scholarly journals Integrating community outreach into a quality improvement project to promote maternal and child health in Ghana

2014 ◽  
Vol 9 (10) ◽  
pp. 1184-1197 ◽  
Author(s):  
Leslie E. Cofie ◽  
Clare Barrington ◽  
Akalpa Akaligaung ◽  
Amy Reid ◽  
Bruce Fried ◽  
...  
Author(s):  
Arti Khistriya ◽  
Ahmed Aldouri ◽  
Catherine Hagan ◽  
Sarah Hughes ◽  
Tammy Ives ◽  
...  

AbstractChildren presenting with a suspected seizure are recommended to be seen by a specialist for the diagnosis and management of the epilepsies within 2 weeks of presentation.1 2 As part of the Royal College of Pediatrics and Child Health Quality Improvement Project, our project aim was to establish a first afebrile fit telephone clinic in line with The National Institute for Health and Care Excellence guidance. Our results showed safety information was poorly provided and retained at the initial consultation and a follow-up telephone call reinforced safety information and provided a point of contact for patients and families to use. The telephone follow-up also resulted in eight direct referrals into an epilepsy clinic. It is hoped the results from this project will act as a stepping stone to setting up a consultant-led first fit clinic.


2020 ◽  
Vol 10 (1) ◽  
pp. 65-68
Author(s):  
Kiydra Harris ◽  
Deepa Dongarwar ◽  
Tasha Roshan ◽  
Collins Onyenaka ◽  
Collins Enwerem ◽  
...  

Currently, there is an insufficient representation of racial/ethnic minority groups in the maternal and child health (MCH) workforce. A student-run outreach organization, the Global Alliance for Maternal and Child Health (GLAM), seeks to address this disparity by increasing the representation of racial/ethnic minority groups in MCH workforce. Founded by students at Texas Southern University in Houston, Texas, United States, GLAM, seeks to establish productive alliances and create programs that would help improve the well-being of mothers, infants, and children locally, nationally, and internationally by engaging an active cadre of students passionate about MCH. Through community outreach and global engagement using evidence-based strategies, GLAM is committed to the elimination of health disparities plaguing the MCH population. Key words: • Maternal and Child Health • Pipeline program • Students-driven • Community outreach • Global engagement   Copyright © 2021 Harris et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.


Afrika Focus ◽  
2015 ◽  
Vol 28 (2) ◽  
Author(s):  
Danielle Yugbare Belemsaga ◽  
Seni Kouanda ◽  
Anne Goujon ◽  
Joel A. Kiendrebeogo ◽  
Els Duysburgh ◽  
...  

Reducing maternal mortality continues to be a major challenge for African countries. We conducted a literature review to identify the factors associated with the utilization of maternal and child healthcare services during the postpartum period and the strategies for strengthening postpartum healthcare in Africa. We carried out an electronic search in several databases of texts published between 1995 and 2012 related to maternal and child health. Seventyfive publications fitted the eligibility criteria. Our analysis shows that to a large extent the socio-economic context was dominant among the factors associated with the quality and utilization of postpartum services. The best interventions were those on immediate postpartum maternal care combining several intervention packages such as community mobilization and provision of services, community outreach services and health training. The integration within health facilities of mother and child clinics was shown to contribute signifiHealthcantly to improving the frequency of mothers’ postpartum visits. Key words: postpartum care, postnatal care, maternal and child health, health interventions, health strategies, sub-Saharan Africa 


2020 ◽  
Author(s):  
Arif Mohammed ◽  
Duah Dwomoh ◽  
Justice Nonvignon

Abstract Background Improving maternal and child health outcomes (MCH) continues to be a major public health concern to governments in sub-Saharan Africa and the international development community. The Maternal and Child Health and Nutrition Improvement Project (MCHNP) was a nationwide project that sought to improve the utilization of maternal and child health services in Ghana through financial incentive packages. The objective of this study was to determine the differential impact of MCHNP on maternal and child health outcomes. Methods A retrospective longitudinal pre-test post-test study design was employed. The study used monthly data from the District Health Information Management System between January 2014 to December 2018. Interrupted time series analysis was applied to estimate the impact of MCHNP on MCH for each region of the country. Results Neonatal mortality rate increased significantly in the Western,Upper East and Upper West regions with impact estimates of 0.144 (95% CI: 0.100, 0.188; p-value < 0.001), 0.124 (95% CI: 0.076, 0.172; p-value < 0.001) and 0.082 (95% CI: 0.048, 0.117; p-value < 0.001) respectively. The proportion of women who had four ANC visits decreased significantly in the Volta region with an impact of -0.011 (95% CI: -0.020, -0.002; p-value < 0.01), but increased in the Central, Western, Eastern, Upper East, and Upper West with estimated impacts of 0.004 (95% CI: -0.003, 0.011), 0.003 (95% CI: -0.003, 0.008), 0.002 (95% CI: -0.004, 0.008), 0.011 (95% CI: -0.004, 0.026) and 0.007 (95% CI: -0.012, 0.026) respectively though none of the increase was statistically significant. Skilled deliveries reduced in the Greater Accra, Volta, Ashanti and Brong-Ahafo regions with statistically insignificant estimated impacts of 0.006 (95% CI: -0.019, 0.007), 0.005 (95% CI: -0.015, 0.006), 0.005 (95% CI: -0.011, 0.002) and 0.004 (95% CI: -0.010, 0.002) respectively. Maternal mortality rate declined in Greater Accra by; 0.001 (95% CI: -0.018, 0.017), Volta; -0.010 (95% CI: -0.035, 0.016), Western; -0.009 (95% CI: -0.031, 0.013), Brong-Ahafo; -0.018 (95% CI: -0.052, 0.017), Eastern; -0.025 (95% CI: -0.064, 0.013) and Northern − 0.024 (95% CI: -0.060, 0.011) regions. Conclusion The nationwide implementation of MCHNP produced mixed results as some regions recorded positive (significant) impacts whereas others had no significant impacts on the outcome variables as expected following the implementation of the intervention, therefore the need for further studies to understand why the intervention failed to produce positive impacts in some regions.


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