Health Systems and Workforce | Targets and Metrics | Strengthening Quality of Care | Global Guidelines and Local Adaptations | Focus: Youth | Focus: Small and Sick Newborns Room: Daisy Oral Abstracts
May 10, 2023 09:10 - 10:25(Africa/Johannesburg)
20230510T0910 20230510T1025 Africa/Johannesburg New Evidence from Scoping and Systematic Reviews in Maternal and Newborn Health

Targeting Postnatal Care to Mothers and Babies Most at Risk: Factors that Increase the Risk of Poor Outcomes in the Postnatal Period Identified through a Scoping Review

Maternal and newborn deaths in the early postnatal period can be averted with the provision of timely, quality, postnatal care including postnatal home visits from community health workers (CHWs). Yet in many low- and middle-income countries (LMICs), coverage of early, postnatal home visits (within the first 72 hours of life) has been hampered by underresourced and overburdened CHW cadres. A targeted postnatal care (PNC) approach that prioritizes home visits to mother-baby dyads with identified risk factors could optimize limited resources. This study sought to determine the key risk factors that predict poor outcomes for mothers and newborns in LMICs during the postnatal period.

Effect of Community-Based Interventions on Preventing Stillbirths in Sub-Saharan Africa (SSA): A Mixed-Method Systematic Review and Meta-analysis 

Globally, there were two million stillbirths in 2019; 98% occurred in low-middle-income countries. The burden was highest in sub-Saharan Africa (SSA) despite efforts to reduce the incidence. We conducted a mixed-methods systematic review and meta-analysis to investigate the types, effectiveness, and acceptability of community-based interventions for preventing stillbirths in SSA.

Vulnerable Newborn Types: Analysis of Subnational, Population-Based Birth Cohorts for 541,285 Live Births in 23 Countries, 2000 to 2021 

Preterm and small newborns are at higher risk for mortality and long-term adverse health outcomes. Yet there are major gaps in global and national systems to measure and track the prevalence of newborn outcomes, especially in ...

Room: Daisy International Maternal Newborn Health Conference 2023 information@imnhc.org
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Targeting Postnatal Care to Mothers and Babies Most at Risk: Factors that Increase the Risk of Poor Outcomes in the Postnatal Period Identified through a Scoping Review

Maternal and newborn deaths in the early postnatal period can be averted with the provision of timely, quality, postnatal care including postnatal home visits from community health workers (CHWs). Yet in many low- and middle-income countries (LMICs), coverage of early, postnatal home visits (within the first 72 hours of life) has been hampered by underresourced and overburdened CHW cadres. A targeted postnatal care (PNC) approach that prioritizes home visits to mother-baby dyads with identified risk factors could optimize limited resources. This study sought to determine the key risk factors that predict poor outcomes for mothers and newborns in LMICs during the postnatal period.


Effect of Community-Based Interventions on Preventing Stillbirths in Sub-Saharan Africa (SSA): A Mixed-Method Systematic Review and Meta-analysis 

Globally, there were two million stillbirths in 2019; 98% occurred in low-middle-income countries. The burden was highest in sub-Saharan Africa (SSA) despite efforts to reduce the incidence. We conducted a mixed-methods systematic review and meta-analysis to investigate the types, effectiveness, and acceptability of community-based interventions for preventing stillbirths in SSA.


Vulnerable Newborn Types: Analysis of Subnational, Population-Based Birth Cohorts for 541,285 Live Births in 23 Countries, 2000 to 2021 

Preterm and small newborns are at higher risk for mortality and long-term adverse health outcomes. Yet there are major gaps in global and national systems to measure and track the prevalence of newborn outcomes, especially in countries without strong national data systems. Currently, estimates for prevalence of low birthweight and preterm are produced separately, and these ignore important contributions of small for gestational age (SGA) and large for gestational age (LGA). Absence of a unified classification system to estimate prevalence of detailed newborn outcomes presents challenges for effectively targeting policies and programs. We described the prevalence of newborn types among live births and assessed data quality using subnational, population-based birth cohorts.


Which Low- and Middle-Income Countries Have Midwife-Led Birthing Centres and What Are the Main Characteristics of These Centres? A Scoping Review and Scoping Survey 

Evidence about the benefits of midwife-led care during childbirth has led to midwife-led settings being recommended for women with uncomplicated pregnancies. However, most of the research on this topic comes from high-income countries. Relatively little is known about the availability and feasibility of midwife-led birthing centres (MLBCs) in low- and middle-income countries (LMICs). This study aimed to identify which LMICs have MLBCs, and to document their main characteristics. It is the first part of a project that will document "what works" and "why" for MLBCs in LMICs.

Targeting Postnatal Care to Mothers and Babies Most at Risk: Factors that Increase the Risk of Poor Outcomes in the Postnatal Period Identified through a Scoping Review
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Youth
Strengthening Quality of Care
Health Systems and Workforce
Presenters
JD
Joseph De Graft-Johnson
Managing Director, Reproductive, Maternal, Newborn And Adolescent Health Team, Save The Children
Co-authors
PI
Preston Izulla
Public Health And M&E Expert, Adroitz Consultants
MK
Michael Kiragu
Public Health Expert, Adroitz Consultants
Angela Muriuki
Director, Women's Health, Find Diagnostics
SYEDA NABIN ARA NITU
Project Manager-Songzog, Save The Children Bangladesh
MY
Melanie Yahner
Senior Advisor For Adolescent Sexual And Reproductive Health, Project Director, Save The Children US
Effect of Community-Based Interventions on Preventing Stillbirths in Sub-Saharan Africa (SSA): A Mixed-Method Systematic Review and Meta-analysis
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Health Systems and Workforce
Strengthening Quality of Care
Presenters Uchenna Chinenye Gwacham-Anisiobi
DPhil Candidate, National Perinatal Epidemiology Unit, Nuffield Department Of Population Health, University Of Oxford, United Kingdom
Co-authors
YB
Yebeen Ysabelle Boo
DPhil Student, University Of Oxford
AO
Adetola Oladimeji
Senior Associate, Solina Center For International Development And Research, Nigeria
CO
Charles Opondo
Associate Professor, The London School Of Hygiene & Tropical Medicine (LSHTM)
NR
Nia Roberts
Senior Outreach Librarian, Bodleian Health Care Libraries, University Of Oxford, United Kingdom
JK
Jennifer Kurinczuk
Director National Perinatal Epidemiology Unit/Professor, National Perinatal Epidemiology Unit, Nuffield Department Of Population Health, University Of Oxford, United Kingdom
MN
Manisha Nair
Professor, National Perinatal Epidemiology Unit, Nuffield Department Of Population Health, University Of Oxford, United Kingdom
Vulnerable Newborn Types: Analysis of Subnational, Population-Based Birth Cohorts for 541,285 Live Births in 23 Countries, 2000 to 2021
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Small and Sick Newborns (SSNB)
Targets and Metrics
Global Guidelines and Local Adaptations
Presenters Elizabeth A. Hazel
Assistant Scientist, Johns Hopkins Bloomberg School Of Public Health
Co-authors
DE
Daniel Erchick
Assistant Scientist, Johns Hopkins Bloomberg School Of Public Health
JK
Joanne Katz
Professor, Johns Hopkins Bloomberg School Of Public Health
Anne CC Lee
Associate Professor; Director Global Advancement Of Infants And Mothers, Harvard Medical School
Michael Diaz
Graduate Research Assistant/ PhD Candidate, Johns Hopkins Bloomberg School Of Public Health
LW
Lee Shu-Fune Wu
Senior Research Associate, Johns Hopkins Bloomberg School Of Public Health
Robert Black
Professor, Johns Hopkins Bloomberg School Of Public Health
VM
Vulnerable Newborn Measurement Collaborative Group
Not Applicable, Multiple Organizations
Which Low- and Middle-Income Countries Have Midwife-Led Birthing Centres and What Are the Main Characteristics of These Centres? A Scoping Review and Scoping Survey
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Health Systems and Workforce
Strengthening Quality of Care
Presenters Andrea Nove
Technical Director, Novametrics Ltd
Co-authors Oliva BAZIRETE
Dean, School Of Nursing And Midwifery, University Of Rwanda, School Of Nursing And Midwifery
EC
Emily Callander
Health Economist, NHMRC Career Development Fellow, Monash University
KH
Kirsty Hughes
Researcher, Novametrics Ltd.
VS
Vanessa Scarf
Senior Lecturer, University Of Technology Sydney
Sabera Turkmani
Researcher , Burnet Institute
MF
Mandy Forrester
Midwife Advisor Regulation, International Confederation Of Midwives (ICM)
Bhagyashree Mandke
Head Of Programmes And Partnerships, International Confederation Of Midwives
SP
Sally Pairman
Chief Executive, International Confederation Of Midwives (ICM)
Caroline Homer
Co-Program Director, Maternal, Child And Adolescent Health, Burnet Institute
Technical Director
,
Novametrics Ltd
DPhil Candidate
,
National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, United Kingdom
Managing Director, Reproductive, Maternal, Newborn and Adolescent Health Team
,
Save the Children
Assistant Scientist
,
Johns Hopkins Bloomberg School of Public Health
Prof. Peter Waiswa
Professor
,
Makerere University
Mrs. Maureen Tshabalala
Senior Project Director
,
Institute for Healthcare Improvement
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Effect of Community-Based Interventions on Prev...
IMNHC_1684522414uchenna_gwacham_anisiobi.pptx View Submitted by Uchenna Chinenye Gwacham-Anisiobi 2IMNHC_1684522415uchenna_gwacham_anisiobi_eposter.pptx View Submitted by Uchenna Chinenye Gwacham-Anisiobi 1
Vulnerable Newborn Types: Analysis of Subnation...
IMNHC_1684522473may10_imnhc_subnat_prevalence_uploaded_eh.pptx View Submitted by Daniel Erchick 1
Targeting Postnatal Care to Mothers and Babies ...
IMNHC_1684522315joseph_wed_9h00_-_10h25_daisy.pptx View Submitted by Melanie Yahner 1
Which Low- and Middle-Income Countries Have Mid...
IMNHC_1684522516andrea_nove.pptx View Submitted by Andrea Nove 1
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