Improving postpartum care for mothers and newborns in Niger and Mali: a case study of an integrated maternal and newborn improvement programme

Boucar, M; Hill, Kathleen; Coly, Astou; Djibrina, S; Saley, Zakari; Sangaré, Kouassi Affoué; Kamgang, Evelyn; Hiltebeitel, S

doi:10.1111/1471-0528.12818

Cited by 17 publications

(12 citation statements)

References 4 publications

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“…En effet, dans la plupart de structures de santé, les services sont conçus pour accueillir les femmes et non l’homme. La plupart des activités de PF sont centrées sur la femme, et, il appartient à celle-ci d’informer et convaincre son conjoint pour utiliser les MC [ 22 , 24 ]. L’opposition des conjoints à laquelle sont confrontées les femmes est probablement synonyme de l’incapacité de certaines femmes à convaincre leurs partenaires à cause des informations insuffisamment reçues dans les services de santé ou trop centrées sur la femme; cette dernière devant jouer l’intermédiaire du personnel de santé dans le ménage [ 25 ].…”

Section: Discussionunclassified

Utilisation des méthodes contraceptives modernes en République Démocratique du Congo: prévalence et barrières dans la zone de santé de Dibindi à Mbuji-Mayi

Ntambue¹,

Tshiala²,

Malonga³

et al. 2017

Pan Afr Med J

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Introductionl’objectif de cette étude était de déterminer la prévalence contraceptive moderne et les barrières à l’utilisation des méthodes contraceptives modernes chez les couples de la Zone de Santé Dibindi, à Mbuji-Mayi en République Démocratique du Congo.Méthodesde Mai à Juin 2015, nous avons réalisé une étude descriptive transversale. Nous avons inclus les femmes âgées de 15 à 49 ans, en union maritale, non enceinte au moment de l’enquête, qui habitaient la Zone de santé Dibindi depuis deux ans et ayant consenti librement de participer à l’étude. La collecte des données a été réalisée par interview libre des femmes. La prévalence contraceptive moderne se référait aux femmes en cours d’utilisation, au moment de l’enquête, des contraceptifs modernes. La comparaison des proportions a été réalisée au seuil de signification de 5%. Le test de Bonferroni a été utilisé pour comparer, deux à deux, les proportions des barrières à l’utilisation des contraceptifs modernes.Résultatsla prévalence contraceptive moderne à Dibindi, en 2015, était de 18,4%. Elle était faible eu égard aux services de planification familiale disponibles dans cette Zone de santé. Plusieurs femmes refusaient d’utiliser les méthodes contraceptives modernes malgré l’information dont elles disposaient à cause de leur désir de maternité, l’interdiction religieuse, l’opposition du conjoint et la crainte des effets secondaires.Conclusionl’information suffisante et centrée sur chaque cliente ou son couple, sur la planification familiale, devrait être renforcée de façon à éliminer les fausses croyances, ce qui accroitrait l’utilisation des méthodes contraceptives modernes.

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Section: Discussionunclassified

Utilisation des méthodes contraceptives modernes en République Démocratique du Congo: prévalence et barrières dans la zone de santé de Dibindi à Mbuji-Mayi

Ntambue¹,

Tshiala²,

Malonga³

et al. 2017

Pan Afr Med J

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“…The infant mortality rate for Bomet County is 54/1000 live births, higher than the overall rate for Kenya, at 48/1000 live births. Prior to the study, the facility rates of infant mortality, birth asphyxia case fatality and stillbirths were unknown (29).…”

Section: Contextmentioning

confidence: 99%

“…There is an annual admission rate of approximately 1500 per year, including outborn admissions/referrals (29). Babies that require more than brief bag-mask ventilation (BMV) are admitted for observation to the nursery due to risk of birth asphyxia complications (28).…”

Section: Contextmentioning

confidence: 99%

Using quality improvement to decrease birth asphyxia rates after ‘Helping Babies Breathe’ training in Kenya

et al. 2017

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Aim: The Helping Babies Breathe (HBB) programme is known to decrease neonatal mortality in low-resource settings but gaps in care still exist. This study describes the use of quality improvement to sustain gains in birth asphyxia-related mortality after HBB.Methods: Tenwek Hospital, a rural referral hospital in Kenya, identified high rates of birth asphyxia (BA). They developed a goal to decrease the suspected hypoxic-ischaemic encephalopathy (SHIE) rate by 50% within six months after HBB. Rapid cycles of change were used to test interventions including training, retention and engagement for staff/ trainees and improved data collection. Run charts followed the rate over time, and chi-square analysis was used.

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“…Key informant data collection has limitations and may not ensure data quality equivalent to professional prospective surveillance or periodic household surveys (Silva et al 2016 ; Silva 2012 ; Joos et al 2016 ). Similar to the program’s KI system, facility-based integrated programs using quality improvement systems, to provide timely information for program decisions in Niger and Mali increased attention to monitor and manage all pregnancies and thus contributed to improving survival (Boucar et al 2014 ). Professionally conducted household surveillance was initially considered but sufficient funding was unavailable.…”

Section: Discussionmentioning

confidence: 99%

Advancing Survival in Nigeria: A Pre-post Evaluation of an Integrated Maternal and Neonatal Health Program

Sloan

Storey

Fasawe

et al. 2018

Matern Child Health J

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Introduction Nigeria contributes more obstetric, postpartum and neonatal deaths and stillbirths globally than any other country. The Clinton Health Access Initiative in partnership with the Nigerian Federal Ministry of Health and the state Governments of Kano, Katsina, and Kaduna implemented an integrated Maternal and Neonatal Health program from July 2014. Up to 90% women deliver at home in Northern Nigeria, where maternal mortality ratio and neonatal mortality rates (MMR and NMR) are high and severe challenges to improving survival exist. Methods Community-based leaders (“key informants”) reported monthly vital events. Pre-post comparisons of later (months 16–18) with conservative baseline (months 7–9) rates were used to assess change in MMR, NMR, perinatal mortality (PMR) and stillbirth. Two-tailed cross-tabulations and unadjusted and adjusted logistic regression analyses were conducted. Results Data on 147,455 births (144,641 livebirths and 4275 stillbirths) were analyzed. At endline (months 16–18), MMR declined 37% (OR 0.629, 95% CI 0.490–0.806, p ≤ 0.0003) vs. baseline 440/100,000 births (months 7–9). NMR declined 43% (OR 0.574, 95% CI 0.503–0.655, p < 0.0001 vs. baseline 15.2/1000 livebirths. Stillbirth rates declined 15% (OR 0.850, 95% CI 0.768–0.941, p = 0.0018) vs. baseline 21.1/1000 births. PMR declined 27% (OR 0.733, 95% CI 0.676–0.795, p < 0.0001) vs. baseline 36.0/1000 births. Adjusted results were similar. Discussion The findings are similar to the Cochrane Review effects of community-based interventions and indicate large survival improvements compared to much slower global and flat national trends. Key informant data have limitations, however, their limitations would have little effect on the results magnitude or significance.

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Improving postpartum care for mothers and newborns in Niger and Mali: a case study of an integrated maternal and newborn improvement programme

Cited by 17 publications

References 4 publications

Utilisation des méthodes contraceptives modernes en République Démocratique du Congo: prévalence et barrières dans la zone de santé de Dibindi à Mbuji-Mayi

Utilisation des méthodes contraceptives modernes en République Démocratique du Congo: prévalence et barrières dans la zone de santé de Dibindi à Mbuji-Mayi

Using quality improvement to decrease birth asphyxia rates after ‘Helping Babies Breathe’ training in Kenya

Advancing Survival in Nigeria: A Pre-post Evaluation of an Integrated Maternal and Neonatal Health Program

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