The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Anthony Costello - One of the best experts on this subject based on the ideXlab platform.
-
women s health groups to improve Perinatal Care in rural nepal
BMC Pregnancy and Childbirth, 2005Co-Authors: Joanna Morrison, Suresh Tamang, Natasha Mesko, David Osrin, Bhim P Shrestha, Madan K Manandhar, Dharma S Manandhar, Hilary Standing, Anthony CostelloAbstract:Neonatal mortality rates are high in rural Nepal where more than 90% of deliveries are in the home. Evidence suggests that death rates can be reduced by interventions at community level. We describe an intervention which aimed to harness the power of community planning and decision making to improve maternal and newborn Care in rural Nepal. The development of 111 women's groups in a population of 86 704 in Makwanpur district, Nepal is described. The groups, facilitated by local women, were the intervention component of a randomized controlled trial to reduce Perinatal and neonatal mortality rates. Through participant observation and analysis of reports, we describe the implementation of this intervention: the community entry process, the facilitation of monthly meetings through a participatory action cycle of problem identification, community planning, and implementation and evaluation of strategies to tackle the identified problems. In response to the needs of the group, participatory health education was added to the intervention and the women's groups developed varied strategies to tackle problems of maternal and newborn Care: establishing mother and child health funds, producing clean home delivery kits and operating stretcher schemes. Close linkages with community leaders and community health workers improved strategy implementation. There were also indications of positive effects on group members and health services, and most groups remained active after 30 months. A large scale and potentially sustainable participatory intervention with women's groups, which focused on pregnancy, childbirth and the newborn period, resulted in innovative strategies identified by local communities to tackle Perinatal Care problems.
-
women s health groups to improve Perinatal Care in rural nepal
BMC Pregnancy and Childbirth, 2005Co-Authors: Joanna Morrison, Suresh Tamang, Natasha Mesko, David Osrin, Bhim P Shrestha, Madan K Manandhar, Dharma S Manandhar, Hilary Standing, Anthony CostelloAbstract:Background Neonatal mortality rates are high in rural Nepal where more than 90% of deliveries are in the home. Evidence suggests that death rates can be reduced by interventions at community level. We describe an intervention which aimed to harness the power of community planning and decision making to improve maternal and newborn Care in rural Nepal.
David Osrin - One of the best experts on this subject based on the ideXlab platform.
-
community mobilization in mumbai slums to improve Perinatal Care and outcomes a cluster randomized controlled trial
PLOS Medicine, 2012Co-Authors: Neena Shah More, Ujwala Bapat, Sushmita Das, Glyn Alcock, Sarita Patil, Maya Porel, Leena Vaidya, Armida Fernandez, Wasundhara Joshi, David OsrinAbstract:Introduction Improving maternal and newborn health in low-income settings requires both health service and community action. Previous community initiatives have been predominantly rural, but India is urbanizing. While working to improve health service quality, we tested an intervention in which urban slum-dweller women's groups worked to improve local Perinatal health. Methods and Findings A cluster randomized controlled trial in 24 intervention and 24 control settlements covered a population of 283,000. In each intervention cluster, a facilitator supported women's groups through an action learning cycle in which they discussed Perinatal experiences, improved their knowledge, and took local action. We monitored births, stillbirths, and neonatal deaths, and interviewed mothers at 6 weeks postpartum. The primary outcomes described Perinatal Care, maternal morbidity, and extended Perinatal mortality. The analysis included 18,197 births over 3 years from 2006 to 2009. We found no differences between trial arms in uptake of antenatal Care, reported work, rest, and diet in later pregnancy, institutional delivery, early and exclusive breastfeeding, or Care-seeking. The stillbirth rate was non-significantly lower in the intervention arm (odds ratio 0.86, 95% CI 0.60–1.22), and the neonatal mortality rate higher (1.48, 1.06–2.08). The extended Perinatal mortality rate did not differ between arms (1.19, 0.90–1.57). We have no evidence that these differences could be explained by the intervention. Conclusions Facilitating urban community groups was feasible, and there was evidence of behaviour change, but we did not see population-level effects on health Care or mortality. In cities with multiple sources of health Care, but inequitable access to services, community mobilization should be integrated with attempts to deliver services for the poorest and most vulnerable, and with initiatives to improve quality of Care in both public and private sectors. Trial registration Current Controlled Trials ISRCTN96256793 Please see later in the article for the Editors' Summary
-
community mobilization in mumbai slums to improve Perinatal Care and outcomes a cluster randomized controlled trial
PLOS Medicine, 2012Co-Authors: Neena Shah More, Ujwala Bapat, Sushmita Das, Glyn Alcock, Sarita Patil, Maya Porel, Leena Vaidya, Armida Fernandez, Wasundhara Joshi, David OsrinAbstract:Improving maternal and newborn health in low-income settings requires both health service and community action. Previous community initiatives have been predominantly rural, but India is urbanizing. While working to improve health service quality, an intervention in which urban slum-dweller women’s groups worked to improve local Perinatal health was tested. [Plos Medicine]. URL:[http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001257].
-
women s health groups to improve Perinatal Care in rural nepal
BMC Pregnancy and Childbirth, 2005Co-Authors: Joanna Morrison, Suresh Tamang, Natasha Mesko, David Osrin, Bhim P Shrestha, Madan K Manandhar, Dharma S Manandhar, Hilary Standing, Anthony CostelloAbstract:Neonatal mortality rates are high in rural Nepal where more than 90% of deliveries are in the home. Evidence suggests that death rates can be reduced by interventions at community level. We describe an intervention which aimed to harness the power of community planning and decision making to improve maternal and newborn Care in rural Nepal. The development of 111 women's groups in a population of 86 704 in Makwanpur district, Nepal is described. The groups, facilitated by local women, were the intervention component of a randomized controlled trial to reduce Perinatal and neonatal mortality rates. Through participant observation and analysis of reports, we describe the implementation of this intervention: the community entry process, the facilitation of monthly meetings through a participatory action cycle of problem identification, community planning, and implementation and evaluation of strategies to tackle the identified problems. In response to the needs of the group, participatory health education was added to the intervention and the women's groups developed varied strategies to tackle problems of maternal and newborn Care: establishing mother and child health funds, producing clean home delivery kits and operating stretcher schemes. Close linkages with community leaders and community health workers improved strategy implementation. There were also indications of positive effects on group members and health services, and most groups remained active after 30 months. A large scale and potentially sustainable participatory intervention with women's groups, which focused on pregnancy, childbirth and the newborn period, resulted in innovative strategies identified by local communities to tackle Perinatal Care problems.
-
women s health groups to improve Perinatal Care in rural nepal
BMC Pregnancy and Childbirth, 2005Co-Authors: Joanna Morrison, Suresh Tamang, Natasha Mesko, David Osrin, Bhim P Shrestha, Madan K Manandhar, Dharma S Manandhar, Hilary Standing, Anthony CostelloAbstract:Background Neonatal mortality rates are high in rural Nepal where more than 90% of deliveries are in the home. Evidence suggests that death rates can be reduced by interventions at community level. We describe an intervention which aimed to harness the power of community planning and decision making to improve maternal and newborn Care in rural Nepal.
Joanna Morrison - One of the best experts on this subject based on the ideXlab platform.
-
women s health groups to improve Perinatal Care in rural nepal
BMC Pregnancy and Childbirth, 2005Co-Authors: Joanna Morrison, Suresh Tamang, Natasha Mesko, David Osrin, Bhim P Shrestha, Madan K Manandhar, Dharma S Manandhar, Hilary Standing, Anthony CostelloAbstract:Neonatal mortality rates are high in rural Nepal where more than 90% of deliveries are in the home. Evidence suggests that death rates can be reduced by interventions at community level. We describe an intervention which aimed to harness the power of community planning and decision making to improve maternal and newborn Care in rural Nepal. The development of 111 women's groups in a population of 86 704 in Makwanpur district, Nepal is described. The groups, facilitated by local women, were the intervention component of a randomized controlled trial to reduce Perinatal and neonatal mortality rates. Through participant observation and analysis of reports, we describe the implementation of this intervention: the community entry process, the facilitation of monthly meetings through a participatory action cycle of problem identification, community planning, and implementation and evaluation of strategies to tackle the identified problems. In response to the needs of the group, participatory health education was added to the intervention and the women's groups developed varied strategies to tackle problems of maternal and newborn Care: establishing mother and child health funds, producing clean home delivery kits and operating stretcher schemes. Close linkages with community leaders and community health workers improved strategy implementation. There were also indications of positive effects on group members and health services, and most groups remained active after 30 months. A large scale and potentially sustainable participatory intervention with women's groups, which focused on pregnancy, childbirth and the newborn period, resulted in innovative strategies identified by local communities to tackle Perinatal Care problems.
-
women s health groups to improve Perinatal Care in rural nepal
BMC Pregnancy and Childbirth, 2005Co-Authors: Joanna Morrison, Suresh Tamang, Natasha Mesko, David Osrin, Bhim P Shrestha, Madan K Manandhar, Dharma S Manandhar, Hilary Standing, Anthony CostelloAbstract:Background Neonatal mortality rates are high in rural Nepal where more than 90% of deliveries are in the home. Evidence suggests that death rates can be reduced by interventions at community level. We describe an intervention which aimed to harness the power of community planning and decision making to improve maternal and newborn Care in rural Nepal.
Mary Jane Rotheramborus - One of the best experts on this subject based on the ideXlab platform.
-
multiple risk factors during pregnancy in south africa the need for a horizontal approach to Perinatal Care
Prevention Science, 2014Co-Authors: Mark Tomlinson, Mary J Oconnor, Ingrid Le M Roux, Jacqueline Stewart, Nokwanele Mbewu, Jessica M Harwood, Mary Jane RotheramborusAbstract:South African children’s long-term health and well-being is jeopardized during their mothers’ pregnancies by the intersecting epidemics of HIV, alcohol use, low birth weight (LBW; <2,500 g) related to poor nutrition, and depressed mood. This research examines these overlapping risk factors among 1,145 pregnant Xhosa women living in 24 township neighborhoods in Cape Town, South Africa. Results revealed that 66 % of pregnant women experienced at least one risk factor. In descending order of prevalence, 37 % reported depressed mood, 29 % were HIV+, 25 % used alcohol prior to knowing that they were pregnant, and 15 % had a previous childbirth with a LBW infant. Approximately 27 % of women had more than one risk factor: depressed mood was significantly associated with alcohol use and LBW, with a trend to significance with HIV+. In addition, alcohol use was significantly related to HIV+. These results suggest the importance of intervening across multiple risks to maternal and child health, and particularly with depression and alcohol use, to positively impact multiple maternal and infant outcomes.
Bhim P Shrestha - One of the best experts on this subject based on the ideXlab platform.
-
women s health groups to improve Perinatal Care in rural nepal
BMC Pregnancy and Childbirth, 2005Co-Authors: Joanna Morrison, Suresh Tamang, Natasha Mesko, David Osrin, Bhim P Shrestha, Madan K Manandhar, Dharma S Manandhar, Hilary Standing, Anthony CostelloAbstract:Neonatal mortality rates are high in rural Nepal where more than 90% of deliveries are in the home. Evidence suggests that death rates can be reduced by interventions at community level. We describe an intervention which aimed to harness the power of community planning and decision making to improve maternal and newborn Care in rural Nepal. The development of 111 women's groups in a population of 86 704 in Makwanpur district, Nepal is described. The groups, facilitated by local women, were the intervention component of a randomized controlled trial to reduce Perinatal and neonatal mortality rates. Through participant observation and analysis of reports, we describe the implementation of this intervention: the community entry process, the facilitation of monthly meetings through a participatory action cycle of problem identification, community planning, and implementation and evaluation of strategies to tackle the identified problems. In response to the needs of the group, participatory health education was added to the intervention and the women's groups developed varied strategies to tackle problems of maternal and newborn Care: establishing mother and child health funds, producing clean home delivery kits and operating stretcher schemes. Close linkages with community leaders and community health workers improved strategy implementation. There were also indications of positive effects on group members and health services, and most groups remained active after 30 months. A large scale and potentially sustainable participatory intervention with women's groups, which focused on pregnancy, childbirth and the newborn period, resulted in innovative strategies identified by local communities to tackle Perinatal Care problems.
-
women s health groups to improve Perinatal Care in rural nepal
BMC Pregnancy and Childbirth, 2005Co-Authors: Joanna Morrison, Suresh Tamang, Natasha Mesko, David Osrin, Bhim P Shrestha, Madan K Manandhar, Dharma S Manandhar, Hilary Standing, Anthony CostelloAbstract:Background Neonatal mortality rates are high in rural Nepal where more than 90% of deliveries are in the home. Evidence suggests that death rates can be reduced by interventions at community level. We describe an intervention which aimed to harness the power of community planning and decision making to improve maternal and newborn Care in rural Nepal.