The impact of the AIDS epidemic on maternal child health and socioeconomic developmetn in sub-saharan Africa

2008 ◽  
Vol 8 (2) ◽  
Author(s):  
J A Omene ◽  
S W Ledile
Keyword(s):  
Child Health ◽  
Sub Saharan Africa ◽  
Maternal Child Health ◽  
Aids Epidemic ◽  
Sub Saharan ◽  
The Impact ◽  
Maternal Child

scholarly journals Integrating Prevention of Mother-to-Child Transmission of HIV Care into General Maternal Child Health Care in Western Kenya

2020 ◽  
Vol 10 (1) ◽  
pp. 19-28
Author(s):  
Michelle Berlacher ◽  
Timothy Mercer ◽  
Edith O. Apondi ◽  
Winfred Mwangi ◽  
Edwin Were ◽  
...  
Keyword(s):  
Child Health ◽  
Global Health ◽  
Health System ◽  
Health Systems ◽  
Sub Saharan Africa ◽  
Hiv Care ◽  
Maternal Child Health ◽  
Child Transmission ◽  
Sub Saharan ◽  
Maternal Child

Background: Health systems integration is becoming increasingly important as the global health community transitions from acute, disease-specific health programming to models of care built for chronic diseases, primarily designed to strengthen public-sector health systems. In many countries across sub-Saharan Africa, including Kenya, prevention of mother-to-child transmission of HIV (pMTCT) services are being integrated into the general maternal child health (MCH) clinics. The objective of this study was to evaluate the benefits and challenges for integration of care within a developing health system, through the lens of an evaluative framework. Methods: A framework adapted from the World Health Organization’s six critical health systems functions was used to evaluate the integration of pMTCT services with general MCH clinics in western Kenya. Perspectives were collected from key stakeholders, including pMTCT and MCH program leadership and local health providers. The benefits and challenges of integration across each of the health system functions were evaluated to better understand this approach. Results: Key informants in leadership positions and MCH staff shared similar perspectives regarding benefits and challenges of integration. Benefits of integration included convenience for families through streamlining of services and reduced HIV stigma. Concerns and challenges included confidentiality issues related to HIV status, particularly in the context of high-volume, crowded clinical spaces. Conclusion and Global Health Implications: The results from this study highlight areas that need to be addressed to maximize the effectiveness and clinical flow of the pMTCT-MCH integration model. The lessons learned from this integration may be applied to other settings in sub-Saharan Africa attempting to integrate HIV care into the broader public-sector health system. Key words: • HIV prevention • Maternal-child health • Prevention of maternal-to-child transmission • Health services • Integration • Kenya • Sub-Saharan Africa Copyright © 2020 Berlacher 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.

scholarly journals The impact of HIV-1 infection on child health in sub-Saharan Africa: the burden on the health services

1996 ◽  
Vol 1 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Gijs Walraven ◽  
Angus Nicoll ◽  
Mathew Njau ◽  
Ian Timaeus
Keyword(s):  
Child Health ◽  
Health Services ◽  
Sub Saharan Africa ◽  
Sub Saharan ◽  
The Impact ◽  
Hiv 1

scholarly journals Water and sanitation influence on child health in Namibia: using demographic and health surveys

2021 ◽  
Author(s):  
Mona Abdelhady ◽  
Anna Alfeus ◽  
Ndinomholo Hamatui
Keyword(s):  
Child Health ◽  
Health Surveys ◽  
Child Death ◽  
Healthcare Services ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Under Five ◽  
Sub Saharan ◽  
Child's Death ◽  
The Impact

Abstract Important milestones in reducing child mortality rates have been achieved internationally and in Africa. With 76 deaths per 1,000 live births, sub-Saharan Africa (SSA) continues to have the world's highest under-five mortality (U5M) rate. In SSA, one child in every 13 dies from preventable causes before reaching their fifth birthday. This study sought to determine the impact of demographic, socio-economic, and environmental determinants on child health in Namibia, using the Namibian demographic and health surveys (NDHS) from 2006 and 2013. A logistic regression model was used to determine the association between improved sanitary facilities and water sources and U5M in Namibia. Improved access to sanitation facilities in Namibia is associated with less U5M rate, according to the 2013 survey. No significant association was observed between improved access to safe water and child's death. In 2013, the greater the mother's level of education, the lower the chance of child death. Finally, the findings demonstrate that mothers with HIV-positive are more likely to experience under-five death. Hence, the Namibian government should increase sanitation facilities and promote maternal healthcare services for less fortunate households to lower the U5M rate.

Local Governance and Information Communication Technologies (ICTs) in Rural Kenya

2016 ◽  
pp. 175-183
Author(s):  
Alfred Akwala
Keyword(s):  
Child Health ◽  
Maternal Mortality ◽  
Rural Areas ◽  
Health Knowledge ◽  
Child Health Services ◽  
Maternal Child Health ◽  
Information Communication ◽  
Participatory Communication ◽  
Sub Saharan ◽  
Maternal Child

Poor communication approaches in addition to other socio-economic factors in rural areas are the greatest contributors to infant and maternal mortality. Estimates show that sub-Saharan Africa and south Asia bear the greatest burden of maternal mortality. Traditional media has been seen to be ineffective in dissemination of maternal-child health information. However information communication technology (ICT) provides a variety of media platforms that can be appropriated in disseminating maternal-child health knowledge. The objective of this paper was to investigate how ICT can be appropriated in rural areas for campaigns in maternal-child health. One major issue emerged in this paper; that appropriate interactive and participatory communication through ICT influences the dissemination of maternal-child health knowledge among the rural population and thus influences utilisation of skilled maternal-child health services.

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