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Nigeria: reducing the indirect causes of maternal morbidity and mortality: the RICOM3 Project

World Health Organisation (WHO) (2023) C_WHO

Nigeria reported its first case of COVID-19 at the end of February 2020 and subsequently experienced four waves, with peaks in June 2020 and January, August and December 2021. The COVID-19 pandemic severely impacted the economy of Nigeria and caused disruption of health services nationwide. During... more

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Expanding the Single-Visit Approach for Cervical Cancer Prevention: Successes and Lessons From Burkina Faso

Ouedraogo Y., Furlane G., Fruhauf T. et al. Global Health: Science and Practice (2018) CC

Background: Cervical cancer accounts for 23% of cancer incidence and 22% of cancer mortality among women in Burkina Faso. These proportions are more than 2 and 5 times higher than those of developed countries, respectively. Before 2010, cervical cancer prevention (CECAP) services in Burkina Faso wer...e limited to temporary screening campaigns. Program Description: Between September 2010 and August 2014, program implementers collaborated with the Ministry of Health and professional associations to implement a CECAP program focused on coupling visual inspection with acetic acid (VIA) for screening with same-day cryotherapy treatment for eligible women in 14 facilities. Women with larger lesions or lesions suspect for cancer were referred for loop electrosurgical excision procedure (LEEP). The program trained providers, raised awareness through demand generation activities, and strengthened monitoring capacity. Methods: Data on program activities, service provision, and programmatic lessons were analyzed. Three data collection tools, an individual client form, a client registry, and a monthly summary sheet, were used to track 3 key CECAP service indicators: number of women screened using VIA, proportion of women who screened VIA positive, and proportion of women screening VIA positive who received same-day cryotherapy. Results: Over 4 years, the program screened 13,999 women for cervical cancer using VIA; 8.9% screened positive; and 65.9% received cryotherapy in a single visit. The proportion receiving cryotherapy on the same day started at a high of 82% to 93% when services were provided free of charge, but dropped to 51% when a user fee of $10 was applied to cover the cost of supplies. After reducing the fee to $4 in November 2012, the proportion increased again to 78%. Implementation challenges included difficulties tracking referred patients, stock-outs of key supplies, difficulties with machine maintenance, and prohibitive user fees. Providers were trained to independently monitor services, identify gaps, and take corrective actions. Conclusions: Following dissemination of the results that demonstrated the acceptability and feasibility of the CECAP program, the Burkina Faso Ministry of Health included CECAP services in its minimum service delivery package in 2016. Essential components for such programs include provider training on VIA, cryotherapy, and LEEP; provider and patient demand generation; local equipment maintenance; consistent supply stocks; referral system for LEEP; non-prohibitive fees; and a monitoring data collection system. more

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Trends in Maternal Health in Ethiopia

UNFPA (2012) C_WHO

Challenges in achieving the MDG for maternal mortality. In-depth analysis of the EDHS 2000-2011

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Undernourished and Overlooked: A Global Nutrition Crisis in Adolescent Girls and Women.

UNICEF (2023) C_UNICEF

There has been important progress for the rights of adolescent girls and women in recent decades, yet millions still struggle to access the nutritious diets, essential nutrition services and nutrition and care practices they need to prevent malnutrition. Undernutrition, micronutrient deficiencies ... more

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Intermittent preventive treatment (IPT) of malaria in pregnancy. Training manual for health providers

Ministry of Health Ghana; Ghana Health Service GHSNMCP (2005) C1

Facilitator's Guide

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Community-facility Linkages to Support the Scale up of Lifelong Treatment for Pregnant and Breastfeeding Women Living with HIV: A Conceptual Framework, Compendium of Promising Practices and Key Operat

Ackerman Gulaid, Laurie United Nations Children’s Fund (UNICEF) (2015)

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Nepal: Maternal Mortality and Morbidity Study 2008/2009

Pradhan A., Suvedi B.K., Barnett S., et al. Government of Nepal, Ministry of Health and Population (2010) C1

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Humanitarian Action for Children 2022 - South Sudan

UN Children's Fund UNICEF (2021) C_UNICEF

Factsheet

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Impact of health systems strengthening on coverage of maternal health services in Rwanda, 2000–2010: a systematic review

Maurice Bucagu, Jean M. Kagubare, Paulin Basinga, Fidèle Ngabo, Barbara K Timmons & Angela C Lee Reproductive Health Matters (2012) CC

From 2000 to 2010, Rwanda implemented comprehensive health sector reforms to strengthen the public health system, with the aim of reducing maternal and newborn deaths in line with Millennium Development Goal 5, among many other improvements in national health. Based on a systematic review of the lit... more

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Uganda: Food Security and Nutrition Assessment Karamoja Region, June 2015

World Food Programme, UNICEF (2015)

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Evaluation of integrated community case management for malaria, pneumonia, diarrhoea and newborn health in eight districts of central Uganda

Laura Gover, Andrew Anguko, Jane Bruce, Godfrey Magumba, et al. Malaria Consortium (2011) CC

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Caring for women subjected to violence: a WHO curriculum for training health-care providers, revised edition 2021

World Health Organization WHO (2021) C_WHO

WHO is launching a “Revised edition, 2021” for the Caring for women subjected to violence: A WHO training curriculum for health-care providers today. The revised edition includes 4 new modules three of which are for health managers to assess and strengthen health facility readiness and one modul... more

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Training of Trainer’s (ToT) Manual on Maternal and Perinatal Death Surveillance and Response (MPDSR)

Dr. Md. A. Hasan; Dr. A. Biswas; Dr. A. S. M. Sayem; et al. Ministry of Health & Family Welfare Government of the Peoples Republic of Bangladesh; World Health Organization (WHO); Unicef; Health Economics Unit; et al. (2016) C2

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Neonatal health in Nepal: analysis of absolute and relative inequalities and impact of current efforts to reduce neonatal mortality

Paudel, D., Shrestha, I.B., Siebeck, M. & Rehfuess, E.A. (2013) CC

Nepal has made substantial progress in reducing under-five mortality and is on track to achieve Millennium Development Goal 4, but advances in neonatal health are less encouraging. The objectives of this study were to assess relative and absolute inequalities in neonatal mortality over time, and to ... more

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Human Devastation Syndrome: The Impact of Conflict on Mental Health

Syrian American Medical Society (SAMS) (2018) C1

The magnitude and complexity of these mental health conditions caused by prolonged and extensive trauma requires a diagnosis fitting the unique context of the Syrian conflict. Over half a million people have been killed since the beginning of the conflict in 2011, and more than 6.4 million are inter... more

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Lesotho Nursing and Midwifery Primary Health Care Clinical Placement Final Report

Stender, Stacie; Phafoli, Semakaleng et al. (2014) C1

The overall aim of the study was to understand the acceptability and usefulness of PHC clinical placements for nursing and midwifery students.

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South African MATERNAL, PERINATAL, and NEONATAL Health Policy

National Department of Health (NDoH) South Africa NDoH South Africa (2021) CC

As a lower-middle-income country (LMIC), South Africa (SA) bears the burden of maternal and neonatal mortality similar to other sub- Saharan African countries. According to the Saving Mothers Report 2017/19, there has been a progressive and sustained reduction in institutional maternal mortality... more

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Trainee's guide for training of Medical Officers in Pregnancy Care and Management of Common Obstetric Complications

Maternal Health Division Ministry of Health & Family Welfare Government of India (2009) C1

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Community-Based Rehabilitation for Children with Intellectual Disability: Experiences from Endosulfan Affected Areas in India

Augustine, A. Disability, CBR & Inclusive Development Journal (DCIDJ) (2016) CC

This article describes a Community-Based Participatory Approach (CBPA) for children with intellectual disability in Endosulfan affected areas of Kasaragod district in Kerala state of India. The CBPA strategy evolved from Community Based Rehabilitation (CBR) and was led by Local Self-Government (LSG)... more

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Maternal and Newborn Health in Urban India: A Monograph based on Literature Review Exercise

Save the Children (2016) C2

India contributes to 16% of the global maternal deaths and around 27% of global newborn deaths. Reducing the burden of maternal and newborn mortality and morbidity in urban poor settings today requires an expansion of effective Maternal and Newborn Health (MNH) care services and lowering the barrier... more