Maternal and Child Health in South Sudan

Mugo, Ngatho Samuel; Zwi, Anthony B.; Botfield, Jessica R.; Steiner, Caitlyn

doi:10.1177/2158244015581190

Cited by 29 publications

(13 citation statements)

References 35 publications

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“…The two decades of civil war disrupted South Sudan health care system and therefore very little efforts were placed on family planning, even after signing of the comprehensive peace agreement in 2005 [6,11]. Family planning services remained underutilized even where the services were made available [10][11][12]. The low uptake of contraceptives in South Sudan is likely to expose women to unplanned pregnancies, inadequate child spacing, and increased risks associated with closed spaced pregnancies and child birth.…”

Section: Introductionmentioning

confidence: 99%

“…As of the year 2015, in South Sudan, however, only 6.8% of women of reproductive age use family planning, 2.5% are using the modern methods of family planning, and 4.1% are using the traditional methods of family planning [1,9]. The low contraceptives uptake South Sudan has been a long-standing national issue with little concrete steps taken to address it 2 International Journal of Population Research [10][11][12]. The two decades of civil war disrupted South Sudan health care system and therefore very little efforts were placed on family planning, even after signing of the comprehensive peace agreement in 2005 [6,11].…”

Section: Introductionmentioning

confidence: 99%

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Factors Influencing Contraceptives Use among Women in the Juba City of South Sudan

Obwoya

Wulifan

Kalolo³

2018

International Journal of Population Research

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Understanding birth control and child spacing methods used by inhabitants of conflict afflicted settings is important in designing interventions to improve uptake of family planning services. In addressing the dearth of knowledge on family planning use in these settings, this study aimed at identifying the influencing factors of contraceptives use among women in the Juba city of South Sudan. Using a population based cross-sectional study, 380 women aged 15-49 years filled a guided questionnaire between April and May in 2015. We collected contraceptive use data and factors influencing family planning uptake. Data analysis was performed using descriptive statistics and binary logistic regression. Lifetime reported contraceptive use stood at 42% whereas contraceptive use in the last three months was 36%. Logistic regression revealed attitudes (AOR = 1.375, 95 CI 1.246-1.518) and parity (AOR = 1.242, 95% CI 1.000-1.544) as significant determinants of lifetime contraceptive use whereas only attitude (AOR = 1.348, < 0.001) determined contraceptive use in last three months. The findings indicate optimal uptake of family planning and point to the influence of attitudes and parity on contraceptive use. Changing attitudes and embedded sociocultural and political structures influencing attitudes is important to promote contraceptive uptake in these settings. BackgroundThe sustainable development goals (SDGs) that replaced the Millennium development goals (MDGs) at the end of 2015 aim at promoting universal access to sexual and reproductive health (SRH) services [1,2]. One of the main targets to reach the SDGs (3.7 and 5.6) is to promote family planning [1,3]. Also, timely achievement of family planning targets is expected to hasten achievement across 5 SDG themes of People, Planet, Prosperity, Peace, and Partnership [3]. Implementation of family planning interventions, however, is context dependent and the countries with stable sociopolitical infrastructure may be better suited to successfully implement the interventions and achieve the goals than their counterparts in conflict afflicted settings. The conflict afflicted settings often have fragile health systems that can hardly support provision of comprehensive SRH [4][5][6] Current reports on the global contraceptive prevalence rates and unmet needs for family planning indicate overall gains across countries [1]. Despite the overall gains, indicators of slow progress in contraceptive uptake and reduction in unmet needs or family planning are evident in some sub-Saharan African countries [1]. The situation of family planning uptake and unmet needs for family planning in conflicted afflicted areas in the SSA countries presents a picture of serious overlook by the humanitarian actors. In these settings, available evidence indicates low prevalence rates ranging from 4% to 16% and calls for more investment in family planning services for both national and donor country action plans [7,8].The coverage of contraceptives in eastern Africa stands at 40% and is expected to grow to...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors Influencing Contraceptives Use among Women in the Juba City of South Sudan

Obwoya

Wulifan

Kalolo³

2018

International Journal of Population Research

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“…A sizeable number of literature in the health sciences (Chersich et al, 2016;Hamad et al, 2016;Kitenge & Gevender, 2013;Nyarko, 2014;Tarwa & de Villiers, 2014;Mugo et al, 2015;Mulaudzi, 2012;Win, 2015) present child health as one of the most crucial inquiries of modern health sciences -especially in low and middle-income regions the world over. Win (2016) argues that poor growth monitoring of children has been a serious health hazard threatening millions to lives among children all over the world.…”

Section: Literature Reviewmentioning

confidence: 99%

Administrative and managerial patterns on the RtHC in the Makhado municipality rural clinics

Mudau

Human

2017

IJRBS

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This paper investigates the administrative and managerial pattern on the Road to Health Chart (RtHC) among clinics in the Makhado municipality. Retrospective observations of the processes of recordings the nurses performed on the RtHC (ṉ=36) were carried out to collect data. A checklist was used to aid the observations. Furthermore, face-to-face interviews were administered on participant nurses in collaboration with document review. The results of this paper revealed considerable omissions on the administration and management of the RtHC instrument. Crucial information was also incorrectly recorded while some was never recorded at all. Clinic managers should continuously monitor the nurses on the administration and management of the RtHC to ensure quality.

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“…The general poor pregnancy outcomes have been attributed among others to the poor infrastructure, lack of access to basic health care, poor education, low family planning method use, lack of reproductive health information, poor transport services and the paucity of qualified midwives [1]. The estimated maternal mortality rate in 2015 was 789 per 100,000 live births which is the fifth highest in the world and threatens the lives of 2.2 million women [2]. South Sudan is continuing to face challenges in meeting maternal, newborn and child health standards.…”

Section: Introductionmentioning

confidence: 99%

“…South Sudan is continuing to face challenges in meeting maternal, newborn and child health standards. The ongoing instability and population displacement in South Sudan undermines the scope for development, and has damaged infrastructure and caused, low coverage of health services leading to a fragmented health system [1] [2] [3] [4].…”

Section: Introductionmentioning

confidence: 99%

Pregnancy Outcomes of the Internally Displaced Women in Juba, South Sudan

Mustafa¹,

Muganyizi²,

Lupai³

et al. 2019

OJOG

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Background: Conflict and displacement substantially affect maternal reproductive health by increasing the risks formorbidity and mortality. However, most literature on pregnancy outcomes is from cross-border refugees and migrants. To date, scanty literature is available on pregnancy outcomes of internally displaced women. South Sudan, with 16 women dying daily is badly affected by internal conflicts of which by the end of December 2013 about 2.2 million people were internally displaced. The aim of this study was to determine pregnancy outcomes of women living in the United Nations House Internally Displaced People (UN IDP) camp and factors associated with poor outcomes. The study was ethically cleared by MUHAS and the Ministry of Health in South Sudan. Methods: A cross sectional study was conducted in UN House IDP Camp in Juba among internally displaced women who attended antenatal services in the camp, from September to November 2016. Among them, women who became pregnant in last 3 years, excluding the index, were interviewed about their immediate past pregnancy experiences. Additionally, the women were interviewed on reproductive health and gender violence matters. Interviews were guided by a structured questionnaire. Data were analyzed using SPSS software version 20. Descriptive and multivariate logistic regression analyses were computed for associations with poor pregnancy outcome. Results: A total of 300 internally displaced women participated in the study. Data for 289 participants were analyzed for poor pregnancy outcome. More than half of the women, 157 (54.3%), had poor pregnancy outcome. Poor Maternal outcome was established in 47% of the women and poor fetal outcome in 27.7%. Delivery in IDP camp compared with outside the camp, was independently associated with a 3-fold increase in risk for poor pregnancy outcome, OR = 2.9 (95% CI: 1.47 -5.56). Conclusion: The prevalence of poor pregnancy outcome is unacceptably high among in-How to cite this paper

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Maternal and Child Health in South Sudan

Cited by 29 publications

References 35 publications

Factors Influencing Contraceptives Use among Women in the Juba City of South Sudan

Factors Influencing Contraceptives Use among Women in the Juba City of South Sudan

Administrative and managerial patterns on the RtHC in the Makhado municipality rural clinics

Pregnancy Outcomes of the Internally Displaced Women in Juba, South Sudan

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