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Artikel ; Online: Scaling up a monitoring and evaluation framework for sexual, reproductive, maternal, newborn, child, and adolescent health services and outcomes in humanitarian settings

Loulou Kobeissi / Thidar Pyone / Allisyn C. Moran / Kathleen L. Strong / Lale Say

Dialogues in Health, Vol 1, Iss , Pp 100075- (2022)

A global initiative

2022

Abstract: Background: Reliable and rigorously collected sexual, reproductive, maternal, newborn, child, and adolescent (SRMNCAH) data from humanitarian settings are often sparse and variable in quality across different settings due to the lack of a standardised ... ...

Abstract	Background: Reliable and rigorously collected sexual, reproductive, maternal, newborn, child, and adolescent (SRMNCAH) data from humanitarian settings are often sparse and variable in quality across different settings due to the lack of a standardised set of indicators across the different agencies working in humanitarian settings. This paper aims to summarise a WHO-led global initiative to develop and scale up an SRMNCAH monitoring and evaluation framework for humanitarian settings. Methods: This research revolved around three phases. The first and the last phase involved global consultations with lead international agencies active in SRMNCAH in humanitarian settings. The second phase tested the feasibility of the proposed indicators in Afghanistan, Bangladesh, the Democratic Republic of the Congo, and Jordan, using different qualitative research methods (interviews with 92 key informants, 26 focus group discussions with 142 key stakeholders, facility assessments and observations at 25 health facilities or sites). Results: Among the 73 proposed indicators, 47 were selected as core indicators and 26 as additional indicators. Generally, there were no major issues in collecting the proposed indicators, except for those indicators that relied on death reviews or population-level data. Service availability and morbidity indicators were encouraged. Abortion and SGBV indicators were challenging to collect due to political and sociocultural reasons. The HIV and PMTCT indicators were considered as core indicators, despite potential sensitivity in some settings. Existing data collection and reporting systems across the four assessed humanitarian settings were generally fragmented and inconsistent, mainly attributed to the lack of coordination among different agencies. Interpretation: Implementing agencies need to collaborate effectively to scale up this agreed-upon set of SRMNCAH framework to enhance accountability and transparency in humanitarian settings.
Schlagwörter	Humanitarian settings ; Internally displaced persons ; Maternal and child health ; Monitoring and evaluation ; Refugees ; Sexual and reproductive health ; Public aspects of medicine ; RA1-1270
Thema/Rubrik (Code)	360
Sprache	Englisch
Erscheinungsdatum	2022-12-01T00:00:00Z
Verlag	Elsevier
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: Near miss neonatal

Lale Say

Jornal de Pediatria, Vol 86, Iss 1, Pp 1-

uma abordagem potencialmente útil para a avaliação da qualidade do atendimento neonatal Neonatal near miss: a potentially useful approach to assess quality of newborn care

2010 Band 2

Schlagwörter	Pediatrics ; RJ1-570 ; Medicine ; R ; DOAJ:Pediatrics ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Sprache	Englisch
Erscheinungsdatum	2010-02-01T00:00:00Z
Verlag	Sociedade Brasileira de Pediatria
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: Changing national health policies for introduction, uptake and scale-up of self-care interventions for sexual and reproductive health and rights in the Eastern Mediterranean Region

Manjulaa Narasimhan / Briana Lucido / Lale Say / Karima Gholbzouri / Maha El-Adawy / Ahmed Al Mandhari

Health Research Policy and Systems, Vol 19, Iss S1, Pp 1-

2021 Band 5

Schlagwörter	Public aspects of medicine ; RA1-1270
Sprache	Englisch
Erscheinungsdatum	2021-04-01T00:00:00Z
Verlag	BMC
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: “What’s that on your phone?” The aftermath of parents finding sexual and reproductive health messages on their children’s phone in coastal Kenya

Jefferson Mwaisaka / Lianne Gonsalves / Lale Say / Peter Gichangi

Journal of Health and Social Sciences, Vol 3, Iss 2, Pp 147-

2018 Band 156

Abstract: Introduction: Digital health interventions allow young people to access information quickly and discreetly, but privacy remains a concern. This article explores what happens when a young user’s privately-access Sexual and Reproductive Health (SRH) ... ...

Abstract	Introduction: Digital health interventions allow young people to access information quickly and discreetly, but privacy remains a concern. This article explores what happens when a young user’s privately-access Sexual and Reproductive Health (SRH) messages from a digital health campaign in Kenya are discovered by his/her parents. Methods: This qualitative study took place in Mtwapa, Kenya. Participants were young people aged 15-24 and parents/caregivers of young people aged 15-24. Focus Group Discussions (FGD) with youth (n = 12 FGD, M = 48, F = 49) and caregiver (n = 4 FGD, M =14, F = 19), by using vignettes, explored perceived parental responses about their children accessing SRH information on mobile phones. 97 young people and 33 parent/caregivers participated. Results and Discussion: Sociodemographic characteristics of participants revealed that phone ownership was higher among young men than young women, and particularly low among young women aged 15-17. Youth participants indicated that parents finding SRH messages on their children’s phone would have a range of reactions, from positive to negative: supportive parents would appreciate the messages as a sign their child was being proactive about their health; negative reactions would stem from fear of the message recipient being sexually active. Parent participants accepted children accessing SRH information outside the home as an inevitability, and indicated that parents would cautiously accept or be fully supportive of their child accessing messages on their phone. Conclusions: In the event that a digital health intervention’s young user’s privacy is compromised, these findings demonstrate that the fears of extreme adverse reactions on the part of parents are likely overstated. Specific considerations for future digital health interventions are proposed.
Schlagwörter	Adolescent ; cell phones ; digital health ; health education ; health promotion ; parents ; privacy ; reproductive health ; Medicine (General) ; R5-920 ; Social sciences (General) ; H1-99
Thema/Rubrik (Code)	360
Sprache	Englisch
Erscheinungsdatum	2018-07-01T00:00:00Z
Verlag	Edizioni FS
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: A systematic review of sexual and reproductive health interventions for young people in humanitarian and lower-and-middle-income country settings

Alethea Desrosiers / Theresa Betancourt / Yasmine Kergoat / Chiara Servilli / Lale Say / Loulou Kobeissi

BMC Public Health, Vol 20, Iss 1, Pp 1-

2020 Band 21

Abstract: Abstract Background Accessibility of sexual and reproductive health (SRH) services in many lower-and-middle-income countries (LMICs) and humanitarian settings remains limited, particularly for young people. Young people facing humanitarian crises are ... ...

Abstract	Abstract Background Accessibility of sexual and reproductive health (SRH) services in many lower-and-middle-income countries (LMICs) and humanitarian settings remains limited, particularly for young people. Young people facing humanitarian crises are also at higher risk for mental health problems, which can further exacerbate poor SRH outcomes. This review aimed to explore, describe and evaluate SRH interventions for young people in LMIC and humanitarian settings to better understand both SRH and psychosocial components of interventions that demonstrate effectiveness for improving SRH outcomes. Methods We conducted a systematic review of studies examining interventions to improve SRH in young people in LMIC and humanitarian settings following Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) standards for systematic reviews. Peer-reviewed journals and grey literature from January 1, 2000 to December 31, 2018 were included. Two authors performed title, abstract and full-text screening independently. Data was extracted and analyzed using a narrative synthesis approach and the practice-wise clinical coding system. Results The search yielded 813 results, of which 55 met inclusion criteria for full-text screening and thematic analysis. Primary SRH outcomes of effective interventions included: contraception and condom use skills, HIV/STI prevention/education, SRH knowledge/education, gender-based violence education and sexual self-efficacy. Common psychosocial intervention components included: assertiveness training, communication skills, and problem-solving. Conclusions Findings suggest that several evidence-based SRH interventions may be effective for young people in humanitarian and LMIC settings. Studies that use double blind designs, include fidelity monitoring, and focus on implementation and sustainability are needed to further contribute to this evidence-base.
Schlagwörter	Sexual health ; Reproductive health ; Young people ; Humanitarian settings ; Public aspects of medicine ; RA1-1270
Thema/Rubrik (Code)	360
Sprache	Englisch
Erscheinungsdatum	2020-05-01T00:00:00Z
Verlag	BMC
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: Cost-Effectiveness of Interventions to Improve Maternal, Newborn and Child Health Outcomes

Karin Stenberg / Rory Watts / Melanie Y. Bertram / Kaia Engesveen / Blerta Maliqi / Lale Say / Raymond Hutubessy

International Journal of Health Policy and Management, Vol 10, Iss Special Issue on WHO-CHOICE Update, Pp 706-

A WHO-CHOICE Analysis for Eastern Sub-Saharan Africa and South-East Asia

2021 Band 723

Abstract: Background Information on cost-effectiveness allows policy-makers to evaluate if they are using currently available resources effectively and efficiently. Our objective is to examine the cost-effectiveness of health interventions to improve maternal, ... ...

Abstract	Background Information on cost-effectiveness allows policy-makers to evaluate if they are using currently available resources effectively and efficiently. Our objective is to examine the cost-effectiveness of health interventions to improve maternal, newborn and child health (MNCH) outcomes, to provide global evidence relative to the context of two geographic regions. Methods We consider interventions across the life course from adolescence to pregnancy and for children up to 5 years old. Interventions included are those that fall within the areas of immunization, child healthcare, nutrition, reproductive health, and maternal/newborn health, and for which it is possible to model impact on MNCH mortality outcomes using the Lives Saved Tool (LiST). Generalized cost-effectiveness analysis (GCEA) was used to derive average cost-effectiveness ratios (ACERs) for individual interventions and combinations (packages). Costs were assessed from the health system perspective and reported in international dollars. Health outcomes were estimated and reported as the gain in healthy life years (HLYs) due to the specific intervention or combination. The model was run for 2 regions: Eastern sub-Saharan Africa (SSA-E) and South-East Asia (SEA). Results The World Health Organization (WHO) recommended interventions to improve MNCH are generally considered cost-effective, with the majority of interventions demonstrating ACERs below I$100/HLY saved in the chosen settings (lowand middle-income countries [LMICs]). Best performing interventions are consistent across the two regions, and include family planning, neonatal resuscitation, management of pneumonia and neonatal infection, vitamin A supplementation, and measles vaccine. ACERs below I$100 can be found across all delivery platforms, from community to hospital level. The combination of interventions into packages (such as antenatal care) produces favorable ACERs. Conclusion Within each region there are interventions which represent very good value for money. There are opportunities ...
Schlagwörter	cost-effectiveness ; maternal health ; child health ; sub-saharan africa ; south-east asia ; Public aspects of medicine ; RA1-1270
Thema/Rubrik (Code)	360
Sprache	Englisch
Erscheinungsdatum	2021-11-01T00:00:00Z
Verlag	Kerman University of Medical Sciences
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: Maternal mortality in the covid-19 pandemic

Clara Calvert / Jeeva John / Farirai P Nzvere / Jenny A. Cresswell / Sue Fawcus / Edward Fottrell / Lale Say / Wendy J. Graham

Global Health Action, Vol 14, Iss S

findings from a rapid systematic review

2021 Band 1

Abstract: Background The COVID-19 pandemic is having significant direct and associated effects on many health outcomes, including maternal mortality. As a useful marker of healthcare system functionality, trends in maternal mortality provide a lens to gauge impact ...

Abstract	Background The COVID-19 pandemic is having significant direct and associated effects on many health outcomes, including maternal mortality. As a useful marker of healthcare system functionality, trends in maternal mortality provide a lens to gauge impact and inform mitigation strategies. Objective To report the findings of a rapid systematic review of studies on levels of maternal mortality before and during the COVID-19 pandemic. Methods We systematically searched for studies on the 1st March 2021 in MEDLINE and Embase, with additional studies identified through MedRxiv and searches of key websites. We included studies that reported levels of mortality in pregnant and postpartum women in time-periods pre- and during the COVID-19 pandemic. The maternal mortality ratio was calculated for each study as well as the excess mortality. Results The search yielded 3411 references, of which five studies were included in the review alongside two studies identified from grey literature searches. Five studies used data from national health information systems or death registries (Mexico, Peru, Uganda, South Africa, and Kenya), and two studies from India were record reviews from health facilities. There were increased levels of maternal mortality documented in all studies; however, there was only statistical evidence for a difference in maternal mortality in the COVID-19 era for four of these. Excess maternal mortality ranged from 8.5% in Kenya to 61.5% in Uganda. Conclusions Measuring maternal mortality in pandemics presents many challenges, but also essential opportunities to understand and ameliorate adverse impact both for women and their newborns. Our systematic review shows a dearth of studies giving reliable information on levels of maternal mortality, and we call for increased and more systematic reporting of this largely preventable outcome. The findings help to highlight four measurement-related issues which are priorities for continuing research and development.
Schlagwörter	maternal deaths ; maternal mortality ratio ; rapid systematic review ; sars-cov-2 ; Public aspects of medicine ; RA1-1270
Thema/Rubrik (Code)	310
Sprache	Englisch
Erscheinungsdatum	2021-10-01T00:00:00Z
Verlag	Taylor & Francis Group
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: Regulating pharmacists as contraception providers

Lianne Gonsalves / Kaspar Wyss / Peter Gichangi / Lale Say / Adriane Martin Hilber

PLoS ONE, Vol 14, Iss 12, p e

A qualitative study from Coastal Kenya on injectable contraception provision to youth.

2019 Band 0226133

Abstract: Introduction Young people worldwide are often reticent to access family planning services from public health facilities: instead, they choose to get contraception from private, retail pharmacies. In Kenya, certain contraceptives are available in ... ...

Abstract	Introduction Young people worldwide are often reticent to access family planning services from public health facilities: instead, they choose to get contraception from private, retail pharmacies. In Kenya, certain contraceptives are available in pharmacies: these include injectables, which can be dispensed but not administered, according national guidelines. However, Kenya struggles with enforcement of its pharmacy regulations and addressing illegal activity. Therefore, in this qualitative study, we assessed private pharmacies as an existing source of injectable contraception for young Kenyans (age 18-24), and investigated the perceived quality of service provision. Methods This study used: focus group discussions (6) with young community members; in-depth interviews (18) with youth who had purchased contraception from pharmacies; key informant interviews with pharmacy personnel and pharmacy stakeholders (25); and a mystery shopper (visiting 45 pharmacies). Results The study found that for injectable contraception, private pharmacies had expanded to service provision, and pharmacy personnel's roles had transcended formal or informal training previously received-young people could both purchase and be injected in many pharmacies. Pharmacies were perceived to lack consistent quality or strong regulation, resulting in young clients, pharmacy personnel, and regulators being concerned about illegal activity. Participants' suggestions to improve pharmacy service quality and regulation compliance focused on empowering consumers to demand quality service; strengthening regulatory mechanisms; expanding training opportunities to personnel in private pharmacies; and establishing a quality-based 'brand' for pharmacies. Discussion Kenya's recent commitments to universal health coverage and interest in revising pharmacy policy provide an opportunity to improve pharmacy quality. Multi-pronged initiatives with both public and private partners are needed to improve pharmacy practice, update and enforce regulations, and educate ...
Schlagwörter	Medicine ; R ; Science ; Q
Thema/Rubrik (Code)	360
Sprache	Englisch
Erscheinungsdatum	2019-01-01T00:00:00Z
Verlag	Public Library of Science (PLoS)
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: What maternal morbidities are and what they mean for women

Isabelle L Lange / Atf Gherissi / Doris Chou / Lale Say / Veronique Filippi

PLoS ONE, Vol 14, Iss 4, p e

A thematic analysis of twenty years of qualitative research in low and lower-middle income countries.

2019 Band 0214199

Abstract: Background With an estimated 27 million annual incidents of maternal morbidity globally, how they are manifested or experienced is diverse and shaped by societal, cultural and personal influences. Using qualitative research to examine a woman's ... ...

Abstract	Background With an estimated 27 million annual incidents of maternal morbidity globally, how they are manifested or experienced is diverse and shaped by societal, cultural and personal influences. Using qualitative research to examine a woman's perception of her pregnancy, its complications, and potential long-term impact on her life can inform public health approaches and complement and inform biomedical classifications of maternal morbidities, historically considered a neglected dimension of safe motherhood. As part of the WHO's Maternal Morbidity Working Group's efforts to define and measure maternal morbidity, we carried out a thematic analysis of the qualitative literature published between 1998 and 2017 on how women experience maternal morbidity in low and lower-middle income countries. Results and conclusions Analysis of the 71 papers included in this study shows that women's status, their marital relationships, cultural attitudes towards fertility and social responses to infertility and pregnancy trauma are fundamental to determining how they will experience morbidity in the pregnancy and postpartum periods. We explore the physical, economic, psychological and social repercussions pregnancy can produce for women, and how resource disadvantage (systemic, financial and contextual) can exacerbate these problems. In addition to an analysis of ten themes that emerged across the different contexts, this paper presents which morbidities have received attention in different regions and the trends in researching morbidities over time. We observed an increase in qualitative research on this topic, generally undertaken through interviews and focus groups. Our analysis calls for the pursuit of high quality qualitative research that includes repeat interviews, participant observation and triangulation of sources to inform and fuel critical advocacy and programmatic work on maternal morbidities that addresses their prevention and management, as well as the underlying systemic problems for women's status in society.
Schlagwörter	Medicine ; R ; Science ; Q
Thema/Rubrik (Code)	360
Sprache	Englisch
Erscheinungsdatum	2019-01-01T00:00:00Z
Verlag	Public Library of Science (PLoS)
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Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: Busting contraception myths and misconceptions among youth in Kwale County, Kenya

Lianne Gonsalves / Lale Say / Peter Gichangi / Michael Waithaka / Marleen Temmerman / Ndema Habib / Mary Thiongo / Tigest Tamrat / Jefferson Mwaisaka / Alfred Agwanda / Hellen Sidha

BMJ Open, Vol 12, Iss

results of a digital health randomised control trial

2022 Band 1

Schlagwörter	Medicine ; R
Sprache	Englisch
Erscheinungsdatum	2022-01-01T00:00:00Z
Verlag	BMJ Publishing Group
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Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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