scholarly journals Using a modified champion community approach for improving maternal, newborn, and child health outcomes in remote and insecure health zones in the Democratic Republic of Congo 2012-2017: a case study

Author(s):  
Lynn Liebermann Lawry ◽  
Janvier Barhobagayana ◽  
Ousmane Faye
PLoS ONE ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. e0209278 ◽  
Author(s):  
Olivia Magwood ◽  
Victoire Kpadé ◽  
Kednapa Thavorn ◽  
Sandy Oliver ◽  
Alain D. Mayhew ◽  
...  

Author(s):  
Rogie Royce Carandang ◽  
Jennifer Lisa Sakamoto ◽  
Mika Kondo Kunieda ◽  
Akira Shibanuma ◽  
Ekaterina Yarotskaya ◽  
...  

Home-based records are paper or electronic records retained and used by mothers or caregivers to document the health services received for maternal, newborn, and child health. Little has been studied about the roles of these records on newborn and child health outcomes. Hence, we collated and summarized evidence concerning the roles of home-based records in improving newborn and child health. We conducted a systematic search in several databases: MEDLINE, Web of Science, CINAHL, PsycINFO, PsycARTICLES, Academic Search Complete, SocINDEX, CENTRAL, DARE, NHS EED, HTA, J-STAGE, Ichushi, and gray literature. We included original research articles of all study designs published in English or Japanese until January 2020. Owing to heterogeneity across the outcomes of included studies, we conducted a narrative synthesis. We included 55 studies (23 in Japanese) among 14,017 identified articles. We identified the following roles of home-based records on newborn and child health: promoted newborn/childcare seeking, improved knowledge and practices of newborn/childcare, encouraged home care for childhood illnesses, reduced child mortality and morbidity, and facilitated continuum of care. We observed a mixed effect on age-appropriate immunization (e.g., DTP3 completion) and no effect on the practice of immediate breastfeeding and prevention of perinatal mortality and morbidity. The findings highlighted the effectiveness and usefulness of home-based records to improve newborn and child health outcomes. However, only a few studies were available for each outcome category, limiting the certainty of evidence provided in this review. Therefore, we recommend further studies to explore the benefits of home-based records on improving newborn and child health.


PLoS ONE ◽  
2019 ◽  
Vol 14 (2) ◽  
pp. e0212698
Author(s):  
Olivia Magwood ◽  
Victoire Kpadé ◽  
Kednapa Thavorn ◽  
Sandy Oliver ◽  
Alain D. Mayhew ◽  
...  

Author(s):  
Amira M. Khan ◽  
Zohra S. Lassi ◽  
Zulfiqar A. Bhutta

Nearly 80% of the world’s population lives in low- and middle-income countries (LMICs) and these regions bear the greatest burden of maternal, neonatal, and child mortality, with most of the deaths occurring at home. Much of global maternal and child mortality is attributable to easily preventable and treatable conditions. However, the challenge lies in reaching the most vulnerable communities, especially the rural populations, making it imperative that maternal, newborn, and child health (MNCH) interventions focus on communities in tandem with facility-based strategies. There is widespread consensus that delivering effective primary health care (PHC) interventions through the continuum of care, starting from pregnancy to delivery and then to the newborn, infant, and the young child, is an integral component of health strategies in high-, middle- and low-income settings. Despite gaps in research, several effective community-based PHC approaches have been proven to impact MNCH positively. Implementation of these strategies is needed at scale in LMICs and in partnership with all stakeholders including the public and private sector. Community-based PHC, operating on the principles of community engagement and community mobilization, is now more critical than ever. Further robust studies are needed to evaluate certain strategies of community-based PHC and their impact on maternal and child health outcomes, such as the use of mobile technology and social franchises. Recognition of community health workers (CHWs) as a formal cadre and the integration of community-based health services within PHC are vital in strengthening efforts to impact maternal, neonatal, and child health outcomes positively. However, despite the importance of community-based PHC for MNCH in LMICs, the existence of a strong health system and skilled workforce is central to achieving positive health outcomes in these regions.


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