Tag Archives: delivery

Matched Placental and Circulating Plasmodium falciparum Parasites are Genetically Homologous at…

Abstract.

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Experiences in Vaccine Procurement for Middle Income Countries: the Swaziland Experience

Njabuliso Lukhele of the Ministry of Health Swaziland shared Swaziland’s experiences in Vaccine Procurement at the recent Regional Immunization Technical Advisory Group (RITAG) Meeting, Johannesburg, South Africa, 05-08 December 2017. A summary of his presentation appears below. As a Lower Middle Income Country (MIC), Swaziland is not and has never been eligible to receive financial support for its immunization programs through the GAVI Alliance. Therefore, 83% of the health care budget is financed through domestic sources, and only 17% comes from from WHO and UNICEF.

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Better Measurement for Performance Improvement in Low- and Middle-Income Countries: The Primary…

Policy Points: Strengthening accountability through better measurement and reporting is vital to ensure progress in improving quality primary health care (PHC) systems and achieving universal health coverage (UHC).

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Challenges in achieving Maternal and Neonatal Tetanus Elimination: South Sudan Experience

Dr. Anthony Laku who is currently the Immunization Program Officer in the South Sudan Ministry of Health presented the status of efforts to eliminate maternal and neonatal tetanus (MNT) in South Sudan at the fourth meeting of the WHO Regional Immunization Technical Advisory Group held 5-7 December 2017 in Johannesburg, South Africa. A summary of key challenges is shared below. General Challenges to health delivery in South Sudan include a Maternal Mortality Ratio of 2054 per 100,000 live births.

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Effects of women’s groups practising participatory learning and action on preventive and…

by Nadine Seward, Melissa Neuman, Tim Colbourn, David Osrin, Sonia Lewycka, Kishwar Azad, Anthony Costello, Sushmita Das, Edward Fottrell, Abdul Kuddus, Dharma Manandhar, Nirmala Nair, Bejoy Nambiar, Neena Shah More, Tambosi Phiri, Prasanta Tripathy, Audrey Prost Background The World Health Organization recommends participatory learning and action (PLA) in women’s groups to improve maternal and newborn health, particularly in rural settings with low access to health services. There have been calls to understand the pathways through which this community intervention may affect neonatal mortality. We examined the effect of women’s groups on key antenatal, delivery, and postnatal behaviours in order to understand pathways to mortality reduction. Methods and findings We conducted a meta-analysis using data from 7 cluster-randomised controlled trials that took place between 2001 and 2012 in rural India (2 trials), urban India (1 trial), rural Bangladesh (2 trials), rural Nepal (1 trial), and rural Malawi (1 trial), with the number of participants ranging between 6,125 and 29,901 live births. Behavioural outcomes included appropriate antenatal care, facility delivery, use of a safe delivery kit, hand washing by the birth attendant prior to delivery, use of a sterilised instrument to cut the umbilical cord, immediate wrapping of the newborn after delivery, delayed bathing of the newborn, early initiation of breastfeeding, and exclusive breastfeeding

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malERA: An updated research agenda for health systems and policy research in malaria…

by The malERA Refresh Consultative Panel on Health Systems and Policy Research Health systems underpin disease elimination and eradication programmes. In an elimination and eradication context, innovative research approaches are needed across health systems to assess readiness for programme reorientation, mitigate any decreases in effectiveness of interventions (‘effectiveness decay’), and respond to dynamic and changing needs. The malaria eradication research agenda (malERA) Refresh consultative process for the Panel on Health Systems and Policy Research identifies opportunities to build health systems evidence and the tools needed to eliminate malaria from different zones, countries, and regions and to eradicate it globally. The research questions are organised as a portfolio that global health practitioners, researchers, and funders can identify with and support. This supports the promotion of an actionable and more cohesive approach to building the evidence base for scaled-up implementation of findings.

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malERA: An updated research agenda for characterising the reservoir and measuring transmission…

by The malERA Refresh Consultative Panel on Characterising the Reservoir and Measuring Transmission This paper summarises key advances in defining the infectious reservoir for malaria and the measurement of transmission for research and programmatic use since the Malaria Eradication Research Agenda (malERA) publication in 2011. Rapid and effective progress towards elimination requires an improved understanding of the sources of transmission as well as those at risk of infection. Characterising the transmission reservoir in different settings will enable the most appropriate choice, delivery, and evaluation of interventions. Since 2011, progress has been made in a number of areas. The extent of submicroscopic and asymptomatic infections is better understood, as are the biological parameters governing transmission of sexual stage parasites.

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Direct provision versus facility collection of HIV self-tests among female sex workers in…

by Katrina Ortblad, Daniel Kibuuka Musoke, Thomson Ngabirano, Aidah Nakitende, Jonathan Magoola, Prossy Kayiira, Geoffrey Taasi, Leah G. Barresi, Jessica E. Haberer, Margaret A. McConnell, Catherine E. Oldenburg, Till Bärnighausen Background HIV self-testing allows HIV testing at any place and time and without health workers

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HIV pre-exposure prophylaxis and early antiretroviral treatment among female sex workers in…

by Robyn Eakle, Gabriela B. Gomez, Niven Naicker, Rutendo Bothma, Judie Mbogua, Maria A. Cabrera Escobar, Elaine Saayman, Michelle Moorhouse, W. D. Francois Venter, Helen Rees, on behalf of the TAPS Demonstration Project Team Background Operational research is required to design delivery of pre-exposure prophylaxis (PrEP) and early antiretroviral treatment (ART).

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Addressing culture and context in humanitarian response: preparing desk reviews to inform…

Delivery of effective mental health and psychosocial support programs requires knowledge of existing health systems and socio-cultural context.

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Shifting Patterns in Cesarean Delivery Scheduling and Timing in Oregon before and after a…

Objectives To assess the use and timing of scheduled cesareans and other categories of cesarean delivery and the prevalence of neonatal morbidity among cesareans in Oregon before and after the implementation of Oregon’s statewide policy limiting elective early deliveries.

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Comparing the behavioral impact of a nudge-based handwashing intervention to high-intensity…

Objective To determine the impact of environmental nudges on handwashing behaviors among primary school children as compared to a high-intensity hygiene education intervention.

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Results of an evaluation of the Toolkit to Improve Early and Sustained Intermittent Preventive…

Lalanirina Ravony, Elana Fiekowsky, Lisa Noguchi, Patricia P. Gomez, Jean Pierre Rakotovao, Eliane Razafimandimby, Armindo Tiago, Kathryn Smock, Arsene Ratsimbarisoa, Kristen Vibbert, and Robert Sellke shared their efforts to apply a toolkit to enable health providers to ensure better uptake of intermittent preventive treatment for malaria during antenatal clinics. As seen below, they presented their findings at the 66th Annual Meeting of the American Society of Tropical Medicine and Hygiene. Malaria in pregnancy (MIP) is a leading cause of maternal and newborn morbidity and mortality; however uptake of intermittent preventive treatment in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP), an effective prevention tool, remains alarmingly low across sub-Saharan Africa, including Mozambique and Madagascar.

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Participation in mental healthcare: a qualitative meta-synthesis

Facilitation of service user participation in the co-production of mental healthcare planning and service delivery is an integral component of contemporary mental health policy and clinical guidelines.

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