scholarly journals Global research priorities for COVID-19 in maternal, reproductive and child health: results of an international survey

2021 ◽  
Author(s):  
Melanie Etti ◽  
Jackeline Alger ◽  
Sofia P Salas ◽  
Robin Saggers ◽  
Tanusha Ramdin ◽  
...  
Keyword(s):  
Child Health ◽  
Research Priorities ◽  
World Health ◽  
International Survey ◽  
Questionnaire Data ◽  
Research Themes ◽  
Women And Children ◽  
Reproductive And Child Health ◽  
And Child Health ◽  
Global Research

Background The World Health Organization′s ″Coordinated Global Research Roadmap: 2019 Novel Coronavirus″ outlined the need for research that focuses on the impact of COVID-19 on pregnant women and children. More than one year after the first reported case, significant knowledge gaps remain, highlighting the need for a coordinated approach. To address this need, the Maternal, Newborn and Child Health Working Group (MNCH WG) of the COVID-19 Clinical Research Coalition conducted an international survey to identify global research priorities for COVID-19 in maternal, reproductive and child health. Method This project was undertaken using a modified Delphi method. An electronic questionnaire was disseminated to clinicians and researchers in three different languages (English, French and Spanish) via MNCH WG affiliated networks. Respondents were asked to select the five most urgent research priorities among a list of 17 identified by the MNCH WG. Analysis of questionnaire data was undertaken to identify key similarities and differences among respondents according to questionnaire language, location and specialty. Following elimination of the seven lowest ranking priorities, the questionnaire was recirculated to the original pool of respondents. Thematic analysis of final questionnaire data was undertaken by the MNCH WG from which four priority research themes emerged. Results Questionnaire 1 was completed by 225 respondents from 29 countries. Questionnaire 2 was returned by 49 respondents. The four priority research themes were 1) access to healthcare during the COVID-19 pandemic, 2) the direct and 3) indirect effects of COVID-19 on pregnant and breastfeeding women and children and 4) the transmission of COVID-19 and protection from infection. Conclusion The results of these questionnaires indicated a high level of concordance among continents and specialties regarding priority research themes. This prioritized list of research uncertainties, developed to specifically highlight the most urgent clinical needs as perceived by healthcare professionals and researchers, could help funding organizations and researchers to answer the most pressing questions for clinicians and public health professionals during the pandemic. It is hoped that these identified priority research themes can help focus the discussion regarding the allocation of limited resources to enhance COVID-19 research in MNCH globally.

scholarly journals Global research priorities for COVID-19 in maternal, reproductive and child health: Results of an international survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257516
Author(s):  
Melanie Etti ◽  
Jackeline Alger ◽  
Sofía P. Salas ◽  
Robin Saggers ◽  
Tanusha Ramdin ◽  
...  
Keyword(s):  
Child Health ◽  
Research Priorities ◽  
World Health ◽  
International Survey ◽  
Questionnaire Data ◽  
Research Themes ◽  
Women And Children ◽  
Reproductive And Child Health ◽  
And Child Health ◽  
Global Research

Background The World Health Organization’s “Coordinated Global Research Roadmap: 2019 Novel Coronavirus” outlined the need for research that focuses on the impact of COVID-19 on pregnant women and children. More than one year after the first reported case significant knowledge gaps remain, highlighting the need for a coordinated approach. To address this need, the Maternal, Newborn and Child Health Working Group (MNCH WG) of the COVID-19 Clinical Research Coalition conducted an international survey to identify global research priorities for COVID-19 in maternal, reproductive and child health. Method This project was undertaken using a modified Delphi method. An electronic questionnaire was disseminated to clinicians and researchers in three different languages (English, French and Spanish) via MNCH WG affiliated networks. Respondents were asked to select the five most urgent research priorities among a list of 17 identified by the MNCH WG. Analysis of questionnaire data was undertaken to identify key similarities and differences among respondents according to questionnaire language, location and specialty. Following elimination of the seven lowest ranking priorities, the questionnaire was recirculated to the original pool of respondents. Thematic analysis of final questionnaire data was undertaken by the MNCH WG from which four priority research themes emerged. Results Questionnaire 1 was completed by 225 respondents from 29 countries. Questionnaire 2 was returned by 49 respondents. The four priority research themes which emerged from the analysis were 1) access to healthcare during the COVID-19 pandemic, 2) the direct and 3) indirect effects of COVID-19 on pregnant and breastfeeding women and children and 4) the transmission of COVID-19 and protection from infection. Conclusion The results of these questionnaires indicated a high level of concordance among continents and specialties regarding priority research themes. This prioritized list of research uncertainties, developed to specifically highlight the most urgent clinical needs as perceived by healthcare professionals and researchers, could help funding organizations and researchers to answer the most pressing questions for clinicians and public health professionals during the pandemic. It is hoped that these identified priority research themes can help focus the discussion regarding the allocation of limited resources to enhance COVID-19 research in MNCH globally.

The India Local Initiatives Program: A Model for Expanding Reproductive and Child Health Services

2005 ◽  
Vol 36 (3) ◽  
pp. 203-220 ◽  
Author(s):  
John M. Paxman ◽  
Abu Sayeed ◽  
Ann Buxbaum ◽  
Sallie Craig Huber ◽  
Charles Stover
Keyword(s):  
Child Health ◽  
Health Services ◽  
Child Health Services ◽  
Local Initiatives ◽  
Reproductive And Child Health ◽  
And Child Health

INTERNATIONAL NEWS AND REPORTS

PEDIATRICS ◽  
1948 ◽  
Vol 2 (4) ◽  
pp. 499-504
Keyword(s):  
Child Health ◽  
Malaria Control ◽  
Venereal Disease ◽  
World Health ◽  
International News ◽  
World Health Assembly ◽  
The World ◽  
Health Organization ◽  
First World ◽  
And Child Health

The First World Health Assembly convened in Geneva, Switzerland, on June 24, 1948, and remained in session until July 24. Fifty-four nations sent delegates. The work of this First Assembly centered around the development of a program of action for the World Health Organization. After discussions of a long list of possible activities, the Assembly adopted a program which established certain priorities for the work of the Organization during the coming year. Malaria control, maternal and child health, tuberculosis and venereal disease control, nutrition and environmental sanitation were placed in the top priority. To carry out these priority programs the WHO authorized the appointment of expert committees and the establishment of appropriate sections of work in the secretariat of the Organization.

Liberalising Health-seeking Behaviour of the Johanne Marange Apostolic Sect in Manicaland, Zimbabwe

2021 ◽  
pp. 097206342110652
Author(s):  
Steven Masvaure
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Conventional Medicine ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Child Health Outcomes ◽  
Women And Children ◽  
Religious Sects ◽  
And Child Health ◽  
Apostolic Church

Religious rights as enshrined in the Zimbabwean constitution are sacrosanct, however, when church doctrine bars followers from seeking modern medical care, they start infringing on health rights especially of the ‘lesser beings’ the women and children who are members of these religious sects. The ‘lesser beings’ are bearing the brunt of high maternal and neonatal mortality as they depend on unsafe traditional birth attendants and unconventional medicine. This study is ethnographic and presents lessons learnt from a programme aiming to improve maternal, newborn and child health outcomes among the Apostolic Church of Johanne Marange members in Manicaland province, Zimbabwe. The findings show that despite the stringent doctrine and barriers placed on apostolic members who want to access conventional medicine, the women and children are using clandestine approaches to circumvent the doctrine and barriers. This article argues that a barrage of unconventional and conventional approaches can lead to changes in health-seeking behaviour of the apostolic church and ultimately maternal and child health outcomes. The article argues that the intransigence of the apostolic can only be overcome by covert approaches to providing health services and save lives.

scholarly journals The coverage of continuum of care in maternal, newborn and child health: a cross-sectional study of woman-child pairs in Ghana

2018 ◽  
Vol 3 (4) ◽  
pp. e000786 ◽  
Author(s):  
Akira Shibanuma ◽  
Francis Yeji ◽  
Sumiyo Okawa ◽  
Emmanuel Mahama ◽  
Kimiyo Kikuchi ◽  
...  
Keyword(s):  
Child Health ◽  
Continuum Of Care ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Newborn And Child Health ◽  
Care Services ◽  
Women And Children ◽  
And Child Health ◽  
The Continuum

IntroductionThe continuum of care has recently received attention in maternal, newborn and child health. It can be an effective policy framework to ensure that every woman and child receives timely and appropriate services throughout the continuum. However, a commonly used measurement does not evaluate if a pair of woman and child complies with the continuum of care. This study assessed the continuum of care based on two measurements: continuous visits to health facilities (measurement 1) and receiving key components of services (measurement 2). It also explored individual-level and area-level factors associated with the continuum of care achievement and then investigated how the continuum of care differed across areas.MethodsIn this cross-sectional study in Ghana in 2013, the continuum of care achievement and other characteristics of 1401 pairs of randomly selected women and children were collected. Multilevel logistic regression was used to estimate the factors associated with the continuum of care and its divergence across 22 areas.ResultsThroughout the pregnancy, delivery and post-delivery stages, 7.9% of women and children achieved the continuum of care through continuous visits to health facilities (measurement 1). Meanwhile, 10.3% achieved the continuum of care by receiving all key components of maternal, newborn and child health services (measurement 2). Only 1.8% of them achieved it under both measurements. Women and children from wealthier households were more likely to achieve the continuum of care under both measurements. Women’s education and complications were associated with higher continuum of care services-based achievement. Variance of a random intercept was larger in the continuum of care services-based model than the visit-based model.ConclusionsMost women and children failed to achieve the continuum of care in maternal, newborn and child health. Those who consistently visited health facilities did not necessarily receive key components of services.

scholarly journals What Impact Have SARS-CoV-2/Covid-19 Pandemic on the Reproductive and Child Health Programme of India over the 3 months after nationwide Lock down announcement in March 2020 -A brief analysis.

2021 ◽  
Author(s):  
PIYUSH KUMAR
Keyword(s):  
Child Health ◽  
Secondary Data ◽  
Child Health Services ◽  
Family Welfare ◽  
Ministry Of Health ◽  
Reproductive And Child Health ◽  
Child Health Programme ◽  
Poor Infrastructure ◽  
And Child Health ◽  
Health Programme

Abstract Background: The delivery of reproductive and child health services is of utmost importance and prime concern in India particularly because of huge population with limited resources, poor infrastructure and huge demand on healthcare system. The SARS-CoV-2 pandemic had presented a challenge even for developed healthcare systems around the world. Objectives: The main aim of this research is to find out Impact of SARS-CoV-2 pandemic on the Reproductive and Child Health Programme in India over the 3 months after Lockdown imposition countrywide in March 2020 due to Covid-19 pandemic. Settings & Design: Different indicators group of RCH programme 2020 (immunisation, maternal & child health, family planning) for India were collected from Ministry of Health & Family Welfare, Government of India and compared from previous year 2019 data for the period of three months(April/May/June) and presented in tables and graphs to understand the situation. Materials & Methodology: Secondary data from HMIS of Ministry of Health & Family Welfare Government of India for 3 month of April, May, June 2019 & 2020 were taken for analysing and understanding the impact of pandemic on RCH programme over 3 months after nationwide lock down announced in march 2020 viz. April/May/June 2020. The data obtained is analysed by using Microsoft Office software. Result: The analysis of secondary data obtained from HMIS of Ministry of Health & Family Welfare website (Provisional figure & mentioned free for distribution) for RCH programme of India shows that the lock down period & initial early phase of SARS-CoV-2 during above mentioned 3 months pandemic have a negative impact over the delivery of Reproductive & Child Health services reflected through important indicators of which are also affected negatively. Besides the pandemic the Nation is also having lack of resources, manpower poor infrastructure as well as lack of positive deviance at community level. These are the barriers in fact beside the epidemic. It seems that there is lack of proper plan to deal with such pandemic situation. Conclusion: India has taken various strategies to ensure delivery of RCH services but it seems to be insufficient to give the desired results. The barriers of healthcare system and delivery of services constraints should be rectified added with a proper dynamic plan to carry on usual RCH services even in pandemics and natural disasters. India needs to develop an exclusive plan to tackle such situations such as establishment of separate cadre of health worker for RCH services to ensure the healthcare of women and children’s in any natural disasters and calamities.

scholarly journals Community involvement in reproductive health: Findings from research in Karnataka, India

2004 ◽  
Author(s):  
Keyword(s):  
Child Health ◽  
Reproductive Health ◽  
Health Services ◽  
Community Participation ◽  
Community Involvement ◽  
Child Health Services ◽  
Reproductive And Child Health ◽  
The Government ◽  
The Impact ◽  
And Child Health

In 1996, the government of India decided to provide a package of reproductive and child health services through the existing family welfare program, adopting a community needs assessment approach (CNAA). To implement this approach, the government abolished its practice of setting contraceptive targets centrally and introduced a decentralized planning strategy whereby health workers assessed the reproductive health needs of women in their respective areas and prepared local plans to meet those needs. They also involved community leaders to promote community participation in the reproductive and child health program. Since 1998, several evaluation studies have assessed the impact of CNAA on the program’s performance and community participation. These studies showed that the performance of the maternal health-care program improved, whereas the functioning of the family planning program initially declined but later recovered. The approach achieved little in boosting community involvement. This project tested a new model of health committee to help stimulate community participation in reproductive and child health activities at the village level. The experiment, described in this report, was conducted in the Hunsur block of the Mysore District in Karnataka for two years. Researchers evaluated the impact in terms of community involvement and utilization of reproductive and child health services.

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