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Author Claudia Hanson

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Causes of maternal deaths and delays in care: Comparison between routine Maternal Death Surveillance and Response system and an obstetrician expert panel in Tanzania

Ali Said, Mats Malqvist, Andrea Pembe, Siriel Massawe, Claudia Hanson,

Abstract Background To reduce maternal mortality Tanzania introduced Maternal Death Surveillance and Response (MDSR) system in 2015 as recommended by World Health Organization (WHO). All health facilities are to notify and review all maternal deaths inorder to recommend quality improvement actions to reduce deaths in future. The system relies on ... Read more >>

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Cohort profile: The Iganga-Mayuge Health and Demographic Surveillance Site, Uganda (IMHDSS, Uganda).

Dan Kajungu, Atsumi Hirose, Elizeus Rutebemberwa, George W Pariyo, Stefan Peterson, David Guwatudde, Edward Galiwango, Valerie Tusubira, Judith Kaija, Tryphena Nareeba, Claudia Hanson,

Int J Epidemiol (International journal of epidemiology)
[2020, :]

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Causes of maternal deaths and delays in care: comparison between routine maternal death surveillance and response system and an obstetrician expert panel in Tanzania.

Ali Said, Mats Malqvist, Andrea B Pembe, Siriel Massawe, Claudia Hanson,

BACKGROUND:To reduce maternal mortality Tanzania introduced Maternal Death Surveillance and Response (MDSR) system in 2015 as recommended by World Health Organization (WHO). All health facilities are to notify and review all maternal deaths inorder to recommend quality improvement actions to reduce deaths in future. The system relies on consistent and ... Read more >>

BMC Health Serv Res (BMC health services research)
[2020, 20(1):614]

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Assessment of a novel scanner-supported system for processing of child health and immunization data in Uganda.

Annika Äijö, Ina Schäffner, Peter Waiswa, Rornald Muhumuza Kananura, Mesfin Kassaye Tessma, Claudia Hanson,

BACKGROUND:Electronic data capturing has the potential to improve data quality and user-friendliness compared to manually processed, paper-based documentation systems. The MyChild system uses an innovative approach to process immunization data by employing detachable vouchers integrated into a vaccination booklet which are then scanned and converted into individual-level health data. The ... Read more >>

BMC Health Serv Res (BMC health services research)
[2020, 20(1):367]

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Trends and determinants of adolescent childbirth in Uganda- analysis of rural and urban women using six demographic and health surveys, 1988-2016.

Dinah Amongin, Lenka Benova, Annettee Nakimuli, Mary Nakafeero, Frank Kaharuza, Lynn Atuyambe, Claudia Hanson,

INTRODUCTION:Uganda has high adolescent pregnancy. The details of adolescent childbirth and urban/rural patterns are scarce. We investigated the levels, time trends and determinants of adolescent childbirth in Uganda separately for urban and rural women. METHODS:We estimated the percentage of women 20-24 years at each of the six Uganda Demographic and Health ... Read more >>

Reprod Health (Reproductive health)
[2020, 17(1):74]

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Sexual behaviour, changes in sexual behaviour and associated factors among women at high risk of HIV participating in feasibility studies for prevention trials in Tanzania.

Diana Faini, Claudia Hanson, Kathy Baisley, Saidi Kapiga, Richard Hayes,

INTRODUCTION:Risk reduction towards safer behaviour is promoted after enrolment in HIV prevention trials. We evaluated sexual behaviour, changes in sexual behaviour and factors associated with risky behaviour after one-year of follow-up among women enrolled in HIV prevention trials in Northern Tanzania. METHODS:Self-reported information from 1378 HIV-negative women aged 18-44 enrolled ... Read more >>

PLoS ONE (PloS one)
[2020, 15(4):e0231766]

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How and under what circumstances do quality improvement collaboratives lead to better outcomes? A systematic review.

Karen Zamboni, Ulrika Baker, Mukta Tyagi, Joanna Schellenberg, Zelee Hill, Claudia Hanson,

BACKGROUND:Quality improvement collaboratives are widely used to improve health care in both high-income and low and middle-income settings. Teams from multiple health facilities share learning on a given topic and apply a structured cycle of change testing. Previous systematic reviews reported positive effects on target outcomes, but the role of ... Read more >>

Implement Sci (Implementation science : IS)
[2020, 15(1):27]

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What is meant by validity in maternal and newborn health measurement? A conceptual framework for understanding indicator validation.

Lenka Benova, Ann-Beth Moller, Kathleen Hill, Lara M E Vaz, Alison Morgan, Claudia Hanson, Katherine Semrau, Shams Al Arifeen, Allisyn C Moran,

BACKGROUND:Rigorous monitoring supports progress in achieving maternal and newborn mortality and morbidity reductions. Recent work to strengthen measurement for maternal and newborn health highlights the existence of a large number of indicators being used for this purpose. The definitions and data sources used to produce indicator estimates vary and challenges ... Read more >>

PLoS ONE (PloS one)
[2020, 15(5):e0233969]

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Predictors of change of health workers' knowledge and skills after the Helping Mothers Survive Bleeding after Birth (HMS BAB) in-facility training in Tanzania.

Fadhlun Alwy Al-Beity, Andrea Barnabas Pembe, Gaetano Marrone, Ulrika Baker, Claudia Hanson,

BACKGROUND:Our study aimed to assess the effect of Helping Mothers Survive Bleeding after Birth on knowledge and skills of health workers and whether such effect varies by health workers characteristics. METHODS:Nested in a cluster-randomised trial to assess the effect of the training on health outcomes, we assessed changes in knowledge ... Read more >>

PLoS ONE (PloS one)
[2020, 15(5):e0232983]

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Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys.

Dinah Amongin, Annettee Nakimuli, Claudia Hanson, Mary Nakafeero, Frank Kaharuza, Lynn Atuyambe, Lenka Benova,

BACKGROUND:Information on repeat adolescent birth remains scarce in sub-Sahara Africa. We investigated the prevalence and time trends in repeat adolescent birth in Uganda, and associated factors. METHODS:We analyzed Uganda Demographic and Health Survey data of women age 20-24 years collected on 6 surveys (1988/89-2016) to estimate repeat adolescent birth (first ... Read more >>

PLoS ONE (PloS one)
[2020, 15(4):e0231557]

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Staying afloat: community perspectives on health system resilience in the management of pregnancy and childbirth care during floods in Cambodia.

Dell D Saulnier, Hom Hean, Dawin Thol, Por Ir, Claudia Hanson, Johan Von Schreeb, Helle Mölsted Alvesson,

INTRODUCTION:Resilient health systems have the capacity to continue providing health services to meet the community's diverse health needs following floods. This capacity is related to how the community manages its own health needs and the community and health system's joined capacities for resilience. Yet little is known about how community ... Read more >>

BMJ Glob Health (BMJ global health)
[2020, 5(4):]

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"We do what we can do to save a woman" health workers' perceptions of health facility readiness for management of postpartum haemorrhage.

Fadhlun Alwy Al-Beity, Andrea B Pembe, Hilda A Kwezi, Siriel N Massawe, Claudia Hanson, Ulrika Baker,

Background: In many low-resource settings, in-service training is a common strategy to improve the performance of health workers and ultimately reduce the persistent burden of maternal mortality and morbidities. An evaluation of the Helping Mothers Survive Bleeding After Birth (HMS BAB) training as a single-component intervention in Tanzania found some ... Read more >>

Glob Health Action (Global health action)
[2020, 13(1):1707403]

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Obstetric fistula in southern Mozambique: a qualitative study on women's experiences of care pregnancy, delivery and post-partum.

Helena Boene, Sibone Mocumbi, Ulf Högberg, Claudia Hanson, Anifa Valá, Anna Bergström, Esperança Sevene, Khátia Munguambe,

BACKGROUND:Obstetric fistula is still common in low- and middle-income countries (LMIC) despite the on-going shift to increased facility deliveries in the same settings. The social behavioural circumstances in which fistula, as well as its consequences, still occur are poorly documented, particularly from the perspective of the experiences of women with ... Read more >>

Reprod Health (Reproductive health)
[2020, 17(1):21]

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Fetal heart rate monitoring practices at a public hospital in Northern Uganda - what health workers document, do and say.

Elizabeth Ayebare, Wibke Jonas, Grace Ndeezi, Jolly Nankunda, Claudia Hanson, James K Tumwine, Anna Hjelmstedt,

Background: In Uganda, perinatal mortality is 38 per 1000 pregnancies. One-third of these deaths are due to birth asphyxia. Adequate fetal heart rate (FHR) monitoring during labor may detect birth asphyxia but little is known about monitoring practices in low resource settings.Objective: To explore FHR monitoring practices among health workers ... Read more >>

Glob Health Action (Global health action)
[2020, 13(1):1711618]

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Monitoring maternal and newborn health outcomes globally: a brief history of key events and initiatives.

Ann-Beth Moller, Jane H Patten, Claudia Hanson, Alison Morgan, Lale Say, Theresa Diaz, Allisyn C Moran,

OBJECTIVE:Over time, we have seen a major evolution of measurement initiatives, indicators and methods, such that today a wide range of maternal and perinatal indicators are monitored and new indicators are under development. Monitoring global progress in maternal and newborn health outcomes and development has been dominated in recent decades ... Read more >>

Trop. Med. Int. Health (Tropical medicine & international health : TM & IH)
[2019, 24(12):1342-1368]

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Mothers' satisfaction with care during facility-based childbirth: a cross-sectional survey in southern Mozambique.

Sibone Mocumbi, Ulf Högberg, Erik Lampa, Charfudin Sacoor, Anifa Valá, Anna Bergström, Peter von Dadelszen, Khátia Munguambe, Claudia Hanson, Esperança Sevene, ,

BACKGROUND:Client satisfaction is an essential component of quality of care. Health system factors, processes of care as well as mothers' characteristics influence the extent to which care meets the expectations of mothers and families. In our study, we specifically aimed to address the mothers' experiences of, and satisfaction with, care ... Read more >>

BMC Pregnancy Childbirth (BMC pregnancy and childbirth)
[2019, 19(1):303]

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Prevalence and associated factors of neurodevelopmental disability among infants in eastern Uganda: a population based study.

Gertrude Namazzi, Helena Hildenwall, Paul Mubiri, Claudia Hanson, Christine Nalwadda, Margaret Nampijja, Angelina Kakooza-Mwesige, Peter Waiswa, James K Tumwine,

BACKGROUND:Neurodevelopmental disability (NDD) is increasingly acknowledged as one of the important causes of disease burden in low income countries. None the less, there is a dearth of data on the burden of NDD and its determinants in these settings. We aimed to establish the prevalence and factors associated with NDD ... Read more >>

BMC Pediatr (BMC pediatrics)
[2019, 19(1):379]

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Rethinking the definition of maternal near-miss in low-income countries using data from 104 health facilities in Tanzania and Uganda.

Andrea B Pembe, Atsumi Hirose, Fadhlun Alwy Al-Beity, Susan Atuhairwe, Jessica L Morris, Frank Kaharuza, Gaetano Marrone, Claudia Hanson,

OBJECTIVE:To assess the consistency of maternal near-miss incidence and mortality index between two definitions across 104 facilities in Tanzania and Uganda. METHODS:Based on WHO guidance, cross-sectional near-miss data were collected in Tanzania (July 2015 to October 2016) and Uganda (June 2016 to September 2017). Prepartum hemorrhage and abortion were included ... Read more >>

Int J Gynaecol Obstet (International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics)
[2019, 147(3):389-396]

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Care practices and neonatal survival in 52 neonatal intensive care units in Telangana and Andhra Pradesh, India: A cross-sectional study.

Claudia Hanson, Samiksha Singh, Karen Zamboni, Mukta Tyagi, Swecha Chamarty, Rajan Shukla, Joanna Schellenberg,

BACKGROUND:The Indian government supports both public- and private-sector provision of hospital care for neonates: neonatal intensive care is offered in public facilities alongside a rising number of private-for-profit providers. However, there are few published reports about mortality levels and care practices in these facilities. We aimed to assess care practices, ... Read more >>

PLoS Med. (PLoS medicine)
[2019, 16(7):e1002860]

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Assessing scalability of an intervention: why, how and who?

Karen Zamboni, Joanna Schellenberg, Claudia Hanson, Ana Pilar Betran, Alexandre Dumont,

Public health interventions should be designed with scale in mind, and researchers and implementers must plan for scale-up at an early stage. Yet, there is limited awareness among researchers of the critical value of considering scalability and relatively limited empirical evidence on assessing scalability, despite emerging methodological guidance. We aimed ... Read more >>

Health Policy Plan (Health policy and planning)
[2019, 34(7):544-552]

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Evaluating the safety, effectiveness and acceptability of treatment of incomplete second-trimester abortion using misoprostol provided by midwives compared with physicians: study protocol for a randomized controlled equivalence trial.

Susan Atuhairwe, Josaphat Byamugisha, Marie Klingberg-Allvin, Amanda Cleeve, Claudia Hanson, Nazarius Mbona Tumwesigye, Othman Kakaire, Kristina Gemzell Danielsson,

BACKGROUND:A large proportion of abortion-related mortality and morbidity occurs in the second trimester of pregnancy. The Uganda Ministry of Health policy restricts management of second-trimester incomplete abortion to physicians who are few and unequally distributed, with most practicing in urban regions. Unsafe and outdated methods like sharp curettage are frequently ... Read more >>

Trials (Trials)
[2019, 20(1):376]

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Using research priority-setting to guide bridging the implementation gap in countries - a case study of the Uganda newborn research priorities in the SDG era.

Peter Waiswa, Monica Okuga, Lydia Kabwijamu, Joseph Akuze, Hanifah Sengendo, Patrick Aliganyira, Patricia Pirio, Claudia Hanson, Frank Kaharuza,

BACKGROUND:One of the greatest challenges that countries face regarding the achievement of the Sustainable Development Goal (SDG) targets for child health regard the actions required to improve neonatal health; these interventions have to be informed by evidence. In view of the persisting high numbers of newborn deaths in Uganda, we ... Read more >>

Health Res Policy Syst (Health research policy and systems)
[2019, 17(1):54]

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Redesigning maternal health services: is centralisation the answer in low-resource settings?

Claudia Hanson, Joanna Schellenberg,

BMJ Glob Health (BMJ global health)
[2019, 4(3):e001488]

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The International Childbirth Initiative: 12 steps to safe and respectful MotherBaby-Family maternity care.

André Lalonde, Kathy Herschderfer, Debra Pascali-Bonaro, Claudia Hanson, Carlos Fuchtner, Gerald H A Visser,

The ICI has developed a quality assurance program of 12 steps for safe and respectful MotherBaby–Family maternity care that all birthing units can implement. ... Read more >>

Int J Gynaecol Obstet (International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics)
[2019, 146(1):65-73]

Cited: 1 time

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"Every Newborn-BIRTH" protocol: observational study validating indicators for coverage and quality of maternal and newborn health care in Bangladesh, Nepal and Tanzania.

Louise T Day, Harriet Ruysen, Vladimir S Gordeev, Georgia R Gore-Langton, Dorothy Boggs, Simon Cousens, Sarah G Moxon, Hannah Blencowe, Angela Baschieri, Ahmed Ehsanur Rahman, Tazeen Tahsina, Sojib Bin Zaman, Tanvir Hossain, Qazi Sadeq-Ur Rahman, Shafiqul Ameen, Shams El Arifeen, Ashish Kc, Shree Krishna Shrestha, Naresh P Kc, Dela Singh, Anjani Kumar Jha, Bijay Jha, Nisha Rana, Omkar Basnet, Elisha Joshi, Asmita Paudel, Parashu Ram Shrestha, Deepak Jha, Ram Chandra Bastola, Jagat Jeevan Ghimire, Rajendra Paudel, Nahya Salim, Donat Shamb, Karim Manji, Josephine Shabani, Kizito Shirima, Namala Mkopi, Mwifadhi Mrisho, Fatuma Manzi, Jennie Jaribu, Edward Kija, Evelyne Assenga, Rodrick Kisenge, Andrea Pembe, Claudia Hanson, Godfrey Mbaruku, Honorati Masanja, Agbessi Amouzou, Tariq Azim, Debra Jackson, Theopista John Kabuteni, Matthews Mathai, Jean-Pierre Monet, Allisyn Moran, Pavani Ram, Barbara Rawlins, Johan Ivar Sæbø, Florina Serbanescu, Lara Vaz, Nabila Zaka, Joy E Lawn,

Background:To achieve Sustainable Development Goals and Universal Health Coverage, programmatic data are essential. The Every Newborn Action Plan, agreed by all United Nations member states and >80 development partners, includes an ambitious Measurement Improvement Roadmap. Quality of care at birth is prioritised by both Every Newborn and Ending Preventable Maternal ... Read more >>

J Glob Health (Journal of global health)
[2019, 9(1):010902]

Cited: 4 times

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