Skip to main content

Missed Opportunities in Maternal and Infant Health: reducing maternal and newborn mortality and morbidity in the year after childbirth through combined facility- and community-based interventions

Objective

Improving maternal and newborn health requires innovative approaches that maximise opportunities for impact throughout the continuum of care. In the past decade, maternal health services have largely focused on the management of intrapartum complications and on rationalising the package of antenatal services to include emergency obstetric care provided by skilled birth attendants. These interventions have sought to target what are widely considered to be the most common and immediate causes of maternal death.
Yet this approach fails to address many underlying morbidities that are instrumental in generating high rates of maternal mortality, such as anaemia and inadequate birth spacing. Also missing is a direct focus on the substantial proportion of maternal deaths in the postpartum. Indeed, as a component of maternal health, postpartum care has been neglected, along with the field of newborn health in Africa. The essential package and optimum structure of postpartum services for women and newborns in Africa remains poorly defined, with missed opportunities for improved care.
We thus propose developing a package of interventions targeting newborn health and women in the early postpartum period and throughout the first year after childbirth. This package will be delivered through a combined facility- and community-based approach designed to integrate services and strengthen health systems. It will be implemented in four African countries (Burkina Faso, Kenya, Malawi and Mozambique) by a consortium of five African and three European partners.
Intervention design will be preceded and informed by a situational analysis of postpartum policies and practices in the four countries and a feasibility assessment. This will ensure that interventions are amenable to scaling up and appropriately tailored to local contexts. Implementation will be followed by health systems research to evaluate effectiveness and impact, and to identify determinants of healthcare improvements.

Field of science

  • /medical and health sciences/clinical medicine/obstetrics and gynaecology/obstetrics/postnatal
  • /medical and health sciences/clinical medicine/obstetrics and gynaecology/obstetrics/childbirth
  • /social sciences/sociology/demography/fertility
  • /social sciences/sociology/demography/mortality
  • /social sciences/sociology/governance/public services

Call for proposal

FP7-AFRICA-2010
See other projects for this call

Funding Scheme

CP-FP-SICA - Small/medium-scale focused research project for specific cooperation actions dedicated to international cooperation partner countries(SICA)

Coordinator

UNIVERSITEIT GENT
Address
Sint Pietersnieuwstraat 25
9000 Gent
Belgium
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 695 732
Administrative Contact
Saskia Vanden Broeck (Prof.)

Participants (7)

CENTRE NATIONAL DE RECHERCHE SCIENTIFIQUE ET TECHNOLOGIQUE*INSTITUT DE RECHERCHE EN SCIENCES DE LA SANTE
Burkina Faso
EU contribution
€ 373 417
Address
B P 7047
03 Ouagadougou
Activity type
Research Organisations
Administrative Contact
Kabore Abibo (Mr.)
International Centre for Reproductive Health Association
Kenya
EU contribution
€ 463 421
Address
Tom Mboya Avenue Tudor Four
80103 Mombasa
Activity type
Research Organisations
Administrative Contact
Zawadi Millies (Mr.)
THE REGISTERED TRUSTEES OF THE PARENT AND CHILD HEALTH INITIATIVE TRUST
Malawi
EU contribution
€ 343 313
Address
Amina House Western Wing
3 Lilongwe
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Charles Mwansambo (Dr.)
ASSOCIACAO CENTRO INTERNACIONAL PARA SAUDE REPRODUTIVA
Mozambique
EU contribution
€ 182 301
Address
Avenida Salvador Allende 702
Maputo
Activity type
Research Organisations
Administrative Contact
Diederike Geelhoed (Dr.)
UNIVERSIDADE EDUARDO MONDLANE
Mozambique
EU contribution
€ 196 801
Address
Reitoria Da Universidade, Praca 25 De Junho 257
00200 Maputo
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Nafissa Osman (Dr.)
UNIVERSIDADE DO PORTO
Portugal
EU contribution
€ 333 914
Address
Praca Gomes Teixeira
4099 002 Porto
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Henrique Barros (Prof.)
University College London
United Kingdom
EU contribution
€ 408 748
Address
Gower Street
WC1E 6BT London
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Greta Borg-Carbott (Ms.)