Integrating maternal, newborn, child health and non-communicable disease care in the sustainable development goal era

Akselrod, Svetlana; Banerjee, Anshu; Collins, Téa; Acharya, Shambhu; Artykova, Nazira; Askew, Ian; Berdzuli, Nino; Diorditsa, Sergey; Eggers, Rudolf; Farrington, Jill; Jakab, Zsuzsanna; Ferreira‐Borges, Carina; Mikkelsen, Bente; Azzopardi-Muscat, Natasha; Olsavszky, Victor; Park, Kidong; Sobel, Howard; Tran, Ha Nguyen; Vujnović, Melita; Weber, Martin; Were, Wilson; Yaqub, Nuhu; Berlina, Daria; Dunlop, Catherine; Allen, Luke

doi:10.3389/fpubh.2023.1183712

Cited by 3 publications

(1 citation statement)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Effective MH care is vital for reaching the health-related Sustainable Development Goals (SDGs). In this context, adopting comprehensive strategies is essential for the provision of suitable MH services and the reduction of maternal mortality rates globally [ 14 ]. Identifying key obstacles to the provision and utilization of MH services can provide policymakers with insights to develop the necessary strategies to address and overcome these obstacles.…”

Section: Introductionmentioning

confidence: 99%

Key barriers to the provision and utilization of maternal health services in low-and lower-middle-income countries; a scoping review

Sarikhani,

Najibi,

Razavi

2024

BMC Women's Health

View full text Add to dashboard Cite

Background The preservation and promotion of maternal health (MH) emerge as vital global health objectives. Despite the considerable emphasis on MH, there are still serious challenges to equitable access to MH services in many countries. This review aimed to determine key barriers to the provision and utilization of MH services in low- and lower-middle-income countries (LLMICs). Methods In this scoping review, we comprehensively searched four online databases from January 2000 to September 2022. In this study, the approach proposed by Arksey and O’Malley was used to perform the review. Consequently, 117 studies were selected for final analysis. To determine eligibility, three criteria of scoping reviews (population, concept, and context) were assessed alongside the fulfillment of the STROBE and CASP checklist criteria. To synthesize and analyze the extracted data we used the qualitative content analysis method. Results The main challenges in the utilization of MH services in LLMICs are explained under four main themes including, knowledge barriers, barriers related to beliefs, attitudes and preferences, access barriers, and barriers related to family structure and power. Furthermore, the main barriers to the provision of MH services in these countries have been categorized into three main themes including, resource, equipment, and capital constraints, human resource barriers, and process defects in the provision of services. Conclusions The evidence from this study suggests that many of the barriers to the provision and utilization of MH services in LLMICs are interrelated. Therefore, in the first step, it is necessary to prioritize these factors by determining their relative importance according to the specific conditions of each country. Consequently, comprehensive policies should be developed using system modeling approaches.

show abstract

Section: Introductionmentioning

confidence: 99%

Key barriers to the provision and utilization of maternal health services in low-and lower-middle-income countries; a scoping review

Sarikhani,

Najibi,

Razavi

2024

BMC Women's Health

View full text Add to dashboard Cite

show abstract

Trends and determinants of clustering for non-communicable disease risk factors in women of reproductive age in Nepal

Singh,

Mishra,

Khatri

2024

PLoS ONE

View full text Add to dashboard Cite

Background Understanding the clustering of two or more risk factors of non-communicable disease, such as smoking, overweight/obesity, and hypertension, among women of reproductive age could facilitate the design and implementation of strategies for prevention and control measures. This study examined the factors associated with smoking, overweight/obesity, and hypertension among Nepalese women of reproductive age (15–49 years). Methods This study used the Nepal Demographic and Health Surveys (NDHS) 2016 (6,079 women for smoking and overweight/obesity, 6076 for hypertension) and 2022 (6,957 women for overweight/obesity and smoking status and 3,749 women for hypertension) for comparison of trends of NCD risk factors among women aged 15–49 years. Additionally, for each participant, risk factors score (range of 0 to 3) was created by summing individual risk factors. We assessed the determinants of risk factor clustering using multivariable Poisson regression models with robust sandwich variance estimator to calculate adjusted prevalence ratios using NDHS 2022. Results The national prevalence of overweight/obesity increased from 22.2% in 2016 to 29.2% in 2022 among women of reproductive age. In 2022, the prevalence for smoking, overweight/obesity, and hypertension were 3.8%, 29.2%, and 9.6%, respectively. More than one in four women (28.7%) had one NCD risk factor, while 6.5% had two such risk factors. Higher aged women (40–49 years) were more likely to have multiple NCD risk factors than those aged 15–29 years (APR: 3.19; 95% CI: 2.68–3.80). Those in the richest wealth quintile (APR: 1.52; 95% CI: 1.24–1.85), as well as married (APR: 3.02; 95% CI: 2.43–3.76) and widowed/divorced (APR: 2.85; 95% CI: 2.14–3.80) were more likely to have multiple NCD risk factors. Women from Koshi province (APR: 1.74; 95% CI: 1.41–2.15) had more NCD risk factors than those from the Sudurpaschim province. Working women also had a higher prevalence of NCD risk factors compared to non-working women (APR: 1.23; 95% CI: 1.06–1.43). Additionally, Hill Janajatis (APR: 1.44; 95% CI: 1.21–1.72) and Dalits (APR: 1.42; 95% CI: 1.15–1.75) women were more likely to have NCD risk factors compared to women of Brahmin hill origin. Conclusions Clustering of two or more NCD risk factors was higher among women aged ≥30 years, those who are currently married or widowed/divorced/separated, working women, and individuals from the wealthiest socioeconomic groups. A higher burden of risk factors underscores the importance of targeted public health interventions, particularly among women from advantaged socio-economic groups, those of affluent regions, and in the workplace.

show abstract

Pregnancy, childbirth and the postpartum period: opportunities to improve lifetime outcomes for women with non‐communicable diseases

Ramson,

Williams,

Afolabi

et al. 2024

Medical Journal of Australia

View full text Add to dashboard Cite

Integrating maternal, newborn, child health and non-communicable disease care in the sustainable development goal era

Cited by 3 publications

References 46 publications

Key barriers to the provision and utilization of maternal health services in low-and lower-middle-income countries; a scoping review

Key barriers to the provision and utilization of maternal health services in low-and lower-middle-income countries; a scoping review

Trends and determinants of clustering for non-communicable disease risk factors in women of reproductive age in Nepal

Pregnancy, childbirth and the postpartum period: opportunities to improve lifetime outcomes for women with non‐communicable diseases

Contact Info

Product

Resources

About