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Cover of  A qualitative study assessing the acceptability and adoption of implementing a results based financing intervention to improve maternal and neonatal health in Malawi

A qualitative study assessing the acceptability and adoption of implementing a results based financing intervention to improve maternal and neonatal health in Malawi

August 2016
Results Based Management | Performance Based Incentives for Quality of Care
Abstract BackgroundResults Based Financing (RBF) interventions have recently gained significant momentum, especially in sub-Saharan Africa. However, most of the research has focused on the evaluation of the impacts of this approach, providing little insight into how the contextual circumstances surrounding the implementation have contributed to its success or failure. This study aims to fill a void in the current literature on RBF by focusing explicitly on the process of implementing a RBF intervention rather than on its impact. Specifically, this study focuses on the acceptability and...
Cover of A Call for Collaboration on Respectful, Person-Centered Health Care in Family Planning and Maternal Health

A Call for Collaboration on Respectful, Person-Centered Health Care in Family Planning and Maternal Health

February 2017
Access to Skilled Care | Respectful Maternal Care
Striking tales of people judged, disrespected, or abused in reproductive, maternal, newborn, child, and adolescent health (RMNCAH) services are commonly exchanged among friends and families throughout the world while remaining sorely under-addressed in global health. Disrespect and abuse of individuals and providers in health services across the RMNCAH continuum must be stopped through collaborative, multi-tiered efforts. A new focus on health care quality in the Sustainable Development Goals offers an opportunity to seriously reexamine user experiences and their impact on health care...
Cover of A controlled, before-and-after trial of an urban sanitation intervention to reduce enteric infections in children: research protocol for the Maputo Sanitation (MapSan) study, Mozambique

A controlled, before-and-after trial of an urban sanitation intervention to reduce enteric infections in children: research protocol for the Maputo Sanitation (MapSan) study, Mozambique

July 2015
Environmental Health & Safety | Water, Sanitation, and Hygiene
Access to safe sanitation in low-income, informal settlements of Sub-Saharan Africa has not significantly improved since 1990. The combination of a high fecal-related disease burden and inadequate infrastructure suggests that investment in expanding sanitation access in densely populated urban slums can yield important public health gains. No rigorous, controlled intervention studies have evaluated the health effects of decentralized (non-sewerage) sanitation in an informal urban setting, despite the role that such technologies will likely play in scaling up access.This study has designed a...
Resource: <a href=/resources/access-skilled-care-equitable-healthcare-access/framework-measuring-health-inequity>A framework for measuring health inequity</a>

A framework for measuring health inequity

March 2005
Access to Skilled Care | Equitable Healthcare Access
Health inequality has long attracted keen attention in the research and policy arena. While there may be various motivations to study health inequality, what distinguishes it as a topic is moral concern. Despite the importance of this moral interest, a theoretical and analytical framework for measuring health inequality acknowledging moral concerns remains to be established. The objective of this paper is to propose a framework for measuring the moral or ethical dimension of healthinequality—that is, health inequity.
Resource: <a href=/resources/respectful-maternal-care/qualitative-study-women%E2%80%99s-and-health-providers%E2%80%99-attitudes-and>A qualitative study of women’s and health providers’ attitudes and acceptability of mistreatment during childbirth in health facilities in Guinea</a>

A qualitative study of women’s and health providers’ attitudes and acceptability of mistreatment during childbirth in health facilities in Guinea

January 2017
Respectful Maternal Care
AbstractBackgroundReducing maternal morbidity and mortality remains a key health challenge in Guinea. Anecdotal evidence suggests that women in Guinea are subjected to mistreatment during childbirth in health facilities, but limited research exists on this topic. This study was conducted to better understand the social norms and the acceptability of four scenarios of mistreatment during childbirth, from the perspectives of women and service providers.MethodsThis study used qualitative methods including in-depth interviews (IDIs) and focus group discussions (FGDs) with women of reproductive...
Resource: <a href=/resources/community-care-community-level-management-unclassified-fever/addressing-inequity-achieve>Addressing inequity to achieve the maternal and child health millennium development goals: looking beyond averages</a>

Addressing inequity to achieve the maternal and child health millennium development goals: looking beyond averages

December 2012
Community Care | Community-Level Management of Unclassified Fever
Inequity in access to and use of child and maternal health interventions is impeding progress towards the maternal and child health Millennium Development Goals. This study explores the potential health gains and equity impact if a set of priority interventions for mothers and under fives were scaled up to reach national universal coverage targets for MDGs in Tanzania. Researchers used the Lives Saved Tool (LiST) to estimate potential reductions in maternal and child mortality and the number of lives saved across wealth quintiles and between rural and urban settings. High impact maternal and...
Resource: <a href=/resources/environmental-health-safety-household-air-pollution/adoption-and-sustained-use-improved>Adoption and Sustained Use of Improved Cookstoves </a>

Adoption and Sustained Use of Improved Cookstoves

April 2011
Environmental Health & Safety | Household Air Pollution
The adoption and sustained use of improved cookstoves are critical performance parameters of the cooking system that must be monitored just like the rest of the stove technical requirements to ensure the sustainability of their benefits. No stove program can achieve its goals unless people initially accept the stoves and continue using them on a long-term basis. When a new stove is brought into a household, commonly a stacking of stoves and fuels takes place with each device being used for the cooking practices where it fits best. Therefore, to better understand the adoption process and...
Cover of Advancing Communication and Behavior Change Strategies for Cleaner Cooking

Advancing Communication and Behavior Change Strategies for Cleaner Cooking

May 2015
Environmental Health & Safety | Household Air Pollution
 USAID|TRAction recently sponsored a special issue of the Journal of Health Communication: International Perspectives. The supplement "Advancing Communication and Behavior Change Strategies for Cleaner Cooking” focuses on the role of behavior change strategies within the clean cooking sector.It is increasingly recognized that achieving the adoption and sustained and correct use of clean cooking technologies will not be achieved without a significant shift in behavior at all stages of the clean cooking value chain. This special issue aims to advance our understanding of behavior change related...
Resource: <a href=/resources/access-skilled-care-respectful-maternal-care/assessment-impact-health-workers-change>An Assessment of the Impact of Health Workers for Change in Avellaneda, Province of Buenos Aires, Argentina</a>

An Assessment of the Impact of Health Workers for Change in Avellaneda, Province of Buenos Aires, Argentina

June 2001
Access to Skilled Care | Respectful Maternal Care
This paper describes the evaluation of the Health Workers for Change (HWFC) workshop series in a primary health care clinic in Avellaneda, Argentina. An intervention was designed to improve quality of care in the primary health care clinic. Health workers were motivated and willing to examine their own practices critically in an effort to improve quality of care. Informants from the community also perceived that patients were being treated more kindly. As a result, the number of system level supervisors increased and they were urged to spend more time in the clinics. 
Resource: <a href=/resources/environmental-health-safety-water-sanitation-and-hygiene/ecological-quantification>An ecological quantification of the relationships between water, sanitation and infant, child, and maternal mortality</a>

An ecological quantification of the relationships between water, sanitation and infant, child, and maternal mortality

July 2015
Environmental Health & Safety | Water, Sanitation, and Hygiene
Water and sanitation access are known to be related to newborn, child, and maternal health. This study uses country-level data to attempt to quantify these relationships globally. Data for 193 countries were abstracted from global databases such as World Bank, WHO, and UNICEF to calculate the outcomes of under-five mortality rate and infant mortality rate (IMR). This paper attempt to answer the question "How much does improving access to water and sanitation influence infant, child, and maternal mortality?"

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Landmark Beach Hotel and Conference Centre, Dar es Salaam, Tanzania 30 November - 1 December 2016

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November 27, 2016

The  International Day for the Elimination of Violence Against Women kicked off the 1st International...

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July 08, 2017
Five presentations occurred at iHEA 2017 from two TRAction-supported...