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Taking critical services to the home : scaling-up home-based maternal and postnatal care, including family planning, through community midwifery in Kenya

MWANGI, Annie
WARREN, Charlotte
2008

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This publication is the report of a project to scale-up a community-based model, in Kenya, that enabled women to give birth safely at home or be referred to a hospital when attended by a self-employed skilled midwife living in the community. The findings of the project were that community midwifery contributed to increasing the proportion of women assisted by skilled attendants during birth in the four districts in which the scheme was trialed, amounting to just under half of all skilled attended births in the districts. Although the skilled birth attendant rate in these districts was well below the national average of 42 percent, there was a steady increase in the proportion of attended deliveries since CMs were introduced in 2005. The districts also reported an increase in postnatal assessments in the first 48 hours and increase in immunization coverage

A report card on maternal mortality

UNITED NATIONS CHILDREN'S FUND (UNICEF)
2008

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‘Progress for Children’ is a series that monitors progress towards the Millennium Development Goals. This edition focuses on maternal health and, in particular, maternal mortality. It considers general progress and then examines particular regions. The report card acknowledges progress in improving maternal health, but argues that it is not sufficient to meet the MDG target of reducing maternal mortality by three quarters between 1990 and 2015

Repositioning postnatal care in a high HIV environment : Swaziland

WARREN, Charlotte
et al
2008

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This report arose from recognition of the need to provide better care and follow up of mothers and infants in the postnatal period in order to improve maternal and neonatal outcomes in Swaziland. The objectives of the study were to determine if changes to the guidelines on postnatal care would result in improvements to provision of of maternal and newborn care in the postnatal period, increase utilization of postnatal care services among all postpartum (PP) women, and improve the care and follow up of HIV-positive postpartum women and their infants. The study confirmed that the introduction of an improved postnatal package with revised timing and content provided key components of maternal, newborn, and HIV care, and increased the utilization of services among postpartum women and their infants. An assessment of the quality of care during client-provider interactions for all postpartum women demonstrated a fourfold increase in the proportion that included all aspects of care: maternal and newborn health, counseling for HIV, family planning, and improved provider-client relationships

Integrated management of pregnancy and childbirth : WHO recommended interventions for improving maternal and newborn health

WORLD HEALTH ORGANIZATION (WHO), DEPARTMENT OF MAKING PREGNANCY SAFER
2007

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This paper contains five tables listing recommendations to improve maternal and newborn health and survival, through health services, family and community. Table 1. Care in pregnancy, childbirth and postpartum period for mother and newborn infant; Table 2. Place of care, providers, interventions and commodities; Table 3. Home care, family, community and workplace support for the woman during pregnancy and childbirth and for the newborn infant; Table 4. Care for the woman before and between pregancies; Table 5. Pregnant women not wanting child

Maternal survival : improving access to skilled care. A behavior change approach

CHANGE
February 2005

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This summary is based on the CHANGE Maternal Survival Toolkit, available online at: www.changeproject.org and on CD-ROM. It explores ways of influencing behaviours and encouraging use of health services and health professionals during childbirth and the postpartum period. A number of factors can prevent pregnant women from accessing skilled care, often putting themselves and the child at risk. They include availability of health services and high costs but also, and crucially, local culture, family and community behaviours and traditional practices. The CHANGE Project's approach and this document stress locally appropriate, behaviour-based interventions that integrate what is happening in homes, communities and health facilities. This tool is aimed at organisations and individuals working in the field of mother and child health, and willing to look at maternal and child survival issues from a behaviour change perspective

Involving men in maternity care in India

VARKEY, Leila Caleb
FRONTIERS IN REPRODUCTIVE HEALTH PROGRAM
et al
2004

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"The Men in Maternity (MiM) study investigated the feasibility, acceptability and cost of a new, more comprehensive, model of maternity care that encouraged husbands' participation in their wives' antenatal and postpartum care. The study specifically assessed the impact of the intervention on family planning in the postpartum period and STI preventitive practices among men and women. The study was conducted in collaboration with the Employees' State Insurance Corporation (ESIC), Delhi Directorate at their primary health facilities called dispensaries"

Safe motherhood initiatives : critical issues

BERER, Marge
SUNDARI RAVINDRAN, T K
REPRODUCTIVE HEALTH MATTERS PROJECT
Eds
1999

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This book raises critical issues arising from the national and international policies, programmes and services whose aim is to prevent maternal mortality and morbidity. It analyses where safe motherhood initiatives stand today, what has been achieved and what remains to be done, and offers perspectives on making pregnancy, childbirth and abortion safer for women in future. The book reviews work in Bangladesh, Indonesia, Kenya, Uganda, Vietnam, India, Tanzania, Mexico, Nigeria, Bolivia, Ghana and South Africa

Maternal survival toolkit

CHANGE

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This toolkit explores ways of influencing behaviours and encouraging use of health services and health professionals during childbirth and the postpartum period. A number of factors can prevent pregnant women from accessing skilled care, often putting themselves and the child at risk. They include availability of health services and high costs but also, and crucially, local culture, family and community behaviours and traditional practices. The CHANGE Project's approach, and this tool in particular, stress locally appropriate, behaviour-based interventions that integrate what is happening in homes, communities and health facilities. Key topics discussed include: seeking skilled care; seeking skilled care early postpartum; birth preparedness; providing skilled care. For each topic a summary is provided together with a range of useful tools and documents. This tool is aimed at organisations and individuals working in the field of mother and child health, and willing to look at maternal and child survival issues from a behaviour change perspective

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