Adaptation of the WHO maternal near miss tool for use in sub–Saharan Africa: an International Delphi study

Abstract Using a two-round Delphi study, 15 faecal sludge emptiers from 11 cities in Sub-Saharan Africa have expressed views on the regulation of faecal sludge emptying services. Their responses identify the regulatory mechanisms in place where they operate, their opinions of these mechanisms, and prioritisation of those considered most useful to enable safe emptying services for all urban residents. All respondents (100%) support regulation, with 80% finding the regulation they encounter useful. However, all also state that regulatory mechanisms should extend beyond only rules and sanctions, to incorporate support, incentives and pro-poor mechanisms. This study is the first to provide a first-hand account of Sub-Saharan African private emptiers' willingness to accept clear regulation. In that regard, regulation should be flexible and adapted to the context in order to facilitate fair competition, safe and satisfactory service for customers and workers alike, and to alleviate the public and environmental health risks.

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Severe Hypertensive Disorders of Pregnancy in Eastern Ethiopia: Comparing the Original WHO and Adapted sub-Saharan African Maternal Near-Miss Criteria

International Journal of Women s Health ◽

10.2147/ijwh.s240355 ◽

2020 ◽

Vol Volume 12 ◽

pp. 255-263

Author(s):

Abera Kenay Tura ◽

Sicco Scherjon ◽

Jelle Stekelenburg ◽

Jos van Roosmalen ◽

Thomas van den Akker ◽

...

Keyword(s):

Near Miss ◽

Maternal Near Miss ◽

Hypertensive Disorders Of Pregnancy ◽

Eastern Ethiopia ◽

Hypertensive Disorders ◽

Sub Saharan

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Four Agricultural Financing Scenarios for Sub-Saharan Africa toward 2055: Conditions for Governmental Policy Interventions

World Futures Review ◽

10.1177/1946756718770771 ◽

2018 ◽

Vol 11 (3) ◽

pp. 199-231

Author(s):

Cobus Oberholster ◽

Chris Adendorff

Keyword(s):

Delphi Study ◽

Agricultural Development ◽

Driving Forces ◽

Expert Knowledge ◽

Research Effort ◽

Sub Saharan Africa ◽

The Future ◽

Causal Layered Analysis ◽

Emerging Issues ◽

Sub Saharan

This article reports on a research effort that looked at the future of agricultural financing in Sub-Saharan Africa, and provides governments in the region with key insights into agricultural development and the rural agricultural financing challenges. In the process of knowledge creation, a mixed-method approach was followed, with the futures triangle, emerging issues analysis, and causal layered analysis (CLA) being used to deepen the level of understanding regarding the future of agricultural financing. In addition, a real-time Delphi study was conducted to validate and prioritize the emerging trends and driving forces, and to incorporate expert knowledge into the possible financing futures. Four scenarios are presented that aim to stimulate new thoughts on policies that can facilitate increased financial inclusion in agricultural development in Sub-Saharan Africa.

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Determinants of maternal near-miss in private hospitals in eastern Ethiopia: A nested case–control study

Women s Health ◽

10.1177/17455065211061949 ◽

2021 ◽

Vol 17 ◽

pp. 174550652110619

Author(s):

Shegaw Geze Tenaw ◽

Sagni Girma Fage ◽

Nega Assefa ◽

Abera Kenay Tura

Keyword(s):

Antenatal Care ◽

Near Miss ◽

Maternal Near Miss ◽

Eastern Ethiopia ◽

Private Hospitals ◽

Near Misses ◽

Medical Disorders ◽

History Of ◽

Sub Saharan ◽

Nested Case Control

Objective: Maternal near-miss refers to a woman who nearly died but survived complications in pregnancy, childbirth, or within 42 days of termination of pregnancy. The study of maternal near-miss has become essential for improving the quality of obstetric care. The objective of this study was to identify the determinants of maternal near-miss among women admitted to major private hospitals in eastern Ethiopia. Method: An unmatched nested case–control study was conducted in major private hospitals in eastern Ethiopia from 5 March to 31 March 2020. Cases were women who fulfilled the sub-Saharan African maternal near-miss criteria and those admitted to the same hospitals but discharged without any complications under the sub-Saharan African maternal near-miss tool were controls. For each case, three corresponding women were randomly selected as controls. Factors associated with maternal near-misses were analyzed using binary and multiple logistic regressions with an adjusted odds ratio along with a 95% confidence interval. Finally, p-value < 0.05 was considered as a cut-off point for the significant association. Results: A total of 432 women (108 cases and 324 controls) participated in the study. History of prior cesarean section (AOR = 4.33; 95% CI = 2.36–7.94), anemia in index pregnancy (AOR = 4.38; 95% CI = 2.43–7.91), being ⩾ 35 years of age (AOR = 2.94; 95% CI = 1.37–6.24), not attending antenatal care (AOR = 3.11; 95% CI = 1.43–6.78), and history of chronic medical disorders (AOR = 2.18; 95% CI = 1.03–4.59) were independently associated with maternal near-miss. Conclusion: Maternal age ⩾ 35 years, had no antenatal care, had prior cesarean section, being anemic in index pregnancy, and have history of chronic medical disorders were the determinants of maternal near-miss. Improving maternal near-misses requires strengthening antenatal care (including supplementation of iron and folic acid to reduce anemia) and prioritizing women with a history of chronic medical illnesses. Interventions for preventing primary cesarean sections are crucial in this era of the cesarean epidemic to minimize its effect on maternal near-miss.

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What Courses Do I Need to Teach in Order to Address Food Insecurity in Sub Saharan Africa? A Delphi Study

Journal of International Agricultural and Extension Education ◽

10.5191/jiaee.2019.26104 ◽

2019 ◽

pp. 35-51

Author(s):

Carla Andrea Millares Forno ◽

Amy Boren-Alpizar ◽

Todd Brashears

Keyword(s):

Food Security ◽

Food Insecurity ◽

Delphi Study ◽

Delphi Technique ◽

Expert Panel ◽

Sub Saharan Africa ◽

Actual Number ◽

Sub Saharan ◽

Graduate Certificate ◽

Level Of Agreement

Sub Saharan Africa is a region that has been struggling with food insecurity for decades. Though the percentage of undernourished people in the region has decreased over the last 25 years, the actual number of undernourished people increased by more than forty million. Combatting food insecurity in the region requires an arsenal of skills, knowledge, and abilities across a broad range of disciplines. One way to target food insecurity is through education and capacity building. The purpose of this study was to identify the courses and topics that should be included in a food security (FS) graduate certificate focused on Sub Saharan Africa. Identification of the topics and courses came from faculty and professionals working in the FS field in Sub Saharan Africa. A three-round Delphi technique was conducted to accomplish the purpose of the study with a total of 63 experts. Of the original 101 topics that the expert panel proposed in Round One, 80 reached the level of agreement. Researchers grouped the topics into 28 courses. The final result of the study was 24 courses that reached the level of agreement for determining the main topics and courses that should be included in a graduate certificate focused on FS for Sub Saharan Africa

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