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 successfully improved outcomes in many settings for several reasons. There are also increasing questions about the validity and applicability of its central feature - "the alert line" - to all women regardless of their labour characteristics. Apart from the known deficiencies in labour care, attempts to improve quality of care in low resource settings have also failed to address and integrate women's birth experience into quality improvement processes. It was against this background that the World Health Organization (WHO) embarked on the Better Outcomes in Labour Difficulty (BOLD) project to improve the quality of intrapartum care in low- and middle-income countries. The main goal of the BOLD project is to reduce intrapartum-related stillbirths, maternal and newborn mortalities and morbidities by addressing the critical barriers to the process of good quality intrapartum care and enhancing the connection between health systems and communities. The project seeks to achieve this goal by (1) developing an evidence-based, easy to use, labour monitoring-to-action decision-support tool (currently termed Simplified, Effective, Labour Monitoring-to-Action - SELMA); and (2) by developing innovative service prototypes/tools, co-designed with users of health services (women, their families and communities) and health providers, to promote access to respectful, dignified and emotionally supportive care for pregnant women and their companions at the time of birth ("Passport to Safer Birth"). This two-pronged approach is expected to positively impact on important domains of quality of care relating to both provision and experience of care. In this paper, we briefly describe the rationale for innovative thinking in relation to improving quality of care around the time of childbirth and introduce WHO current plans to improve care through research, design and implementation of innovative tools and services in the post-2015 era.Please see related articles ' http://dx.doi.org/10.1186/s12978-015-0029-4 ' and ' http://dx.doi.org/10.1186/s12978-015-0028-5 '.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Oladapo OT,Souza JP,Bohren MA,Tunçalp Ö,Vogel JP,Fawole B,Mugerwa K,Gülmezoglu AMdoi
10.1186/s12978-015-0027-6subject
Has Abstractpub_date
2015-05-26 00:00:00pages
48issn
1742-4755pii
10.1186/s12978-015-0027-6journal_volume
12pub_type
杂志文章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 distr...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/1742-4755-11-S2-S3
更新日期:2014-09-04 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:Pakistan has high maternal mortality, particularly in the rural areas. The delay in decision making to seek medical care during obstetric emergencies remains a significant factor in maternal mortality. METHODS:We present results from an experimental study in rural Pakistan. Village clusters were randomly as...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-30
更新日期:2010-11-05 00:00:00
abstract:BACKGROUND:Despite the vast literature examining disparities in medical care, little is known about racial/ethnic and mental health disparities in sexual health care. The objective of this study was to assess disparities in safe sex counseling and resultant behavior among a patient population at risk of negative sexual...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-35
更新日期:2012-12-31 00:00:00
abstract:BACKGROUND:It has been proposed that the autonomy of women is one of the mechanisms of how education influences contraceptive use in developing countries. We tested this hypothesis in a national sample of women in Pakistan. METHODS:We used the 2000 Pakistan Reproductive Health and Family Planning Survey, which intervi...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-2-8
更新日期:2005-10-21 00:00:00
abstract::Traditional approaches to improving adolescent sexual and reproductive health (ASRH) have focused on changing individual behavior, with little emphasis on addressing the factors that contribute to this behavior: biological changes; the influence of family and friends; the communities in which young people live; and ac...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0191-3
更新日期:2016-06-13 00:00:00
abstract:BACKGROUND:Fertility intentions and contraceptive use are often used to demonstrate gaps in programs and policies to meet the contraceptive needs of women and couples. Prior work demonstrated that fertility intentions are fluid and change over a woman's (or couple's) life course with changing marital status, childbeari...
journal_title:Reproductive health
pub_type: 杂志文章,多中心研究
doi:10.1186/s12978-020-0893-4
更新日期:2020-03-17 00:00:00
abstract:BACKGROUND:Humanitarian crises and migration make girls and women more vulnerable to poor sexual and reproductive health (SRH) outcomes. Nevertheless, there is still a dearth of information on SRH outcomes and access to SRH services among refugee girls and young women in Africa. We conducted a mixed-methods study to as...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0698-5
更新日期:2019-03-19 00:00:00
abstract:BACKGROUND:Adolescents in the Latin American and Caribbean region continue to experience poor reproductive health outcomes, including high rates of first birth before the age of 20 years. Aggregate national level data fails to identify groups where progress is particularly poor. This paper explores how trends in adoles...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0578-4
更新日期:2018-08-29 00:00:00
abstract:BACKGROUND:Sierra Leone has one of the highest maternal mortality rates in the world. Encouraging the use of skilled birth attendance in health facilities is an important step in the endeavor to increase the number of safe deliveries. However, public trust in health facilities has been greatly damaged during the Ebola ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0601-9
更新日期:2018-09-15 00:00:00
abstract:BACKGROUND:Utilization of reproductive health services is an important component in preventing adolescents from different sexual and reproductive health problems. As a result, the extent of their service utilization should be determined before implementing any kind of interventions. Therefore, this study was aimed at a...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0659-4
更新日期:2018-12-27 00:00:00
abstract:BACKGROUND:South Africa faces numerous reproductive challenges that include high rates of unplanned and adolescent pregnancies. The uptake and utilization of family planning services and modern contraception methods depend on numerous factors. The male partner plays a key role in reproductive health but data on this to...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0749-y
更新日期:2019-06-25 00:00:00
abstract:BACKGROUND:The introduction of home digital ovulation tests (OTs) has provided a simple solution for women wishing to optimise the timing of intercourse when trying to conceive. However, despite this, very little is understood about women's experiences of using these tests. METHODS:We carried out qualitative, semi-str...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12978-015-0103-y
更新日期:2015-12-21 00:00:00
abstract:BACKGROUND:Improving the reproductive health of young women in developing countries requires access to safe and effective methods of fertility control, but most rely on traditional rather than modern contraceptives such as condoms or oral/injectable hormonal methods. We conducted a systematic review of qualitative rese...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-6-3
更新日期:2009-02-19 00:00:00
abstract:BACKGROUND:Turkey hosts the world's largest community of Syrians displaced by the conflict. The Minimum Initial Service Package (MISP) is a coordinated set of priority reproductive health services. There is not any scoping review assessing the RH situation of Syrian refugees in Turkey within the framework of the MISP o...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-020-00948-1
更新日期:2020-06-22 00:00:00
abstract:BACKGROUND:Adolescent girls between 15 and 19 years give birth to around 16 million babies each year, around 11% of births worldwide. We sought to determine whether adolescent mothers are at higher risk of maternal and perinatal adverse outcomes compared with mothers aged 20-24 years in a prospective, population-based ...
journal_title:Reproductive health
pub_type: 杂志文章,多中心研究
doi:10.1186/1742-4755-12-S2-S8
更新日期:2015-01-01 00:00:00
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:To study maternal anxiety and perinatal outcomes in pregnant women submitted to a Multidisciplinary Program for Childbirth and Motherhood Preparation (MPCM). METHODS:This is a not randomized controlled trial on 67 nulliparous pregnant women divided into two groups according to participation (MPCM Group; n =...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-28
更新日期:2010-10-29 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:In 2001, the WHO Antenatal Care Trial (WHOACT) concluded that an antenatal care package of evidence-based screening, therapeutic interventions and education across four antenatal visits for low-risk women was not inferior to standard antenatal care and may reduce cost. However, an updated Cochrane review in ...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1742-4755-10-19
更新日期:2013-04-12 00:00:00
abstract:BACKGROUND:Historically, transitioning gender was seen as precluding transgender people from having children in the future. However, there are now increased reproductive options available to transgender people, with such options also available to non-binary people (i.e., people whose gender is not exclusively male or f...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0627-z
更新日期:2018-10-25 00:00:00
abstract:BACKGROUND:Preterm birth is the main cause of morbidity and mortality during the perinatal period. Classical risk factors are held responsible for only 1/3 of preterm births and no current intervention has produced an appreciable reduction of this event. It is necessary to explore new hypotheses and mechanisms of causa...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-79
更新日期:2014-11-19 00:00:00
abstract:BACKGROUND:To identify all the records within the Brazilian Hospital Information System (HIS) that contained information suggestive of severe maternal morbidity (near miss); to describe the diagnoses and procedures used; to identify variables associated with maternal death. METHODS:A descriptive population study with ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-5-6
更新日期:2008-10-28 00:00:00
abstract:BACKGROUND:Prior research supports the notion that parents have the ability to influence their children's decisions regarding sexual behavior. Yet parent-based approaches to curbing teen pregnancy and STDs have been relatively unexplored. The Parents Speak Up National Campaign (PSUNC) is a multimedia campaign that atte...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-17
更新日期:2010-07-21 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: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: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:Vaginal examination (VE), is a frequent procedure during childbirth. It is the most accepted ways to assess progress during childbirth, but its repetition at short intervals has no value. Over years, VE continued to be plagued by a nature that implies negative feelings and experiences of women. The aim of th...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-16
更新日期:2012-08-28 00:00:00
abstract:BACKGROUND:Despite a variety of mainly school-driven prevention strategies, the number of adolescent pregnancies in Rwanda is worryingly high and is even expected to increase. The aim of this study is to empower Kirehe secondary school students aged 15-19 years old in sexual and reproductive health (SRH) by developing ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00986-9
更新日期:2020-09-07 00:00:00
abstract:BACKGROUND:Swedish national guidelines for pregnancy dating were published in 2010. Follow-up is needed to assess adherence and to identify whether any clinical topics are not covered in the guidelines. METHODS:All units in Sweden that performed ultrasound-based pregnancy dating were asked to complete a web-based ques...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0760-3
更新日期:2019-07-04 00:00:00