Maternal and child health

1 October 2017

Strategy for improving access to HIV care for adolescents and youth: the experience took place in Beira, Mozambique

2017-10-01T14:52:48+02:001 October 2017|

Serena T.,George A., Pita G., Marquez G., Di Gennaro F., Trevisanuto D., Putoto G., Pizzol D.
Euromediterranean Biomedical Journal, 2017 October

Mozambique has the eighth highest HIV prevalence in the world, with adolescents representing a growing share of the affected population. Since 2014, Doctors with Africa CUAMM has been helping to support a network of clinics in the country aimed specifically at young people – Serviços de Aconselhamento e Acompanhamento dos Jovens (SAAJ) – that offer [...]

1 October 2017

A new use for an old tool: maternity waiting homes to improve equity in rural childbirth care. Results from a cross-sectional hospital and community survey in Tanzania

2017-10-01T14:49:09+02:001 October 2017|

Fogliati P., Straneo M., Mangi S., Azzimonti G., Kisika F., Putoto G.
Health Policy and Planning - Oxford Academic Journal, 2017 October

In sub-Saharan Africa poor-quality childbirth services primarily affect poor women. Health facilities that have the ability to manage obstetric complications, including providing blood transfusions and Cesarean sections, offer higher-quality services. This study investigated whether maternity waiting homes (MWHs) might be an effective tool for drawing poor women to facilities offering higher-quality obstetric services. It was [...]

1 July 2017

Cost-effectiveness of an ambulance-based referral system for emergency obstetrical and neonatal care in rural Ethiopia

2017-07-01T11:18:57+02:001 July 2017|

Accorsi S., Somigliana E., Solomon H., Ademe T., Woldegebriel J., Almaz B., Zemedu M., Manenti F., Tibebe A., Farese P., Seifu A., Menozzi S., Putoto G.
BMC Pregnancy and Childbirth, 2017 July

The study's scope was to assess the cost-effectiveness of a referral system based on the use of ambulances for obstetric emergencies and neonatal care in remote, rural settings of sub-Saharan Africa. The study was conducted in the Oromiya Region of Ethiopia, evaluating the effectiveness and actual cost of all obstetric cases transferred to the hospital [...]

1 May 2017

Barriers to utilisation of antenatal care services in South Sudan: a qualitative study in Rumbek North County

2017-05-01T11:40:14+02:001 May 2017|

Wilunda C., Scanagatta C., Putoto G., Montalbetti F., Segafredo G., Takahashi R., Mizerero S.A., Pilar Betrán A.
Reproductive Health, 2017 May

Access to adequate antenatal care (ANC) is critical to ensure good maternal health and to prevent maternal and neonatal morbidity and mortality. South Sudan has one of the world’s poorest health indicators due to a fragile health system and a combination of socio-cultural, economic, and political factors that prevent access to care. This qualitative study [...]

1 February 2017

Minimum obstetric volume in low-income countries

2017-02-01T11:37:23+02:001 February 2017|

Straneo M., Hanson C., Fogliati P., Mbaruku G.M.
Journal of Immuno Virology, 2017 April

In sub-Saharan Africa, primary health care facilities are essential for providing safe childbirth. However, the delivery volume in health facilities must be studied as an indicator of the effectiveness of primary care. Evidence indicates improved neonatal survival and fewer complications in facilities with higher delivery volumes. In Tanzania there is an apparent paradox in an [...]

1 December 2016

Barriers to Institutional Childbirth in Rumbek North County, South Sudan: A Qualitative Study

2017-08-11T15:34:24+02:001 December 2016|

Wilunda C., Scanagatta C., Putoto G., Takahashi R., Montalbetti F., Segafredo G., Betrán A.P.
PLoS One, 2016 December

Due to its fragile health system and a combination of sociocultural, economic and political factors, South Sudan has some of the world’s worst health indicators. The aim of this study was to identify barriers impeding women’s use of institutional childbirth services in health facilities in the country’s Rumbek North County. Data were collected from 14 [...]

1 November 2016

Participants’ opinions of the limited impact of an adapted neonatal resuscitation course in a low-resource setting

2017-08-11T15:22:02+02:001 November 2016|

Cavicchiolo M.E., Daverio M., Lanzoni P., Segafredo G., Pizzol D., Putoto D., Trevisanuto D.
Acta Paediatrica, 2016 November

This abstract presents a study involving 16 midwives working at the Beira Central Hospital in Mozambique. Its aim was to assess whether providing the women with training in neonatal resuscitation techniques would help to improve their practical skills in that area. The assessment was made based on videos filmed before and after the training, as [...]

1 November 2016

Reduced neonatal mortality in a regional hospital in Mozambique linked to a Quality Improvement intervention

2017-08-11T15:22:06+02:001 November 2016|

Cavicchiolo M.E., Lanzoni P., Wingi M.O., Pizzol D., Daverio M., Da Dalt L., Putoto G., Trevisanuto D.
BMC Pregnancy and Childbirth, 2016 November

Neonatal mortality is a serious problem in low-resource countries; indeed, 99% of newborn deaths occur in such settings. In 2014 Doctors with Africa CUAMM launched a multi-level project in Mozambique’s Beira Central Hospital (BCH) to support both the hospital’s neonatal intensive care unit (NICU) and its obstetric ward. The three-pronged approach taken entailed refurbishing and [...]