Ending preventable maternal and newborn mortality and stillbirths

Chou, Doris; Daelmans, Bernadette; Jolivet, R. Rima; Kinney, Mary; Say, Lale

doi:10.1136/bmj.h4255

Cited by 162 publications

(152 citation statements)

References 21 publications

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“…Skilled delivery has long been indicated as the most effective intervention; but with the prevalent shortage of life-saving products and equipment, health workers cannot be expected to literally save lives with their bare hands [5]. The availability of Emergency Obstetric Care (EmOC) services is a major strategy to ensure that pregnant women and newborns have access to well-functioning facilities that include a wide range of maternal and newborn services [1,2,6,7]. The basic EmOC services that should always be at the facilities include administration of parenteral antibiotics, perinatal antibiotics, oxytocic drugs and anticonvulsants, manual removal of placenta, removal of retained products and assisted vaginal delivery [1].…”

Section: Introductionmentioning

confidence: 99%

Effect of support supervision on maternal and newborn health services and practices in Rural Eastern Uganda

Kisakye

Kananura

Ekirapa-Kiracho

et al. 2017

Global Health Action

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Background: Support supervision is one of the strategies used to check the quality of services provided at health facilities. From 2013 to 2015, Makerere University School of Public Health strengthened support supervision in the district of Kibuku, Kamuli and Pallisa in Eastern Uganda to improve the quality of maternal and newborn services. Objective: This article assesses quality improvements in maternal and newborn care services and practices during this period. Methods: District management teams were trained for two days on how to conduct the supportive supervision. Teams were then allocated particular facilities, which they consistently visited every quarter. During each visit, teams scored the performance of each facility based on checklists; feedback and corrective actions were implemented. Support supervision focused on maternal health services, newborn care services, human resources, laboratory services, availability of Information, education and communication materials and infrastructure. Support supervision reports and checklists from a total of 28 health facilities, each with at least three support supervision visits, were analyzed for this study and 20 key-informant interviews conducted. Results: There was noticeable improvement in maternal and newborn services. For instance, across the first, second and third quarters, availability of parenteral oxytocin increased from 57% to 75% and then to 82%. Removal of retained products increased from 14% to 50% to 54%, respectively. There was perceived improvement in the use of standards and guidelines for emergency obstetric care and quality of care provided. Qualitatively, three themes were identified that promote the success of supportive supervision: changes in the support supervision style, changes in the adherence to clinical standards and guidelines, and multi-stakeholder engagement. Conclusion: Support supervision helped district health managers to identify and address maternal and newborn service-delivery gaps. However, issues beyond the jurisdiction of district health managers and facility managers may require additional interventions beyond supportive supervision.

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Section: Introductionmentioning

confidence: 99%

Effect of support supervision on maternal and newborn health services and practices in Rural Eastern Uganda

Kisakye

Kananura

Ekirapa-Kiracho

et al. 2017

Global Health Action

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“…Es prioritario que Colombia optimice la salud de estas poblaciones y para ello debe generar estrategias que mejoren el acceso a servicios de salud de calidad integrales [30,31], así como mejorar la calidad de vida de la población [20].…”

Section: Discussionunclassified

Iniciativa para fortalecer la atención materna e infantil en un grupo de municipios en Colombia

Montoya¹,

Angarita-Galvez²,

Blanco-Rojas³

et al. 2017

Rev. Fac. Nac. Salud Pública

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“…Ending preventable maternal and perinatal mortality necessarily involves engaging with families and communities 1 . Male partners, in particular, exert a considerable influence on women’s use of reproductive health services and participate in decisions that affect health outcomes 2 .…”

Section: Introductionmentioning

confidence: 99%

Involving male partners in maternity care in Burkina Faso: a randomized controlled trial

Daniele

Ganaba

Sarrassat

et al. 2018

Bull. World Health Organ.

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ObjectiveTo determine whether an intervention to involve the male partners of pregnant women in maternity care influenced care-seeking, healthy breastfeeding and contraceptive practices after childbirth in urban Burkina Faso.MethodsIn a non-blinded, multicentre, parallel-group, superiority trial, 1144 women were assigned by simple randomization to two study arms: 583 entered the intervention arm and 561 entered the control arm. All women were cohabiting with a male partner and had a low-risk pregnancy. Recruitment took place at 20 to 36 weeks’ gestation at five primary health centres in Bobo-Dioulasso. The intervention comprised three educational sessions: (i) an interactive group session during pregnancy with male partners only, to discuss their role; (ii) a counselling session during pregnancy for individual couples; and (iii) a postnatal couple counselling session. The control group received routine care only. We followed up participants at 3 and 8 months postpartum.FindingsThe follow-up rate was over 96% at both times. In the intervention arm, 74% (432/583) of couples or men attended at least two study sessions. Attendance at two or more outpatient postnatal care consultations was more frequent in the intervention than the control group (risk difference, RD: 11.7%; 95% confidence interval, CI: 6.0 to 17.5), as was exclusive breastfeeding 3 months postpartum (RD: 11.4%; 95% CI: 5.8 to 17.2) and effective modern contraception use 8 months postpartum (RD: 6.4%; 95% CI: 0.5 to 12.3).ConclusionInvolving men as supportive partners in maternity care was associated with better adherence to recommended healthy practices after childbirth.

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Ending preventable maternal and newborn mortality and stillbirths

Cited by 162 publications

References 21 publications

Effect of support supervision on maternal and newborn health services and practices in Rural Eastern Uganda

Effect of support supervision on maternal and newborn health services and practices in Rural Eastern Uganda

Iniciativa para fortalecer la atención materna e infantil en un grupo de municipios en Colombia

Involving male partners in maternity care in Burkina Faso: a randomized controlled trial

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