Safia S Jiwani
Datos Biográficos
| ID | 6652869 |
|---|---|
| NOMBRE | Safia S Jiwani |
| NOMBRES | Safia S |
| APELLIDO | Jiwani |
| FIRMA | JIWANI S S |
| AFILIACIONES | Johns Hopkins University |
| ORCID | 0000-0002-9896-8858 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 18 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 18 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2018 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 0 |
Levels and determinants of person-centred maternity care among women living in urban informal settlements
BACKGROUND: Sub-Saharan Africa's rapid urbanisation has led to the sprawling of urban informal settlements. The urban poorest women are more likely to experience worse health outcomes and poor treatment during childbirth. This study measures levels of person-centred maternity care (PCMC) and identifies determinants of PCMC among women living in urban informal settlements in Nairobi, Lusaka and Ouagadougou. METHODS: We conducted phone, home-based …
Effective coverage of newborn postnatal care
Background: High-quality postnatal care (PNC) is essential for newborn survival. However, newborn PNC coverage indicators do not reflect the quality of care received. We estimated effective coverage of newborn PNC by incorporating content of care and calculated the contact-content gap in 32 low-and middle-income countries (LMICs). Methods: Using household survey data from 32 LMICs, we defined effective coverage of newborn PNC as the proportion of…
Building an effective coverage cascade for antenatal care
Background: Substantial gaps exist between pregnant women's contact with health facilities and the quality of care they receive (effective coverage) in low- and middle-income countries (LMICs). An effective coverage cascade is a useful analytical approach to uncover gaps due to poor facility service readiness and quality of care. We estimated readiness-adjusted antenatal care (ANC) coverage and built an effective coverage cascade in countries wit…
Assessing courtesy reporting bias in facility-based surveys on person-centred maternity care
Background: Experience of care is typically measured through client exit surveys administered in the facility. Evidence suggests that such measures suffer from courtesy reporting bias whereby respondents do not accurately report on their experiences while in the facility. We explored the presence of courtesy bias by comparing women's reported experience of person-centred maternity care (PCMC) from facility-based client exit surveys to mobile phon…
Inequities in effective coverage of family planning services in low- and middle-income countries
Background: Despite decades of family planning (FP) programme successes in low- and middle-income countries (LMICs), women still face an unmet need for contraceptives, as well as inequalities in coverage. Including elements of service readiness in FP intervention coverage measures will better inform population-level programme performance. Methods: We identified five LMICs that had health facility and household surveys conducted <5 years apart wit…
Health service readiness and quality for sick child care
Background: Most child deaths can be averted through prompt and appropriate treatment of child illnesses such as pneumonia, diarrhoea, and malaria. However, research has suggested that increases in care seeking do not necessarily mean that quality care is being received. We assessed the service readiness and process quality of curative healthcare during childhood and determined whether children are receiving health services with sufficient qualit…
Challenges in reducing maternal and neonatal mortality in Niger
INTRODUCTION: Recent modelled estimates suggest that Niger made progress in maternal mortality since 2000. However, neonatal mortality has not declined since 2012 and maternal mortality estimates were based on limited data. We researched the drivers of progress and challenges. METHODS: We reviewed two decades of health policies, analysed mortality trends from United Nations data and six national household surveys between 1998 and 2021 and assesse…
Effective multi-sectoral approach for rapid reduction in maternal and neonatal mortality
BACKGROUND: Bangladesh experienced impressive reductions in maternal and neonatal mortality over the past several decades with annual rates of decline surpassing 4% since 2000. We comprehensively assessed health system and non-health factors that drove Bangladesh's success in mortality reduction. METHODS: We operationalised a comprehensive conceptual framework and analysed available household surveys for trends and inequalities in mortality, inte…
Effects of the Covid-19 pandemic on maternal, newborn, and child health service coverage in Burkina Faso
Background: While countries' coronavirus disease 2019 (COVID-19) emergency contingency and response plans aimed to prevent and control the spread of the virus, they also caused major disruptions to health services. We assessed the effects of COVID-19 on coverage and inequalities in select maternal, newborn, and child health services in Burkina Faso. Methods: We analysed data from two cross-sectional household surveys conducted in two provinces, o…
Quality adjusted coverage of family planning services in low- and middle-income countries
Background: Monitoring service quality for family planning programmes in low- and middle-income countries (LMICs) has been challenging due to data availability. Self-reported service quality from Demographic and Health Surveys (DHS) can provide additional information on quality beyond simple service contact. Methods: The DHS collects need, use and counselling for contraceptives. We used this data from 33 LMICs to develop quality-adjusted demand f…
Erosion of the Capital City Advantage in Child Survival and Reproductive, Maternal, Newborn, and Child Health Intervention Coverage in Sub-Saharan Africa
The place of residence is a major determinant of RMNCH outcomes, with rural areas often lagging in sub-Saharan Africa. This long-held pattern may be changing given differential progress across areas and increasing urbanization. We assessed inequalities in child mortality and RMNCH coverage across capital cities and other urban and rural areas. We analyzed mortality data from 163 DHS and MICS in 39 countries with the most recent survey conducted b…
Trends and inequalities in the nutritional status of adolescent girls and adult women in sub-Saharan Africa since 2000
INTRODUCTION: Evidence on the rate at which the double burden of malnutrition unfolds is limited. We quantified trends and inequalities in the nutritional status of adolescent girls and adult women in sub-Saharan Africa. METHODS: We analysed 102 Demographic and Health Surveys between 1993 and 2017 from 35 countries. We assessed regional trends through cross-sectional series analyses and ran multilevel linear regression models to estimate the aver…
Large and persistent subnational inequalities in reproductive, maternal, newborn and child health intervention coverage in sub-Saharan Africa
Subnational inequalities have received limited attention in the monitoring of progress towards national and global health targets during the past two decades. Yet, such data are often a critical basis for health planning and monitoring in countries, in support of efforts to reach all with essential interventions. Household surveys provide a rich basis for interventions coverage indicators on reproductive, maternal, newborn and child health (RMNCH…
Closing the inequality gaps in reproductive, maternal, newborn and child health coverage
Introduction: Universal Health Coverage (UHC) is a critical goal under the Sustainable Development Goals (SDGs) for health. Achieving this goal for reproductive, maternal, newborn and child health (RMNCH) service coverage will require an understanding of national progress and how socioeconomic and demographic subgroups of women and children are being reached by health interventions. Methods: We accessed coverage databases produced by the Internat…
Using a mobile nurse mentoring and training program to address a health workforce capacity crisis in Bihar, India
Using a mobile nurse mentoring and training program to address a health workforce capacity crisis in Bihar, India: Impact on essential intrapartum and newborn care practices Background To address a health workforce capacity crisis, in coordination with the Government of Bihar, CARE India implemented an on-the-job, onsite nurse mentoring and training intervention named -Apatkalin Matritva evam Navjat Tatparta (AMANAT, translated Emergency Maternal…
Timing and number of antenatal care contacts in low and middle-income countries
BACKGROUND: The 2016 World Health Organization (WHO) guidelines for antenatal care (ANC) shift the recommended minimum number of ANC contacts from four to eight, specifying the first contact to occur within the first trimester of pregnancy. We quantify the likelihood of meeting this recommendation in 54 Countdown to 2030 priority countries and identify the characteristics of women being left behind. METHODS: Using 54 Demographic and Health Survey…
Inequalities in access to water and soap matter for the Covid-19 response in sub-Saharan Africa
The COVID-19 pandemic has spread rapidly since the first case notification of the WHO in December 2019. Lacking an effective treatment, countries have implemented non-pharmaceutical interventions including social distancing measures and have encouraged maintaining adequate and frequent hand hygiene to slow down the disease transmission. Although access to clean water and soap is universal in high-income settings, it remains a basic need many do n…
Countdown to 2030
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Countdown to 2030
Trends and inequalities in the nutritional status of adolescent girls and adult women in sub-Saharan Africa since 2000
INTRODUCTION: Evidence on the rate at which the double burden of malnutrition unfolds is limited. We quantified trends and inequalities in the nutritional status of adolescent girls and adult women in sub-Saharan Africa. METHODS: We analysed 102 Demographic and Health Surveys between 1993 and 2017 from 35 countries. We assessed regional trends through cross-sectional series analyses and ran multilevel linear regression models to estimate the aver…
Large and persistent subnational inequalities in reproductive, maternal, newborn and child health intervention coverage in sub-Saharan Africa
Subnational inequalities have received limited attention in the monitoring of progress towards national and global health targets during the past two decades. Yet, such data are often a critical basis for health planning and monitoring in countries, in support of efforts to reach all with essential interventions. Household surveys provide a rich basis for interventions coverage indicators on reproductive, maternal, newborn and child health (RMNCH…
Closing the inequality gaps in reproductive, maternal, newborn and child health coverage
Introduction: Universal Health Coverage (UHC) is a critical goal under the Sustainable Development Goals (SDGs) for health. Achieving this goal for reproductive, maternal, newborn and child health (RMNCH) service coverage will require an understanding of national progress and how socioeconomic and demographic subgroups of women and children are being reached by health interventions. Methods: We accessed coverage databases produced by the Internat…
Using a mobile nurse mentoring and training program to address a health workforce capacity crisis in Bihar, India
Using a mobile nurse mentoring and training program to address a health workforce capacity crisis in Bihar, India: Impact on essential intrapartum and newborn care practices Background To address a health workforce capacity crisis, in coordination with the Government of Bihar, CARE India implemented an on-the-job, onsite nurse mentoring and training intervention named -Apatkalin Matritva evam Navjat Tatparta (AMANAT, translated Emergency Maternal…
Timing and number of antenatal care contacts in low and middle-income countries
BACKGROUND: The 2016 World Health Organization (WHO) guidelines for antenatal care (ANC) shift the recommended minimum number of ANC contacts from four to eight, specifying the first contact to occur within the first trimester of pregnancy. We quantify the likelihood of meeting this recommendation in 54 Countdown to 2030 priority countries and identify the characteristics of women being left behind. METHODS: Using 54 Demographic and Health Survey…
Inequalities in access to water and soap matter for the Covid-19 response in sub-Saharan Africa
The COVID-19 pandemic has spread rapidly since the first case notification of the WHO in December 2019. Lacking an effective treatment, countries have implemented non-pharmaceutical interventions including social distancing measures and have encouraged maintaining adequate and frequent hand hygiene to slow down the disease transmission. Although access to clean water and soap is universal in high-income settings, it remains a basic need many do n…
Challenges in reducing maternal and neonatal mortality in Niger
INTRODUCTION: Recent modelled estimates suggest that Niger made progress in maternal mortality since 2000. However, neonatal mortality has not declined since 2012 and maternal mortality estimates were based on limited data. We researched the drivers of progress and challenges. METHODS: We reviewed two decades of health policies, analysed mortality trends from United Nations data and six national household surveys between 1998 and 2021 and assesse…
Effective multi-sectoral approach for rapid reduction in maternal and neonatal mortality
BACKGROUND: Bangladesh experienced impressive reductions in maternal and neonatal mortality over the past several decades with annual rates of decline surpassing 4% since 2000. We comprehensively assessed health system and non-health factors that drove Bangladesh's success in mortality reduction. METHODS: We operationalised a comprehensive conceptual framework and analysed available household surveys for trends and inequalities in mortality, inte…
Effects of the Covid-19 pandemic on maternal, newborn, and child health service coverage in Burkina Faso
Background: While countries' coronavirus disease 2019 (COVID-19) emergency contingency and response plans aimed to prevent and control the spread of the virus, they also caused major disruptions to health services. We assessed the effects of COVID-19 on coverage and inequalities in select maternal, newborn, and child health services in Burkina Faso. Methods: We analysed data from two cross-sectional household surveys conducted in two provinces, o…
Quality adjusted coverage of family planning services in low- and middle-income countries
Background: Monitoring service quality for family planning programmes in low- and middle-income countries (LMICs) has been challenging due to data availability. Self-reported service quality from Demographic and Health Surveys (DHS) can provide additional information on quality beyond simple service contact. Methods: The DHS collects need, use and counselling for contraceptives. We used this data from 33 LMICs to develop quality-adjusted demand f…
Erosion of the Capital City Advantage in Child Survival and Reproductive, Maternal, Newborn, and Child Health Intervention Coverage in Sub-Saharan Africa
The place of residence is a major determinant of RMNCH outcomes, with rural areas often lagging in sub-Saharan Africa. This long-held pattern may be changing given differential progress across areas and increasing urbanization. We assessed inequalities in child mortality and RMNCH coverage across capital cities and other urban and rural areas. We analyzed mortality data from 163 DHS and MICS in 39 countries with the most recent survey conducted b…
Levels and determinants of person-centred maternity care among women living in urban informal settlements
BACKGROUND: Sub-Saharan Africa's rapid urbanisation has led to the sprawling of urban informal settlements. The urban poorest women are more likely to experience worse health outcomes and poor treatment during childbirth. This study measures levels of person-centred maternity care (PCMC) and identifies determinants of PCMC among women living in urban informal settlements in Nairobi, Lusaka and Ouagadougou. METHODS: We conducted phone, home-based …
Effective coverage of newborn postnatal care
Background: High-quality postnatal care (PNC) is essential for newborn survival. However, newborn PNC coverage indicators do not reflect the quality of care received. We estimated effective coverage of newborn PNC by incorporating content of care and calculated the contact-content gap in 32 low-and middle-income countries (LMICs). Methods: Using household survey data from 32 LMICs, we defined effective coverage of newborn PNC as the proportion of…
Building an effective coverage cascade for antenatal care
Background: Substantial gaps exist between pregnant women's contact with health facilities and the quality of care they receive (effective coverage) in low- and middle-income countries (LMICs). An effective coverage cascade is a useful analytical approach to uncover gaps due to poor facility service readiness and quality of care. We estimated readiness-adjusted antenatal care (ANC) coverage and built an effective coverage cascade in countries wit…
Assessing courtesy reporting bias in facility-based surveys on person-centred maternity care
Background: Experience of care is typically measured through client exit surveys administered in the facility. Evidence suggests that such measures suffer from courtesy reporting bias whereby respondents do not accurately report on their experiences while in the facility. We explored the presence of courtesy bias by comparing women's reported experience of person-centred maternity care (PCMC) from facility-based client exit surveys to mobile phon…
Inequities in effective coverage of family planning services in low- and middle-income countries
Background: Despite decades of family planning (FP) programme successes in low- and middle-income countries (LMICs), women still face an unmet need for contraceptives, as well as inequalities in coverage. Including elements of service readiness in FP intervention coverage measures will better inform population-level programme performance. Methods: We identified five LMICs that had health facility and household surveys conducted <5 years apart wit…
Health service readiness and quality for sick child care
Background: Most child deaths can be averted through prompt and appropriate treatment of child illnesses such as pneumonia, diarrhoea, and malaria. However, research has suggested that increases in care seeking do not necessarily mean that quality care is being received. We assessed the service readiness and process quality of curative healthcare during childhood and determined whether children are receiving health services with sufficient qualit…
Global Maternal and Child Health (17 obras) · Medicine (17 obras) · Environmental health (16 obras) · Economic growth (11 obras) · Population (11 obras) · Child Nutrition and Water Access (9 obras) · Nursing (8 obras) · Developing country (7 obras) · Economics (7 obras) · Health services (6 obras)