scholarly journals Birhan Maternal and Child Health cohort: a study protocol

2021 ◽  
Author(s):  
Grace J. Chan ◽  
Bezawit Mesfin Hunegnaw ◽  
Kimiko Van Wickle ◽  
Yahya Mohammed ◽  
Mesfin Hunegnaw ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Child Health ◽  
Birth Outcomes ◽  
Maternal And Child Health ◽  
Morbidity And Mortality ◽  
List Type ◽  
Child Morbidity ◽  
Laboratory Test Results ◽  
And Child Health ◽  
Pregnancy And Birth

ABSTRACTIntroductionReliable estimates on maternal and child morbidity and mortality are essential for health programs and policies. Data are needed in populations which have the highest burden of disease but also have the least evidence and research, to design and evaluate health interventions to prevent illnesses and deaths that occur worldwide each year.Methods and analysisThe Birhan Maternal and Child Health (MCH) cohort is an open prospective pregnancy and birth cohort nested within the Birhan health and demographic surveillance system (HDSS). An estimated 2500 pregnant women are enrolled each year and followed through pregnancy, birth, and the postpartum period. Newborns are followed through two years of life to assess growth and development. Baseline medical data, signs and symptoms, laboratory test results, anthropometrics, and pregnancy and birth outcomes (stillbirth, preterm birth, low birthweight) are collected from both home and health facility visits. We will calculate the period prevalence and incidence of primary morbidity and mortality outcomes.Ethics and DisseminationThe cohort has received ethical approval. Findings will be disseminated at scientific conferences, peer-reviewed journals, and to relevant stakeholders including the ministry of health.Strengths and limitations of this studyThis cohort collects longitudinal data at multiple time points from pregnancy through birth and childhood in a setting where there are limited data.Data from this study provide estimates for birth outcomes such as stillbirths, preterm birth, and low birth weight.Results will inform risk profiles for maternal, neonatal, and child morbidity and mortality.Similar to all observational studies, there are potential confounders that are unmeasurable.Evidence from this study will support policies and programs to improve maternal and child health.

scholarly journals Birhan maternal and child health cohort: a study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e049692
Author(s):  
Grace J Chan ◽  
Bezawit Mesfin Hunegnaw ◽  
Kimiko Van Wickle ◽  
Yahya Mohammed ◽  
Mesfin Hunegnaw ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Signs And Symptoms ◽  
Morbidity And Mortality ◽  
Child Morbidity ◽  
Laboratory Test Results ◽  
Pregnancy And Birth Outcomes ◽  
Ethical Approval ◽  
And Child Health ◽  
Pregnancy And Birth

IntroductionReliable estimates on maternal and child morbidity and mortality are essential for health programmes and policies. Data are needed in populations, which have the highest burden of disease but also have the least evidence and research, to design and evaluate health interventions to prevent illnesses and deaths that occur worldwide each year.Methods and analysisThe Birhan Maternal and Child Health cohort is an open prospective pregnancy and birth cohort nested within the Birhan Health and Demographic Surveillance System. An estimated 2500 pregnant women are enrolled each year and followed through pregnancy, birth and the postpartum period. Newborns are followed through 2 years of life to assess growth and development. Baseline medical data, signs and symptoms, laboratory test results, anthropometrics and pregnancy and birth outcomes (stillbirth, preterm birth, low birth weight) are collected from both home and health facility visits. We will calculate the period prevalence and incidence of primary morbidity and mortality outcomes.Ethics and disseminationThe cohort has received ethical approval. Findings will be disseminated at scientific conferences, peer-reviewed journals and to relevant stakeholders including the Ministry of Health.

scholarly journals RISK FACTORS FOR PREMATURE BIRTH IN INDONESIA

2021 ◽  
Vol 10 (1) ◽  
pp. 61
Author(s):  
Hafiza Ajeng Dianing Sukma ◽  
Sagar Tiwari
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Child Health ◽  
Maternal And Child Health ◽  
Premature Birth ◽  
Maternal Age ◽  
Smoking Habits ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
And Child Health

Indonesia is currently taking on the challenge of the relatively high number of neonatal deaths influencing maternal and child health. Premature birth is the most significant contributor to the number of neonatal deaths. The occurrence of premature birth is motivated by various risk factors. Knowing the magnitude of the relationship between several risks, namely maternal age, location, parity, and maternal smoking habits with preterm birth incidents was the aim of this study. The 2017 Indonesian Demographic and Health Survey (IDHS) was a source of data used. This study employed a cross-sectional approach and then processed the results with univariate and bivariate tests. The results showed a relationship between maternal age and residential area with the premature birth, where mothers under 20 years and over 35 years had a higher probability of giving birth prematurely. The area of residence, which was divided into rural and urban, also had a relationship with premature birth. The parity and smoking habits showed no association with preterm birth. Education, Antenatal Care (ANC), and other various efforts to emphasize maternal and child health care during pregnancy need to be continuously improved to reduce preterm birth rates in Indonesia.

scholarly journals Risk Factors Associated with Preterm Birth in a Brazilian Maternal and Child Health Hospital

2018 ◽  
Vol 5 (6) ◽  
Author(s):  
Medeiros Bianca Karenina Brito de ◽  
Cornetta Maria da Conceição ◽  
Crispim Janaína de Oliveira ◽  
Cobucci Ricardo Ney
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Child Health ◽  
Maternal And Child Health ◽  
Factors Associated ◽  
And Child Health ◽  
Health Hospital

scholarly journals Evaluation Of The Integrated Care Model: Child Morbidity Reduction In Mashonaland East, Zimbabwe

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Maxwell Mhlanga
Keyword(s):  
Maternal Health ◽  
Child Health ◽  
Community Health ◽  
Integrated Care ◽  
Incidence Rate ◽  
Maternal And Child Health ◽  
Care Model ◽  
Child Morbidity ◽  
Care Practices ◽  
And Child Health

Zimbabwe has one of the highest prevalence rates on preventable child morbidity in the world. This is mainly attributable to the absence of an effective community health mobilisation structure that reaches all targeted households with correct and consistent social behaviour change interventions for better child and maternal health. To address this, a cluster randomised controlled trial was conducted to assess the effectiveness of a developed integrated community intervention approach in reducing child morbidity and improving maternal health outcomes. A total of 765 mother-child pairs (413 in the intervention and 352 in the control) from 2 districts in Mashonaland East province were recruited and followed up for 12 months. Only women with children aged 0 - 48 months at the beginning of the study were selected. Participants were selected (and recruited) through stratified random sampling from 30 villages/clusters (16 in the control and 14 in the intervention) out of the total of 43 villages in the 2 districts. The intervention arm received education on maternal and child health through an Integrated Care Model mobilisation system whereas participants in the control arm were mobilized and educated using the conventional mobilisation system. Baseline and end-line surveys were done to assess and compare baseline characteristics and secondary study outcomes. The primary outcome was child morbidity in the follow-up period of 12 months. The mean age of participating mothers was 28 years (SD = 6.8) and that of participating children was 18.2 months (SD = 4.0). The risk of child morbidity was 37.5% in the control and 22.0% in the intervention representing a relative risk of 1.7 [95% C.I (1.4-2.1)]. The incidence rate of child morbidity was 0.043 and 0.022 episodes per child year in the control and intervention arm respectively giving an incidence rate ratio of 2.0(p<0.001). This ratio meant that the chance of being a disease case in the control was double that in the intervention arm. Women in the intervention arm had statistically significant (p<0.001) higher knowledge about maternal and child health and better child care practices at the end of the study. There was strong evidence that the Integrated Care Model did not only reduce child morbidity but also improved maternal knowledge, health-seeking behaviour and care practices. Accordingly, governments in developing countries and countries in poor resource settings could strengthen their community health delivery systems by implementing this low-cost, sustainable and high-impact approach.

scholarly journals Addressing maternal and child health equity through a community health worker home visiting intervention to reduce low birth weight: retrospective quasi-experimental study of the Arizona Health Start Programme

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e045014
Author(s):  
Samantha Sabo ◽  
Patrick Wightman ◽  
Kelly McCue ◽  
Matthew Butler ◽  
Vern Pilling ◽  
...  
Keyword(s):  
Birth Weight ◽  
Child Health ◽  
American Indian ◽  
Birth Outcomes ◽  
Maternal And Child Health ◽  
Home Visiting ◽  
Birth Certificate ◽  
Quasi Experimental ◽  
Programme Participation ◽  
And Child Health

ObjectiveTo test if participation in the Health Start Programme, an Arizona statewide Community Health Worker (CHW) maternal and child health (MCH) home visiting programme, reduced rates of low birth weight (LBW), very LBW (VLBW), extremely LBW (ELBW) and preterm birth (PTB).DesignQuasi-experimental retrospective study using propensity score matching of Health Start Programme enrolment data to state birth certificate records for years 2006–2016.SettingArizona is uniquely racially and ethnically diverse with comparatively higher proportions of Latino and American Indian residents and a smaller proportion of African Americans.Participants7212 Health Start Programme mothers matched to non-participants based on demographic, socioeconomic and geographic characteristics, health conditions and previous birth experiences.InterventionA statewide CHW MCH home visiting programme.Primary and secondary outcome measuresLBW, VLBW, ELBW and PTB.ResultsUsing Health Start Programme’s administrative data and birth certificate data from 2006 to 2016, we identified 7212 Health Start Programme participants and 53 948 matches. Programme participation is associated with decreases in adverse birth outcomes for most subgroups. Health Start participation is associated with statistically significant lower rates of LBW among American Indian women (38%; average treatment-on-the-treated effect (ATT): 2.30; 95% CI −4.07 to –0.53) and mothers with a pre-existing health risk (25%; ATT: -3.06; 95% CI −5.82 to –0.30). Among Latina mothers, Health Start Programme participation is associated with statistically significant lower rates of VLBW (36%; ATT: 0.35; 95% CI −0.69 to –0.01) and ELBW (62%; ATT: 0.31; 95% CI (−0.52 to –0.10)). Finally, Health Start Programme participation is associated with a statistically significant lower rate of PTB for teen mothers (30%; ATT: 2.81; 95% CI −4.71 to –0.91). Other results were not statistically significant.ConclusionA state health department-operated MCH home visiting intervention that employs CHWs as the primary interventionist may contribute to the reduction of LBW, VLBW, ELBW and PTB and could improve birth outcomes statewide, especially among women and children at increased risk for MCH inequity.

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