Showing 11-20 of 35
Document Type: Journal articles
Journal Title:  World Transport Policy and Practice
Publication Date: 2014

Poor physical access to health facilities is a challenge facing many rural communities in Zambia. Concerns about distance, poor terrain, lack of affordable transport options, and seasonal challenges such as flooding or impassable roads contribute enormously to delays in decision-making when maternal emergencies occur, and act as barriers to utilisation... Read more
Document Type: Journal articles
Journal Title:  International Journal of Epidemiology
Publication Date: 2014

The Nahuche Health and Demographic Surveillance System (HDSS) study site, established in 2009 with 137, 823 individuals is located in Zamfara State, north western Nigeria. North-West Nigeria is a region with one of the worst maternal and child health indicators in Nigeria. For example, the 2013 Nigeria Demographic and Health... Read more
Document Type: Journal articles
Journal Title: Health Policy and Planning
Publication Date: 2014

The link between antenatal care (ANC) and facility delivery is a specific example of the effect of early medical contacts on later use of essential services. The role of ANC in improving maternal health remains unclear. High levels of ANC are reported in a number of countries where skilled delivery remains uncommon. ANC... Read more
Document Type: Journal articles
Journal Title: Global Health Action
Publication Date: 2014

This paper describes the steps needed to establish a population health surveillance site in order to share the lessons learned from our experience launching the Nahuche Health and Demographic Surveillance System (HDSS) in a relatively isolated, rural district in Zamfara, northern Nigeria, where strict Muslim observance of gender separation and... Read more
Document Type: Journal articles
Journal Title: Bulletin World Health Organization
Publication Date: 2014

The objective of this article is to determine whether a complex community intervention in rural Zambia improved understanding of maternal health and increased use of maternal health-care services. Methods The intervention took place in six rural districts selected by the Zambian Ministry of Health. It involved community discussions on safe pregnancy... Read more
Document Type: Journal articles
Journal Title: The Lancet
Publication Date: 2014

Tara Mangal and colleagues document the struggle to eliminate polio in northern Nigeria. However, they overlook the importance of routine immunisation to polio eradication efforts.  The investigators identified an association between the risk of contracting polio and oral polio vaccine unavailability. Systemic problems with routine immunisation distribution, supply chain, and staffing result in missed immunisation opportunities and, as findings from their study show,... Read more
Document Type: Journal articles
Journal Title: Journal of Primary Care and Community Health
Publication Date: 2014

The objective of this article is to evaluate the results of an integrated maternal, newborn, and child health (MNCH) program to improve maternal health outcomes in Northern Nigeria. Background: Maternal health outcomes in Nigeria, the most populous African nation, are among the worst in the world, and urgent efforts to improve the... Read more
Document Type: Journal articles
Journal Title: Project Muse
Publication Date: 2013

Maternal mortality in northern Nigeria is among the highest in the world. To understand better the pathways through which the socio-demographic environment affects awareness of obstetric danger signs (i.e., potential problems associated with pregnancy), preparations for delivery, and skilled birth attendance, we conducted a survey of 5,083 women with recent pregnancies in three northern... Read more
Document Type: Journal articles
Journal Title: International Journal of Women’s Health
Publication Date: 2013

This paper describes how infant mortality rates in northern Nigeria were two to three times higher than in the southern states, and, in 2008, the Partnership for Reviving Routine Immunisation in Northern Nigeria/ Maternal Newborn and Child Health programme (PRRINN/MNCH) was established to reduce infant and child mortality in four Northern Nigeria... Read more
Document Type: Journal articles
Journal Title: BMC Public Health
Publication Date: 2013

This paper describes early results of an integrated maternal, newborn, and child health (MNCH) program in Northern Nigeria where child mortality rates are two to three times higher than in the southern states. The intervention model integrated critical health systems changes needed to reinvigorate MNCH health services, together with community-based... Read more