Results: 16

Association between antenatal care facility readiness and provision of care at the client level and facility level in five low- and middle-income countries

Background: Despite growing interest in monitoring improvements in quality of care, data on service quality in low-income and middle-income countries (LMICs) is limited. While health systems researchers have hypothesized the relationship between facility readiness and provision of care, there have been f...

Managers’ and providers’ perspectives on barriers and facilitators for the implementation of differentiated service delivery models for HIV treatment in Mozambique: a qualitative study

J. int. aids soc; 26 (3), 2023
In 2018, Mozambique's Ministry of Health launched a guideline for a nationwide implementation of eight differentiated service delivery models to optimize HIV service delivery and achieve universal coverage of HIV care and treatment. The models were (1) Fast‐track, (2) Three‐month Antiretrovirals Disp...

"If it weren't for my traditional healer, I would be dead": Engaging traditional healers to support people living with HIV in rural Mozambique

PLos ONE; 17 (6), 2022
Across rural sub-Saharan Africa, people living with HIV (PLHIV) commonly seek out treatment from traditional healers. We report on the clinical outcomes of a community health worker intervention adapted for traditional healers with insight into our results from qualitative interviews. We employed a pre-p...

National TB program shortages as potential factor for poor-quality TB care cascade: healthcare workers’ perspective from Beira, Mozambique

PLos ONE; 15 (10), 2020
Background Mozambique is one of the countries with the deadly implementation gaps in the tuberculosis (TB) care and services delivery. In-hospital delays in TB diagnosis and treatment, transmission and mortality still persist, in part, due to poor-quality of TB care cascade. Objective We aimed to assess,...

Limitations to current methods to estimate cause of death: a validation study of a verbal autopsy model

Gates Open Res; 16 (1), 2020
Background: Accurate information on causes of death (CoD) is essential to estimate burden of disease, track global progress, prioritize cost-effective interventions, and inform policies to reduce mortality. In low-income settings, where a significant proportion of deaths take place at home or in poorly-r...

Obstetric fistula in southern Mozambique: a qualitative study on women’s experiences of care pregnancy, delivery and postpartum

Reprod. health; 17 (21), 2020
A fístula obstétrica continua a ser um problema de saúde comum em países de baixa e média renda, apesar das tendências de aumento dos partos institucionais nesses países. As circunstâncias socio-comportamentais em que a fístula ocorre, assim como suas consequências, são pouco documentadas, pri...

Mothers’ satisfaction with care during facility-based childbirth: a cross-sectional survey in southern Mozambique

BMC pregnancy childbirth; 19 (303), 2019
Background: Client satisfaction is an essential component of quality of care. Health system factors, processes of care as well as mothers’ characteristics influence the extent to which care meets the expectations of mothers and families. In our study, we specifically aimed to address the mothers’ exp...

Uptake of intermittent preventive treatment and pregnancy outcomes: health facilities and community surveys in Chókwè district, southern Mozambique

Malar. j. (Online); 17 (1), 2018
Malaria in pregnancy leads to serious adverse effects on the mother and the child and accounts for 75,000-200,000 infant deaths every year. Currently, the World Health Organization recommends intermittent preventive treatment of malaria in pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) at each sche...

Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique

Reprod. health; 13 (1), 2016
Background: In countries, such as Mozambique, where maternal mortality remains high, the greatest contribution of mortality comes from the poor and vulnerable communities, who frequently reside in remote and rural areas with limited access to health care services. This study aimed to understand women's h...

Treatment outcomes in a safety observational study of dihydroartemisinin/piperaquine (Eurartesim(®)) in the treatment of uncomplicated malaria at public health facilities in four African countries

Malar. j. (Online); 15 (43), 2016
Background: Dihydroartemisinin-piperaquine (DHA-PQ) is one of five WHO recommended artemisinin combination therapy (ACT) for the treatment of uncomplicated malaria. However, little was known on its post-registration safety and effectiveness in sub-Saharan Africa. DHA-PQ provides a long post-treatment pro...