Effectiveness of mHealth Interventions Targeting Health Care Workers to Improve Pregnancy Outcomes in Low- and Middle-Income Countries:A Systematic Review

Background: Low- and middle-income countries (LMICs) face the highest burden of maternal and neonatal deaths. Concurrently, they have the lowest number of physicians. Innovative methods such as the exchange of health-related information using mobile devices (mHealth) may support health care workers in the provision of antenatal, delivery, and postnatal care to improve maternal and neonatal outcomes in LMICs.

Client Factors Affect Provider Adherence to Clinical Guidelines during First Antenatal Care

Background: The first antenatal clinic (ANC) visit helps to distinguish pregnant women who require standard care, from those with specific problems and so require special attention. There are protocols to guide care providers to provide optimal care to women during ANC. Our objectives were to determine the level of provider adherence to first antenatal visit guidelines in the Safe Motherhood Protocol (SMP), and assess patient factors that determine complete provider adherence.

Public health facility resource availability and provider adherence to first antenatal guidelines in a low resource setting in Accra, Ghana

Background: Lack of resources has been identified as a reason for non-adherence to clinical guidelines. Our aim was
to describe public health facility resource availability in relation to provider adherence to first antenatal visit guidelines.

Assessing the Effect of mHealth Interventions in Improving Maternal and Neonatal Care in Low- and Middle-Income Countries: A Systematic Review

Introduction

Maternal and neonatal mortality remains high in many low- and middle-income countries (LMIC). Availability and use of mobile phones is increasing rapidly with 90% of persons in developing countries having a mobile-cellular subscription. Mobile health (mHealth) interventions have been proposed as effective solutions to improve maternal and neonatal health. This systematic review assessed the effect of mHealth interventions that support pregnant women during the antenatal, birth and postnatal period in LMIC.

Methods

Care Decision Making of Frontline Providers of Maternal and Newborn Health Services in the Greater Accra Region of Ghana

Abstract

Objectives: To explore the ‘‘how’’ and ‘‘why’’ of care decision making by frontline providers of maternal and newborn services in the Greater Accra region of Ghana and determine appropriate interventions needed to support its quality and related maternal and neonatal outcomes.

Individual and community determinants of neonatal mortality in Ghana: a multilevel analysis

Background

Neonatal mortality is a global challenge; identification of individual and community determinants associated with it are important for targeted interventions. However in most low and middle income countries (LMICs) including Ghana this problem has not been adequately investigated as the impact of contextual factors remains undetermined despite their significant influence on under-five mortality and morbidity.

Predictors of Skilled Attendance at delivery among Antenatal Clinic Attendants in Ghana: A cross-sectional study of population data

As the target year (1990-2015) for the United Nations millennium development goals (MDG) draws near, many countries particularly those in sub-Saharan Africa are assessing their progress towards meeting the MDG 4 and 5, and Ghana is no exception.

Achieving MDGs 4 and 5 in Ghana – Can small interventions make the big difference?

As the target year (1990-2015) for the United Nations millennium development goals (MDG) draws near, many countries particularly those in sub-Saharan Africa are assessing their progress towards meeting the MDG 4 and 5, and Ghana is no exception. Over the years, Ghana has had tremendous assistance from various partners to support maternal and child health activities, in addition to the implementation of the national health insurance scheme (NHIS) that increased the opportunity for women of child bearing age and children under-five years to have access to health facilities and skilled care.

‘Your health our concern, our health whose concern?’: perceptions of injustice in organizational relationships and processes and frontline health worker motivation in Ghana

Taking a perspective of frontline health workers as internal clients within health systems, this study explored how perceived injustice in policy and organizational matters influence frontline health worker motivation and the consequent effect on workers’ attitudes and performance in delivering maternal and neonatal health care in public hospitals.

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