The World Health Organization published an MCHIP co-authored article on “Facility-based active management of the third stage of labour: assessment of quality in six countries in sub-Saharan Africa.” The study – which examined recorded use of uterotonic medicines, controlled cord traction, and uterine massage – covered 390 facilities in Ethiopia, Kenya, Madagascar, Mozambique, Rwanda and Tanzania between 2009 – 2012. …
The Effect of Integrating Family Planning with a Maternal and Newborn Health Program on Postpartum Contraceptive Use and Optimal Birth Spacing in Rural Bangladesh
The journal Studies in Family Planning published an article highlighting work funded under MCHIP. “The Effect of Integrating Family Planning with a Maternal and Newborn Health Program on Postpartum Contraceptive Use and Optimal Birth Spacing in Rural Bangladesh” examines how integrating family planning with a community-based maternal and newborn health program might improve postpartum contraceptive use and reduce short birth …
Identification of a Short Quality of Care Index to Measure the Quality of Facility Routine Labor and Delivery Care in Sub-Saharan Africa
There is a need for valid, reliable, and efficient tools that comprehensively measure the quality of labor and delivery (L&D) care processes. MCHIP’s quality of care (QoC) Assessments provided a unique opportunity to apply the results of observations of L&D care in developing innovative measures of care process quality that capture important information while requiring fewer resources to implement.
Development and Validation of an Index to Measure the Quality of Facility-Based Labor and Delivery Care Processes in Sub-Saharan Africa
Improving quality of care is essential to achieve the new global targets for ending preventable maternal and newborn deaths. The global community has recognized the need for better measures of the quality of maternal and newborn health services. In particular, little information is available about the content of care provided to women and newborns. Many measures focus on service availability …
Postnatal Care for Mothers and Newborns
This briefer shares highilghts from the World Health Organization’s 2013 global guidelines on postnatal care for mothers and newborns. Specific focus is given to the timing and content of such care, particularly in resource-limited settings in low- and middle-income countries.
Uterotonic use immediately following birth: using a novel methodology to estimate population coverage in four countries
While incidence of postpartum hemorrhage (PPH) can be dramatically reduced by uterotonic use immediately following birth (UUIFB) in both community and facility settings, national coverage estimates are rare. To fill this information gap, a methodology for estimating national coverage for UUIFB was developed and piloted in four settings: Mozambique, Tanzania, the state of Jharkhand in India, and Yemen. This MCHIP …
Guidelines for Estimating National Coverage of Interventions for Maternal and Newborn Health
MCHIP developed a rapid estimation methodology that attempts to address the lack of national coverage data for key maternal and newborn health (MNH) interventions. The methodology has been tailored to measure the following interventions: Use of uterotonic (oxytocin or misoprostol) for PPH; Use of magnesium sulfate for SPE/E; Application of chlorhexidine for umbilical cord care; and Administration of antenatal corticosteroids …
Lessons Learned from the Scale-Up Experience of Six High-Impact Interventions in Reproductive, Maternal, Newborn, and Child Health
One of MCHIP’s cross-cutting themes was to support governments to bring high-impact health interventions to scale. This review draws on 18 case studies involving MCHIP support to scale up six health interventions. The research team conducted desk reviews for each case study based on project documents and published and gray literature, supplemented by in-country teams’ self-assessments of progress in institutionalizing …
Lesotho Nursing and Midwifery Primary Health Care Clinical Placement Final Report
MCHIP initiated a nursing pre-service education (PSE) program in Lesotho in May 2010 to improve the quality of nurse- and midwife-delivered care. The program included support to the development of primary health care (PHC) clinical placements for trained nursing assistants and general nursing and midwifery students. To expand on its anecdotal program evaluation, MCHIP conducted operational research on PHC clinical …
Advance Distribution of Misoprostol for Prevention of Postpartum Hemorrhage in South Sudan
This MCHIP co-authored article in the International Journal of Gynecology & Obstetrics describes the results of a study to evaluate whether a facility- and community-focused postpartum hemorrhage (PPH) prevention program in one county in South Sudan achieved high uterotonic coverage of all births. Under this program, PPH prevention and management were strengthened at health facilities, and advance distribution of misoprostol …