Yemeni women’s perceptions of own authority during childbirth: What does it have to do with achieving the Millennium Development Goals?

Kempe, Annica; Theorell, Töres; Alwazer, Fatoom Noor-Aldin; Christensson, Kyllike; Johansson, Annika

doi:10.1016/j.midw.2013.05.013

Cited by 10 publications

(18 citation statements)

References 41 publications

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“…Kempe et al [31], Basaleem et al [30]) was nationally representative and generalisability was not addressed. Kempe et al [31], did not give adequate description on the processes of data analysis or the necessity of using qualitative data. Basaleem et al [30] used a mixed-methods design to explore maternal health and influence of women’s autonomy in Yemen.…”

Section: Resultsmentioning

confidence: 99%

“…Basaleem et al [30] used a mixed-methods design to explore maternal health and influence of women’s autonomy in Yemen. In this study, details on study setting and quantitative data analysis were not clearly explained, while statistical analyses of determinants were not in-depth [31]. …”

Section: Resultsmentioning

confidence: 99%

“…Five studies (27%) mentioned SBA usage [16–18, 20, 31]. There was a sizable difference in SBA usage across studies from 13% in Nepal to 50% in Yemen [20, 30].…”

Section: Resultsmentioning

confidence: 99%

“…There was a sizable difference in SBA usage across studies from 13% in Nepal to 50% in Yemen [20, 30]. Kempe et al [31] noted usage of untrained traditional birth attendants (32%) was much higher than of medical doctors (17%) or nurse-midwives (13%) in Yemen. Three studies discussed institutional delivery [17, 19, 33], which ranged from 85% in Nepal to 97% in Palestine [19, 33].…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, absence of user fees and availability of health insurance increased the odds of SBA usage [20]. Qualitative studies indicated that women’s autonomy over decision-making about her health and personal life was a decisive factor in using SBA [31]. However, despite having autonomy several nomadic women in Yemen reported not wanting SBA [26, 31].…”

Section: Resultsmentioning

confidence: 99%

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Maternal and neonatal service usage and determinants in fragile and conflict-affected situations: a systematic review of Asia and the Middle-East

2017

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BackgroundFragile and conflict-affected situations (FCS) in Asia and the Middle-East contribute significantly to global maternal and neonatal deaths. This systematic review explored maternal and neonatal health (MNH) services usage and determinants in FCS in Asia and the Middle-East to inform policy on health service provision in these challenging settings.MethodsThis systematic review was conducted using a standardised protocol. Pubmed, Embase, Web of Science, and selected development agency websites were searched for studies meeting inclusion criteria. Studies were assessed for methodological quality using an adapted evaluation tool. Qualitative and quantitative data were synthesized and pooled odds ratios generated for meta-analysis of service-usage determinants.ResultsOf 18 eligible peer-reviewed studies, eight were from Nepal, four from Afghanistan, and two each from Iraq, Yemen, and the Palestinian Territories. Fragile situations provide limited evidence on emergency obstetric care, postnatal care, and newborn services. Usage of MNH services was low in all FCS, irrespective of economic growth level. Demand-side determinants of service-usage were transportation, female education, autonomy, health awareness, and ability-to-pay. Supply-side determinants included service availability and quality, existence of community health-workers, costs, and informal payments in health facilities. Evidence is particularly sparse on MNH in acute crises, and remains limited in fragile situations generally.ConclusionsFindings emphasize that poor MNH status in FCS is a leading contributor to the burden of maternal and neonatal ill-health in Asia and the Middle-East. Essential services for skilled birth attendance and emergency obstetric, newborn, and postnatal care require improvement in FCS. FCS require additional resources and policy attention to address the barriers to appropriate MNH care. Authors discuss the ‘targeted policy approach for vulnerable groups’ as a means of addressing MNH service usage inequities.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Five studies (27%) mentioned SBA usage [16–18, 20, 31]. There was a sizable difference in SBA usage across studies from 13% in Nepal to 50% in Yemen [20, 30].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Maternal and neonatal service usage and determinants in fragile and conflict-affected situations: a systematic review of Asia and the Middle-East

2017

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Perceptions and experiences of labour companionship: a qualitative evidence synthesis

Bohren

Berger

Munthe‐Kaas

et al. 2019

Cochrane Database of Systematic Reviews

203

197

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BackgroundLabour companionship refers to support provided to a woman during labour and childbirth, and may be provided by a partner, family member, friend, doula or healthcare professional. A Cochrane systematic review of interventions by Bohren and colleagues, concluded that having a labour companion improves outcomes for women and babies. The presence of a labour companion is therefore regarded as an important aspect of improving quality of care during labour and childbirth; however implementation of the intervention is not universal. Implementation of labour companionship may be hampered by limited understanding of factors affecting successful implementation across contexts.ObjectivesThe objectives of the review were to describe and explore the perceptions and experiences of women, partners, community members, healthcare providers and administrators, and other key stakeholders regarding labour companionship; to identify factors affecting successful implementation and sustainability of labour companionship; and to explore how the findings of this review can enhance understanding of the related Cochrane systematic review of interventions.Search methodsWe searched MEDLINE, CINAHL, and POPLINE K4Health databases for eligible studies from inception to 9 September 2018. There were no language, date or geographic restrictions.Selection criteriaWe included studies that used qualitative methods for data collection and analysis; focused on women’s, partners’, family members’, doulas', providers', or other relevant stakeholders' perceptions and experiences of labour companionship; and were from any type of health facility in any setting globally.Data collection and analysisWe used a thematic analysis approach for data extraction and synthesis, and assessed the confidence in the findings using the GRADE‐CERQual approach. We used two approaches to integrate qualitative findings with the intervention review findings. We used a logic model to theorise links between elements of the intervention and health and well‐being outcomes. We also used a matrix model to compare features of labour companionship identified as important in the qualitative evidence synthesis with the interventions included in the intervention review.Main resultsWe found 51 studies (52 papers), mostly from high‐income countries and mostly describing women's perspectives. We assessed our level of confidence in each finding using the GRADE‐CERQual approach. We had high or moderate confidence in many of our findings. Where we only had low or very low confidence in a finding, we have indicated this.Labour companions supported women in four different ways. Companions gave informational support by providing information about childbirth, bridging communication gaps between health workers and women, and facilitating non‐pharmacological pain relief. Companions were advocates, which means they spoke up in support of the woman. Companions provided practical support, including encouraging women to move around, providing massage, and holding her hand. Finally, companions...

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Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural Ghana

Peprah

Abalo

Nyonyo

et al. 2018

International Journal of Africa Nursing Sciences

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Yemeni women’s perceptions of own authority during childbirth: What does it have to do with achieving the Millennium Development Goals?

Cited by 10 publications

References 41 publications

Maternal and neonatal service usage and determinants in fragile and conflict-affected situations: a systematic review of Asia and the Middle-East

Maternal and neonatal service usage and determinants in fragile and conflict-affected situations: a systematic review of Asia and the Middle-East

Perceptions and experiences of labour companionship: a qualitative evidence synthesis

Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural Ghana

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