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Mass media exposure and its impact on malaria prevention behaviour among adult women in sub-Saharan Africa: results from malaria indicator surveys

BackgroundMass media exposure plays a pivotal role in health communication and adoption of a healthy lifestyle. In this study, we aimed to measure the prevalence of malaria prevention behaviour among adult women in eight malaria-endemic countries in sub-Saharan Africa (SSA), and assess the influence of mass media exposure in the adoption of those behaviours.MethodsFor this study...

Disparities in caesarean section prevalence and determinants across sub-Saharan Africa countries

BackgroundAccess to safe Cesarean section (C-section) in resource-constrained settings such as sub-Sahara Africa (SSA) region is a foremost approach to reduce maternal mortality. C-section is an obstetric operative procedure used appropriately to improve delivery outcomes. However, errors in the procedure have enormous potential harm that may outweigh the benefits. This study...

Why some women fail to give birth at health facilities: A comparative study between Ethiopia and Nigeria

Yaya, Ghose Bishwajit. Methodology: Sanni Yaya, Ghose Bishwajit, Olalekan A. Uthman, Agbessi Amouzou. Project administration: Sanni Yaya, Ghose Bishwajit. Resources: Sanni Yaya, Ghose Bishwajit ... Yaya, Ghose Bishwajit, Olalekan A. Uthman. Writing ± review & editing: Olalekan A. Uthman, Agbessi Amouzou. 10 / 11 1. Alkema L , Chou D , Hogan D , Zhang S , Moller A -B, Gemmill A , et al. Global

Using community-based reporting of vital events to monitor child mortality: Lessons from rural Ghana

Marsh Adrienne Clermont Robert E. Black Jennifer Bryce Agbessi Amouzou Kebede Deribe, University of Sussex, UNITED KINGDOM 0 Department of Population, Family, and Reproductive Health, Johns Hopkins ... , Robert E. Black, Jennifer Bryce, Agbessi Amouzou. Data curation: Benjamin Abuaku, Emily Wilson. 15 / 18 Formal analysis: Stephane Helleringer, Benjamin Abuaku, Andrew Marsh, Agbessi Amouzou. Funding

Access to integrated community case management of childhood illnesses services in rural Ethiopia: a qualitative study of the perspectives and experiences of caregivers

Background: In 2010, Ethiopia began scaling up the integrated community case management (iCCM) of childhood illness strategy throughout the country allowing health extension workers (HEWs) to treat children in rural health posts. After 2 years of iCCM scale up, utilization of HEWs remains low. Little is known about factors related to the use of health services in this setting...

Understanding Misclassification between Neonatal Deaths and Stillbirths: Empirical Evidence from Malawi

Improving the counting of stillbirths and neonatal deaths is important to tracking Sustainable Development Goal 3.2 and improving vital statistics in low- and middle-income countries (LMICs). However, the validity of self-reported stillbirths and neonatal deaths in surveys is often threatened by misclassification errors between the two birth outcomes. We assessed the extent and...

Monitoring Change in Child Mortality through Household Surveys

Background Most low- and middle-income countries lack fully functional civil registration systems. Measures of under-five mortality are typically derived from periodic household surveys collecting detailed information from women on births and child deaths. However, such surveys are expensive and are not appropriate for monitoring short-term changes in child mortality. We explored...

Diarrhea management in children under five in sub-Saharan Africa: does the source of care matter? A Countdown analysis

Background Diarrhea remains a high burden disease, responsible for nine percent of deaths in children under five globally. We analyzed diarrhea management practices in young children and their association with the source of care. Methods We used Demographic and Health Survey data from 12 countries in sub-Saharan Africa with high burdens of childhood diarrhea. We classified the...

Using Health Extension Workers for Monitoring Child Mortality in Real-Time: Validation against Household Survey Data in Rural Ethiopia

Background Ethiopia has scaled up its community-based programs over the past decade by training and deploying health extension workers (HEWs) in rural communities throughout the country. Consequently, child mortality has declined substantially, placing Ethiopia among the few countries that have achieved the United Nations’ fourth Millennium Development Goal. As Ethiopia continues...

Evaluation of a mHealth Data Quality Intervention to Improve Documentation of Pregnancy Outcomes by Health Surveillance Assistants in Malawi: A Cluster Randomized Trial

Background While community health workers are being recognized as an integral work force with growing responsibilities, increased demands can potentially affect motivation and performance. The ubiquity of mobile phones, even in hard-to-reach communities, has facilitated the pursuit of novel approaches to support community health workers beyond traditional modes of supervision...

UNICEF Report: enormous progress in child survival but greater focus on newborns urgently needed

The world has made enormous progress in improving child survival since 1990, reducing the under-five mortality rate by nearly half from 90 to 46 deaths per 1,000 live births in 2013. Currently, the global under-five mortality rate is falling faster than at any other time over the past two decades. Yet, progress is insufficient to meet the Millennium Development Goal 4 (MDG 4...

Where is the gap?: the contribution of disparities within developing countries to global inequalities in under-five mortality

Background Global health equity strategists have previously focused much on differences across countries. At first glance, the global health gap appears to result primarily from disparities between the developing and developed regions. We examine how much of this disparity could be attributed to within-country disparities in developing nations. Methods We used data from...

Strengthening Community-Based Vital Events Reporting for Real-Time Monitoring of Under-Five Mortality: Lessons Learned from the Balaka and Salima Districts in Malawi

Background Malawi ratified a compulsory birth and death registration system in 2009. Until it captures complete coverage of vital events, Malawi relies on other data sources to calculate mortality estimates. We tested a community-based method to estimate annual under-five mortality rates (U5MR) through the Real-Time Monitoring of Under-Five Mortality (RMM) project in Malawi. We...

Can Community Health Workers Report Accurately on Births and Deaths? Results of Field Assessments in Ethiopia, Malawi and Mali

Introduction Most low-income countries lack complete and accurate vital registration systems. As a result, measures of under-five mortality rates rely mostly on household surveys. In collaboration with partners in Ethiopia, Ghana, Malawi, and Mali, we assessed the completeness and accuracy of reporting of births and deaths by community-based health workers, and the accuracy of...

Determinants of Utilization of Health Extension Workers in the Context of Scale-Up of Integrated Community Case Management of Childhood Illnesses in Ethiopia

Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland; ABH Services PLC, Addis Ababa , Ethiopia 2 Authors' addresses: Bryan Shaw , Agbessi Amouzou

Assessing the Quality of Sick Child Care Provided by Community Health Workers

Background As community case management of childhood illness expands in low-income countries, there is a need to assess the quality of care provided by community health workers. This study had the following objectives: 1) examine methods of recruitment of sick children for assessment of quality of care, 2) assess the validity of register review (RR) and direct observation only...

Monitoring Child Mortality through Community Health Worker Reporting of Births and Deaths in Malawi: Validation against a Household Mortality Survey

Background The rate of decline in child mortality is too slow in most African countries to achieve the Millennium Development Goal of reducing under-five mortality by two-thirds between 1990 and 2015. Effective strategies to monitor child mortality are needed where accurate vital registration data are lacking to help governments assess and report on progress in child survival. We...

Integrated Community Case Management of Childhood Illness in Ethiopia: Implementation Strength and Quality of Care

Office , Addis Ababa , Ethiopia; Postgraduate Program in Epidemiology, Federal University of Pelotas , Pelotas , Brazil 2 Authors' addresses: Nathan P. Miller , Agbessi Amouzou, Elizabeth Hazel, Robert E