Maternal and child health

25 May 2018

Gastroschisis Spiral-like Closure with Umbilical Cord in a Limited-resource Setting: A Case Report

2018-05-25T16:22:23+01:0025 May 2018|

Reggiani G., Pizzol D., Trevisanuto D., Antunes M.
Journal of Neonatal Surgery, 2018 April

Gastroschisis is a birth defect of the abdominal wall that involves the incomplete closure of the abdominal muscles and skin. It is one of the most common surgical problems arising in infants, and its incidence is increasing worldwide. Management of the condition in limited-resource countries is often complicated, with much higher mortality rates than those [...]

15 March 2018

Teenage pregnancies in Mozambique: the experience of Servicios Amigos dos Adolescentes clinics in Beira

2018-05-25T16:09:38+01:0015 March 2018|

Pizzol D., Di gennaro F., Boscardin C., PutotoG., Cuppini E., Pita G., George A., Monno L., Saracino A., Da Dalt L., De Palma A.
African Journal of AIDS Research, 2018 March

Since 2014, Doctors with Africa CUAMM has supported a network of clinics in Beira, Mozambique, aimed specifically at young people aged 10 to 24 – the Servicios Amigos dos Adolescentes (SAAJ) – which offer counseling, diagnostic tests and treatment to help adolescents learn more about sexual and reproductive health. The present study involved an analysis [...]

20 December 2017

Effects of demand-side incentives in improving the utilisation of delivery services in Oyam District in northern Uganda: a quasi-experimental study

2018-09-10T16:55:48+01:0020 December 2017|

Massavon W., Wilunda C., Nannini M., Majwala R.K., Agaro C., De Vivo E., Lochoro P., Putoto G., Criel B.
BMC Pregnancy and Childbirth, 2017 December

The pace of development in northern Uganda’s rural district of Oyam, which is home to approximately 400,000 people, has generally been slow. Doctors with Africa CUAMM’s “Mothers and Children First” program has experimented there with two types of incentives to help pregnant women overcome geographic and financial barriers to their use of maternal health services: [...]

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+01:001 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+01:001 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+01:001 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+01:001 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+01:001 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 [...]