Here are the publications from our team members. Year 2023
Why: Birth asphyxia is a leading cause of neonatal mortality in sub-Saharan Africa. The relationship to grand multiparity (GM), a controversial pregnancy risk factor, remains largely unexplored, especially in the context of large multinational studies.
Aim: Investigate birth asphyxia and its association with grand multiparity and referral in Benin, Malawi, Tanzania and Uganda. (Link to full publication)
Why : Evidence-based quality care is essential for reducing sub-Saharan Africa’s high burden of maternal and newborn mortality and morbidity. Provision of quality care results from interaction between several components of the health system including competent midwifery care providers and the working environment.
Aim : Assess midwifery care providers’ ability to provide quality intrapartum and newborn care and selected aspects of the working environmen. (Link to full publication)
Why: The COVID-19 pandemic challenge health systems globally. Besides responding to and managing the disease itself, health systems have struggled to maintain the provision of essential services during this period includig maternal and newborn healthcare.
Aim: Describe how maternity care was provided during the COVID-19 pandemic and assesses patterns of service utilization and perinatal health outcomes in 16 referral hospitals (four each) in Benin, Malawi, Tanzania and Uganda. (Link to full publication)
Why : Health information management system data is collected for national planning and evaluation but is rarely used for healthcare improvements at subnational or facility-level in low-and-middle-income countries. Research suggests that perceived data quality and lack of feedback are contributing factors.
Aim : Understand maternity care providers’ perceptions of data and how they use it, with a view to co-design interventions to improve data quality and use. (Link to full publication)
Why : Mothers’ participation in the care of their sick newborns in Newborn Care Units (NCUs) has been linked to several advantages including earlier discharge, fewer complications, better mother-baby bonding, and an easier transition to home after discharge.
Aim: Understand mothers’ perceptions and experiences while participating in the care of their sick newborns in the NCUs to inform interventions promoting mothers’ participation in public health facilities in Uganda. (Link to full publication)
Year 2022
Why : Pre-service training curricula for midwifery care providers act as a foundation on which students can develop the required competencies to provide quality evidence-based care. Evidence suggests that while countries report relatively high levels of birth attendance by skilled health personnel maternal and neonatal mortality have not decreased proportionately.
Aim : Map midwifery pre-service training curricula to identify main gaps in courses, registration, and licensing requirements. (Link to full publication)
Why : Health facility assessments (HFAs) assessing facilities’ readiness to provide services are well-established. However, HFA questionnaires are typically quantitative and lack depth to understand systems in which health facilities operate—crucial to designing context-oriented interventions
Aim : Report lessons from implementing a maternity care-focused, mixed methods and flexible HFA conducted in 16 hospitals in four sub-Saharan African countries to inform a quality improvement project. (Link to full publication)
Why : Despite a strong evidence base for developing interventions to reduce child mortality and morbidity related to pregnancy and delivery, major knowledge–implementation gaps remain.
Aim : The realist process evaluation of ALERT aims at identifying and testing the causal pathway through which the intervention achieves its impact. (Link to full publication)
Why : The alarmingly high maternal and neonatal death rates in Benin need to be addressed
Aim : Assess the implementation of the Maternal and Perinatal Death Surveillance and Response (MPDSR) strategy institutionalized in Benin in 2013. (Link to full publication)
Why : Levels of maternal and neonatal mortality remain high in sub-Saharan Africa, with an estimated 66% of global maternal deaths occurring in this region. Many deaths are linked to poor quality of care, which in turn has been linked to gaps in pre-service training programmes for midwifery care providers. In-service training packages have been developed and implemented across sub-Saharan Africa in an attempt to overcome the shortfalls in pre-service training.
Aim : Summarize in-service training materials used in sub-Saharan Africa for midwifery care providers between 2000 and 2020 and mapped their content to the International Confederation of Midwives (ICM) Essential Competencies for Midwifery Practice.(Link to full publication)
Year 2021
Why : More women in low- and middle-income countries give birth in health care facilities, reductions in maternal and neonatal mortality have been less than expected. This paradox may be explained by the standard and quality of intrapartum care provision which depends on several factors such as health workforce capacity and the readiness of the health system as well as access to care.
Aim : Assess competencies (knowledge, skills and attitudes) of midwifery care providers as well as their experiences and perceptions of in-service training (Link to full publication)
Why : Overcoming the knowledge-do-gap to ensure implementation of known evidence-based interventions during this period has the potential to avert at least 2.5 million deaths in mothers and their offspring annually.
Aim : Describes a study protocol for implementing and evaluating a multi-faceted health care system intervention to strengthen the implementation of evidence-based interventions and responsive care during this crucial period (Link to full publication)
Why : Training programmes that aim to prepare providers of midwifery care vary considerably across sub-Saharan Africa in terms of length, content and quality. To overcome the shortfalls of pre-service training and support the provision of quality care, in-service training packages for providers of midwifery care have been developed and implemented in many countries in sub-Saharan Africa.
Aim : Identify what in-service education and training materials have been used for providers of midwifery care between 2000 and 2020 and map their content to the International Confederation of Midwives’ Essential Competencies for Midwifery Practice (ICM Competencies), and the Lancet Midwifery Series Quality Maternal and Newborn Care (QMNC) framework. (Link to full publication)
