Publications by authors named "S Dominico"
Access to emergency obstetric care, including assisted vaginal birth and caesarean birth, is crucial for improving maternal and childbirth outcomes. However, although the proportion of births by caesarean section has increased during the last few decades, the use of assisted vaginal birth has declined. This is particularly the case in low- and middle-income countries, despite an assisted vaginal birth often being less risky than caesarean birth.
View Article and Find Full Text PDFIntroduction: Postnatal care (PNC) is an underused service in the continuum of care for mothers and infants in sub-Saharan Africa. There is little evidence on health facility characteristics that influence PNC utilization. Understanding PNC use in the context of individual, community, and health facility characteristics may help in the development of programs for increased use.
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- The Program to Reduce Maternal Deaths in Tanzania (2006-2019) aimed to enhance maternal and reproductive healthcare in the Kigoma region through a phased approach, focusing on accessibility, quality, and community demand.
- The initiative notably decreased maternal and perinatal mortality rates, increased modern contraceptive use, and reduced the unmet need for contraception, ultimately transitioning to Tanzanian government oversight by 2019.
- Key lessons from the Program highlight the importance of partnerships, quality clinical services, timely data responsiveness, and sustainability planning to successfully reduce maternal mortality in similar low-resource settings.
Introduction: To address high levels of maternal mortality in Kigoma, Tanzania, stakeholders increased women's access to high-quality comprehensive emergency obstetric and newborn care (EmONC) by decentralizing services from hospitals to health centers where EmONC was delivered mostly by associate clinicians and nurses. To ensure that women used services, implementers worked to continuously improve and sustain quality of care while creating demand.
Methods: Program evaluation included periodic health facility assessments, pregnancy outcome monitoring, and enhanced maternal mortality detection region-wide in program- and nonprogram-supported health facilities.
Identifying context-appropriate features to maximize the effectiveness of maternal and newborn health interventions in sub-Saharan Africa is a prerequisite to successful programs.
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