Andreea A Creanga
Biographic Data
| ID | 2188981 |
|---|---|
| NAME | Andreea A Creanga |
| GIVEN NAMES | Andreea A |
| FAMILY NAME | Creanga |
| SIGNATURE | CREANGA A A |
| AFFILIATIONS | Johns Hopkins University |
| ORCID | 0000-0001-5171-006X |
| VERIFIED | Yes |
| TOTAL WORKS | 23 |
| TOTAL CITATIONS | 4 |
| AUTHOR COUNT | 23 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Community-based maternal and perinatal death surveillance and response
CB-MPDSR offers insights into important systemic and cultural factors contributing to mortality within crisis-affected settings. Our results call for more research investment in understanding how to effectively adapt CB-MPDSR and development of operational guidance to assist humanitarian actors in introducing or bolstering CB-MPDSR approaches, so as to support a system reflective of complex realities faced by these diverse and mobile communities
Centering Equity and Fostering Stakeholder Collaboration and Trust—Pillars of the Maternal Health Innovation Program in Maryland
Objective: To describe two main pillars of the Maryland Maternal Health Innovation Program (MDMOM): (1) centering equity and (2) fostering broad stakeholder collaboration and trust. Methods: We summarized MDMOM's key activities and used severe maternal morbidity (SMM) surveillance and program monitoring data to quantify MDMOM's work on the two pillars. We developed measures of hospital engagement with MDMOM (participation in quality improvement […
Implementation of maternal and perinatal death surveillance and response and related death review interventions in humanitarian settings
Background: The global population impacted by humanitarian crises continues to break records each year, leaving strained and fractured health systems reliant upon humanitarian assistance in more than 60 countries. Yet little is known about implementation of maternal and perinatal death surveillance and response (MPDSR) within crisis-affected contexts. This scoping review aimed to synthesise evidence on the implementation of MPDSR and related deat…
Complexities of implementing Maternal and Perinatal Death Surveillance and Response in crisis-affected contexts
The unique contextual considerations of humanitarian settings call for a customized approach to implementing MPDSR that best serves the immediate needs of the crisis, aligns with stakeholder priorities, and supports health workers and humanitarian responders in providing care to the most vulnerable populations
Assessing the neonatal health policy landscape in low- and middle-income countries
Background: We aimed to describe the availability of newborn health policies across the continuum of care in low- and middle-income countries (LMICs) and to assess the relationship between the availability of newborn health policies and their achievement of global Sustainable Development Goal and Every Newborn Action Plan (ENAP) neonatal mortality and stillbirth rate targets in 2019. Methods: We used data from World Health Organization's 2018-201…
Maternal health policy environment and the relationship with service utilization in low- and middle-income countries
Background: The extent to which a favorable policy environment influences health care utilization and outcomes for pregnant and postpartum women is largely unknown. In this study, we aimed to describe the maternal health policy environment and examines its relationship with maternal health service utilization in low- and middle-income countries (LMICs). Methods: tests and fitted logistic regression models for ≥85% coverage for each of four or mor…
Changes in the health systems and policy environment for maternal and newborn health, 2008-2018
Measuring facility readiness to provide childbirth care
BACKGROUND: Actionable information about the readiness of health facilities is needed to inform quality improvement efforts in maternity care, but there is no consensus on the best approach to measure readiness. Many countries use the WHO's Service Availability and Readiness Assessment (SARA) or the Demographic and Health Survey (DHS) Programme's Service Provision Assessment to measure facility readiness. This study compares measures of childbirt…
From direct engagement to technical support
INTRODUCTION: In 2011, through a multipartner Integrated Family Health Initiative (IFHI), CARE started supporting maternal and neonatal health (MNH) improvement goals in 8 of 38 districts in Bihar, India. The programme included a frontline health worker (FHW) component offering health advice through household visits and benefited from CARE's direct engagement during IFHI, which then evolved into statewide Technical Support Unit (TSU) to the Gover…
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…
Statewide implementation of a quality improvement initiative for reproductive, maternal, newborn and child health and nutritionin Bihar, India
Background CARE India designed and implemented a comprehensive, statewide quality improvement (QI) initiative to improve reproductive, maternal, newborn, and child health and nutrition (RMNCHN) services in public facilities in Bihar. We provide a description of this initiative and its key results during 2014-2017
Improving primary health care delivery in Bihar, India
In 2010, the Bill and Melinda Gates Foundation (BMGF) partnered with the Government of Bihar (GoB), India to launch the Ananya program to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) outcomes. The program sought to address supply-and demand-side barriers to the adoption, coverage, quality, equity and health impact of select RMNCHN interventions. Approaches included strengthening frontline worker service delivery…
Trends in reproductive, maternal, newborn and child health and nutrition indicators during five years of piloting and scaling-up of Ananya interventions in Bihar, India
Trends in reproductive, maternal, newborn and child health
Health impact of self-help groups scaled-up statewide in Bihar, India
Health layering of self-help groups
Linking household and health facility surveys to assess obstetric service availability, readiness and coverage
BACKGROUND: Improving access and quality of obstetric service has the potential to avert preventable maternal, neonatal and stillborn deaths, yet little is known about the quality of care received. This study sought to assess obstetric service availability, readiness and coverage within and between 17 low- and middle-income countries. METHODS: We linked health facility data from the Service Provision Assessments and Service Availability and Readi…
Racial and ethnic disparities in severe maternal morbidity
Ectopic Pregnancy Among American Indian and Alaska Native Women, 2002–2009
Impact of the Fall 2009 Influenza A(H1N1)pdm09 Pandemic on US Hospitals
BACKGROUND: Understanding how hospitals functioned during the 2009 influenza A(H1N1)pdm09 pandemic may improve future public health emergency response, but information about its impact on US hospitals remains largely unknown. RESEARCH DESIGN: We matched hospital and emergency department (ED) discharge data from the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project with community-level influenza-like illness…
Economic Status, Education and Empowerment
BACKGROUND: Relative to the attention given to improving the quality of and access to maternal health services, the influence of women's socio-economic situation on maternal health care use has received scant attention. The objective of this paper is to examine the relationship between women's economic, educational and empowerment status, introduced as the 3Es, and maternal health service utilization in developing countries. METHODS/PRINCIPAL FIN…
How Contraceptive Use Affects Birth Intervals
Short birth intervals can have adverse consequences for maternal and infant outcomes. Optimal birth spacing is often presumed to be achieved through the practice of family planning and use of contraceptives, yet most of the available research does not address explicitly the contribution of contraceptive‐method use to birth spacing or maternal and infant survival. We conducted a systematic literature review to assess the body of evidence linking c…
Does the delivery of integrated family planning and HIV/Aids services influence community-based workers' client loads in Ethiopia
Community-based reproductive health agents (CBRHAs) can increase community knowledge of and offer immediate access to reproductive health services, including HIV/AIDS. Due to growing interest in integration of family planning and HIV services in Ethiopia, it is important to examine whether CBRHAs are efficiently offering both service types. The present analysis uses survey data collected from Ethiopian CBRHAs and examines associations between age…
Contraceptive Discontinuation and Failure and Subsequent Abortion in Romania
This study examines the levels and correlates of contraceptive failure and discontinuation in Romania, together with the consequences of contraceptive method failure in terms of induced abortion. Of special interest are women who rely on the traditional method of withdrawal and the proportion of withdrawal failures resulting in abortion. Our analysis is based on multiyear calendar data concerning women's contraceptive use and monthly reproductive…
Contraceptive Discontinuation and Failure and Subsequent Abortion in Romania
This study examines the levels and correlates of contraceptive failure and discontinuation in Romania, together with the consequences of contraceptive method failure in terms of induced abortion. Of special interest are women who rely on the traditional method of withdrawal and the proportion of withdrawal failures resulting in abortion. Our analysis is based on multiyear calendar data concerning women's contraceptive use and monthly reproductive…
Does the delivery of integrated family planning and HIV/Aids services influence community-based workers' client loads in Ethiopia
Community-based reproductive health agents (CBRHAs) can increase community knowledge of and offer immediate access to reproductive health services, including HIV/AIDS. Due to growing interest in integration of family planning and HIV services in Ethiopia, it is important to examine whether CBRHAs are efficiently offering both service types. The present analysis uses survey data collected from Ethiopian CBRHAs and examines associations between age…
Does the delivery of integrated family planning and HIV/Aids services influence community-based workers' client loads in Ethiopia
Community-based reproductive health agents (CBRHAs) can increase community knowledge of and offer immediate access to reproductive health services, including HIV/AIDS. Due to growing interest in integration of family planning and HIV services in Ethiopia, it is important to examine whether CBRHAs are efficiently offering both service types. The present analysis uses survey data collected from Ethiopian CBRHAs and examines associations between age…
Contraceptive Discontinuation and Failure and Subsequent Abortion in Romania
This study examines the levels and correlates of contraceptive failure and discontinuation in Romania, together with the consequences of contraceptive method failure in terms of induced abortion. Of special interest are women who rely on the traditional method of withdrawal and the proportion of withdrawal failures resulting in abortion. Our analysis is based on multiyear calendar data concerning women's contraceptive use and monthly reproductive…
How Contraceptive Use Affects Birth Intervals
Short birth intervals can have adverse consequences for maternal and infant outcomes. Optimal birth spacing is often presumed to be achieved through the practice of family planning and use of contraceptives, yet most of the available research does not address explicitly the contribution of contraceptive‐method use to birth spacing or maternal and infant survival. We conducted a systematic literature review to assess the body of evidence linking c…
Economic Status, Education and Empowerment
BACKGROUND: Relative to the attention given to improving the quality of and access to maternal health services, the influence of women's socio-economic situation on maternal health care use has received scant attention. The objective of this paper is to examine the relationship between women's economic, educational and empowerment status, introduced as the 3Es, and maternal health service utilization in developing countries. METHODS/PRINCIPAL FIN…
Impact of the Fall 2009 Influenza A(H1N1)pdm09 Pandemic on US Hospitals
BACKGROUND: Understanding how hospitals functioned during the 2009 influenza A(H1N1)pdm09 pandemic may improve future public health emergency response, but information about its impact on US hospitals remains largely unknown. RESEARCH DESIGN: We matched hospital and emergency department (ED) discharge data from the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project with community-level influenza-like illness…
Racial and ethnic disparities in severe maternal morbidity
Ectopic Pregnancy Among American Indian and Alaska Native Women, 2002–2009
Linking household and health facility surveys to assess obstetric service availability, readiness and coverage
BACKGROUND: Improving access and quality of obstetric service has the potential to avert preventable maternal, neonatal and stillborn deaths, yet little is known about the quality of care received. This study sought to assess obstetric service availability, readiness and coverage within and between 17 low- and middle-income countries. METHODS: We linked health facility data from the Service Provision Assessments and Service Availability and Readi…
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…
Statewide implementation of a quality improvement initiative for reproductive, maternal, newborn and child health and nutritionin Bihar, India
Background CARE India designed and implemented a comprehensive, statewide quality improvement (QI) initiative to improve reproductive, maternal, newborn, and child health and nutrition (RMNCHN) services in public facilities in Bihar. We provide a description of this initiative and its key results during 2014-2017
Improving primary health care delivery in Bihar, India
In 2010, the Bill and Melinda Gates Foundation (BMGF) partnered with the Government of Bihar (GoB), India to launch the Ananya program to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) outcomes. The program sought to address supply-and demand-side barriers to the adoption, coverage, quality, equity and health impact of select RMNCHN interventions. Approaches included strengthening frontline worker service delivery…
Trends in reproductive, maternal, newborn and child health and nutrition indicators during five years of piloting and scaling-up of Ananya interventions in Bihar, India
Trends in reproductive, maternal, newborn and child health
Health impact of self-help groups scaled-up statewide in Bihar, India
Health layering of self-help groups
Measuring facility readiness to provide childbirth care
BACKGROUND: Actionable information about the readiness of health facilities is needed to inform quality improvement efforts in maternity care, but there is no consensus on the best approach to measure readiness. Many countries use the WHO's Service Availability and Readiness Assessment (SARA) or the Demographic and Health Survey (DHS) Programme's Service Provision Assessment to measure facility readiness. This study compares measures of childbirt…
From direct engagement to technical support
INTRODUCTION: In 2011, through a multipartner Integrated Family Health Initiative (IFHI), CARE started supporting maternal and neonatal health (MNH) improvement goals in 8 of 38 districts in Bihar, India. The programme included a frontline health worker (FHW) component offering health advice through household visits and benefited from CARE's direct engagement during IFHI, which then evolved into statewide Technical Support Unit (TSU) to the Gover…
Assessing the neonatal health policy landscape in low- and middle-income countries
Background: We aimed to describe the availability of newborn health policies across the continuum of care in low- and middle-income countries (LMICs) and to assess the relationship between the availability of newborn health policies and their achievement of global Sustainable Development Goal and Every Newborn Action Plan (ENAP) neonatal mortality and stillbirth rate targets in 2019. Methods: We used data from World Health Organization's 2018-201…
Maternal health policy environment and the relationship with service utilization in low- and middle-income countries
Background: The extent to which a favorable policy environment influences health care utilization and outcomes for pregnant and postpartum women is largely unknown. In this study, we aimed to describe the maternal health policy environment and examines its relationship with maternal health service utilization in low- and middle-income countries (LMICs). Methods: tests and fitted logistic regression models for ≥85% coverage for each of four or mor…
Changes in the health systems and policy environment for maternal and newborn health, 2008-2018
Centering Equity and Fostering Stakeholder Collaboration and Trust—Pillars of the Maternal Health Innovation Program in Maryland
Objective: To describe two main pillars of the Maryland Maternal Health Innovation Program (MDMOM): (1) centering equity and (2) fostering broad stakeholder collaboration and trust. Methods: We summarized MDMOM's key activities and used severe maternal morbidity (SMM) surveillance and program monitoring data to quantify MDMOM's work on the two pillars. We developed measures of hospital engagement with MDMOM (participation in quality improvement […
Implementation of maternal and perinatal death surveillance and response and related death review interventions in humanitarian settings
Background: The global population impacted by humanitarian crises continues to break records each year, leaving strained and fractured health systems reliant upon humanitarian assistance in more than 60 countries. Yet little is known about implementation of maternal and perinatal death surveillance and response (MPDSR) within crisis-affected contexts. This scoping review aimed to synthesise evidence on the implementation of MPDSR and related deat…
Complexities of implementing Maternal and Perinatal Death Surveillance and Response in crisis-affected contexts
The unique contextual considerations of humanitarian settings call for a customized approach to implementing MPDSR that best serves the immediate needs of the crisis, aligns with stakeholder priorities, and supports health workers and humanitarian responders in providing care to the most vulnerable populations
Community-based maternal and perinatal death surveillance and response
CB-MPDSR offers insights into important systemic and cultural factors contributing to mortality within crisis-affected settings. Our results call for more research investment in understanding how to effectively adapt CB-MPDSR and development of operational guidance to assist humanitarian actors in introducing or bolstering CB-MPDSR approaches, so as to support a system reflective of complex realities faced by these diverse and mobile communities
Medicine (21 works) · Global Maternal and Child Health (20 works) · Environmental health (18 works) · Population (14 works) · Health care (10 works) · Business (9 works) · Economic growth (9 works) · Economics (8 works) · Health services (8 works) · Nursing (8 works)