Community mobilization for safe motherhood

Gazi, Rukhsana; Hossain, Md. Shabab; Zaman, Khalequ; Koehlmoos, Tracey Pérez

doi:10.1002/14651858.cd009091

Cited by 4 publications

(4 citation statements)

References 30 publications

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“…Safe motherhood includes direct and indirect efforts to reduce deaths and disabilities resulting from pregnancy and childbirth by ensuring that every woman has access to a full range of high-quality, affordable sexual and reproductive health services, particularly maternal and newborn care and treatment of obstetric emergencies. 4 The Malawi Ministry of Health estimated that almost 80% of maternal deaths can be prevented in Malawi by actively engaging the community. 5 This was in recognition that communities are a valuable source of information on why women and newborns die during antenatal, intrapartum and postpartum periods, and their participation may be critical in improving maternal health.…”

Section: Introductionmentioning

confidence: 99%

“…This is in line with the Safe Motherhood initiative, which emphasises utilisation of antenatal care, skilled attendance at delivery and postnatal care to achieve improved birth outcomes by reducing neonatal and maternal mortality. 4 Despite all the Government efforts, maternal and neonatal morbidity and mortality remain unacceptably high and community support on safe motherhood remains unknown in Lilongwe District. This study, therefore, explored community support rendered to mothers and babies during antenatal, intrapartum and postpartum periods.…”

Section: Introductionmentioning

confidence: 99%

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Exploring community support on safe motherhood: A case of Lilongwe District, Malawi

Pindani

Chilinda

Botha

et al. 2021

African Journal of Primary Health Care & Family Medicine

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Background: Malawi is grappling with a high maternal mortality of 439 per 100 000 live births. It is estimated that 80% of maternal deaths can be prevented by actively engaging the community in the country. However, community support on safe motherhood remains unknown.Aim: This study, therefore, explored community support rendered to mothers and babies during antenatal, intrapartum and postpartum periods.Setting: This study was conducted in the Lilongwe District, Malawi.Methods: This was a qualitative study that collected data from 30 village health committee members through Focus Group Discussions (FGDs). Data were analysed using thematic analysis.Results: This study found that community support on safe motherhood rendered to women varied. The following five themes emerged from FGDs data on community support on safe motherhood: antenatal support, intrapartum support, postpartum support, bylaws reinforced by chiefs in the community and safe motherhood support groups. Community members encourage pregnant women to attend antenatal care, escorted pregnant women to the hospital for delivery and assisted women to care for a child and go for postpartum checkups. Community bylaws were considered as a necessary tool for encouraging women to attend antenatal care, deliver at the health facility and attend postpartum checkups.Conclusion: This study suggests that community members play a crucial role in providing support to women and newborns during antenatal, intrapartum and postpartum periods.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring community support on safe motherhood: A case of Lilongwe District, Malawi

Pindani

Chilinda

Botha

et al. 2021

African Journal of Primary Health Care & Family Medicine

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“…In 1987 the World Bank, in collaboration with WHO and UNFPA, launched the Safe Motherhood Initiative (SMI) to help raise global awareness about the impact of maternal mortality and morbidity (12). The primary goal of SMI is to achieve a signi cant reduction in maternal mortality (13).…”

Section: • Antibiotic Misuse In Pregnancymentioning

confidence: 99%

“…Although the SMI is currently a global priority, with various regional, national, and international strategies implemented to address maternal and child health (12,13), the implications of maternal self-medication for meeting Safe Motherhood and SDG-3 initiatives in sub-Saharan Africa has yet to be addressed (75).…”

Section: • Implications For Safe Motherhood Initiativesmentioning

confidence: 99%

Medical doctor’s perspectives on antibiotic self-medication in pregnant women from a Sub-Saharan African country

Umeh,

Adaji,

Sacks

et al. 2024

Preprint

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Background. In 1987 the World Bank, in collaboration with WHO and UNFPA, launched the Safe Motherhood Initiative (SMI) to help raise global awareness about the impact of maternal mortality and morbidity. Although the SMI has been a global priority in recent years, the implications of self-medication in pregnancy on meeting SDG-3 initiatives in sub-Saharan Africa have yet to be addressed. Nigeria has one of the highest rates of antibiotic misuse during pregnancy (37%). Furthermore, antibiotics consumed during pregnancy are linked to birth defects. Past research suggests Nigerian medical doctors are influential stakeholders who can help develop policy guidance to reduce antibiotic self-medication in pregnant women. Thus, this study explored the perspectives of Nigerian medical doctors regarding antibiotic self-medication during pregnancy. Method. Semi-structured interviews were conducted with 24 medical doctors working in three Nigerian tertiary hospitals. All interviews were conducted remotely, using Zoom Video Communications software. Thematic analysis was used to analyse the data. Several checks for methodological rigour were performed. Results. Seven distinct themes emerged: prescribing antibiotics; easy availability of antibiotics; self-medication with antibiotics; use of medicinal herbs; detecting self-medication; lack of policy guidelines on antibiotic self-medication; and side effects. The doctors’ major perspectives were that during pregnancy, the antibiotics are easily available without prescription, self-medicated without any policy guidelines, side effects alone were not sufficient proof of self-medication, and herbal medication are frequently used. . Conclusions. The data suggests antimicrobial misuse in pregnancy, especially the use of herbal medicines, is a recognised problem. The project highlights a need for policy guidance on antibiotic stewardship, including point-of-care testing to detect antibiotic self-medication in pregnant women. Implications for SMI campaigns in sub-Saharan Africa are considered.

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An Intervention to Enhance Obstetric and Newborn Care in India: A Cluster Randomized-Trial

Goudar

Derman

Honnungar

et al. 2015

Matern Child Health J

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Objectives This study assessed whether community mobilization and interventions to improve emergency obstetric and newborn care (EmONC) reduced perinatal mortality (PMR) and neonatal mortality rates (NMR) in Belgaum, India. Methods The cluster-randomised controlled trial was conducted in Belgaum District, Karnataka State, India. Twenty geographic clusters were randomized to control or the intervention. The intervention engaged and mobilized community and health authorities to leverage support; strengthened community-based stabilization, referral, and transportation; and aimed to improve quality of care at facilities. Results 17,754 intervention births and 15,954 control births weighing ≥1000 g, respectively, were enrolled and analysed. Comparing the baseline period to the last 6 months period, the NMR was lower in the intervention vs. control clusters (OR=0.60, 95% CI 0.34–1.06, p=.076) as was the PMR (OR = 0.74, 95% CI 0.46–1.19, p=.20) although neither reached statistical significance. Rates of facility birth and caesarean section increased among both groups. There was limited influence on quality of care measures. Conclusions The intervention had large but not statistically significant effects on neonatal and perinatal mortality. Community mobilization and increased facility care may ultimately improve neonatal and perinatal survival, and are important in the context of the global transition towards institutional delivery.

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Community mobilization for safe motherhood

Cited by 4 publications

References 30 publications

Exploring community support on safe motherhood: A case of Lilongwe District, Malawi

Exploring community support on safe motherhood: A case of Lilongwe District, Malawi

Medical doctor’s perspectives on antibiotic self-medication in pregnant women from a Sub-Saharan African country

An Intervention to Enhance Obstetric and Newborn Care in India: A Cluster Randomized-Trial

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