Abstract:
:District level healthcare serves as a nexus between community and district level facilities. Inputs at the district level can be broadly divided into governance and accountability mechanisms; leadership and supervision; financial platforms; and information systems. This paper aims to evaluate the effectivness of district level inputs for imporving maternal and newborn health. We considered all available systematic reviews published before May 2013 on the pre-defined district level interventions and included 47 systematic reviews. Evidence suggests that supervision positively influenced provider's practice, knowledge and client/provider satisfaction. Involving local opinion leaders to promote evidence-based practice improved compliance to the desired practice. Audit and feedback mechanisms and tele-medicine were found to be associated with improved immunization rates and mammogram uptake. User-directed financial schemes including maternal vouchers, user fee exemption and community based health insurance showed significant impact on maternal health service utilization with voucher schemes showing the most significant positive impact across all range of outcomes including antenatal care, skilled birth attendant, institutional delivery, complicated delivery and postnatal care. We found insufficient evidence to support or refute the use of electronic health record systems and telemedicine technology to improve maternal and newborn health specific outcomes. There is dearth of evidence on the effectiveness of district level inputs to improve maternal newborn health outcomes. Future studies should evaluate the impact of supervision and monitoring; electronic health record and tele-communication interventions in low-middle-income countries.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Salam RA,Lassi ZS,Das JK,Bhutta ZAdoi
10.1186/1742-4755-11-S2-S3subject
Has Abstractpub_date
2014-09-04 00:00:00pages
S3issn
1742-4755pii
1742-4755-11-S2-S3journal_volume
11 Suppl 2pub_type
杂志文章,评审abstract:BACKGROUND:In Senegal, unintended pregnancy has become a growing concern in public health circles. It has often been described through the press as a sensational subject with emphasis on the multiple infanticide cases as a main consequence, especially among young unmarried girls. Less scientific evidence is known on th...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-59
更新日期:2013-11-19 00:00:00
abstract:BACKGROUND:In Ethiopia besides the very low health seeking behavior of young people, they do not have access to sexual and reproductive health information and even the existing health services are adult-centered. Furthermore, health providers are not well equipped in addressing young people sexual and reproductive heal...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0143-y
更新日期:2016-03-08 00:00:00
abstract:BACKGROUND:Many women in Russia rely on abortion as a primary birth control method. Although refusal to use contraceptives, including condoms, may undermine public health efforts to decrease HIV sexual risk behaviors, few studies have investigated the risk factors associated with abortion among women at high risk for H...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-8-28
更新日期:2011-10-12 00:00:00
abstract:BACKGROUND:Maternal mortality in South Africa is high and a cause for concern especially because the bulk of deaths from maternal causes are preventable. One of the proposed reasons for persistently high maternal mortality is HIV which causes death both indirectly and directly. While there is some evidence for the impa...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-12-S1-S5
更新日期:2015-05-06 00:00:00
abstract:BACKGROUND:Disrespectful and abusive treatment during childbirth is a violation of women's right to dignified, respectful healthcare throughout pregnancy and childbirth. Although reports point out that marginalized groups in society such as single mothers are particularly vulnerable to abusive and disrespectful care, t...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0290-9
更新日期:2017-03-04 00:00:00
abstract:BACKGROUND:Recent studies have demonstrated that it is common for women to report inconsistent fertility motivations and family planning behaviors. This study examines these inconsistencies among urban Honduran women interviewed at two points in time and presents reasons for inconsistent fertility motivations and contr...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-6-19
更新日期:2009-11-19 00:00:00
abstract:BACKGROUND:Having a health worker with midwifery skills present at delivery is one of the key interventions to reduce maternal and newborn mortality. We sought to estimate the frequencies of (a) skilled birth attendant coverage, (b) institutional delivery, and (c) the combination of place of delivery and type of attend...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0192-2
更新日期:2016-06-17 00:00:00
abstract:BACKGROUND:Pakistan has one of the highest maternal mortality ratios worldwide at 276/100,000 live births and only 51% percent of women receive four or more ANC visits. This means that there are missed opportunities for almost half of the women who were not able to seek the recommended antenatal visits. In Thatta distr...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00956-1
更新日期:2020-07-06 00:00:00
abstract:BACKGROUND:The aim of this study was to elucidate recurrent pregnancy loss (RPL)-associated psychosocial effects and sexual functions of Chinese men whose partners experience a history of RPL. METHODS:Questionnaire data from a total of 236 men whose partners experience RPL(RPL group) and another 236 non-RPL male volun...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0188-y
更新日期:2016-06-13 00:00:00
abstract:BACKGROUND:A variety of different approaches to measuring contraceptive use have been used or proposed, either to assess current use or adherence over time, using subjective or objective measures. This paper reports an overview of approaches to measuring adherence to the oral contraceptive, intra-uterine device, sub-de...
journal_title:Reproductive health
pub_type: 信件,评审
doi:10.1186/s12978-018-0494-7
更新日期:2018-03-15 00:00:00
abstract:BACKGROUND:Globally, postpartum haemorrhage (PPH) remains a leading cause of maternal deaths. However in many low and middle income countries, there is scarcity of information on magnitude of and risk factors for PPH (blood loss of 500 ml or more). It is important to understand the relative contributions of different r...
journal_title:Reproductive health
pub_type: 杂志文章,多中心研究
doi:10.1186/s12978-016-0154-8
更新日期:2016-04-14 00:00:00
abstract:BACKGROUND:As per the World Health Organization, the nutritional status of women of reproductive age is important, as effects of undernutrition are propagated to future generations. More than one-third of Indian women in the reproductive age group are in a state of chronic nutritional deficiency during the preconceptio...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0535-2
更新日期:2018-06-22 00:00:00
abstract:BACKGROUND:A cultural preference for sons has been well documented in India, resulting in skewed sex ratios, especially exhibited in northwest India. Previous research has shown that family sex composition is associated with family planning (FP) use and couples' desire for more children. This study examines family sex ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-48
更新日期:2013-09-11 00:00:00
abstract:BACKGROUND:Up-to-date, genuine sexual and reproductive health (SRH) education programmes have been possible in Romania only since communism collapsed in 1990. Since 2006, Romania has had no national strategy in this field. Under current global circumstances (high labour mobility, internationally mixed marriages), issue...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-48
更新日期:2014-06-23 00:00:00
abstract:BACKGROUND:Although vasectomy is effective and less expensive contraceptive method, only few men are using it in Africa. The main reason for low level use may be low knowledge about vasectomy among men. Only few studies tried to investigate level of knowledge of vasectomy among married men in Ethiopia. But these studie...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0314-5
更新日期:2017-04-18 00:00:00
abstract:BACKGROUND:Male reproductive health is a relatively new concept, and most men are neglected in reproductive health discussions. Therefore, it appears that there is insufficient information about the male reproductive health. This study aims to design a psychometric instrument for assessing the male reproductive health-...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00966-z
更新日期:2020-08-03 00:00:00
abstract:BACKGROUND:The increased incidence of sexually transmitted infections (STIs) in Brazil represents a significant public health issue. This issue has raised awareness among health authorities regarding the quality of condoms. In Brazil, male condoms need to be certified. The certification process evaluates in detail the ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0254-5
更新日期:2016-12-07 00:00:00
abstract:BACKGROUND:Female Genital Mutilation/Cutting (FGM/C) is a harmful traditional practice with severe health complications, deeply rooted in many Sub-Saharan African countries. In The Gambia, the prevalence of FGM/C is 78.3% in women aged between 15 and 49 years. The objective of this study is to perform a first evaluatio...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-8-26
更新日期:2011-10-03 00:00:00
abstract::As most pregnancy-related deaths and morbidities are clustered around the time of childbirth, quality of care during this period is critical to the survival of pregnant women and their babies. Despite the wide acceptance of partograph as the central tool to optimize labour outcomes for over 40 years, its use has not s...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0027-6
更新日期:2015-05-26 00:00:00
abstract::In an effort to accelerate progress towards achieving Millennium Development Goal (MDG) 4 and 5, provision of essential reproductive, maternal, newborn and child health (RMNCH) interventions is being considered. Not only should a state-of-the-art approach be taken for services delivered to the mother, neonate and to t...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-S1-S5
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:The adoption of health behaviors by pregnant women causes their improved health and achievement of appropriate pregnancy outcomes as well as improving the quality of life of the mother and infant. Limited studies have examined such behaviors in pregnant women, especially in overweight mothers. The purpose of...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0660-y
更新日期:2018-12-29 00:00:00
abstract:BACKGROUND:Despite improved health facility access relative to rural areas, distance and transportation remain barriers in some urban areas. Using household and facility data linked to residential and transportation geographic information we describe availability of health facilities offering long-acting reversible con...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0828-0
更新日期:2019-11-08 00:00:00
abstract:BACKGROUND:More women are accessing modern contraceptive use in Kenya, however, contraceptive discontinuation has stagnated over the decades. Any further increase in contraceptive use will most likely be from past users, hence understanding the dynamics of discontinuation while addressing quality of family planning ser...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0797-3
更新日期:2019-09-05 00:00:00
abstract:BACKGROUND:The study aims to assess the discordance between self-reported and observed measures of mistreatment of women during childbirth in public health facilities in Uttar Pradesh, India, as well as correlates of these measures and their discordance. METHODS:Cross sectional data were collected through direct obser...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0409-z
更新日期:2017-11-15 00:00:00
abstract:BACKGROUND:Women with disabilities are less likely to receive maternal healthcare services compared to women without disabilities. While few studies have reviewed healthcare experience of women with disabilities, no studies have been conducted to understand provider's attitude towards disability in Nepal, yet the attit...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0330-5
更新日期:2017-06-29 00:00:00
abstract:BACKGROUND:Human papillomavirus (HPV) infection plays key role in the development of cervical cancer. The purpose of this study was to investigate socioeconomic and lifestyle factors associated with HPV infection in pregnant women in Beijing, China. METHODS:An age matched case-control study designed with 66 women as t...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0645-x
更新日期:2018-12-06 00:00:00
abstract:BACKGROUND:While the relationship between hemoglobin (Hb) concentrations and pregnancy outcomes has been studied often, most reports have focused on a specific Hb cutoff used to define anemia. Fewer studies have evaluated pregnancy outcomes across the entire range of Hb values. Moreover, to date, most studies of the re...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01006-6
更新日期:2020-11-30 00:00:00
abstract:BACKGROUND:An ultrasound examination is an important confirmation of the pregnancy and is accepted without reflection to any prenatal diagnostic aspects. An abnormal finding often comes unexpectedly and is a shock for the parents. The aim was to generate a theoretical understanding of parents' experiences of the situat...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-10
更新日期:2010-06-14 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness and safety of polyunsaturated fatty acids for the treatment of the premenstrual syndrome (PMS) using a graded symptom scale and to assess the effect of this treatment on basal plasma levels of prolactin and total cholesterol. METHODS:A randomized, double-blind, placebo-controlle...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1742-4755-8-2
更新日期:2011-01-17 00:00:00
abstract:BACKGROUND:Approximately 2.7 million neonatal deaths occur annually, with highest rates of neonatal mortality in countries that have recently experienced conflict. Constant instability in South Sudan further strains a weakened health system and poses public health challenges during the neonatal period. We aimed to desc...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0417-z
更新日期:2017-11-29 00:00:00