B. Rawlins, Young-mi Kim, J. Haver, A. Rozario, A. Kols, H. Chiguvare, Matias Anjos, E. Otolorin, Jacqueline Aribot
{"title":"Case Study: Experience Applying and Tracking a Quality Improvement Approach for Maternal and Newborn Health Services in Sub-Saharan Africa.","authors":"B. Rawlins, Young-mi Kim, J. Haver, A. Rozario, A. Kols, H. Chiguvare, Matias Anjos, E. Otolorin, Jacqueline Aribot","doi":"10.12927/WHP.2016.24495","DOIUrl":"https://doi.org/10.12927/WHP.2016.24495","url":null,"abstract":"The Standards-Based Management and Recognition (SBM-R(®)) approach to quality improvement was applied to maternal and newborn health services in Guinea, Mozambique, Nigeria and Zimbabwe. In every country, the quality of service delivery, as measured by clinical performance standards, improved following the intervention. The performance of evidence-based service delivery practices, as measured through service statistics, also increased and institutional rates of postpartum hemorrhage and very early neonatal deaths exhibited declining trends. Findings suggest that the effects of SBM-R reach beyond service delivery processes to health outputs and outcomes and demonstrate the potential returns of investing in quality improvement approaches.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"31 1","pages":"31-8"},"PeriodicalIF":0.0,"publicationDate":"2015-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/WHP.2016.24495","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66269858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leslie Mancuso, Peter G. Johnson, Lea Hart, Kate Austin
{"title":"Addressing Maternal and Newborn Health: A Leadership Perspective.","authors":"Leslie Mancuso, Peter G. Johnson, Lea Hart, Kate Austin","doi":"10.12927/WHP.2016.24498","DOIUrl":"https://doi.org/10.12927/WHP.2016.24498","url":null,"abstract":"Globally, each year 289,000 mothers die in childbirth and three million infants die in the first four weeks of life. The shortcomings in maternal and newborn health are particularly devastating in low-resource countries. This qualitative study describes the experience of an international nongovernmental organization, Jhpiego, which has been implementing public health programs to address maternal and newborn health outcomes for more than 40 years. Themes emerged from interviews with leaders of offices in a variety of countries with unique challenges related to health systems, human resources and infrastructure. Results emphasized the importance of partnerships with governments and international agencies for long-term program impact, as well as the recruitment of local talent for improving health systems to address problems that are best understood by the people who live and work in these countries. The discussion of program successes and challenges may inform best practices for promoting the health and wellness of women and families around the world.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 2 1","pages":"7-15"},"PeriodicalIF":0.0,"publicationDate":"2015-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66270110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maxwell Muganda, Rosemary Njogu, Stephen N. Mutwiwa, Lucy Kiraithe, E. Munyi, L. Mulase, S. Bii, M. Mudany
{"title":"Case Study: A Rapid Rollout of Universal Maternal HAART Improves Outcomes among HIV-Positive Women and Their Infants in Kenya.","authors":"Maxwell Muganda, Rosemary Njogu, Stephen N. Mutwiwa, Lucy Kiraithe, E. Munyi, L. Mulase, S. Bii, M. Mudany","doi":"10.12927/WHP.2016.24496","DOIUrl":"https://doi.org/10.12927/WHP.2016.24496","url":null,"abstract":"Globally, countries have made significant achievements in reducing rates of mother-to-child transmission (MTCT) of HIV. In Kenya, MTCT rates were most recently estimated at 8%, with 220,000 children under 15 years of age living with HIV. In 2013, the World Health Organization recommended highly active antiretroviral therapy (HAART) for all HIV-infected pregnant and lactating women. APHIAPLUSKAMILI supported rollout of a county-level, targeted, rapid scale-up of HAART in 152 high-volume facilities in Kenya. A review and comparison of data from these facilities in 2013 and 2014 revealed a significant increase in the proportion of women started on HAART and a reduction in MTCT.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 2 1","pages":"24-30"},"PeriodicalIF":0.0,"publicationDate":"2015-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/WHP.2016.24496","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66269911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alice Christensen, Semakaleng Phafoli, J. Butler, I. Nyangu, L. Skolnik, S. Stender
{"title":"Case Study: Primary Healthcare Clinical Placements during Nursing and Midwifery Education in Lesotho.","authors":"Alice Christensen, Semakaleng Phafoli, J. Butler, I. Nyangu, L. Skolnik, S. Stender","doi":"10.12927/WHP.2016.24493","DOIUrl":"https://doi.org/10.12927/WHP.2016.24493","url":null,"abstract":"In Lesotho, primary healthcare is the main access point for health services. While nurses and midwives provide most of the care at this level, assessments of the clinical education programs have highlighted gaps in primary healthcare experiences for nursing and midwifery students. This case study examines placement of nursing and midwifery students in primary health clinics alongside preceptors. The placements provide students with varied clinical experience, better preparing them to practice in primary healthcare clinics. To date, more than 700 nursing and midwifery students have been placed in 40 rural health centres and 228 preceptors have been trained. The government is scaling up the program nationally.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 2 1","pages":"46-53"},"PeriodicalIF":0.0,"publicationDate":"2015-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/WHP.2016.24493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66269668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dwirani Amelia, S. Suhowatsky, M. Baharuddin, M. Tholandi, A. Hyre, Reena Sethi
{"title":"Case Study: Clinical Governance as an Approach to Improve Maternal and Newborn Health in 22 Hospitals in Indonesia.","authors":"Dwirani Amelia, S. Suhowatsky, M. Baharuddin, M. Tholandi, A. Hyre, Reena Sethi","doi":"10.12927/WHP.2016.24497","DOIUrl":"https://doi.org/10.12927/WHP.2016.24497","url":null,"abstract":"Clinical governance is a concept used to improve management, accountability and the provision of quality healthcare. An approach to strengthen clinical governance as a means to improve the quality of maternal and newborn care in Indonesia was developed by the Expanding Maternal and Neonatal Survival (EMAS) Program. This case study presents findings and lessons learned from EMAS program experience in 22 hospitals where peer-to-peer mentoring supported staff in strengthening clinical governance from 2012-2015. Efforts resulted in improved hospital preparedness and significantly increased the odds of facility-level coverage for three evidence-based maternal and newborn healthcare interventions.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"114 1","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2015-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/WHP.2016.24497","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66269931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"We Need a New Approach in Implementing and Achieving the Sustainable Development Goals.","authors":"J. Shamian","doi":"10.12927/whp.2016.24500","DOIUrl":"https://doi.org/10.12927/whp.2016.24500","url":null,"abstract":"","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 2 1","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2015-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/whp.2016.24500","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66270343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Lwatula, Peter G. Johnson, Anel Bowa, D. Lusale, J. Nikisi, Martha Ndhlovu, C. Carr
{"title":"Case Study: Using Task Analysis to Determine the Status of Education and Practice of Medical Licentiates for the Provision of Anesthesia in Zambia.","authors":"L. Lwatula, Peter G. Johnson, Anel Bowa, D. Lusale, J. Nikisi, Martha Ndhlovu, C. Carr","doi":"10.12927/WHP.2016.24490","DOIUrl":"https://doi.org/10.12927/WHP.2016.24490","url":null,"abstract":"Task analysis methodology was used to identify gaps in the education and practice of Medical Licentiates, a cadre of primary care health providers in Zambia, related to the provision of anesthesia. Findings of the analysis indicate that Medical Licentiates who work in facilities where there are no fully qualified anesthesiologists or physicians often feel obligated to provide these services in order to save lives although they lack sufficient formal education or clinical practice opportunities. The government translated the findings into immediate modifications to the education, training and practice of anesthetic tasks by Medical Licentiates by developing an elective course within the pre-service education program and upgrading the certification of Medical Licentiates to a bachelor's degree.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 2 1","pages":"76-81"},"PeriodicalIF":0.0,"publicationDate":"2015-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/WHP.2016.24490","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66269769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Martha Appiagyei, A. Trump, Evans Danso, A. Yeboah, Sarah C. Searle, C. Carr
{"title":"Case Study: The Role of eLearning in Midwifery Pre-Service Education in Ghana.","authors":"Martha Appiagyei, A. Trump, Evans Danso, A. Yeboah, Sarah C. Searle, C. Carr","doi":"10.12927/WHP.2016.24492","DOIUrl":"https://doi.org/10.12927/WHP.2016.24492","url":null,"abstract":"The issues and challenges of implementing eLearning in pre-service health education were explored through a pilot study conducted in six nurse-midwifery education programs in Ghana. Case-based, interactive computer mediated eLearning modules, targeted to basic emergency and obstetrical signal functions, were delivered both online and offline using a free-for-use eLearning platform, skoool HE(®). Key success factors included broad stakeholder support, an established curriculum and student and tutor interest. Challenges included infrastructure limitations, large class sizes and added workloads for tutors and information technology staff. National scale up is planned.","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"16 2 1","pages":"54-61"},"PeriodicalIF":0.0,"publicationDate":"2015-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/WHP.2016.24492","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66270027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Urbanization and health in developing countries: a systematic review.","authors":"Sophie Eckert, Stefan Kohler","doi":"10.12927/whp.2014.23722","DOIUrl":"10.12927/whp.2014.23722","url":null,"abstract":"<p><strong>Background: </strong>Future population growth will take place predominantly in cities of the developing world. The impact of urbanization on health is discussed controversially. We review recent research on urban-rural and intra-urban health differences in developing countries and investigate whether a health advantage was found for urban areas.</p><p><strong>Methods: </strong>We systematically searched the databases JSTOR, PubMed, ScienceDirect and SSRN for studies that compare health status in urban and rural areas. The studies had to examine selected World Health Organization health indicators.</p><p><strong>Results: </strong>Eleven studies of the association between urbanization and the selected health indicators in developing countries met our selection criteria. Urbanization was associated with a lower risk of undernutrition but a higher risk of overweight in children. A lower total fertility rate and lower odds of giving birth were found for urban areas. The association between urbanization and life expectancy was positive but insignificant. Common risk factors for chronic diseases were more prevalent in urban areas. Urban-rural differences in mortality from communicable diseases depended on the disease studied.</p><p><strong>Conclusion: </strong>Several health outcomes were correlated with urbanization in developing countries. Urbanization may improve some health problems developing countries face and worsen others. Therefore, urbanization itself should not be embraced as a solution to health problems but should be accompanied by an informed and reactive health policy.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"15 1","pages":"7-20"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32236726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catherine Holtz, Jason Gilliland, Amardeep Thind, Piotr Wilk, M Karen Campbell
{"title":"Neighbourhood variation and inequity of primary health service use by mothers from London-Middlesex, Ontario.","authors":"Catherine Holtz, Jason Gilliland, Amardeep Thind, Piotr Wilk, M Karen Campbell","doi":"10.12927/whp.2014.23859","DOIUrl":"https://doi.org/10.12927/whp.2014.23859","url":null,"abstract":"<p><strong>Objective: </strong>Primary health service use (P-HSU) may be influenced by contextual characteristics and is equitable when driven by need. Contextual effects and inequity of maternal P-HSU were determined.</p><p><strong>Methods: </strong>Participant data from a London-Middlesex, Ontario, prenatal cohort were linked by residential address to contextual characteristics. Multilevel logistic regression estimated contextual effects and tested for effect measure modification of need factors.</p><p><strong>Results: </strong>Maternal P-HSU varied between neighbourhoods. The effect of obesity was different for rural mothers living in low- (OR = 0.26) and middle-income households (OR = 0.15) and for urban mothers living in high-income households (OR = 2.82). The effect of having a health condition was greatest in mothers with three or more children (OR = 2.41).</p><p><strong>Discussion: </strong>Differences in maternal P-HSU exist between neighbourhoods, and enabling factors modified need factors' effects, identifying subgroups of mothers with inequitable P-HSU. RESULTS have the potential to inform Canadian health policy with regard to contextual effects and inequity of P-HSU.</p>","PeriodicalId":40038,"journal":{"name":"World health & population","volume":"15 2","pages":"32-42"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32603420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}