Evidence on how to scale up demand-side maternal and newborn health interventions in Zambia

In order to translate global commitments of ensuring access to sexual and reproductive healthcare services for every woman and every girl into practical, affordable and sustainable interventions, policy makers and implementers need to be able to draw on solid evidence of what does and does not work. The More Mobilising Access to Maternal Health Services… Read more




Maternal depression

The nature and scale of the problem Depression is a mental disorder characterised by low mood, loss of interest or enjoyment, and reduced energy, leading to increased fatigue, reduced activity, and marked functional impairment (WHO, 1990). Other common symptoms are reduced concentration, reduced self-esteem, ideas of guilt or unworthiness, pessimistic views of the future, ideas… Read more




The role of women in leadership: traditional institutions a step ahead of local government in post-conflict Northern Uganda

The Ugandan Government has been recognised for adopting policies that have promoted a universal gender mainstreaming agenda. Uganda has been a relatively stable country for the last 30 years though its Northern region sustained a confined 20-year civil war. In the post-conflict setting, there is a convergence of this gender mainstreaming agenda with other dynamics… Read more




Thinking healthy: a manual for psychosocial management of perinatal depression

This manual provides simple instructions on how to integrate the management of perinatal depression into the work of a community health worker. The Thinking Healthy approach is based on some general principles that must be observed for the successful integration and delivery of the intervention. These principles should be emphasised throughout training and supervision, and include: moving… Read more




Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa

Maternal mental health is largely neglected in low- and middle-income countries. There is no routine screening or treatment of maternal mental disorders in primary care settings in South Africa. The Perinatal Mental Health Project (PMHP) developed an intervention to deliver mental health care to pregnant women in a collaborative, step-wise manner making use of existing… Read more




Improving the quality of maternal care using audit

This HEART talks video is a recording of a seminar held at DFID Whitehall on 28th October 2015 and is led by Professor van den Broek, head of the Centre for Maternal and Newborn Health (CMNH) at the Liverpool School of Tropical Medicine. She commences this presentation by stressing that the majority of the CMNH’s focus is on… Read more




Paying private obstetricians to provide emergency obstetric care to poor women: The Chiranjeevi Yojana public private partnership programme in Gujurat, India

Ayesha de Costa is an associate professor of Global Health and Senior Lecturer at the Karolinska Institutet, Stockholm. She begins this lecture by noting the increasing importance of emergency obstetric care (EmOC) which can only work if it is of a high quality. EmOC should be able to provide: injectable antibiotics, injectable anticonvulsants, injectable oxytocics,… Read more




Midwifery, An Executive Summary for The Lancet’s Series

The essential needs of childbearing women in all countries, and of their babies and families, are the focus of this thought-provoking series of international studies on midwifery. Many of those needs are still not being met, decades after they have been recognized. New solutions are required. The Series provides a framework for quality maternal and… Read more




Women’s groups practising participatory learning and action to improve maternal and newborn health in low-resource settings: a systematic review and meta-analysis

BACKGROUND:Maternal and neonatal mortality rates remain high in many low-income and middle-income countries. Different approaches for the improvement of birth outcomes have been used in community-based interventions, with heterogeneous effects on survival. We assessed the effects of women’s groups practising participatory learning and action, compared with usual care, on birth outcomes in low-resource settings. METHODS:We… Read more




Women’s Literacy and the Links Between Maternal Health, Reproductive Health and Daughter Education

Development agencies have found two predictable indicators for longevity among women in developing countries: accessible clean water and literacy skills. Of the 1 billion illiterate people in the world, two thirds of them are women. Literate women average 2 children per family while illiterate women give birth to 6–8 children. Educated women are more likely… Read more




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