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Manuela Straneo

Biographic Data

ID6331519
NAMEManuela Straneo
GIVEN NAMESManuela
FAMILY NAMEStraneo
SIGNATURESTRANEO M
AFFILIATIONSKarolinska Institutet
ORCID0000-0002-2464-1633
VERIFIEDYes
TOTAL WORKS6
TOTAL CITATIONS1
AUTHOR COUNT6
EDITOR COUNT0
FIRST PUBLICATION YEAR2017
LATEST PUBLICATION YEAR2026
H-INDEX1
  • Spatial distribution, integration and determinants of family planning service provision in Lubumbashi, DRC

    Open Access•Marie Alice Mosuse, Tabitha Ilunga Mpoyi et al.•ARTICLE•Reproductive Health•2026

    Universal access to family planning (FP) services is essential for safeguarding sexual and reproductive health and rights. Integration of FP and routine maternal and child health (MCH) services has been associated with increased uptake of long-acting reversible contraceptives and contributes to reduced unintended pregnancies, unsafe abortions and complications associated with short interpregnancy intervals. In the DRC, FP use remains limited desp…

  • Mixed vulnerabilities

    Open Access•Manuela Straneo, Lenka Beňová et al.•ARTICLE•International Journal for Equity…•2025

    Identification of interacting vulnerabilities is essential to reduce maternal and perinatal mortality in sub-Saharan Africa (SSA). High parity (≥ 5 previous births) is an underemphasized biological vulnerability linked to poverty and affecting a sizeable proportion of SSA births. Despite increased risk, high parity women rarely use hospitals for childbirth. We assessed whether emergency referral during childbirth was associated with adverse event…

  • Inequalities in use of hospitals for childbirth among rural women in sub-Saharan Africa

    Open Access•Manuela Straneo, Claudia Hanson et al.•ARTICLE•BMJ Global Health•2024

    INTRODUCTION: Rising facility births in sub-Saharan Africa (SSA) mask inequalities in higher-level emergency care-typically in hospitals. Limited research has addressed hospital use in women at risk of or with complications, such as high parity, linked to poverty and rurality, for whom hospital care is essential. We aimed to address this gap, by comparatively assessing hospital use in rural SSA by wealth and parity. METHODS: Countries in SSA with…

  • No increase in use of hospitals for childbirth in Tanzania over 25 years

    Open Access•Manuela Straneo, Lenka Beňová et al.•ARTICLE•PLOS Global Public Health•2022

    Improving childbirth care in rural settings in sub-Saharan Africa is essential to attain the commitment expressed in the Sustainable Development Goals to leave no one behind. In Tanzania, the period between 1991 and 2016 was characterized by health system expansion prioritizing primary health care and a rise in rural facility births from 45% to 54%. Facilities however are not all the same, with advanced management of childbirth complications gene…

  • Inequity in uptake of hospital-based childbirth care in rural Tanzania

    Open Access•Manuela Straneo, Lenka Beňová et al.•ARTICLE•Health Policy and Planning•2021

    Proportions of facility births are increasing throughout sub-Saharan Africa, but obstetric services vary within the health system. In Tanzania, advanced management of childbirth complications (comprehensive emergency obstetric care) is offered in hospitals, while in frontline, primary health care (PHC) facilities (health centres and dispensaries) mostly only routine childbirth care is available. With over half (54%) of rural births in facilities,…

  • A new use for an old tool

    Open Access•Piera Fogliati, Manuela Straneo et al.•ARTICLE•Health Policy and Planning•2017•Cited by: 1•References: 26

    Limited quality of childbirth care in sub-Saharan Africa primarily affects the poor. Greater quality is available in facilities providing advanced management of childbirth complications. We aimed to determine whether Maternity Waiting Homes (MWHs) may be a tool to improve access of lower socio-economic women to such facilities. Secondary analysis of a cross-sectional hospital survey from Iringa District, Tanzania was carried out. Women who delive…

  • A new use for an old tool

    Open Access•Piera Fogliati, Manuela Straneo et al.•ARTICLE•Health Policy and Planning•2017•Cited by: 1•References: 26

    Limited quality of childbirth care in sub-Saharan Africa primarily affects the poor. Greater quality is available in facilities providing advanced management of childbirth complications. We aimed to determine whether Maternity Waiting Homes (MWHs) may be a tool to improve access of lower socio-economic women to such facilities. Secondary analysis of a cross-sectional hospital survey from Iringa District, Tanzania was carried out. Women who delive…

  • A new use for an old tool

    Open Access•Piera Fogliati, Manuela Straneo et al.•ARTICLE•Health Policy and Planning•2017•Cited by: 1•References: 26

    Limited quality of childbirth care in sub-Saharan Africa primarily affects the poor. Greater quality is available in facilities providing advanced management of childbirth complications. We aimed to determine whether Maternity Waiting Homes (MWHs) may be a tool to improve access of lower socio-economic women to such facilities. Secondary analysis of a cross-sectional hospital survey from Iringa District, Tanzania was carried out. Women who delive…

  • Inequity in uptake of hospital-based childbirth care in rural Tanzania

    Open Access•Manuela Straneo, Lenka Beňová et al.•ARTICLE•Health Policy and Planning•2021

    Proportions of facility births are increasing throughout sub-Saharan Africa, but obstetric services vary within the health system. In Tanzania, advanced management of childbirth complications (comprehensive emergency obstetric care) is offered in hospitals, while in frontline, primary health care (PHC) facilities (health centres and dispensaries) mostly only routine childbirth care is available. With over half (54%) of rural births in facilities,…

  • No increase in use of hospitals for childbirth in Tanzania over 25 years

    Open Access•Manuela Straneo, Lenka Beňová et al.•ARTICLE•PLOS Global Public Health•2022

    Improving childbirth care in rural settings in sub-Saharan Africa is essential to attain the commitment expressed in the Sustainable Development Goals to leave no one behind. In Tanzania, the period between 1991 and 2016 was characterized by health system expansion prioritizing primary health care and a rise in rural facility births from 45% to 54%. Facilities however are not all the same, with advanced management of childbirth complications gene…

  • Inequalities in use of hospitals for childbirth among rural women in sub-Saharan Africa

    Open Access•Manuela Straneo, Claudia Hanson et al.•ARTICLE•BMJ Global Health•2024

    INTRODUCTION: Rising facility births in sub-Saharan Africa (SSA) mask inequalities in higher-level emergency care-typically in hospitals. Limited research has addressed hospital use in women at risk of or with complications, such as high parity, linked to poverty and rurality, for whom hospital care is essential. We aimed to address this gap, by comparatively assessing hospital use in rural SSA by wealth and parity. METHODS: Countries in SSA with…

  • Mixed vulnerabilities

    Open Access•Manuela Straneo, Lenka Beňová et al.•ARTICLE•International Journal for Equity…•2025

    Identification of interacting vulnerabilities is essential to reduce maternal and perinatal mortality in sub-Saharan Africa (SSA). High parity (≥ 5 previous births) is an underemphasized biological vulnerability linked to poverty and affecting a sizeable proportion of SSA births. Despite increased risk, high parity women rarely use hospitals for childbirth. We assessed whether emergency referral during childbirth was associated with adverse event…

  • Spatial distribution, integration and determinants of family planning service provision in Lubumbashi, DRC

    Open Access•Marie Alice Mosuse, Tabitha Ilunga Mpoyi et al.•ARTICLE•Reproductive Health•2026

    Universal access to family planning (FP) services is essential for safeguarding sexual and reproductive health and rights. Integration of FP and routine maternal and child health (MCH) services has been associated with increased uptake of long-acting reversible contraceptives and contributes to reduced unintended pregnancies, unsafe abortions and complications associated with short interpregnancy intervals. In the DRC, FP use remains limited desp…

Global Maternal and Child Health (6 works) · Childbirth (5 works) · Maternal and Perinatal Health Interventions (5 works) · Medicine (5 works) · Pregnancy (5 works) · Economic growth (4 works) · Health care (4 works) · Health facility (4 works) · Population (4 works) · Tanzania (4 works)

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