Publications by authors named "Sarai Malumo"

Objectives: To test the effect of providing additional health education during antenatal care (ANC) and a mother-baby delivery pack on institutional deliveries in Monze, Zambia.

Setting: 16 primary health facilities conducting deliveries in the district.

Participant: A total of 5000 pregnant women at any gestation and age attending antenatal care (ANC) services in selected health facilities were eligible for enrolment into the study.

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Article Synopsis
  • Digital tools and SMART Guidelines by WHO aim to streamline the adoption of health policies and enhance the integration of clinical recommendations into digital systems through user-friendly formats known as Digital Adaptation Kits (DAKs).
  • A structured adaptation process was undertaken for the WHO antenatal care (ANC) digital module in Zambia and Rwanda, involving assessments and collaboration with multi-stakeholder teams to ensure alignment with local health packages.
  • The analysis showed that over 80% of the generic DAK content was applicable to both countries, highlighting the importance of coordinated efforts between maternal and digital health sectors in customizing the ANC digital modules.
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Among the 1.9 billion women of reproductive age worldwide in 2019, 1.1 billion need family planning and 270 million have an unmet need for contraception.

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This cross-sectional study of 3212 pregnant women assessed the field performance, acceptability, and feasibility of two dual HIV/syphilis rapid diagnostic tests, the Chembio DPP HIV-syphilis Assay and the SD Bioline HIV/syphilis Duo in antenatal clinics. Sensitivity and specificity for HIV and syphilis were calculated compared to the rapid Determine HIV-1/2 with Uni-Gold to confirm positive results for HIV and the Treponema pallidum particle agglutination assay for syphilis. RPR titers ≥1:4 were used to define active syphilis detection.

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Initiatives such as the Country Countdown to 2015 Conference on Millennium Development Goals (MDGs) have provided countries with high maternal and child deaths like Zambia a platform to assess progress, discuss challenges and share lessons learnt as a conduit for national commitment to reaching and attaining the MDGs four and five. This paper discusses and highlights the process of holding a successful country countdown conference and shares Zambia's experience with other countries planning to organise country countdown to 2015 Conferences on MDGs.

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