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1. A scoping review, mapping, and prioritisation process for emergency obstetric and neonatal quality of care indicators: Focus on provision and experience of care.

Author

Wang, Dee, Sacks, Emma, Odiase, Osamuedeme, Kapula, Ntemena, Sarakki, Alisha, Munson, Erica, Requejo, Jennifer, and Afulani, Patience

Subjects
Infant, Newborn, Humans, Pregnancy, Female, Maternal Health Services, Maternal-Child Health Services, Quality Indicators, Health Care, Pregnancy Complications, Emergency Medical Services, Delivery, Obstetric
Abstract

BACKGROUND: Globally, approximately 800 women and 6400 newborns die around the time of childbirth each day. Many of these deaths could be prevented with high-quality emergency obstetric and newborn care (EmONC). The Monitoring Emergency Obstetric Care: A handbook guides strengthening EmONC services. However, the handbook contains limited quality of care measures. Our study identified and prioritised quality of care indicators for potential inclusion in the handbook, which is undergoing revision. METHODS: We conducted a consultative scoping review, mapping, and prioritisation exercise to select a short list of indicators on facility-based maternal and newborn quality of care. Indicators were identified from literature searches and expert suggestions and organised by the categories of structure, process, and outcomes as defined in the World Health Organizations Standards for Improving Quality of Maternal and Newborn Care in Health Facilities. We focused on process indicators, encompassing the provision of care and experience of care during the intrapartum period, and developed a priority list of indicators using the selection criteria of relevance and feasibility. Experience of care indicators were also mapped against the Person-Centered Maternity Care (PCMC) scale. RESULTS: We extracted a total of 3023 quality of care indicators. After removing out-of-scope and duplicate indicators and applying our selection criteria, we identified 20 provision of care indicators for possible inclusion in the revised EmONC handbook. We recommend including a score for experience of care that could be measured with the 30-item or the 13-item PCMC scale. We also identified 29 experience of care items not covered by the PCMC scale that could be used. Provider experience, patient safety, and quality of abortion care were identified as areas for which no or few indicators were found through our scoping review. CONCLUSIONS: Through a rigorous, consultative, and multi-step process, we selected a short list of process-related, facility-based quality of care indicators for emergency obstetric and newborn care. This list could be included in the EmONC handbook or used for other monitoring purposes. Country consultations to assess the utility and feasibility of the proposed indicators and their adaptation to local contexts will support their refinement and uptake. REGISTRATION: https://osf.io/msxbd (Open Science Framework).

Published
2023

2. Associations between self-reported obstetric complications and experience of care: a secondary analysis of survey data from Ghana, Kenya, and India.

Author

Kapula, Ntemena, Sacks, Emma, Wang, Dee T, Odiase, Osamuedeme, Requejo, Jennifer, Afulani, Patience A, and Revisioning EmONC Quality of Care Workgroup

Subjects
Revisioning EmONC Quality of Care Workgroup, Humans, Delivery, Obstetric, Cesarean Section, Cross-Sectional Studies, Pregnancy, Parturition, Maternal Health Services, Kenya, Ghana, India, Female, Self Report, Experience of care, Obstetric complications, c-Section, Clinical Research, Good Health and Well Being, Paediatrics and Reproductive Medicine, Obstetrics & Reproductive Medicine
Abstract

BackgroundAlthough several indicators have been proposed to measure women's experience of care in health facilities during the intrapartum period, it is unknown if these indicators perform differently in the context of obstetric emergencies. We examined the relationship between experience of care indicators from the Person-Centered Maternity Care (PCMC) scale and obstetric complications.MethodsWe used data from four cross-sectional surveys conducted in Kenya (rural: N = 873; urban: N = 531), Ghana (N = 531), and India (N = 2018) between August 2016 and October 2017. The pooled sample included 3953 women aged 15-49 years who gave birth within 9 weeks prior to the survey. Experience of care was measured using the PCMC scale. Univariate, bivariate, and multivariable analyses were conducted to examine the associations between the composite and 31 individual PCMC indicators with (1) obstetric complications; (2) severity of complications; and (3) delivery by cesarean section (c-section).Results16% (632) of women in the pooled sample reported obstetric complications; and 4% (132) reported having given birth via c-Sect. (10.5% among those with complications). The average standardized PCMC scores (range 0-100) were 63.5 (SD = 14.1) for the full scale, 43.2 (SD = 20.6) for communication and autonomy, 67.8 (SD = 14.1) for supportive care, and 80.1 (SD = 18.2) for dignity and respect sub-scales. Women with complications had higher communication and autonomy scores (45.6 [SD = 20.2]) on average compared to those without complications (42.7 [SD = 20.6]) (p

Published
2023

4. Developing a Global Approach for Measurement of Adolescent Well-Being

Author

Guthold, Regina, Newby, Holly, Keogh, Sarah, Afifi, Rima A., Austrian, Karen, Baird, Sarah, Blum, Robert W., Bundy, Donald A.P., Deardorff, Julianna, Engel, Danielle, Klein, Jonathan D., Kostelecky, Sophie M., Mackworth-Young, Constance, Marquez, Jose, NicGabhainn, Saoirse, Requejo, Jennifer, Ross, David A., Saewyc, Elizabeth, and Mohan, Anshu

Published
2023
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5. National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis

Author

Ohuma, Eric O, Moller, Ann-Beth, Bradley, Ellen, Chakwera, Samuel, Hussain-Alkhateeb, Laith, Lewin, Alexandra, Okwaraji, Yemisrach B, Mahanani, Wahyu Retno, Johansson, Emily White, Lavin, Tina, Fernandez, Diana Estevez, Domínguez, Giovanna Gatica, de Costa, Ayesha, Cresswell, Jenny A, Krasevec, Julia, Lawn, Joy E, Blencowe, Hannah, Requejo, Jennifer, and Moran, Allisyn C

Published
2023
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6. Small babies, big risks: global estimates of prevalence and mortality for vulnerable newborns to accelerate change and improve counting

Author

Ashorn, Per, Black, Robert E, Lawn, Joy E, Ashorn, Ulla, Klein, Nigel, Hofmeyr, G Justus, Temmerman, Marleen, Askari, Sufia, Ohuma, Eric O, Moller, Ann-Beth, Bradley, Ellen, Chakwera, Samuel, Hussain-Alkhateeb, Laith, Lewin, Alexandra, Okwaraji, Yemisrach B, Retno Mahanani, Wahyu, White Johansson, Emily, Lavin, Tina, Estevez Fernandez, Diana, Gatica Domínguez, Giovanna, de Costa, Ayesha, Cresswell, Jenny A, Krasevec, Julia, Blencowe, Hannah, Requejo, Jennifer, Moran, Allisyn C, Pingray, Veronica, Cormick, Gabriela, Gibbons, Luz, Belizan, José, Guevel, Carlos, Warrilow, Kara, Gordon, Adrienne, Flenady, Vicki, Sexton, Jessica, Lawford, Harriet, Paixao, Enny S., Rocha Falcão, Ila, Lima Barreto, Mauricio, Lisonkova, Sarka, Wen, Qi, Mardones, Francisco, Caulier-Cisterna, Raúl, Acuña, José, Velebil, Petr, Jirova, Jitka, Horváth-Puhó, Erzsébet, Sørensen, Henrik Toft, Sakkeus, Luule, Abuladze, Liili, Gissler, Mika, Moradi-Lakeh, Maziar, Heidarzadeh, Mohammad, Khalili, Narjes, A. Yunis, Khalid, Al Bizri, Ayah, Nakad, Pascale, Devi Karalasingam, Shamala, R Jeganathan, J Ravichandran, binti Baharum, Nurakman, Suárez-Idueta, Lorena, Barranco Flores, Arturo, Gonzalez Roldan, Jesus F, Lopez Alvarez, Sonia, van Dijk, Aimée E., Broeders, Lisa, Huicho, Luis, Quezada Pinedo, Hugo G, Cajachagua-Torres, Kim N, Carrillo-Larco, Rodrigo M, Tarazona Meza, Carla Estefania, Guzman-Vilca, Wilmer Cristobal, Olukade, Tawa O., Ali, Hamdy A., Alyafei, Fawziya, AlQubaisi, Mai, Alturk, Mohamad R, Kim, Ho Yeon, Cho, Geum Joon, Razaz, Neda, Söderling, Jonas, Smith, Lucy K, Kurinczuk, Jennifer J, Matthews, Ruth J, Manktelow, Bradley N, Draper, Elizabeth S, Fenton, Alan C, Lowry, Estelle, Rowland, Neil, Wood, Rachael, Monteath, Kirsten, Pereyra, Isabel, Pravia, Gabriella, Davis, Celina, Clarke, Samantha, Wu, Lee S.F., Yoshida, Sachiyo, Bahl, Rajiv, Grandi, Carlos, Labrique, Alain B, Rashid, Mabhubur, Ahmed, Salahuddin, Roy, Arunangshu D., Haque, Rezwanul, Shaikh, Saijuddin, Baqui, Abdullah H., Saha, Samir K., Khanam, Rasheda, Rahman, Sayedur, Shapiro, Roger, Zash, Rebecca, Silveira, Mariângela F., Buffarini, Romina, Kolsteren, Patrick, Lachat, Carl, Huybregts, Lieven, Roberfroid, Dominique, Zeng, Lingxia, Zhu, Zhonghai, He, Jianrong, Qui, Xiu, Gebreyesus, Seifu H., Tesfamariam, Kokeb, Bekele, Delayehu, Chan, Grace, Baye, Estifanos, Workneh, Firehiwot, Asante, Kwaku P., Boanmah-Kaali, Ellen, Adu-Afarwuah, Seth, Dewey, Kathryn G., Gyaase, Stephaney, Wylie, Blair J., Kirkwood, Betty R., Manu, Alexander, Thulasiraj, Ravilla D, Tielsch, James, Chowdhury, Ranadip, Taneja, Sunita, Babu, Giridhara R, Shriyan, Prafulla, Maleta, Kenneth, Mangani, Charles, Acevedo-Gallegos, Sandra, Rodriguez-Sibaja, Maria J., Khatry, Subarna K., LeClerq, Steven C., Mullany, Luke C., Jehan, Fyezah, Ilyas, Muhammad, Rogerson, Stephen J., Unger, Holger W., Ghosh, Rakesh, Musange, Sabine, Ramokolo, Vundli, Zembe-Mkabile, Wanga, Lazzerini, Marzia, Mohamed, Rishard, Wang, Dongqing, Fawzi, Wafaie W., Minja, Daniel T.R., Schmiegelow, Christentze, Masanja, Honorati, Smith, Emily, Lusingu, John P.A., Msemo, Omari A., Kabole, Fathma M., Slim, Salim N., Keentupthai, Paniya, Mongkolchati, Aroonsri, Kajubi, Richard, Kakuru, Abel, Waiswa, Peter, Walker, Dilys, Hamer, Davidson H., Semrau, Katherine E.A., Chaponda, Enesia B., Chico, R. Matthew, Banda, Bowen, Musokotwane, Kebby, Manasyan, Albert, Pry, Jake M., Chasekwa, Bernard, Humphrey, Jean, Shamim, Abu Ahmed, Christian, Parul, Ali, Hasmot, Klemm, Rolf D.W., Massie, Alan B., Mitra, Maithili, Mehra, Sucheta, Schulze, Kerry J., Shamim, Abu Amed, Sommer, Alfred, Ullah, Barkat, West, Keith P., Jr, Begum, Nazma, Chowdhury, Nabidul Haque, Islam, Shafiqul, Mitra, Dipak Kumar, Quaiyum, Abdul, Diseko, Modiegi, Makhema, Joseph, Cheng, Yue, Guo, Yixin, Yuan, Shanshan, Roro, Meselech, Shikur, Bilal, Goddard, Frederick, Haneuse, Sebastien, Hunegnaw, Bezawit, Berhane, Yemane, Worku, Alemayehu, Kaali, Seyram, Arnold, Charles D., Jack, Darby, Amenga-Etego, Seeba, Hurt, Lisa, Shannon, Caitlin, Soremekun, Seyi, Bhandari, Nita, Martines, Jose, Mazumder, Sarmila, Ana, Yamuna, R, Deepa, Hallamaa, Lotta, Pyykkö, Juha, Lumbreras-Marquez, Mario I., Mendoza-Carrera, Claudia E., Hussain, Atiya, Karim, Muhammad, Kausar, Farzana, Mehmood, Usma, Nadeem, Naila, Nisar, Muhammad Imran, Sajid, Muhammad, Mueller, Ivo, Ome-Kaius, Maria, Butrick, Elizabeth, Sayinzoga, Felix, Mariani, Ilaria, Urassa, Willy, Theander, Thor, Deloron, Phillippe, Nielsen, Birgitte Bruun, Muhihi, Alfa, Noor, Ramadhani Abdallah, Bygbjerg, Ib, Moeller, Sofie Lykke, Aftab, Fahad, Ali, Said M., Dhingra, Pratibha, Dhingra, Usha, Dutta, Arup, Sazawal, Sunil, Suleiman, Atifa, Mohammed, Mohammed, Deb, Saikat, Kamya, Moses R., Nakalembe, Miriam, Mulowooz, Jude, Santos, Nicole, Biemba, Godfrey, Herlihy, Julie M., Mbewe, Reuben K., Mweena, Fern, Yeboah-Antwi, Kojo, Bruce, Jane, Chandramohan, Daniel, Prendergast, Andrew, Idueta, Lorena Suárez, Hazel, Elizabeth, Erchick, Daniel J, Yargawa, Judith, Katz, Joanne, Lee, Anne C C, Diaz, Mike, Salasibew, Mihretab, Hayashi, Chika, and Borghi, Elaine

Published
2023
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16. National, Regional, and Global Estimates of Preterm Birth in 2020, With Trends From 2010: A Systematic Analysis

Author

Ohuma, Eric O., primary, Moller, Ann-Beth, additional, Bradley, Ellen, additional, Chakwera, Samuel, additional, Hussain-Alkhateeb, Laith, additional, Lewin, Alexandra, additional, Okwaraji, Yemisrach B., additional, Mahanani, Wahyu Retno, additional, Johansson, Emily White, additional, Lavin, Tina, additional, Fernandez, Diana Estevez, additional, Domínguez, Giovanna Gatica, additional, de Costa, Ayesha, additional, Cresswell, Jenny A., additional, Krasevec, Julia, additional, Lawn, Joy E., additional, Blencowe, Hannah, additional, Requejo, Jennifer, additional, and Moran, Allisyn C., additional

Published
2024
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17. Routine vaccination coverage--worldwide, 2020/ Couverture de la vaccination systematique dans le monde, 2020

Author

Muhoza, Pierre, Danovaro-Holliday, Carolina, Diallo, Mamadou S., Murphy, Padraic, Sodha, Samir V., Requejo, Jennifer H., and Wallace, Aaron S.

Subjects
World health -- Health aspects -- Reports, Vaccination -- Health aspects -- Reports, Whooping-cough -- Health aspects -- Reports, Tetanus -- Reports -- Health aspects, Government, Health, World Health Organization -- Reports, United Nations. Children's Fund -- Reports
Abstract

The aim of the Immunization Agenda 2030 (IA2030), endorsed by the World Health Assembly in 2020, is the equitable reduction of morbidity and mortality from vaccine-preventable diseases (VPDs) throughout the [...]

Published
2021

19. Assessment of the validity of the measurement of newborn and maternal health-care coverage in hospitals (EN-BIRTH): an observational study

Author

Serbanescu, Florina, Amouzou, Agbessi, Sæbø, Johan Ivar, Mathai, Matthews, Rawlins, Barbara, Azim, Tariq, Vaz, Lara, Monet, Jean-Pierre, Jackson, Debra, Requejo, Jennifer, Ram, Pavani K, Moran, Allisyn C, Kabuteni, Theopista John, Mazumder, Tapas, Rahman, Hafizur, Shaikh, Ziaul Haque, Talha, Taqbir Us Samad, Haider, Rajib, Siddika, Aysha, Sumi, Taslima Akter, Khan, Jasmin, Biswas, Bilkish, Mannan, M A, Hasanuzzaman, Abu, Ali, Ayub, Jahan, Rowshan Hosne, Hossain, Amir, Jahan, Ishrat, Gurung, Rejina, Sunny, Avinash K, Thakur, Nishant, Ghimire, Jagat Jeevan, Joshi, Elisha, Shrestha, Parashu Ram, Shrestha, Shree Krishna, Singh, Dela, Rana, Nisha, Mrisho, Mwifadhi, Manzi, Fatuma, Hanson, Claudia, Kija, Edward, Pembe, Andrea, Kisenge, Rodrick, Manji, Karim, Mkopi, Namala, Assenga, Evelyne, Blencowe, Hannah, Moxon, Sarah G, KC, Naresh P, Day, Louise Tina, Sadeq-ur Rahman, Qazi, Ehsanur Rahman, Ahmed, Salim, Nahya, KC, Ashish, Ruysen, Harriet, Tahsina, Tazeen, Masanja, Honorati, Basnet, Omkar, Gore-Langton, Georgia R, Zaman, Sojib Bin, Shabani, Josephine, Jha, Anjani Kumar, Gordeev, Vladimir Sergeevich, Ameen, Shafiqul, Shamba, Donat, Jha, Bijay, Boggs, Dorothy, Hossain, Tanvir, Shirima, Kizito, Bastola, Ram Chandra, Peven, Kimberly, Siddique, Abu Bakkar, Mbaruku, Godfrey, Paudel, Rajendra, Baschieri, Angela, Hossain, Aniqa Tasnim, Kong, Stefanie, Paudel, Asmita, Ahmed, Anisuddin, Cousens, Simon, El Arifeen, Shams, and Lawn, Joy E

Published
2021
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20. National routine data for low birthweight and preterm births: Systematic data quality assessment for United Nations member states (2000–2020).

Author

Okwaraji, Yemisrach B., Bradley, Ellen, Ohuma, Eric O., Yargawa, Judith, Suarez‐Idueta, Lorena, Requejo, Jennifer, Blencowe, Hannah, and Lawn, Joy E.

Subjects
PREMATURE labor, BIRTH weight, DATA quality, HEALTH information systems, GESTATIONAL age
Abstract

Objective: Low birthweight (<2500 g) and preterm birth (<37 weeks) are markers of newborn vulnerability. To facilitate informed decisions about investments in prevention and care, it is imperative to enhance data quality and use. Hence, the objective of this study is to systematically assess the quality of data concerning low birthweight and preterm births within routine administrative data sources. Design: Systematic data quality assessment by adopting the WHO Data Quality Framework. Setting: National routine data system from UN member states. Population: Livebirths. Methods: National routine administrative data on low birthweight and preterm births for 195 countries from 2000 to 2020 were systematically collated, totalling >700 million live births. The WHO data quality framework was adapted to undertake standardised data quality assessments. Main outcome measures: Availability, reporting quality, internal and external consistency of low birthweight and preterm data. Results: Most United States Member States (64%: 124/195) had national data on low birthweight and (40%: 82/195) had data on preterm birth. Routine data system reporting was highest in North America, Australasia and Europe, where more than 95% live births had data on low birthweight and over 75% had data preterm births. In contrast, data reporting was lowest in sub‐Saharan Africa (13% for low birthweight, 8% for preterm births) and Southern Asia (16% for low birthweight, 5% for preterm births). Most countries collect individual‐level data; but, aggregate data reporting from hospital‐based systems remain common in sub‐Saharan Africa and Southern Asia. While data quality was generally high in North America, Australasia and Europe, gaps remain in the availability of gestational age metadata. Consistency between low birthweight and preterm rates were poor in Southern Asia and sub‐Saharan Africa regions across time. There was high external consistency between low birthweight rates obtained from routine administrative data compared with low birthweight rates obtained from survey data for countries with high data quality. Conclusions: Sub‐Saharan Africa and South Asia countries have data gaps but also opportunities for rapid progress. Most births occure in facilities, electronic health information systems already include low birthweight, and adding accurate gestational age including with ultrasound assessment is becoming increasingly attainable. Moving toward the collection of individual level data would enable monitoring of quality of care and longer‐term outcomes. This is crucial for every child and family and essential for measuring progress towards relevant sustainable development goals. The assessment will inform countries' actions for data quality improvement at national level and use of data for impact. [ABSTRACT FROM AUTHOR]

Published
2024
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22. Countdown to 2015 country case studies: what have we learned about processes and progress towards MDGs 4 and 5?

Author

Moucheraud, Corrina, Owen, Helen, Singh, Neha S, Ng, Courtney Kuonin, Requejo, Jennifer, Lawn, Joy E, Berman, Peter, and Countdown Case Study Collaboration Group

Subjects
Countdown Case Study Collaboration Group, Humans, Vaccination, Mortality, Child Mortality, Infant Mortality, Maternal Mortality, Child, Infant, Infant, Newborn, Female, Reproductive Health, Accountability, Child health, Coverage, Equity, Health finance, Health systems, Maternal health, Millennium Development Goals, Neonatal health, Reproductive health, Newborn, Health Services, Prevention, Behavioral and Social Science, Pediatric, Clinical Research, Reproductive Health and Childbirth, Generic Health Relevance, Public Health, Public Health and Health Services
Abstract

BackgroundCountdown to 2015 was a multi-institution consortium tracking progress towards Millennium Development Goals (MDGs) 4 and 5. Case studies to explore factors contributing to progress (or lack of progress) in reproductive, maternal, newborn and child health (RMNCH) were undertaken in: Afghanistan, Bangladesh, China, Ethiopia, Kenya, Malawi, Niger, Pakistan, Peru, and Tanzania. This paper aims to identify cross-cutting themes on how and why these countries achieved or did not achieve MDG progress.MethodsApplying a standard evaluation framework, analyses of impact, coverage and equity were undertaken, including a mixed methods analysis of how these were influenced by national context and coverage determinants (including health systems, policies and financing).ResultsThe majority (7/10) of case study countries met MDG-4 with over two-thirds reduction in child mortality, but none met MDG-5a for 75 % reduction in maternal mortality, although six countries achieved >75 % of this target. None achieved MDG-5b regarding reproductive health. Rates of reduction in neonatal mortality were half or less that for post-neonatal child mortality. Coverage increased most for interventions administered at lower levels of the health system (e.g., immunisation, insecticide treated nets), and these experienced substantial political and financial support. These interventions were associated with ~30-40 % of child lives saved in 2012 compared to 2000, in Ethiopia, Malawi, Peru and Tanzania. Intrapartum care for mothers and newborns -- which require higher-level health workers, more infrastructure, and increased community engagement -- showed variable increases in coverage, and persistent equity gaps. Countries have explored different approaches to address these problems, including shifting interventions to the community setting and tasks to lower-level health workers.ConclusionsThese Countdown case studies underline the importance of consistent national investment and global attention for achieving improvements in RMNCH. Interventions with major global investments achieved higher levels of coverage, reduced equity gaps and improvements in associated health outcomes. Given many competing priorities for the Sustainable Development Goals era, it is essential to maintain attention to the unfinished RMNCH agenda, particularly health systems improvements for maternal and neonatal outcomes where progress has been slower, and to invest in data collection for monitoring progress and for rigorous analyses of how progress is achieved in different contexts.

Published
2016

23. Advocacy for Better Integration and Use of Child Health Indicators for Global Monitoring

Author

Strong, Kathleen, primary, Requejo, Jennifer Harris, additional, Billah, Sk Masum, additional, Schellenberg, Joanna, additional, Munos, Melinda, additional, Lazzerini, Marzia, additional, Agweyu, Ambrose, additional, Boschi-Pinto, Cynthia, additional, Horiuchi, Sayaka, additional, Maiga, Abdoulaye, additional, Weigel, Ralf, additional, Jamaluddine, Zeina, additional, Black, Maureen, additional, Aboud, Frances, additional, and Sacks, Emma, additional

Published
2023
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25. Accountability for maternal and newborn health: Why measuring and monitoring broader social, political, and health system determinants matters.

Author

Requejo, Jennifer, Moran, Allisyn C., and Monet, Jean-Pierre

Subjects
*INFANT health, *MATERNAL health, *MATERNAL mortality, *HEALTH status indicators, *HEALTH policy
Abstract

This article offers four key lessons learned from a set of seven studies undertaken as part of the collection entitled, "Improving Maternal Health Measurement to Support Efforts toward Ending Preventable Maternal Mortality". These papers were aimed at validating ten of the Ending Preventable Maternal Mortality initiative indicators that capture information on distal causes of maternal mortality. These ten indicators were selected through an inclusive consultative process, and the research designs adhere to global recommendations on conducting indicator validation studies. The findings of these papers are timely and relevant given growing recognition of the role of macro-level social, political, and economic factors in maternal and newborn survival. The four key lessons include: 1) Strengthen efforts to capture maternal and newborn health policies to enable global progress assessments while reducing multiple requests to countries for similar data; 2) Monitor indicator "bundles" to understand degree of policy implementation, inconsistencies between laws and practices, and responsiveness of policies to individual and community needs; 3) Promote regular monitoring of a holistic set of human resource metrics to understand how to effectively strengthen the maternal and newborn health workforce; and 4) Develop and disseminate clear guidance for countries on how to assess health system as well as broader social and political determinants of maternal and newborn health. These lessons are consistent with the Kirkland principles of focus, relevance, innovation, equity, global leadership, and country ownership. They stress the value of indicator sets to understand complex phenomenon related to maternal and newborn health, including small groupings of complementary indicators for measuring policy implementation and health workforce issues. They also stress the fundamental ethos that maternal and newborn health indicators should only be tracked if they can drive actions at global, regional, national, or sub-national levels that improve lives. [ABSTRACT FROM AUTHOR]

Published
2024
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28. Quality of inpatient paediatric and newborn care in district hospitals

Author

Muzigaba, Moise, primary, Diaz, Theresa, additional, Maliqi, Blerta, additional, Were, Wilson, additional, Strong, Kathleen, additional, Chitashvili, Tamar, additional, Choudhury, Allysha, additional, Jackson, Debra, additional, Detjen, Anne, additional, Requejo, Jennifer, additional, Sacks, Emma, additional, and Banerjee, Anshu, additional

Published
2023
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30. Provision of medical supply kits to improve quality of antenatal care in Mozambique: a stepped-wedge cluster randomised trial

Author

Aleman, Alicia, Althabe, Fernando, Biza, Adriano, Crahay, Beatrice, Chavane, Leonardo, Colomar, Mercedes, Delvaux, Therese, Dique Ali, Ussumane, Fersurela, Lucio, Geelhoed, Diederike, Jille-Taas, Ingeborg, Malapende, Celsa Regina, Langa, Célio, Osman, Nafissa Bique, Requejo, Jennifer, Timbe, Geraldo, Betrán, Ana Pilar, Bergel, Eduardo, Griffin, Sally, Melo, Armando, Nguyen, My Huong, Carbonell, Alicia, Mondlane, Santos, Merialdi, Mario, Temmerman, Marleen, and Gülmezoglu, A Metin

Published
2018
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34. Small babies, big risks: global estimates of prevalence and mortality for vulnerable newborns to accelerate change and improve counting

Author

Lawn, Joy E, primary, Ohuma, Eric O, additional, Bradley, Ellen, additional, Idueta, Lorena Suárez, additional, Hazel, Elizabeth, additional, Okwaraji, Yemisrach B, additional, Erchick, Daniel J, additional, Yargawa, Judith, additional, Katz, Joanne, additional, Lee, Anne C C, additional, Diaz, Mike, additional, Salasibew, Mihretab, additional, Requejo, Jennifer, additional, Hayashi, Chika, additional, Moller, Ann-Beth, additional, Borghi, Elaine, additional, Black, Robert E, additional, Blencowe, Hannah, additional, Ashorn, Per, additional, Lawn, Joy E, additional, Ashorn, Ulla, additional, Klein, Nigel, additional, Hofmeyr, G Justus, additional, Temmerman, Marleen, additional, Askari, Sufia, additional, Chakwera, Samuel, additional, Hussain-Alkhateeb, Laith, additional, Lewin, Alexandra, additional, Retno Mahanani, Wahyu, additional, White Johansson, Emily, additional, Lavin, Tina, additional, Estevez Fernandez, Diana, additional, Gatica Domínguez, Giovanna, additional, de Costa, Ayesha, additional, Cresswell, Jenny A, additional, Krasevec, Julia, additional, Moran, Allisyn C, additional, Pingray, Veronica, additional, Cormick, Gabriela, additional, Gibbons, Luz, additional, Belizan, José, additional, Guevel, Carlos, additional, Warrilow, Kara, additional, Gordon, Adrienne, additional, Flenady, Vicki, additional, Sexton, Jessica, additional, Lawford, Harriet, additional, Paixao, Enny S., additional, Rocha Falcão, Ila, additional, Lima Barreto, Mauricio, additional, Lisonkova, Sarka, additional, Wen, Qi, additional, Mardones, Francisco, additional, Caulier-Cisterna, Raúl, additional, Acuña, José, additional, Velebil, Petr, additional, Jirova, Jitka, additional, Horváth-Puhó, Erzsébet, additional, Sørensen, Henrik Toft, additional, Sakkeus, Luule, additional, Abuladze, Liili, additional, Gissler, Mika, additional, Moradi-Lakeh, Maziar, additional, Heidarzadeh, Mohammad, additional, Khalili, Narjes, additional, A. Yunis, Khalid, additional, Al Bizri, Ayah, additional, Nakad, Pascale, additional, Devi Karalasingam, Shamala, additional, R Jeganathan, J Ravichandran, additional, binti Baharum, Nurakman, additional, Suárez-Idueta, Lorena, additional, Barranco Flores, Arturo, additional, Gonzalez Roldan, Jesus F, additional, Lopez Alvarez, Sonia, additional, van Dijk, Aimée E., additional, Broeders, Lisa, additional, Huicho, Luis, additional, Quezada Pinedo, Hugo G, additional, Cajachagua-Torres, Kim N, additional, Carrillo-Larco, Rodrigo M, additional, Tarazona Meza, Carla Estefania, additional, Guzman-Vilca, Wilmer Cristobal, additional, Olukade, Tawa O., additional, Ali, Hamdy A., additional, Alyafei, Fawziya, additional, AlQubaisi, Mai, additional, Alturk, Mohamad R, additional, Kim, Ho Yeon, additional, Cho, Geum Joon, additional, Razaz, Neda, additional, Söderling, Jonas, additional, Smith, Lucy K, additional, Kurinczuk, Jennifer J, additional, Matthews, Ruth J, additional, Manktelow, Bradley N, additional, Draper, Elizabeth S, additional, Fenton, Alan C, additional, Lowry, Estelle, additional, Rowland, Neil, additional, Wood, Rachael, additional, Monteath, Kirsten, additional, Pereyra, Isabel, additional, Pravia, Gabriella, additional, Davis, Celina, additional, Clarke, Samantha, additional, Wu, Lee S.F., additional, Yoshida, Sachiyo, additional, Bahl, Rajiv, additional, Grandi, Carlos, additional, Labrique, Alain B, additional, Rashid, Mabhubur, additional, Ahmed, Salahuddin, additional, Roy, Arunangshu D., additional, Haque, Rezwanul, additional, Shaikh, Saijuddin, additional, Baqui, Abdullah H., additional, Saha, Samir K., additional, Khanam, Rasheda, additional, Rahman, Sayedur, additional, Shapiro, Roger, additional, Zash, Rebecca, additional, Silveira, Mariângela F., additional, Buffarini, Romina, additional, Kolsteren, Patrick, additional, Lachat, Carl, additional, Huybregts, Lieven, additional, Roberfroid, Dominique, additional, Zeng, Lingxia, additional, Zhu, Zhonghai, additional, He, Jianrong, additional, Qui, Xiu, additional, Gebreyesus, Seifu H., additional, Tesfamariam, Kokeb, additional, Bekele, Delayehu, additional, Chan, Grace, additional, Baye, Estifanos, additional, Workneh, Firehiwot, additional, Asante, Kwaku P., additional, Boanmah-Kaali, Ellen, additional, Adu-Afarwuah, Seth, additional, Dewey, Kathryn G., additional, Gyaase, Stephaney, additional, Wylie, Blair J., additional, Kirkwood, Betty R., additional, Manu, Alexander, additional, Thulasiraj, Ravilla D, additional, Tielsch, James, additional, Chowdhury, Ranadip, additional, Taneja, Sunita, additional, Babu, Giridhara R, additional, Shriyan, Prafulla, additional, Maleta, Kenneth, additional, Mangani, Charles, additional, Acevedo-Gallegos, Sandra, additional, Rodriguez-Sibaja, Maria J., additional, Khatry, Subarna K., additional, LeClerq, Steven C., additional, Mullany, Luke C., additional, Jehan, Fyezah, additional, Ilyas, Muhammad, additional, Rogerson, Stephen J., additional, Unger, Holger W., additional, Ghosh, Rakesh, additional, Musange, Sabine, additional, Ramokolo, Vundli, additional, Zembe-Mkabile, Wanga, additional, Lazzerini, Marzia, additional, Mohamed, Rishard, additional, Wang, Dongqing, additional, Fawzi, Wafaie W., additional, Minja, Daniel T.R., additional, Schmiegelow, Christentze, additional, Masanja, Honorati, additional, Smith, Emily, additional, Lusingu, John P.A., additional, Msemo, Omari A., additional, Kabole, Fathma M., additional, Slim, Salim N., additional, Keentupthai, Paniya, additional, Mongkolchati, Aroonsri, additional, Kajubi, Richard, additional, Kakuru, Abel, additional, Waiswa, Peter, additional, Walker, Dilys, additional, Hamer, Davidson H., additional, Semrau, Katherine E.A., additional, Chaponda, Enesia B., additional, Chico, R. Matthew, additional, Banda, Bowen, additional, Musokotwane, Kebby, additional, Manasyan, Albert, additional, Pry, Jake M., additional, Chasekwa, Bernard, additional, Humphrey, Jean, additional, Shamim, Abu Ahmed, additional, Christian, Parul, additional, Ali, Hasmot, additional, Klemm, Rolf D.W., additional, Massie, Alan B., additional, Mitra, Maithili, additional, Mehra, Sucheta, additional, Schulze, Kerry J., additional, Shamim, Abu Amed, additional, Sommer, Alfred, additional, Ullah, Barkat, additional, West, Keith P., additional, Begum, Nazma, additional, Chowdhury, Nabidul Haque, additional, Islam, Shafiqul, additional, Mitra, Dipak Kumar, additional, Quaiyum, Abdul, additional, Diseko, Modiegi, additional, Makhema, Joseph, additional, Cheng, Yue, additional, Guo, Yixin, additional, Yuan, Shanshan, additional, Roro, Meselech, additional, Shikur, Bilal, additional, Goddard, Frederick, additional, Haneuse, Sebastien, additional, Hunegnaw, Bezawit, additional, Berhane, Yemane, additional, Worku, Alemayehu, additional, Kaali, Seyram, additional, Arnold, Charles D., additional, Jack, Darby, additional, Amenga-Etego, Seeba, additional, Hurt, Lisa, additional, Shannon, Caitlin, additional, Soremekun, Seyi, additional, Bhandari, Nita, additional, Martines, Jose, additional, Mazumder, Sarmila, additional, Ana, Yamuna, additional, R, Deepa, additional, Hallamaa, Lotta, additional, Pyykkö, Juha, additional, Lumbreras-Marquez, Mario I., additional, Mendoza-Carrera, Claudia E., additional, Hussain, Atiya, additional, Karim, Muhammad, additional, Kausar, Farzana, additional, Mehmood, Usma, additional, Nadeem, Naila, additional, Nisar, Muhammad Imran, additional, Sajid, Muhammad, additional, Mueller, Ivo, additional, Ome-Kaius, Maria, additional, Butrick, Elizabeth, additional, Sayinzoga, Felix, additional, Mariani, Ilaria, additional, Urassa, Willy, additional, Theander, Thor, additional, Deloron, Phillippe, additional, Nielsen, Birgitte Bruun, additional, Muhihi, Alfa, additional, Noor, Ramadhani Abdallah, additional, Bygbjerg, Ib, additional, Moeller, Sofie Lykke, additional, Aftab, Fahad, additional, Ali, Said M., additional, Dhingra, Pratibha, additional, Dhingra, Usha, additional, Dutta, Arup, additional, Sazawal, Sunil, additional, Suleiman, Atifa, additional, Mohammed, Mohammed, additional, Deb, Saikat, additional, Kamya, Moses R., additional, Nakalembe, Miriam, additional, Mulowooz, Jude, additional, Santos, Nicole, additional, Biemba, Godfrey, additional, Herlihy, Julie M., additional, Mbewe, Reuben K., additional, Mweena, Fern, additional, Yeboah-Antwi, Kojo, additional, Bruce, Jane, additional, Chandramohan, Daniel, additional, and Prendergast, Andrew, additional

Published
2023
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37. Measurement of Mental Health Among Adolescents at the Population Level: A Multicountry Protocol for Adaptation and Validation of Mental Health Measures

Author

Carvajal, Liliana, Åhs, Jill W., Requejo, Jennifer Harris, Kieling, Christian, Lundin, Andreas, Kumar, Manasi, Luitel, Nagendra P., Marlow, Marguerite, Skeen, Sarah, Tomlinson, Mark, Kohrt, Brandon A., Carvajal, Liliana, Åhs, Jill W., Requejo, Jennifer Harris, Kieling, Christian, Lundin, Andreas, Kumar, Manasi, Luitel, Nagendra P., Marlow, Marguerite, Skeen, Sarah, Tomlinson, Mark, and Kohrt, Brandon A.

Abstract

Purpose: Mental disorders are among the leading causes of disability among adolescents aged 10-19 years. However, data on prevalence of mental health conditions are extremely sparse across low- and middle-income countries, even though most adolescents live in these settings. This data gap is further exacerbated because few brief instruments for adolescent mental health are validated in these settings, making population-level measurement of adolescent mental health especially cumbersome to carry out. In response, the UNICEF has undertaken the Measurement of Mental Health Among Adolescents at the Population Level (MMAP) initiative, validating open-access brief measures and encouraging data collection in this area. Methods: This protocol presents the MMAP mixed-methods approach for cultural adaptation and clinical validation of adolescent mental health data collection tools across settings. Qualitative activities include an initial translation and adaptation, review by mental health experts, focus-group discussions with adolescents, cognitive interviews, synthesis of findings, and back-translation. An enriched sample of adolescents with mental health problems is then interviewed with the adapted tool, followed by gold-standard semistructured diagnostic interviews. Results: The study protocol is being implemented in Belize, Kenya, Nepal, and South Africa and includes measures for anxiety, depression, functional limitations, suicidality, care-seeking, and connectedness. Analyses, including psychometrics, will be conducted individually by country and combined across settings to assess the MMAP methodological process. Discussion:This protocol contributes to closing the data gap on adolescent mental health conditions by providing a rigorous process of cross-cultural adaptation and validation of data collection approaches.

Published
2023
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38. National, regional, and global estimates of preterm birth in 2020, with trends from 2010 : a systematic analysis

Author

Ohuma, Eric O., Moller, Ann-Beth, Bradley, Ellen, Chakwera, Samuel, Hussain-Alkhateeb, Laith, Lewin, Alexandra, Okwaraji, Yemisrach B., Mahanani, Wahyu Retno, White Johansson, Emily, Lavin, Tina, Estevez Fernandez, Diana, Gatica Dominguez, Giovanna, de Costa, Ayesha, Cresswell, Jenny A., Krasevec, Julia, Lawn, Joy E., Blencowe, Hannah, Requejo, Jennifer, Moran, Allisyn C., Ohuma, Eric O., Moller, Ann-Beth, Bradley, Ellen, Chakwera, Samuel, Hussain-Alkhateeb, Laith, Lewin, Alexandra, Okwaraji, Yemisrach B., Mahanani, Wahyu Retno, White Johansson, Emily, Lavin, Tina, Estevez Fernandez, Diana, Gatica Dominguez, Giovanna, de Costa, Ayesha, Cresswell, Jenny A., Krasevec, Julia, Lawn, Joy E., Blencowe, Hannah, Requejo, Jennifer, and Moran, Allisyn C.

Abstract

Background Preterm birth is the leading cause of neonatal mortality and is associated with long-term physical, neurodevelopmental, and socioeconomic effects. This study updated national preterm birth rates and trends, plus novel estimates by gestational age subgroups, to inform progress towards global health goals and targets, and aimed to update country, regional, and global estimates of preterm birth for 2020 in addition to trends between 2010 and 2020. Methods We systematically searched population-based, nationally representative data on preterm birth from Jan 1, 2010, to Dec 31, 2020 and study data (26 March–14 April, 2021) for countries and areas with no national-level data. The analysis included 679 data points (86% nationally representative administrative data [582 of 679 data points]) from 103 countries and areas (62% of countries and areas having nationally representative administrative data [64 of 103 data points]). A Bayesian hierarchical regression was used for estimating country-level preterm rates, which incoporated country-specific intercepts, low birthweight as a covariate, non-linear time trends, and bias adjustments based on a data quality categorisation, and other indicators such as method of gestational age estimation. Findings An estimated 13·4 million (95% credible interval [CrI] 12·3–15·2 million) newborn babies were born preterm (<37 weeks) in 2020 (9·9% of all births [95% CrI 9·1–11·2]) compared with 13·8 million (12·7–15·5 million) in 2010 (9·8% of all births [9·0–11·0]) worldwide. The global annual rate of reduction was estimated at –0·14% from 2010 to 2020. In total, 55·6% of total livebirths are in southern Asia (26·8% [36 099 000 of 134 767 000]) and sub-Saharan Africa (28·7% [38 819 300 of 134 767 000]), yet these two regions accounted for approximately 65% (8 692 000 of 13 376 200) of all preterm births globally in 2020. Of the 33 countries and areas in the highest data quality category, none were in southern Asia or sub-Saharan Af

Published
2023
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41. Generalized Anxiety Disorder-7--isiXhosa Version

Author

Marlow, Marguerite, primary, Skeen, Sarah, additional, Grieve, Caitlin M., additional, Carvajal-Velez, Liliana, additional, Åhs, Jill W., additional, Kohrt, Brandon A., additional, Requejo, Jennifer, additional, Stewart, Jackie, additional, Henry, Junita, additional, Goldstone, Daniel, additional, Kara, Tashmira, additional, and Tomlinson, Mark, additional

Published
2023
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42. Patient Health Questionnaire-9--isiXhosa Version

Author

Marlow, Marguerite, primary, Skeen, Sarah, additional, Grieve, Caitlin M., additional, Carvajal-Velez, Liliana, additional, Åhs, Jill W., additional, Kohrt, Brandon A., additional, Requejo, Jennifer, additional, Stewart, Jackie, additional, Henry, Junita, additional, Goldstone, Daniel, additional, Kara, Tashmira, additional, and Tomlinson, Mark, additional

Published
2023
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44. Child health and wellbeing dashboards: accountability for children's rights

Author

Requejo, Jennifer, primary, Diaz, Theresa, additional, Park, Lois, additional, Strong, Kathleen, additional, Lopez, Gerard, additional, Borrazzo, John, additional, Costello, Anthony, additional, Dalglish, Sarah L, additional, Doherty, Tanya, additional, Felici, Caterina, additional, Gram, Lu, additional, Ofosu-Orchard, Karen, additional, Powell-Jackson, Timothy, additional, Rajagopalan, Srivatsan, additional, Requejo, Jennifer, additional, Romanello, Marina, additional, Sachdev, Harshpal S, additional, and Sakyi, Kwame S, additional

Published
2022
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45. Routine Vaccination Coverage--Worldwide, 2020

Author

Muhoza, Pierre, Danovaro-Holliday, M. Carolina, Diallo, Mamadou S., Murphy, Padraic, Sodha, Samir V., Requejo, Jennifer H., and Wallace, Aaron S.

Subjects
World health -- Reports, Vaccination -- Reports, BCG vaccines -- Reports, BCG -- Reports, Whooping-cough -- Reports, Tetanus -- Reports, Health, World Health Organization -- Reports
Abstract

Endorsed by the World Health Assembly in 2020, the Immunization Agenda 2030 (IA2030) strives to reduce morbidity and mortality from vaccine-preventable diseases across the life course (1). This report, which [...]

Published
2021

47. Odon device for instrumental vaginal deliveries: results of a medical device pilot clinical study

Author

Schvartzman, Javier A., Krupitzki, Hugo, Merialdi, Mario, Betrán, Ana Pilar, Requejo, Jennifer, Nguyen, My Huong, Vayena, Effy, Fiorillo, Angel E., Gadow, Enrique C., Vizcaino, Francisco M., von Petery, Felicitas, Marroquin, Victoria, Cafferata, María Luisa, Mazzoni, Agustina, Vannevel, Valerie, Pattinson, Robert C., Gülmezoglu, A Metin, Althabe, Fernando, Bonet, Mercedes, and for the World Health Organization Odon Device Research Group

Published
2018
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48. A scoping review and prioritization process for maternal and newborn quality of care indicators

Author

Wang, Dee, Sacks, Emma, Requejo, Jennifer, Afulani, Patience, Kapula, Ntemena, and Odiase, Osamuedeme

Subjects
Maternal and Child Health, Medicine and Health Sciences, Public Health
Abstract

Monitoring quality of care is crucial to the improvement of emergency obstetric and newborn care services. In recent years, the importance of quality of care has been highlighted in several World Health Organization (WHO) documents including the 2016 WHO Standards for Improving Quality of Maternal and Newborn Care in Health Facilities which will be referred to as the WHO Standards. In the WHO Standards, provision of care, experience of care and readiness are identified as key domains of quality of care and a list of 352 quality of care measures is provided. The indicators in the WHO Standards provides a useful starting point for regular monitoring. However, identifying a core set of quality of care indicators that can be feasibly measured and useful for guiding programming remains a challenge. The current Monitoring Emergency Obstetric Care: A Handbook (which we will refer to as the EmONC handbook) provides indicators and guidance to identify needs, monitor implementation and measure progress for EmONC programmes. However, it only contains two quality of care indicators: intrapartum stillbirth and direct obstetric case fatality rate. We will conduct a scoping review for maternal and newborn quality of care indicators and carry out an indicator mapping and prioritization exercise to identify a set of measures on quality of care for recommendation for inclusion into the revised EmONC handbook.

Published
2022
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49. Progress in reducing inequalities in reproductive, maternal, newborn, and child health in Latin America and the Caribbean: an unfinished agenda/Avances en la reduccion de las desigualdades en materia de salud reproductiva, materna, neonatal e infantil en America Latina y el Caribe: un programa inacabado

Author

Restrepo-Mendez, Maria Clara, Barros, Aluisio J.D., Requejo, Jennifer, Duran, Pablo, de Francisco Serpa, Luis Andres, Franca, Giovanny V.A., Wehrmeister, Fernando C., and Victora, Cesar G.

Published
2015

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