Marianne; Newberry, Laura; Nyondo-Mipando, Alinane Linda; Dube, Queen; Molyneux, Elizabeth; Goldfarb, David M.The paper evaluates the quality of neonatal care in three district hospitals and one primary health centre in southern Malawi. It reports on limitations and lessons-learned using the WHO integrated quality of care assessment tool. Results reveal that quality of care requires improvement, particularly for sick and vulnerable newborns, and that the WHO assessment tool is helpful in examining the complex quality of care challenges at the district level. Facility assessments are one aspect of the study “Integrating a neonatal healthcare package for Malawi” which is part of the larger project “Innovating for Maternal and Child Health in Africa (IMCHA)” initiative.Item Assessing the knowledge and skills on emergency obstetric care among health providers : implications for health systems strengthening in Nigeria(PLoS ONE, 2019-04-08) OkonofuaI, Friday; Ntoimo, Lorretta Favour Chizomam; Ogu, Rosemary; Galadanci, Hadiza; Gana, Mohammed; Uthman, OlalekanA questionnaire was used to obtain information relating to health providers’ socio-demographic characteristics; respondents’ knowledge and skills in offering specific Emergency Obstetrics Care (EMOC) services (as compared to standard World Health Organization recommendations); and their confidence in transferring the skills to mid-level providers. Findings indicate that knowledge and reported skills in EMOC by health providers was lower than average in referral facilities in Nigeria. Recommendations include in-service training and re-training of health providers along with health policy and programs that address maternal mortality.Item An assessment of maternal, newborn and child health implementation studies in Nigeria : implications for evidence informed policymaking and practice(TUOMS PRESS, 2016) Uneke, Chigozie Jesse; Sombie, Issiaka; Keita, Namoudou; Lokossou, Virgil; Johnson, Ermel; Ongolo-Zogo, PierreThis review provides insight into the process of evidence-informed policymaking and knowledge transfer based on implementation research, focusing on Mother, Newborn and Child Health (MNCH) in Nigeria. Although a reduction in maternal and child mortality in Nigeria could be attributed to implementation of various intervention policies, the study made clear that new and effective policies were informed by research evidence derived from implementation research. Implementation science is the use of strategies to adopt, adapt, and integrate evidence-based health interventions and policies. It is thus able to change patterns of practice within specific settings.