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International Journal of MCH and AIDS

Hyacinthe Zamané, Hyacinthe Euvrard Sow, Dantola Paul Kain, Brice Wilfried Bicaba, Sibraogo Kiemtoré, Issaka Yameogo, Blandine Bonané-Thieba, Mamadou Sawadogo
Background: Maternal mortality is of considerable magnitude. It is particularly relevant to developing countries, including those in Sub-Saharan Africa. The aim of this work was to study the cases of maternal deaths in the Dori Regional Hospital, Burkina Faso in the Sahel region, by analyzing the epidemiological aspects of these deaths in order to guide decision-making. Methods: This was a descriptive cross-sectional study which spanned the period from January 1, 2014 to December 31, 2016...
2018: International Journal of MCH and AIDS
David Rakotonandrasana Harimbola, Kaori Mizumoto
Background and Objectives: Despite some progress made in the fight against malnutrition in Madagascar, hospitals' mortality due to severe acute malnutrition (SAM) remains high. This study explores the risk factors for SAM among children hospitalized with SAM in the Analamanga region of Madagascar. Methods: We conducted an interview based qualitative study of 14 mothers of under-five children with SAM admitted to the hospital's pediatric unit and living in the Analamanga region...
2018: International Journal of MCH and AIDS
Hamisu M Salihu, Roneé E Wilson, Estrellita Lo Berry
Background or Objectives: Collective Impact (CI) is the sum of collaborative actions through coalition building to examine and address issues that threaten public health. We sought to develop an instrument to measure CI across diverse health-related organizations. Methods: The study was performed in 5 phases initiated with a comprehensive literature review through the generation of candidate items using a deductive instrument development approach. A matrix was then created to map assembled items onto related CI domains...
2018: International Journal of MCH and AIDS
Brianna L Smith, Sara Zizzo, Anouk Amzel, Sarah Wiant, Molly C Pezzulo, Sarah Konopka, Rachel Golin, Alexandra C Vrazo
Background/Objectives: In the last decade, many strategies have called for integration of HIV and child survival platforms to reduce missed opportunities and improve child health outcomes. Countries with generalized HIV epidemics have been encouraged to optimize each clinical encounter to bend the HIV epidemic curve. This systematic review looks at integrated child health services and summarizes evidence on their health outcomes, service uptake, acceptability, and identified enablers and barriers...
2018: International Journal of MCH and AIDS
Kolawole A Fasakin, Christopher T Omisakin, Idowu O Adebara, Wasiu A Ajetunmobi, Adebayo A Adeniyi, Ayodele J Esan, Olufunke B Bolaji, Oluwafemi D Ajayi, Abayomi J Afe
Background: The success of any prevention of mother-to-child transmission (PMTCT) program is assessed by the proportion of HIV-exposed infants that sero-convert at the end of all risk exposures. Although adopting the best feeding option for HIV-exposed infants is one of the factors that impact PMTCT outcomes, there is limited data on the assessment of PMTCT success rates based on antiretroviral interventions and feeding options. This study assesses the success rate of PMTCT service based on antiretroviral interventions and feeding options...
2018: International Journal of MCH and AIDS
Chiluba Kabalika, David Mulenga, Mazyanga Lucy Mazaba, Seter Siziya
Background: Zambia has one of the highest cervical cancer incidence and mortality rates in the world. Cervical cancer screening leads to reduction in the incidence of invasive disease. The objectives of the study were to determine the level of acceptance of cervical cancer screening and its correlates among women of a peri-urban high-density residential area in Ndola, Zambia. Methods: A cross sectional study was conducted. With a population size of 12,000 women in reproductive age and using an expected frequency of 50 + 5% and at 95% confidence interval, the required sample size was 372...
2018: International Journal of MCH and AIDS
Oluwafunmilayo Funke Adeniyi, Ekanem Ekure, Foluke A Olatona, Elizabeth O Ajayi, Nwaoma Nworgu
Background and Objectives: The toddler silhouettes scales have been validated in the caucascian population in developing countries but in the African population, the use of these scales is yet to be evaluated. The aim of this study was to determine the perception of mothers on the body size of toddlers using a validated scale in an African population. Methods: This was a cross sectional study of 241 mothers and their toddlers. Study participants were recruited from the immunization and pediatric clinics...
2018: International Journal of MCH and AIDS
Samantha A Slinkard, Jennifer R Pharr, Tamara Bruno, Dina Patel, Amaka Ogidi, Michael Obiefune, Echezona E Ezeanolue
Background: Neonatal mortality due to preventable factors occurs at high rates throughout sub-Saharan Africa. Community-based interventions increase opportunities for prenatal screening and access to antenatal care services (ANC) services. The Healthy Beginning Initiative (HBI) provided congregation-based prenatal screening and health counseling for 3,047 women in Enugu State. The purpose of this study was to identify determinants for infant mortality among this cohort. Methods: This was a prospective cohort study of post-delivery outcomes at 40 churches in Enugu State, Nigeria between 2013 and 2014...
2018: International Journal of MCH and AIDS
Gopal K Singh, Gem P Daus, Michelle Allender, Christine T Ramey, Elijah K Martin, Chrisp Perry, Andrew A De Los Reyes, Ivy P Vedamuthu
Objectives: This study describes key population health concepts and examines major empirical trends in US health and healthcare inequalities from 1935 to 2016 according to important social determinants such as race/ethnicity, education, income, poverty, area deprivation, unemployment, housing, rural-urban residence, and geographic location. Methods: Long-term trend data from the National Vital Statistics System, National Health Interview Survey, National Survey of Children's Health, American Community Survey, and Behavioral Risk Factor Surveillance System were used to examine racial/ethnic, socioeconomic, rural-urban, and geographic inequalities in health and health care...
2017: International Journal of MCH and AIDS
Ndidiamaka Amutah-Onukagha, Monica Rodriguez, Ijeoma Opara, Michelle Gardner, Maame Araba Assan, Rodney Hammond, Jesus Plata, Kimberly Pierre, Ehsan Farag
Background and Objectives: Despite advances in modern healthcare, Traditional Birth Attendants (TBA) have continued to be heavily utilized in rural communities in Nigeria. Major disparities in maternal health care in Nigeria remain present despite the goal of the United Nations Millennium Development Goal to reduce maternal mortality by 2015. The objective of this study is to review the contribution of TBAs in the birthing process in Nigeria, and to examine barriers and opportunities for utilizing TBAs in improving maternal and child health outcomes in Nigeria...
2017: International Journal of MCH and AIDS
Yaw Owusu, Prerana Medakkar, Elizabeth M Akinnawo, Althea Stewart-Pyne, Eta E Ashu
Background and Introduction: Emigration of healthcare workers from developing countries is on the rise and there is an urgent need for policies that increase access to and continuity of healthcare. In this commentary, we highlight some of the negative impacts of emigration on maternal and child health and discuss whether team-based healthcare delivery could possibly mitigate the shortfall of maternal and child health professionals in developing countries. Methodology: We cross-examine the availability of supporting structures to implement team-based maternal and child healthcare delivery in developing countries...
2017: International Journal of MCH and AIDS
George Chidi Anwuri, Michael S Dunn, Frederick Schulze
Background: Human Immunodeficiency Virus (HIV) testing remains the best public health preventive strategy in the fight against HIV/AIDS. We assessed the factors that determined voluntary counseling and screening/testing for HIV among college students. Methods: In this cross-sectional study, a purposeful sample of 189 college students was analyzed using three health belief model (HBM) variables as the theoretical framework. Results: All the HBM variables were positively associated with intention to test for HIV, and with perceived benefits (p = 0...
2017: International Journal of MCH and AIDS
Manpreet Singh Khurmi, Felix Sayinzoga, Atakilt Berhe, Tatien Bucyana, Assumpta Kayinamura Mwali, Emmanuel Manzi, Maharajan Muthu
Background and Objective: The Newborn Survival Case study in Rwanda provides an analysis of the newborn health and survival situation in the country. It reviews evidence-based interventions and coverage levels already implemented in the country; identifies key issues and bottlenecks in service delivery and uptake of services by community/beneficiaries, and provides key recommendations aimed at faster reduction in newborn mortality rate. Methods: This study utilized mixed method research including qualitative and quantitative analyses of various maternal and newborn health programs implemented in the country...
2017: International Journal of MCH and AIDS
Johnbull Egharevba, Jennifer Pharr, Brian van Wyk, Echezona Ezeanolue
BACKGROUND AND OBJECTIVE: In Nigeria, most deliveries take place at home or with traditional birth attendants (TBAs). This study examined the factors that influenced or determined utilization of healthcare facility delivery services among women who attended antenatal care (ANC) services. METHODS: A cross-sectional survey was conducted with 220 women who registered for ANC at a hospital and delivered within 18 months. Associations between independent variables and choice of healthcare facility delivery were analyzed...
2017: International Journal of MCH and AIDS
Vatsla Dadhwal, Aparna Sharma, Kavita Khoiwal, Dipika Deka, Plaboni Sarkar, P Vanamail
BACKGROUND AND OBJECTIVES: There is conflicting data on the effect of HIV infection as well as antiretroviral therapy (ART) on pregnancy outcome. The objectives of this study were to compare pregnancy outcomes in women with and without HIV infection, and to evaluate the effect of HAART on pregnancy in HIV-infected women. METHODS: This is a prospective case record analysis of 212 HIV-infected women delivering between 2002 and 2015, in a tertiary health care center in India...
2017: International Journal of MCH and AIDS
Lucien Honoré Etame Sone, Roger Ahouga Voufo, Henriette Thérèse Dimodi, Michel Kengne, Cédric Gueguim, Nnanga Ngah, Julius Oben, Judith Laure Ngondi
OBJECTIVE: To determine the prevalence of Hepatitis B Virus (HBV) infection in pregnant women and identify markers associated with vertical transmission of HBV. METHODS: Prospective and cross-sectional study over 10 months on 298 pregnant women attending antenatal clinics in the Cité Verte and Efoulan District hospitals in Cameroon. A dry tube blood collection was performed on all pregnant women and babies born to HBsAg-positive mothers. Serum from the women was used to test for HBsAg through immunochromatography and then confirmed by ELISA...
2017: International Journal of MCH and AIDS
Gerald J Makuka, Moses M Sango, Ayubu E Mashambo, Abednego E Mashambo, Sia E Msuya, Sabina P Mtweve
OBJECTIVE: To know and understand the perspectives of women on the quality of maternal health services provided at their health facility (HF) and to incite community self-propelled problem identification and way forward. METHODS: A qualitative action- oriented research was conducted in a rural setting in Tanzania from 2011 to 2014. Twenty In-Depth Interviews (IDIs) and two Focus Group Discussions were held. The IDIs were conducted with mothers who had attended antenatal care at the HF and delivered there...
2017: International Journal of MCH and AIDS
Foluke Adenike Olatona, Jesupelumi Oreoluwa Adenihun, Sunday Adedeji Aderibigbe, Oluwafunmilayo Funke Adeniyi
BACKGROUND AND OBJECTIVES: Inappropriate complementary feeding is a major cause of child malnutrition and death. This study determined the complementary feeding knowledge, practices, minimum dietary diversity, and acceptable diet among mothers of under-five children in an urban Local Government Area of Lagos State, Southwest Nigeria. METHODS: This descriptive cross-sectional study was conducted in Eti-Osa area of Lagos State, Nigeria. Multi-stage sampling technique was employed to select 355 mothers and infants...
2017: International Journal of MCH and AIDS
Neza Guillaine, Wilberforce Mwizerwa, Jackline Odhiambo, Bethany L Hedt-Gauthier, Lisa R Hirschhorn, Placidie Mugwaneza, Jean Paul Umugisha, Felix Rwabukwisi Cyamatare, Christine Mutaganzwa, Neil Gupta
BACKGROUND AND OBJECTIVES: Despite recent improvements in accessibility of services to prevent mother-to-child transmission of HIV, maternal retention in HIV care remains a challenge in the post-partum period. This study assessed service utilization, program retention, and linkage to routine services, as well as clinical outcomes for mothers and infants, following implementation of an integrated mother-infant clinic in rural Rwanda. METHODS: We conducted a retrospective cohort study of all HIV-positive mothers and their infants enrolled in the integrated clinics in two rural districts between July 1, 2012, and June 30, 2013...
2017: International Journal of MCH and AIDS
Karen M Hampanda, Lisa L Abuogi, Yusuf Ahmed
BACKGROUND AND OBJECTIVES: HIV-positive women's adherence to antiretrovirals is critical for prevention of mother-to-child transmission. We aimed to establish if mothers taking triple lifelong antiretroviral therapy report higher adherence compared to mothers taking short-course prophylaxis under Option A in Lusaka, Zambia. METHODS: In this clinic-based cross-sectional study, we interviewed 320 HIV-positive mothers at a large public health facility in Lusaka in 2014...
2017: International Journal of MCH and AIDS
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