scholarly journals Barriers to access and utilization of emergency obstetric care at health facilities in sub-Saharan Africa: a systematic review of literature

2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Ayele Geleto ◽  
Catherine Chojenta ◽  
Abdulbasit Musa ◽  
Deborah Loxton
Keyword(s):  
Systematic Review ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Review Of Literature ◽  
Barriers To Access ◽  
Sub Saharan

scholarly journals Characteristics and impacts ofSystematic review nutritional programmes to address undernutrition of adults living with HIV in sub-Saharan Africa: a systematic review of evidence

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e047205
Author(s):  
Fisaha Haile Tesfay ◽  
Sara Javanparast ◽  
Hailay Gesesew ◽  
Lillian Mwanri ◽  
Anna Ziersch
Keyword(s):  
Systematic Review ◽  
Data Extraction ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Nutritional Recovery ◽  
Sub Saharan ◽  
Living With Hiv ◽  
Nutritional Outcomes

ObjectivesAlthough some studies have identified various challenges affecting nutritional programmes to effectively tackle undernutrition among people living with HIV, evidence about the characteristics and impacts of these programmes on weight-related nutritional outcomes varies based on country contexts, specific programme goals and the implementation processes. This systematic review sought to synthesise evidence on the characteristics and impact of nutritional programmes on weight-related nutritional outcomes of people living with HIV in sub-Saharan Africa.DesignSystematic review.Data sourcesWe searched for primary studies published in the following databases: Web of Science, Medline, Scopus, ScienceDirect, ProQuest and Google Scholar, supplemented by checking reference lists of included papers.Eligibility criteriaStudies published from 2005 to 10 July 2020 and reporting on the weight-related nutritional outcomes of undernourished people enrolled in nutritional programmes in HIV care in sub-Saharan Africa were included.Data extraction and synthesisData were extracted using a data extraction proforma. Weight-related nutritional outcomes of people living with HIV before and after enrolment in a nutritional programme were compared and narratively synthesised.ResultsSixteen studies assessing the impact of nutritional programmes in HIV care on weight-related nutritional outcomes were included. Of these, 13 examined nutritional programmes implemented in health facilities and the remaining three were delivered outside of health facilities. Nutritional recovery (defined differently in the studies) ranged from 13.1% to 67.9%. Overall programme failure rate, which included default after enrolment in a nutritional programme or non-response, ranged from 37.6% to 48.0%. More specifically, non-response to a nutritional programme ranged from 21.0% to 67.4% and default from the programme ranged from 19.0% to 70.6%. Key sociodemographic, clinical and nutritional characteristics that affect nutritional recovery, non-response and default were also identified.Conclusions and recommendationsNutritional programmes in HIV care have led to some improvements in weight-related nutritional outcomes among people living with HIV. However, the programmes were characterised by a high magnitude of default and non-response. To improve desired weight-related nutritional outcomes of people living with HIV, a holistic approach that addresses longer-term determinants of undernutrition is needed.PROSPERO registration numberCRD42020196827.

scholarly journals Limited electricity access in health facilities of sub-Saharan Africa: a systematic review of data on electricity access, sources, and reliability

2013 ◽  
Vol 1 (2) ◽  
pp. 249-261 ◽  
Author(s):  
Heather Adair-Rohani ◽  
Karen Zukor ◽  
Sophie Bonjour ◽  
Susan Wilburn ◽  
Annette C Kuesel ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Sub Saharan ◽  
Electricity Access

scholarly journals Emerging statistics on the Epidemiology of COVID-19: Making prevention in pregnancy less grievous than the disease

2020 ◽  
Vol 3 (1) ◽  
pp. 27-36
Author(s):  
John Imaralu
Keyword(s):  
Pregnant Women ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Mortality Rates ◽  
Sub Saharan Africa ◽  
Main Body ◽  
Risk Of Death ◽  
Increased Risk ◽  
The World ◽  
Sub Saharan

Background: Pregnant women are a vulnerable group to the COVID-19 infection; although it is expected that adaptive changes of pregnancy put them at increased risk of adverse outcome from any respiratory tract infection, interventions for the COVID-19 may put them in more danger. Nigeria is one of the leading countries with very poor maternal mortality indices and many other sub-Saharan African nations are in the same boat. Contingency plans need to be put in place to prevent precipitous deterioration in mortality rates occasioned by the dreaded SARS- Cov-2 pandemic. This mini-review of literature and WHO global statistics is aimed to determine the trends in COVID-19 transmission and mortality rates to provide evidence-based information that may enable governments to tailor their interventions to the peculiar needs, of sub-Saharan African populations. Main body: Emerging epidemiological trends on transmission and mortality within Africa and the worst affected regions of the world suggests better outcomes of this infection in sub-Saharan Africa, than in other regions of the world. Also, present data allude to similar outcomes between pregnant and non-pregnant women. The present containment measures of isolation and quarantine, including city-wide lockdowns, may put pregnant women at higher risk of death from other causes rather than COVID-19. The danger posed, is the limitation of access to emergency obstetric care services when pregnant women develop non-COVID-19 complications of pregnancy. Conclusion: The COVID-19 pandemic has lower local transmission rates and fatality in Africa, the region where the virus arrived last. While special efforts should be geared at shielding the elderly and infirm from contracting the infection, preventive measures in pregnant women must allow for access to emergency obstetric care to forestall iatrogenic adverse maternal outcomes.

scholarly journals Obstetric Fistula: The Agony of Unsafe Motherhood. A Review of Nigeria Experience

2019 ◽  
pp. 1-7
Author(s):  
C. O. Njoku ◽  
A. N. Njoku
Keyword(s):  
Obstetric Fistula ◽  
Relevant Literature ◽  
Emergency Obstetric Care ◽  
Public Health Problem ◽  
Obstetric Care ◽  
Sub Saharan Africa ◽  
Medical Attention ◽  
Additional Information ◽  
Sub Saharan ◽  
Google Search

Obstetric fistula is a dehumanizing complication of childbirth that has severe psychosocial impact; though almost non-existing in developed nations, it is still a public health problem in Nigeria and other countries in sub-Saharan Africa. In Nigeria, about 100,000–1,000,000 women are living with obstetric fistula and estimated 50,000-100,000 new cases occur annually. To review the relevant literature on obstetric fistula in Nigeria, literature search was carried on epidemiology, prevalence, risk factors, causes, reasons for delay in intervention, complications and preventions using Google search. Additional information was obtained from text and journal in medical library of University of Calabar library. The main cause of obstetric fistula in Nigeria is prolonged obstructed labour, which most often occur due to delay in seeking medical attention because of social and financial reasons. Other causes include inadequate facilities for emergency obstetric services, especially caesarean section, poor access to existing ones, and delay in intervention on reaching the health facilities as a result of limited number of skilled obstetric personnel and/or equipments. There is need to increase collaboration and education of local communities on the cultural and social factors that influence and increase risk of obstetric fistula as well as improving the health-system’s response to emergency obstetric care.

scholarly journals Disrespect and abuse of women during the process of childbirth at health facilities in sub-Saharan Africa: a systematic review and meta-analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Zemenu Yohannes Kassa ◽  
Berhan Tsegaye ◽  
Abebaw Abeje
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Providers ◽  
Meta Analysis ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Disrespect And Abuse ◽  
Care Providers ◽  
Sub Saharan ◽  
Abuse Of Women

Abstract Background Disrespectful and abusive treatment of women by health care providers during the process of childbirth at health facility is an international problem. There is a lack of data on disrespect and abuse of women during the process of childbirth at health facilities in Sub-Saharan Africa. The purpose of this study was to determine the prevalence of disrespect and abuse of women during the process of childbirth at health facilities in sub-Saharan Africa. Methods The PRISMA guideline protocol was followed to write the systematic review and meta-analysis. Published studies were searched from Medline, PubMed, CINAHL, EMBASE, Maternal and infant care, science direct, and PsycINFO. Articles were accessed by three reviewers (ZY, BT and AA) using the following key terms, “attitude of health personnel” AND “delivery obstetrics*/nursing” OR “maternity care” AND “disrespect” OR “abuse” OR “professional misconduct” AND “parturition” AND “prevalence” AND “professional-patient relations” AND “Sub-Saharan Africa”. Additional articles were retrieved by cross referencing of reference. The heterogeneity of studies were weighed using Cochran’s Q test and I2 test statistics. Publication bias was assessed by Egger’s test. Results Thirty three studies met the inclusion and included in this systematic review and meta–analysis of disrespect and abuse of women during the process of childbirth at health facilities. The pooled prevalence of disrespect and abuse women during the process of childbirth at health facilities in Sub-Saharan Africa was 44.09% (95% CI: 29.94–58.24).Particularly physical abuse was 15.77% (95% CI: 13.38–18.15), non-confidential care was 16.87% (95% CI: 14.49–19.24), abandonment was 16.86% (95% CI: 13.88–19.84) and detention was 4.81% (95% CI: 3.96–5.67). Conclusion In this study disrespect and abuse of women during the process of childbirth at health facilities are high compared with other studies, particularly non-confidential care and abandonment his high compared with other studies. This study points out that the ministry of health, health care providers, maternal health experts shall due attention to women’s right during the process of childbirth at health facilities.

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