Getting the basic rights – the role of water, sanitation and hygiene in maternal and reproductive health: a conceptual framework

Campbell, Oona; Beňová, Lenka; Gon, Giorgia; Afsana, Kaosar; Cumming, Oliver

doi:10.1111/tmi.12439

Cited by 77 publications

(60 citation statements)

References 165 publications

(145 reference statements)

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“…This requires either labour induction or Caesarean delivery, the safety of both of which are WASH dependent. Campbell and colleagues have provided a carefully framed conceptual framework, linking WASH to improved maternal and reproductive health outcomes [51].…”

Section: Civil Society-based Solutionsmentioning

confidence: 99%

Preventing deaths due to the hypertensive disorders of pregnancy

Dadelszen

Magee

2016

Best Practice & Research Clinical Obstetrics & Gynaecol

119

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In this chapter, taking a life cycle and both civil society and medically oriented approach, we will discuss the contribution of the hypertensive disorders of pregnancy (HDPs) to maternal, perinatal and newborn mortality and morbidity. Here we review various interventions and approaches to preventing deaths due to HDPs and discuss effectiveness, resource needs and long-term sustainability of the different approaches. Societal approaches, addressing sustainable development goals (SDGs) 2.2 (malnutrition), 3.7 (access to sexual and reproductive care), 3.8 (universal health coverage) and 3c (health workforce strengthening), are required to achieve SDGs 3.1 (maternal survival), 3.2 (perinatal survival) and 3.4 (reduced impact of non-communicable diseases (NCDs)). Medical solutions require greater clarity around the classification of the HDPs, increased frequency of effective antenatal visits, mandatory responses to the HDPs when encountered, prompt provision of life-saving interventions and sustained surveillance for NCD risk for women with a history of the HDPs.

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Section: Civil Society-based Solutionsmentioning

confidence: 99%

Preventing deaths due to the hypertensive disorders of pregnancy

Dadelszen

Magee

2016

Best Practice & Research Clinical Obstetrics & Gynaecol

119

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“…Yet they have not been prioritised in other community studies on maternal health in low-and middle-income countries. [49][50][51][52][53] The photovoice photographers benefited from the project by becoming more knowledgeable about maternal health and increasing their capacity to address problems affecting their communities. 30 During the course of the study, they were involved in health education, promoting healthy practices and carrying out voluntary work in their villages.…”

Section: Discussionmentioning

confidence: 99%

Using photovoice to examine community level barriers affecting maternal health in rural Wakiso district, Uganda

Musoke¹,

Ekirapa-Kiracho

Ndejjo³

et al. 2015

Reproductive Health Matters

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Uganda continues to have poor maternal health indicators including a high maternal mortality ratio. This paper explores community level barriers affecting maternal health in rural Wakiso district, Uganda. Using photovoice, a community-based participatory research approach, over a five-month period, ten young community members aged 18-29 years took photographs and analysed them, developing an understanding of the emerging issues and engaging in community dialogue on them. From the study, known health systems problems including inadequate transport, long distance to health facilities, long waiting times at facilities and poor quality of care were confirmed, but other aspects that needed to be addressed were also established. These included key gender-related determinants of maternal health, such as domestic violence, low contraceptive use and early teenage pregnancy, as well as problems of unclean water, poor sanitation and women's lack of income. Community members appreciated learning about the research findings precisely hence designing and implementing appropriate solutions to the problems identified because they could see photographs from their own local area. Photovoice's strength is in generating evidence by community members in ways that articulate their perspectives, support local action and allow direct communication with stakeholders.

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“…infections arising from poor hygiene due to insufficient water, these can also include oral-faecal infection, e.g. hookworm) [8] (see Table 1). Here and throughout, we use the expression "water-associated" to refer to these latter classes of diseases.…”

Section: Introductionmentioning

confidence: 99%

Challenges in developing methods for quantifying the effects of weather and climate on water-associated diseases: A systematic review

et al. 2017

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Infectious diseases attributable to unsafe water supply, sanitation and hygiene (e.g. Cholera, Leptospirosis, Giardiasis) remain an important cause of morbidity and mortality, especially in low-income countries. Climate and weather factors are known to affect the transmission and distribution of infectious diseases and statistical and mathematical modelling are continuously developing to investigate the impact of weather and climate on water-associated diseases. There have been little critical analyses of the methodological approaches. Our objective is to review and summarize statistical and modelling methods used to investigate the effects of weather and climate on infectious diseases associated with water, in order to identify limitations and knowledge gaps in developing of new methods. We conducted a systematic review of English-language papers published from 2000 to 2015. Search terms included concepts related to water-associated diseases, weather and climate, statistical, epidemiological and modelling methods. We found 102 full text papers that met our criteria and were included in the analysis. The most commonly used methods were grouped in two clusters: process-based models (PBM) and time series and spatial epidemiology (TS-SE). In general, PBM methods were employed when the bio-physical mechanism of the pathogen under study was relatively well known (e.g. Vibrio cholerae); TS-SE tended to be used when the specific environmental mechanisms were unclear (e.g. Campylobacter). Important data and methodological challenges emerged, with implications for surveillance and control of water-associated infections. The most common limitations comprised: non-inclusion of key factors (e.g. biological mechanism, demographic heterogeneity, human behavior), reporting bias, poor data quality, and collinearity in exposures. Furthermore, the methods often did not distinguish among the multiple sources of time-lags (e.g. patient physiology, reporting bias, healthcare access) between environmental drivers/exposures and disease detection. Key areas of future research include: disentangling the complex effects of weather/climate on each exposure-health outcome pathway (e.g. person-to-person vs environment-to-person), and linking weather data to individual cases longitudinally.

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Getting the basic rights – the role of water, sanitation and hygiene in maternal and reproductive health: a conceptual framework

Cited by 77 publications

References 165 publications

Preventing deaths due to the hypertensive disorders of pregnancy

Preventing deaths due to the hypertensive disorders of pregnancy

Using photovoice to examine community level barriers affecting maternal health in rural Wakiso district, Uganda

Challenges in developing methods for quantifying the effects of weather and climate on water-associated diseases: A systematic review

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