This 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.

29th January 2018 • 0 comments

This 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.

11th January 2018 • 0 comments

This 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.

11th January 2018 • 0 comments
28th November 2017 • 0 comments
28th November 2017 • 0 comments

GRN events 2017

by GRN coordinator
27th November 2017 • 0 comments

Clinical 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,

24th November 2017 • 0 comments

Sr 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.

23rd November 2017 • 1 comment

This 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.

8th November 2017 • 0 comments

The 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.

8th November 2017 • 0 comments

Severe 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.

25th October 2017 • 0 comments