Key lessons from a mixed-method evaluation of a postnatal home visit programme in the humanitarian setting of Gaza

Vries, Irene de; Hamad, Bassam Abu; Gurp, Margo van; Alba, Sandra; Khammash, Umaiyeh; Baatsen, Pam

doi:10.26719/emhj.21.005

Cited by 7 publications

(23 citation statements)

References 10 publications

(14 reference statements)

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“… 49 A postnatal home visits programme implemented in the Gaza strip showed that women included in the programme had improved breastfeeding practices, and it helped to reduce harmful traditional practices such as the application of oil and salt to the umbilical cord. 34 …”

Section: Resultsmentioning

confidence: 99%

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A systematic review of newborn health interventions in humanitarian settings

et al. 2022

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BackgroundAlmost half of the under-5 deaths occur in the neonatal period and most can be prevented with quality newborn care. The already vulnerable state of newborns is exacerbated in humanitarian settings. This review aims to assess the current evidence of the interventions being provided in these contexts, identify strategies that increase their utilisation and their effects on health outcomes in order to inform involved actors in the field and to guide future research.MethodsSearched for peer-reviewed and grey literature in four databases and in relevant websites, for published studies between 1990 and 15 November 2021. Search terms were related to newborns, humanitarian settings, low-income and middle-income countries and newborn health interventions. Quality assessment using critical appraisal tools appropriate to the study design was conducted. Data were extracted and analysed using a narrative synthesis approach.ResultsA total of 35 articles were included in this review, 33 peer-reviewed and 2 grey literature publications. The essential newborn care (ENC) interventions reported varied across the studies and only three used the Newborn Health in Humanitarian Settings: Field Guide as a guideline document. The ENC interventions most commonly reported were thermal care and feeding support whereas delaying of cord clamping and administration of vitamin K were the least. Training of healthcare workers was the most frequent strategy reported to increase utilisation. Community interventions, financial incentives and the provision of supplies and equipment were also reported.ConclusionThere is insufficient evidence documenting the reality of newborn care in humanitarian settings in low-income and middle-income countries. There is a need to improve the reporting of these interventions, including when there are gaps in service provision. More evidence is needed on the strategies used to increase their utilisation and the effect on health outcomes.PROSPERO registration numberCRD42020199639.

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Section: Resultsmentioning

confidence: 99%

“…32 In Myanmar and Gaza, programmes with community-based providers increased the number of PNC visits and report improvement in some newborn interventions such as skin-to-skin and breastfeeding practices (statistically significant findings in Myanmar). 34 59 …”

Section: Resultsmentioning

confidence: 99%

A systematic review of newborn health interventions in humanitarian settings

et al. 2022

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“…Need to coupling HIVST distribution with public information, education & communication through media & social marketing, relying on community health workers to mediate use of HIVST & ensure linkage to care. (de Vries, Hamad et al 2021) [ 31 ] Gaza Conflict Essential new-born care Mixed methods: qualitative informant interviews, in-depth interviews &/or focus group discussions secondary analysis of Ministry of Health annual reports, central statistics & MICSs. Women targeted by the programme, non-targeted women, husbands, & home visitors.…”

Section: Resultsmentioning

confidence: 99%

“…All of the newborn health publications focused on essential newborn care, including thermal care, clean cord care and breastfeeding practices. Study locations included North-East Nigeria (Borno State) [ 25 ], occupied Palestinian Territories (Gaza) [ 31 ], South Sudan [ 32 ], and refugee settlements in Uganda [ 35 ]. Studies in Nigeria and Uganda were exploratory assessments of the acceptability and implementation of global best practices for newborn care, independent of an intervention.…”

Section: Resultsmentioning

confidence: 99%

Self-care interventions for sexual and reproductive health in humanitarian and fragile settings: a scoping review

Dawson

Tappis²,

Tran

2022

BMC Health Serv Res

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Background Self-care is the ability of individuals, families, and communities to promote health, prevent disease, maintain health, and manage illness and disability with or without a health care provider. In resource-constrained settings with disrupted sexual and reproductive health (SRH) service coverage and access, SRH self-care could play a critical role. Despite SRH conditions being among the leading causes of mortality and morbidity among women of reproductive age in humanitarian and fragile settings, there are currently no reviews of self-care interventions in these contexts to guide policy and practice. Methods We undertook a scoping review to identify the design, implementation, and outcomes of self-care interventions for SRH in humanitarian and fragile settings. We defined settings of interest as locations with appeals for international humanitarian assistance or identified as fragile and conflict-affected situations by the World Bank. SRH self-care interventions were described according to those aligned with the Minimum Initial Services Package for Reproductive Health in Crises. We searched six databases for records using keywords guided by the PRISMA statement. The findings of each included paper were analysed using an a priori framework to identify information concerning effectiveness, acceptability and feasibility of the self-care intervention, places where self-care interventions were accessed and factors relating to the environment that enabled the delivery and uptake of the interventions. Results We identified 25 publications on SRH self-care implemented in humanitarian and fragile settings including ten publications on maternal and newborn health, nine on HIV/STI interventions, two on contraception, two on safe abortion care, one on gender-based violence, and one on health service provider perspectives on multiple interventions. Overall, the findings show that well-supported self-care interventions have the potential to increase access to quality SRH for crisis-affected communities. However, descriptions of interventions, study settings, and factors impacting implementation offer limited insight into how practical considerations for SRH self-care interventions differ in stable, fragile, and crisis-affected settings. Conclusion It is time to invest in self-care implementation research in humanitarian settings to inform policies and practices that are adapted to the needs of crisis-affected communities and tailored to the specific health system challenges encountered in such contexts.

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“…All the newborn health publications focused on essential newborn care, including thermal care, clean cord care and breastfeeding practices. Study locations included North-East Nigeria (Borno State) [30], occupied Palestinian Territories (Gaza) [31], South Sudan [32], and refugee settlements in Uganda [33]. Studies in Nigeria and Uganda were exploratory assessments of the acceptability and implementation of global best practices for newborn care, independent of an intervention.…”

Section: Characteristics Of Included Papersmentioning

confidence: 99%

Self-care interventions for sexual and reproductive health in humanitarian and fragile settings: a scoping review

Dawson

Tappis²,

Tran

2022

Preprint

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BackgroundSelf-care is the ability of individuals, families, and communities to promote health, prevent disease, maintain health, and manage illness and disability with or without a health care provider. In resource-constrained settings with disrupted sexual and reproductive health (SRH) service coverage and access, SRH self-care could play a critical role. Despite SRH conditions being among the leading causes of mortality and morbidity among women of reproductive age in humanitarian and fragile settings there are currently no reviews of self-care interventions in these contexts to guide policy and practice.MethodsWe undertook a scoping review to identify the design, implementation, and outcomes of self-care interventions for SRH in humanitarian and fragile settings. We defined settings of interest as locations with appeals for international humanitarian assistance or identified as fragile and conflict-affected situations by the World Bank. SRH self-care interventions were described according to those aligned with the Minimum Initial Services Package for Reproductive Health in Crises. We searched six databases for records using keywords guided by the PRISMA statement. The findings of each included paper were analysed using an a priori framework to identify information concerning effectiveness, acceptability and feasibility of the self-care intervention, places where self-care interventions were accessed and factors relating to the environment that enabled the delivery and uptake of the interventions.FindingsWe identified 25 publications on SRH self-care implemented in humanitarian and fragile settings including ten publications on maternal and newborn health, nine on HIV/STI interventions, two on contraception, two on safe abortion care, one on gender-based violence, and one on health service provider perspectives on multiple interventions. Overall, the findings show that well-supported self-care interventions have the potential to increase access to quality SRH for crisis-affected communities. However, descriptions of interventions, study settings, and factors impacting implementation offer limited insight into how practical considerations for SRH self-care interventions differ in stable, fragile, and crisis-affected settings.Conclusion It is time to invest in self-care implementation research in humanitarian settings to inform policies and practices that are adapted to the needs of crisis-affected communities and tailored to the specific health system challenges encountered in such contexts.

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Key lessons from a mixed-method evaluation of a postnatal home visit programme in the humanitarian setting of Gaza

Cited by 7 publications

References 10 publications

A systematic review of newborn health interventions in humanitarian settings

A systematic review of newborn health interventions in humanitarian settings

Self-care interventions for sexual and reproductive health in humanitarian and fragile settings: a scoping review

Self-care interventions for sexual and reproductive health in humanitarian and fragile settings: a scoping review

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