Publications by authors named "Catherine Sikorski"

Malnutrition is a leading cause of preventable deaths in infants and children. To benefit from treatment and prevention programmes, malnourished children must first be identified. Low weight-for-age is an anthropometric indicator of malnutrition which is gaining much recent attention because it is particularly effective at identifying children at highest risk of death.

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Introduction: Participatory learning and action (PLA) is a form of group reflection and learning with documented efficacy in low-income countries to improve social and health outcomes. PLA represents both a learning philosophy and a practical framework that could be applied to a variety of contexts. To date, PLA has not been widely implemented within high-income countries (HICs) to improve health and health-related outcomes.

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Introduction Participatory postnatal women's groups have been shown to have a significant impact on maternal and neonatal mortality in low-income countries. However, it is not clear whether this approach can be translated to high-income countries (HICs). We conducted a systematic review to answer the question: "Can postnatal women's groups improve health outcomes for mothers and children in high-income countries?" Methods MEDLINE, EMBASE and Cochrane databases were searched for randomised controlled trials testing any group-based intervention during the postnatal period, in HICs.

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Background: In Bangladesh, India and Nepal, neonatal outcomes of poor infants are considerably worse than those of better-off infants. Understanding how these inequalities vary by country and place of delivery (home or facility) will allow targeting of interventions to those who need them most. We describe socio-economic inequalities in newborn care in rural areas of Bangladesh, Nepal and India for all deliveries and by place of delivery.

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Background: Delivery of essential newborn care is key to reducing neonatal mortality rates, yet coverage of protective birth practices remains incomplete and variable, with or without skilled attendance. Evidence of changes over time in newborn care provision, disaggregated by care practice and delivery type, can be used by policymakers to review efforts to reduce mortality. We examine such trends in four areas using control arm trial data.

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Objectives: To describe the prevalence and determinants of births by caesarean section in private and public health facilities in underserved communities in South Asia.

Design: Cross-sectional study.

Setting: 81 community-based geographical clusters in four locations in Bangladesh, India and Nepal (three rural, one urban).

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Article Synopsis
  • The study examines the provision of essential newborn care (ENC) across different delivery settings—institutional, home with a skilled birth attendant, and home without one—in rural areas of Bangladesh, Nepal, and India.
  • Data from four controlled trials conducted between 2001 and 2011 were analyzed to assess the coverage of ENC practices, revealing that institutional deliveries had the highest coverage while home births without a skilled attendant had the lowest.
  • Results showed inconsistent coverage of recommended ENC practices, with significant gaps like immediate breastfeeding and thermal care, particularly in institutions, highlighting the need for targeted interventions to improve neonatal care in these regions.
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Background: Podoconiosis is a non-filarial elephantiasis caused by long-term barefoot exposure to volcanic soils in endemic areas. Irritant silicate particles penetrate the skin, causing a progressive, debilitating lymphoedema of the lower leg, often starting in the second decade of life. A simple patient-led treatment approach appropriate for resource poor settings has been developed, comprising (1) education on aetiology and prevention of podoconiosis, (2) foot hygiene (daily washing with soap, water and an antiseptic), (3) the regular use of emollient, (4) elevation of the limb at night, and (5) emphasis on the consistent use of shoes and socks.

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The Moyo chart is a novel weight-for-height slide chart. We explore the hypothesis that it improves accuracy, speed and ease of nutritional assessment compared with traditional lookup tables. In a crossover randomised controlled trial, 61 medical students in Ethiopia diagnosed hypothetical cases of severe acute malnutrition, moderate acute malnutrition and normal nutrition in children.

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