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Factors that affect implementation of health promotion interventions for maternal and newborn health in low- and middle-income countries

Recently published guidance from the World Health Organization on health promotion interventions for maternal and newborn health recommends a series of interrelated interventions to improve access and use of skilled care during pregnancy, childbirth and after birth. The recommendations are based on systematic reviews of available evidence on the effect of the interventions on care seeking outcomes. This thematic series concerns the implementation of these largely low-risk and potentially-valuable interventions. Experts who participated in the WHO consultation highlighted that while information on the effectiveness of the interventions is important, policy makers also needed to understand the important contextual and implementation considerations which affect effectiveness.  Each paper in this series will tackle one intervention and provide an analysis of the different factors affecting implementation. Papers summarise stakeholder perspectives and experiences of the interventions, barriers and facilitators to implementation, and report on how implementation factors relate to improvements in care seeking. These summaries of implementation factors provide valuable information that can be used by policy makers and programme managers in considering adaptation of health promotion interventions for maternal and newborn health.


Guest Editors: Ms Anayda Portela, Dr Helen Smith

  1. Content type: Research article

    Recent World Health Organization recommendations recognize the important role Traditional Birth Attendants (TBAs) can play in supporting the health of women and newborns. This paper provides an analysis of key...

    Authors: Tina Miller and Helen Smith

    Citation: BMC Pregnancy and Childbirth 2017 17:365

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  2. Content type: Research article

    The recent WHO report on health promotion interventions for maternal and newborn health recommends birth preparedness and complications readiness interventions to increase the use of skilled care at birth and ...

    Authors: Andrea Solnes Miltenburg, Yadira Roggeveen, Jos van Roosmalen and Helen Smith

    Citation: BMC Pregnancy and Childbirth 2017 17:270

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  3. Content type: Research article

    Maternity waiting homes (MWHs) are accommodations located near a health facility where women can stay towards the end of pregnancy and/or after birth to enable timely access to essential childbirth care or car...

    Authors: Loveday Penn-Kekana, Shreya Pereira, Julia Hussein, Hannah Bontogon, Matthew Chersich, Stephen Munjanja and Anayda Portela

    Citation: BMC Pregnancy and Childbirth 2017 17:269

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  4. Content type: Research article

    Promoting awareness of rights is a value-based process that entails a different way of thinking and acting, which is at times misunderstood or deemed as aspirational.

    Authors: Asha S. George and Casey Branchini

    Citation: BMC Pregnancy and Childbirth 2017 17:264

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  5. Content type: Research article

    Two recent recommendations made by the World Health Organization confirm the benefits of companion of choice at birth on labour outcomes; however institutional practices and policies do not always support its ...

    Authors: Tamar Kabakian-Khasholian and Anayda Portela

    Citation: BMC Pregnancy and Childbirth 2017 17:265

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  6. Content type: Research article

    The World Health Organization recently made a recommendation supporting ‘culturally-appropriate’ maternity care services to improve maternal and newborn health. This recommendation results, in part, from a sys...

    Authors: Eleri Jones, Samantha R. Lattof and Ernestina Coast

    Citation: BMC Pregnancy and Childbirth 2017 17:267

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  7. Content type: Research article

    Community participation in in health programme planning, implementation and quality improvement was recently recommended in guidelines to improve use of skilled care during pregnancy, childbirth and the postna...

    Authors: Lisa Howard-Grabman, Andrea Solnes Miltenburg, Cicely Marston and Anayda Portela

    Citation: BMC Pregnancy and Childbirth 2017 17:268

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  8. Content type: Research article

    Demand-side financing (DSF) interventions, including cash transfers and vouchers, have been introduced to promote maternal and newborn health in a range of low- and middle-income countries. These interventions...

    Authors: Benjamin M. Hunter and Susan F. Murray

    Citation: BMC Pregnancy and Childbirth 2017 17:262

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