Maternal Employment, Differentiation, and Child Health and Nutrition in Panama*

PurposeMaternal and Child Health and Nutrition in Acre, Brazil (MINA-Brazil) is a longitudinal, prospective population-based birth cohort, set-up to understand the effects of early environmental exposures and maternal lifestyle choices on growth and development of the Amazonian children.ParticipantsMother–baby pairs (n=1246) were enrolled at delivery from July 2015 to June 2016 in Cruzeiro do Sul, Acre, Brazil. Mothers of 43.7% of the cohort were recruited in the study during pregnancy from February 2015 to January 2016. Study visits took place during pregnancy, delivery, at 1 month, 6 months, 1 year and 2 years after delivery. In addition to clinical and epidemiological data, samples collected by the MINA-Brazil study include plasma, serum and extracted DNA from blood and faeces, which are stored in a biobank.Findings to dateKey baseline reports found a high prevalence of gestational night blindness (11.5%; 95% CI 9.97% to 13.25%) and maternal anaemia (39.4%; 95% CI 36.84% to 41.95%) at delivery. Antenatal malaria episodes (74.6% ofPlasmodium vivax) were diagnosed in 8.0% of the women and were associated with an average reduction in birth weight z-scores of 0.35 (95% CI 0.14 to 0.57) and in birth length z-scores of 0.31 (95% CI 0.08 to 0.54), compared with malaria-free pregnancies. At 2-year follow-up, data collection strategies combined telephone calls, WhatsApp, social media community and home visits to minimise losses of follow-up (retention rate of 79.5%).Future plansA 5-year follow-up visit is planned in 2021 with similar interviews and biospecimens collection. The findings from this prospective cohort will provide novel insights into the roles of prenatal and postnatal factors in determining early childhood development in an Amazonian population.

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Using programme theory to assess the feasibility of delivering micronutrient Sprinkles through a food-assisted maternal and child health and nutrition programme in rural Haiti

Maternal and Child Nutrition ◽

10.1111/j.1740-8709.2008.00154.x ◽

2009 ◽

Vol 5 (1) ◽

pp. 33-48 ◽

Cited By ~ 41

Author(s):

Cornelia U. Loechl ◽

Purnima Menon ◽

Mary Arimond ◽

Marie T. Ruel ◽

Gretel Pelto ◽

...

Keyword(s):

Child Health ◽

Maternal And Child Health ◽

Programme Theory ◽

Health And Nutrition ◽

And Child Health ◽

Nutrition Programme

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Evaluation of a large-scale reproductive, maternal, newborn and child health and nutrition program in Bihar, India, through an equity lens

Journal of Global Health ◽

10.7189/jogh.10.0201011 ◽

2020 ◽

Vol 10 (2) ◽

Author(s):

Victoria C Ward ◽

Yingjie Weng ◽

Jason Bentley ◽

Suzan L Carmichael ◽

Kala M Mehta ◽

...

Keyword(s):

Child Health ◽

Large Scale ◽

Nutrition Program ◽

Newborn And Child Health ◽

Health And Nutrition ◽

And Child Health

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Geospatial variations in trends of reproductive, maternal, newborn and child health and nutrition indicators at block level in Bihar, India, during scale-up of Ananya program interventions

Journal of Global Health ◽

10.7189/jogh.10.0201004 ◽

2020 ◽

Vol 10 (2) ◽

Author(s):

Safa Abdalla ◽

Emma Pair ◽

Kala M Mehta1, ◽

Victoria C Ward ◽

Gary L Darmstadt

Keyword(s):

Child Health ◽

Scale Up ◽

Newborn And Child Health ◽

Health And Nutrition ◽

Block Level ◽

And Child Health

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Women's Stated Preferences for Conditional Cash Transfer Programs Focused on Maternal and Child Health and Nutrition in India (P22-012-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz042.p22-012-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Shivani Kachwaha ◽

Krishna Rao ◽

Avril Kaplan ◽

David Bishai

Keyword(s):

Child Health ◽

Service Quality ◽

Maternal And Child Health ◽

Good Health ◽

User Preferences ◽

Cash Transfer ◽

Growth Monitoring ◽

Health And Nutrition ◽

Number Of Visits ◽

And Child Health

Abstract Objectives Conditional Cash Transfers (CCTs) are important national strategies to improve maternal and child health and nutrition. India recently began implementing a Maternity Benefit Program (MBP) to encourage health care use during pregnancy and early childhood; under discussion is to include child nutrition services within a CCT program. This paper aims to understand the preferences of mothers with young children for design features (cash transfer amount and conditionalities) of CCT programs. Methods We conducted a Discrete Choice Experiment in Uttar Pradesh, India where 405 mothers with children below three years of age were interviewed. Respondents were presented 18 hypothetical CCT program profiles defined by five attributes – cash transfer amount, number of ante-natal care visits, number of visits for child immunization/growth monitoring, time taken to complete a visit, and health benefit received (proxy for service quality). Conditional logit regression was used to analyze respondent choices. Results Mothers valued the amount of cash transfer, quality of services, and quicker health center visits. They did not have a strong preference for the number of visits required. Higher cash amounts are associated with greater probability of participation. For any given amount of cash amount, better service quality (produced better health) elicited greater participation. Mothers put high valuation on service quality; they were willing-to-pay (give up) INR 2858 ($41) for a program that produced good health. Without any cash transfer, only improving service quality from average to good would increase participation by 27%. A cash transfer amount of INR 6000 ($86, currently offered by MBP) combined with fair (good) quality services would increase participation by 78% (85%). Preference for CCT programs differed across sub-groups defined by prior users of government health services and socioeconomic status. Poor households valued a given cash transfer amount more than better-off households, while better-off households valued good health outcomes more than poorer households. Conclusions Aligning maternal and child health CCT programs with user preferences can increase program participation. This study provides guidance on incorporating user preferences in the CCT program design. Funding Sources Department of International Health, Johns Hopkins University.

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