integrated maternal, newborn and child health

Results: Households within each selected community were randomly sampled using a procedure similar to that used in the WHO-EPI cluster surveys, namely by numbering then sampling households according to the community sampling fraction along randomly selected paths leading out from the center of the village. Antibiotic treatment of fever dropped to 26.4% in the control communities, compared to 32.2% in the intervention communities. The BHS was designed to be representative of all ever-married women in the household and required a sample of 5,560 households, while the FHS was designed to be representative only of ever-married women with a birth in the previous 5years, requiring a sample of only 2,310 households. The adoption of a national policy and standards on an integrated approach to child health and development. Making referral to this Comprehensive EOC facility are four Basic EOC facilities (each serving 100,000 people with the Comprehensive EOC facility serving the other 100,000 people) and eight 24/7 facilities providing maternal care. Campbell Syst Rev. Infant and child mortality declined in both intervention and control communities, with the greatest declines in intervention communities. Interventions to address maternal, newborn, and child survival: what benefits and harms has not been systematically Privacy 2008, 372 (9642): 928-939. Ndou T, et al: A rapid assessment of a community health worker pilot programme to improve the management of hypertension and diabetes in Emfuleni sub-district of Gauteng Province. The next most common danger signs were diarrhea and swollen stomach, each experienced by about 16% of all newborns in the control areas and 19% in the intervention areas. At the analysis stage, the inclusion criteria for both surveys was narrowed to ever-married women, aged 1549, with a birth in the previous five years. Globally, over 80% of the underfive deaths are due to neonatal conditions and infectious diseases like pneumonia, diarrhoea, malaria, measles and meningitis, often compounded by malnutrition. Women reported that almost half of their newborns had shown at least one of these danger signs, with the most common being a high fever. Trained 326 district-based mentors on the Integrated Management of Childhood Illness (IMCI) approach through the USAID-funded Ingobyi Activity in Rwanda. The participatory training methodology is underpinned by key principles of adult learning, starting with discussions and reflection on personal experiences, which in turn are used to discuss potential responses/solutions women could adopt. East Mediterr Health J. The average duration of illness was 7.8days. The community dialogue encouraged women to go to the community health worker or the health worker at the closest health post instead of the TBA, because these trained individuals can do more to help the mother recognize and respond to any problems that might develop. 2013 Oct 29;5:717-28. doi: 10.2147/IJWH.S49785. Findley SE, Doctor HV, Ashir GM, Kana MA, Mani AS, Green C, Afenyadu GY. Glob Health Action. Most of the interviewers were females, responding to cultural expectations and beliefs that encourage female interviewers to interview female respondents. Chi-square and t-tests were used to document presence of significant improvements in several MNCH outcomes. We believe that the change in infant mortality may result from how women respond to their infants health when they realize that health is threatened. 2008, 28 (1 (S1)): S43-S48. Every day, millions of children with potentially fatal illness are taken by their caregivers to be seen by health workers. 2011, 57 (S2): S109-. 2017 Jun;7(1):011002. doi: 10.7189/jogh.07.011002. Newborn Screening Portal | CDC SF, OU, HD, CG, FA, and GYA participated in the conception of the study, assisted with the analysis, interpretation, drafting, and revision of the manuscript. facilities. The infant and child mortality rates were calculated using the retrospective reports of births and deaths in the previous 12months and five years, per the standardized format of the Demographic and Health Surveys. 2015 Apr;6(2):88-99. doi: 10.1177/2150131914549383. In compounds that comprised one to three households, one household was randomly chosen for interviews; in compounds with four to six households, two were surveyed; in compounds with seven or more households, three were surveyed. Control Local Government Areas received less-intense statewide policy changes. Selected groups of villages served by primary care facilities linked to the upgraded EOC facility participate in a community engagement process, which aims to increase awareness, knowledge and practices of healthy behaviors in response to MNCH barriers. CAS During this same period, the child mortality rate declined from 160 to 104 deaths per 1,000 children in the control communities and 84 in the intervention communities. Ghana has launched a comprehensive Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition (RMNCAHN) Strategic Plan aimed at ensuring increased and equitable access to high quality RMNCAHN services for all by 2030. This enables them to provide quality care and make the best use of the available resources. The program utilizes an operations research approach that promotes evidence-based quality improvement of ongoing program activities. At the midterm in 2011, significantly more women were told about how to care for their newborn, up from 68.1% to 71.6%, with even more informed in the intervention than control areas. Ghana develops an Integrated Reproductive, Maternal, Newborn, Child The program focuses on the rural communities, where most of the residents are subsistence farmers, pastoralists, or traders. Jain M, Shisler S, Lane C, Bagai A, Brown E, Engelbert M. BMJ Open. Approximation of the Cox survival regression model by MCMC Bayesian Hierarchical Poisson modelling of factors associated with childhood mortality in Nigeria. The FHS included the same intervention LGAs, but control LGAs in 2009 were shifted into the intervention category if they had started to receive the primary health care and community health worker interventions by the time of the FHS. In both the BHS and FHS, the questionnaires used adopted some of the close-ended questions from the 2008 Demographic and Health Survey [14] to allow comparisons of results with other national- or state-level data. More women learned how to care for sick children from CHWs, both at the health post and in the community, with CHWs providing this information to 14.5% in the control communities and 23.8% in the intervention communities. These all were topics addressed in the community discussion groups organized by community volunteers recruited and trained by the project, and the changes in care of the newborn immediately after delivery reflect this increased community dialogue, awareness and support for the need to keep an eye on the mother and newborn during this critical period. The state capitals were excluded in the analyses reported here. 2011, 48 (7): 537-546. Fewer relied on family and friends in the intervention communities, 27.1% vs. 32.2% in the control communities. IMCI is an integrated approach that focuses on the health and well-being of the child. Available reports indicate that the underlying factors that account for the high MMR in Ebonyi State include: poverty (especially in the rural areas), ignorance, cultural belief, inadequate health facilities, unskilled birth attendants etc. Disclaimer. Effect of integrating maternal and child health services, nutrition and Unable to load your collection due to an error, Unable to load your delegates due to an error, [Article in E. Institute, Editor 2011. Infant and child mortality declined in both intervention and control communities, with the greatest declines in intervention communities. The bi-variate and multi-variate analyses of the two sets of survey data were conducted separately, each using sampling weights based on the intervention and control areas. In the BHS, the sample of 5,560 households was 0.7% to 9.8% per LGA, while for the FHS the 2,310 households comprised 3.1% to 13.1% of all households. First, we did not combine the datasets for an integrated analysis of the behavior change between baseline and midterm, which limits the analysis to a comparison of means and proportions. Authors declare that there are no competing interests. Mothers in the intervention communities reported higher incidence of some of the newborn danger signs, but this likely reflects their new found understanding that these signs are not normal and require the mother to have her child treated quickly. Kana MA, Doctor HV, Peleteiro B, Lunet N, Barros H. BMC Public Health. Schmied V, Mills A, Kruske S, Kemp L, Fowler C, Homer C. J Clin Nurs. Effective interventions to ensure MCH (Maternal and Child Health Using mobile phones, eLearning, and other technologies to improve maternal, newborn, and child health care. A similar pattern is seen for seeking advice on the care of sick children, with the intervention group showing increased reliance on the midwives and CHWs and less on the TBA or family and friends. Achieving development goals for HIV, tuberculosis and - BMC Medicine This enabled the team to devise appropriate strategies for referral from rural to urban facilities. Between the BSH and FHS in 2011, Table2 shows there was a shift in the source of advice about the care of sick children. Reduction of maternal and perinatal mortality in rural and peri-urban settings: what works? The primary responsibility of the CV is to facilitate community discussion groups through the use of jingles and other visual-auditory cues to educate about critical MNCH issues, such as danger signs for a pregnancy. About half (47.2%) of the newborns experienced at least one of these danger signs during the first six weeks of life, with no difference in the frequency between control and intervention areas. Alkema L, You D: Child mortality estimation: a comparison of UN IGME and IHME estimates of levels and trends in under-five mortality rates and deaths. Prioritizing research for integrated implementation of early childhood development and maternal, newborn, child and adolescent health and nutrition platforms J Glob Health . 2021 Jan 6;21(1):20. doi: 10.1186/s12884-020-03493-8. . This systematic review aims at describing and indirectly measuring the effect of the Maternal, Newborn, and Child Health (MNCH) interventions implemented in Nigeria from 1990 to 2014. Respondents were assigned to the control or intervention groups based on the level of PRRINN-MNCH program intervention at the time of the survey. PDF INTEGRATING MATERNAL, NEWBORN AND CHILD HEALTH - About World Vision Compared to the southern zones of Nigeria where primary care use is widespread, there is very little primary care service use in the northern zones of Nigeria. 2013, 381 (9879): e15-10.1016/S0140-6736(13)61082-X. Regular review and updating of IMCI clinical guidelines with adaptation to the countrys epidemiology, medicines and commodities, relevant policies, and local foods and language used by the population. countries and regions, in terms of their design 2013, 381 (9879): 1736-1746. The Lancet. Copenhagen: WHO Regional Office for Europe; 2020. Maternal and Infant Health | Reproductive Health | CDC Strengthening referral pathways and improving quality of care in hospitals for management of severely ill children referred from the outpatient clinics. Further, within Nigeria there are marked differentials in child mortality rates, with rates in the northern states two to three times higher than in the southern states [14]. HHS Vulnerability Disclosure, Help The Lancet Global Health Research Priorities for Eight Areas of Adolescent Health. Maternal, Newborn and Child Health, Bill & Melinda Gates Foundation, Seattle, WA 98102, USA (CE, GD, MC); and Save the Use of antibiotics generally was less at the mid-term than baseline, but there were different directions of change in the control and intervention communities. et al.Countdown to 2015 decade report (200010): taking stock of maternal, newborn, and child survival. Impact evaluation of a quality improvement intervention on maternal and child health outcomes in Northern Ghana: early assessment of a national scale-up project. 10.1136/adc.2009.179366. Yaya S, Okonofua F, Ntoimo L, Udenigwe O, Bishwajit G. Reprod Health. Fewer infants had a postnatal check by a health worker within 48hours of birth, down from 39.2% at baseline to 27.5% in the intervention and 18.9% in the control areas. Infant and child mortality rates were calculated using standard demographic estimation methods. Glenton C, et al: Can lay health workers increase the uptake of childhood immunisation? 1999, 89 (4): 480-482. The strategy includes three main components: In health facilities, the IMCI strategy promotes the accurate identification of childhood illnesses in outpatient settings, ensures appropriate combined treatment of all major conditions that affect a young child, strengthens the counselling of caretakers, and speeds up the referral of severely ill newborns and children. Analyses were performed using Stata 12.0 (Statacorp, College Station, TX) and SPSS version 19.0 (SPSS Inc. Chicago, Ill). When their children had fever and diarrhea, at follow-up one in ten women in the intervention communities reported treatment with home mixed sugar-salt solution, as instructed by the CHW. Systematic review and typology. Vaccines. . Bookshelf Rasschaert F, et al: Tackling health workforce shortges during antiretroviral treatment scale-up- Experiences from Ethiopia and Malawi. BMC Public Health 13, 1034 (2013).
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