Institutional setting and wealth gradients in cesarean delivery rates: Evidence from six developing countries
by Sepheri et al 2018This study examined wealth-related variations in cesarean rates in six lower- and upper-middle income countries: the Dominican Republic, Egypt, Guatemala, Jordan, Pakistan, and the Philippines. Large wealth-related variations in the mode of delivery across government and private hospitals suggest the need for well-developed guidelines and standards to achieve a more appropriate selection of cases for cesarean delivery.
The Effect of the Removal of User Fees for Delivery at Public Health Facilities on Institutional Delivery in Urban Kenya
by Calhoun et alThis study determines the effect of the policy to remove user fees on institutional delivery in a population-based sample of women from urban Kenya. Multivariate findings show that women were significantly more likely to deliver at a public facility as compared to a private facility after the policy. Among the poor, the results show that poor women were significantly more likely to deliver in a public facility compared to home or a private facility after policy change.
Long-term risk of diabetes in women at varying durations after gestational diabetes: a systematic review and meta-analysis with more than 2 million women
by Song et al 2017This study aims to investigate the impact of gestational diabetes mellitus (GDM) on the long-term risks of diabetes in women with prior GDM, including the effect at different time periods after GDM. Thirty cohort studies with 2,626,905 pregnant women were included. Women with prior GDM had 7.76-fold (95% confidence intervals: 5.10–11.81) unadjusted pooled risk of diabetes as compared with women without GDM, whilst the adjusted risk was 17.92-fold (16.96–18.94). The adjusted ORs of GDM for diabetes among women at <3, ≥3 – <6 and ≥6 – <10 years after GDM were 5.37 (3.51–9.34), 16.55 (16.08–17.04) and 8.20 (4.53–14.86), respectively. Women with prior GDM had substantially increased risk of diabetes, with the risk highest during the 3–6 years after GDM.
Forum for University Nursing Deans in South Africa (FUNDISA) meeting – 26-27 October 2017, University of Cape Town (UCT), Cape Town, South Africa
by GRN Coordinator2-day mini conference for the South African Regional Faculty 2015
by GHTSA coordinatorInterview with Sr Brenda Wright, clinical research nurse-turned book author/editor
by GRN coordinatorSkills-sharing workshop held for Nigerian Research Nurses
by GRN coordinatorGRN events 2017
by GRN coordinatorSeminar presented by the EQUATOR Network's Dr Jen de Beyer from the Centre for Statistics in Medicine, University of Oxford - 11th Sept 2017
by GRN coordinatorIntroduction of GRN to nursing staff at hospitals, clinics and a nursing college in Mpumalanga Province, South Africa – 26/29 September 2017
by GRN coordinatorDr Elize Pietersen, GRN coordinator, delivers two presentations at the International Collaboration for Community Health Nursing Research (ICCHNR) – 20-22 Sept 2017
by GRN coordinatorGRN workshop held with nurses from 4 African countries at Groote Schuur Hospital, Cape Town – 11 September 2017
by GRN coordinatorGRN exhibits at the Road to Nursing research conference, Cape Town – 25 August 2017
by GRN coordinatorBlended-learning for Clinical research nurses
by GRN coordinatorClinical research nurses are busy people! The Global Health Network Training Centre is therefore designed to offer snappy, practical 'how to' training courses that can be completed within 60-90 minutes, and more specialised modules can be taken over several sessions. However because some nurses don't find it easy to access a computer,
Joby George RN RM presents at the 66th Annual Conference of American Society of Tropical Medicine and Hygiene
by GRN coordinatorBeing a Phase 1 Clinical Research Nurse
by GRN coordinatorSr Cordelia Leisegang and Sr Brenda Wright from the University of Cape Town's Collaborating Centre for Optimising Antimalarial Therapy (CCOAT) star a video to explain to future healthy volunteers what they may expect from being in a phase 1 clinical trial.
A Prospective Cause of Death Classification System for Maternal Deaths in Low and Middle-Income Countries: Results from the Global Network Maternal Newborn Health Registry
by Pasha et al 2017This study describe the causes of maternal death in a population-based cohort in six low and middle-income countries using a standardized, hierarchical, algorithmic cause of death (COD) methodology. Findings suggest that the major maternal COD in the Global Network sites were hemorrhage, pregnancy-related infection and preeclampsia/eclampsia. This system could allow public health programs in low and middle-income countries to generate transparent and comparable data for maternal COD across time or regions.
Effect of a package of integrated demand- and supply-side interventions on facility delivery rates in rural Bangladesh: Implications for large-scale programs
by Rahman et al 2017The study assessed the effect of integrated supply- and demand-side interventions on the facility-based delivery rate. Findings suggest that an integrated supply- and demand-side intervention was associated with a substantial increase in institutional delivery. The package can be tailored to identify which combination of interventions may produce the optimum result and be scaled. Rigorous implementation research studies are needed to draw confident conclusions and to provide information about the costs, feasibility for scale-up and sustainability.
Racial disparities in comorbidity and severe maternal morbidity/mortality in the United States: an analysis of temporal trends
by Metcalfe A et alSevere maternal morbidity and mortality have increased in the USA in recent years. This trend has not been consistent across all racial groups. The reasons behind this, and the relationship between pre-existing conditions, pregnancy-associated disease and Severe maternal morbidity/mortality, have not been fully explored. The findings suggest that the rate of both pre-existing comorbidities and pregnancy-associated disease is increasing in pregnant women in the USA and varies substantially by race. These trends provide valuable insight into the increasing complexity of pregnancy in the USA and explain a proportion of the observed increase in Severe maternal morbidity/mortality.