Publications by authors named "Alice Ngoma-Hazemba"
Article Synopsis
- Despite investments in healthcare, adolescents in low- and middle-income countries, especially Zambia, face significant barriers to accessing sexual and reproductive health (SRH) services due to issues like stock-outs and insufficiently trained staff.
- A qualitative study involving 48 discussions showed that while adolescents were aware of certain services and commodities, their overall experiences were hindered by the COVID-19 pandemic and low acceptability of SRH services.
- Findings indicated that the quality of healthcare was affected by a lack of dedicated spaces for youth and insufficient information, leading some adolescents to seek alternative remedies and sustain misconceptions about SRH.
Introduction: Adolescents and young women in low-middle-income countries face obstacles to accessing HIV, Sexual and Reproductive Health (SRH), and related Gender-Based Violence (GBV) services. This paper presents facilitators, opportunities, and barriers to enhance uptake of HIV, GBV, and SRH services among Adolescent Girls and Young Women (AGYW) in selected districts in Zambia.
Methods: This study was conducted in Chongwe, Mazabuka, and Mongu Districts among adolescent girls and young women in Zambia.
Background: In Zambia, 3.8% of young women and men aged 15-24 are HIV positive. However, like in most developing nations, HIV prevalence is higher among young women than young men (5.
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- Low birthweight (LBW) is a major public health issue in sub-Saharan Africa, particularly in rural Zambia, where a study found that 21% of newborns from a health center referral were LBW.
- The study revealed that 73% of LBW newborns were preterm, and factors like twin pregnancies and prolonged labor were associated with higher LBW rates, although no significant differences were found when accounting for other variables.
- The findings highlight the urgent need for healthcare interventions and further research to understand the socio-economic and cultural influences on LBW in rural Zambia.
Background And Purpose: An exploratory latent class analysis (LCA) was performed assessing the association between maternity waiting home (MWH) use and maternal-newborn care knowledge.
Methods: A two-group comparison design using a face-to-face interview ( = 250) was conducted to understand if MWH use was associated with greater maternal knowledge of newborn care.
Results: High levels of maternal knowledge of newborn care were associated with MWH use.
Limited research about nursing mentorship in low- and middle-income countries (LMICs) is holding science back. This article describes the strengths and challenges associated with global health research mentorship for doctorally prepared nurses whose scholarship focuses on LMICs. Using reflexive narrative accounts from current and former nurse mentors and nurse mentees who participated in a NIH-funded global health doctoral research program, emerging themes revealed the perspectives of mentors and mentees, producing a global health mentoring model for nursing research mentorship relevant to LMICs.
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- - The study investigates the impact of maternity waiting homes (MWHs) on maternal knowledge regarding newborn care among women in rural Zambia, specifically assessing key topics like cord care and newborn danger signs.
- - Results show that both MWH and non-MWH users had good knowledge of newborn care according to WHO guidelines, with no significant differences between the two groups.
- - Younger mothers were less informed about certain newborn care practices, but increased attendance at antenatal care (ANC) significantly improved knowledge for both MWH users and non-users.
A wide gap in knowledge exists about the factors associated with newborn care in rural Zambia. In this year of the nurse and midwife, the purpose of this article is to provide transcultural researchers with an example of how Bronfenbrenner's Ecological Systems Theory (EST) can be used to guide an exploration of the cultural practices, knowledge, and beliefs of newborn care and health-seeking behaviors in rural Zambia. Based on the EST, maternal knowledge represents the microsystem while family and community members embody the mesosystem.
View Article and Find Full Text PDFBackground: - Far too many newborns die or face serious morbidity in Zambia, as in many other sub-Saharan African countries. New knowledge is needed to enhance our understanding of newborn care and the cultural factors influencing the ways mothers seek newborn care. This study adds to the literature about rural Zambians' cultural beliefs and practices related to newborn care and health-seeking practices that influence maternal-newborn health.
View Article and Find Full Text PDFBackground: Male partner participation in antenatal care (ANC) is important and contributes to better maternal and neonatal birth outcomes. Studies have been conducted to explore male participation in ANC and barriers to participation. However, these studies have been conducted in the general population and not the military settings, which are gendered institutions.
View Article and Find Full Text PDFBackground: Saving Mothers, Giving Life (SMGL), a health systems strengthening approach based on the 3-delays model, aimed to reduce maternal and perinatal mortality in 6 districts in Zambia between 2012 and 2017. By 2016, the maternal mortality ratio in SMGL-supported districts declined by 41% compared to its level at the beginning of SMGL-from 480 to 284 deaths per 100,000 live births. The 10.
View Article and Find Full Text PDFBackground: A global debate surrounding health care delivery at the lowest level of the community has aroused interest among researchers. In settings where skilled health workforce is scarce, the community relies on volunteers to provide care.
Aim: To explore the role of community-based volunteers (CBVs) and their perspectives on human immunodeficiency virus (HIV) and infant feeding to gain insights into the implementation of prevention of mother-to-child transmission (PMTCT) interventions at community level.
Background: Exclusive breastfeeding in the first 6 months offers protection from postnatal HIV infection but remains low in resource-poor settings. Documentation of experiences with exclusive breastfeeding is needed to strengthen infant feeding counselling by health care workers.
Objective: To explore HIV-positive mothers' experiences with exclusive breastfeeding during the first 6 months of the infant's life.