Jelle Stekelenburg
Dados Biográficos
| ID | 6582738 |
|---|---|
| NOME | Jelle Stekelenburg |
| PRENOMES | Jelle |
| SOBRENOME | Stekelenburg |
| ASSINATURA | STEKELENBURG J |
| AFILIAÇÕES | University Medical Center Groningen |
| ORCID | 0000-0002-2732-6620 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2018 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Reduction of stillbirth rate in refugee and migrant populations living on the Thailand Myanmar border
Understanding the local causes of stillbirth is essential to providing safe care in pregnancy and birth. This study describes the rate and causes of stillbirth and identifies factors associated with stillbirth in the migrant and refugee population residing in border regions between Thailand and Myanmar. A retrospective review of medical records of all singleton pregnancies delivered or followed at antenatal clinics of the Shoklo Malaria Research …
Antenatal group education for pregnant asylum seeker in the netherlands
A relatively small sample size and high loss to follow-up because of frequent relocations have influenced the results of this study
High-risk human papillomavirus testing for underscreened populations
The provided estimates can serve to inform policymakers and researchers in the context of implementing hrHPV-based screening in diverse settings
Maternal and perinatal mortality
While there is ample evidence of the overall reduction in perinatal and pregnancy-related mortality in Ethiopia, it remains uncertain if geographic disparities have diminished. This study aimed to investigate perinatal and pregnancy-related mortality spatial distributions, trends over time, and factors associated with the distribution in Ethiopia. We used data from Ethiopian Demographic and Health Surveys conducted in 2000, 2005, 2011, and 2016. …
Optimizing maternal health facility locations in Ethiopia
Emergency Obstetric and Newborn Care (EmONC) facilities are scarce in Ethiopia and concentrated in bigger cities. Using geospatial analysis, this study modeled the optimal locations for new EmONC facilities such that a maximum number of women could access them. We used data from the 2016 EmONC Assessment encompassing 3804 health facilities (including 370 EmONC facilities). Using OpenStreetMap data, we created a road network with different speed a…
Early evaluation of a screen-and-treat strategy using high-risk HPV testing for Uganda
Background: Uganda has a high burden of cervical cancer and its current coverage of screening based on visual inspection with acetic acid (VIA) is low. High-risk HPV (hrHPV) testing is recommended by the World Health Organization as part of the global elimination strategy for cervical cancer. In this context, country-specific health economic evaluations can inform national-level decisions regarding implementation. We evaluated the recommended hrH…
The impact of accredited social health activists in India on uptake of modern contraception
The government of India introduced the Accredited Social Health Activist (ASHA) programme in 2006 to connect marginalised communities to the health system. ASHAs are mandated to increase the uptake of modern contraception through the doorstep provision of services. There is currently no evidence on the impact of ASHAs on the uptake of contraception at the national level. This paper examines the impact of ASHAs on the uptake of modern contraceptio…
Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study
In Ethiopia maternal and perinatal morbidity and mortality remains high. Timely access to quality emergency obstetric and neonatal care is essential for the prevention of adverse outcomes. Training healthcare providers can play an important role in improving quality of care, thereby reducing maternal and perinatal mortality and morbidity. The aim of this study was to evaluate change of knowledge, skills and behaviour in health workers who attende…
Provider and client perspectives on the use of maternity waiting homes in rural Rwanda
BACKGROUND: The World Health Organization recommends the implementation of maternity waiting homes (MWH) to reduce delays in access to obstetric care, particularly for high-risk pregnancies and mothers living far from health facilities, and as a result, several countries have rolled out MWHs. However, Rwanda has not implemented this recommendation on a large scale. There is only one MWH in the country, hence a gap in knowledge regarding the poten…
How applicable is geospatial analysis in maternal and neonatal health in sub-Saharan Africa? A systematic review
Investigating feasibility of 2021 WHO protocol for cervical cancer screening in underscreened populations
ClinicalTrials.gov, NCT05234112 . Registered 10 February 2022
Childbirths and the Prevalence of Potential Risk Factors for Adverse Perinatal Outcomes among Asylum Seekers in The Netherlands
This five-year cross-sectional study mapped the prevalence of several known risk factors for adverse perinatal outcomes in asylum-seeking women in The Netherlands. Characteristics of 2831 registered childbirths among residents of asylum seekers centers (ASCs) in The Netherlands from 2016 to 2020 were included. Results showed a high general and teenage birthrate (2.15 and 6.77 times higher compared to the Dutch, respectively). Most mothers were pr…
Maternal and Perinatal Outcomes among Maternity Waiting Home Users and Non-Users in Rural Rwanda
Most maternal and perinatal deaths could be prevented through timely access to skilled birth attendants. Women should access appropriate obstetric care during pregnancy, labor, and puerperium. Maternity waiting homes (MWHs) permit access to emergency obstetric care when labor starts. This study compared maternal and perinatal outcomes among MWH users and non-users through a retrospective cohort study. Data were collected through obstetric chart r…
Surviving mothers and lost babies – burden of stillbirths and neonatal deaths among women with maternal near miss in eastern Ethiopia
BACKGROUND: Although maternal near miss (MNM) is often considered a 'great save' because the woman survived life-threatening complications, these complications may have resulted in loss of a child or severe neonatal morbidity. The objective of this study was to assess proportion of perinatal mortality (stillbirths and early neonatal deaths) in a cohort of women with MNM in eastern Ethiopia. In addition, we compared perinatal outcomes among women …
Risk Factors for Positive Appraisal of Mistreatment during Childbirth among Ethiopian Midwifery Students
The maternal mortality ratio and neonatal mortality rate remain high in Ethiopia, where few births are attended by qualified healthcare staff. This is partly due to care providers' mistreatment of women during childbirth, which creates a culture of anxiety that decreases the use of healthcare services. This study employed a cross-sectional design to identify risk factors for positive appraisal of mistreatment during childbirth. We asked 391 Ethio…
Assessing Implementation of Maternal and Perinatal Death Surveillance and Response in Rwanda
Maternal deaths remain a major public health concern in low- and middle-income countries. Implementation of maternal and perinatal deaths surveillance and response (MPDSR) is vital to reduce preventable deaths. The study aimed to assess implementation of MPDSR in Rwanda. We applied mixed methods following the six-step audit cycle for MPDSR to determine the level of implementation at 10 hospitals and three health centers. Results showed various st…
Mental Health and Quality of Life of Women One Year after Maternal Near-Miss in Low and Middle-Income Countries
Women who experienced a maternal near-miss are at risk of mental health complications and lower quality of life, but long-term consequences are largely unknown. The aim of this study is to assess whether mental health symptoms and quality of life change over time and to examine associations with risk factors among post-partum women. In this cohort study, women with maternal near-miss were matched to women without or with mild complications at Mna…
Health Indicators of Pregnant Women in Tonkolili District, Rural Sierra Leone
Despite having reported one of the highest maternal mortality ratios and neonatal mortality rates in the world, surprisingly little is known about the general health status of pregnant women in rural parts of Sierra Leone. Malaria, anaemia and malnutrition are known contributors to adverse pregnancy outcomes. Although their prevalence is known to be high, the burden of these conditions in the rural pregnant population remains unknown. Our study a…
Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia
With postpartum hemorrhage (PPH) continuing to be the leading cause of maternal mortality in most low-resource settings, an audit of the quality of care in health facilities is essential. The purpose of this study was to identify areas of substandard care and establish recommendations for the management of PPH in Hiwot Fana Specialized University Hospital, eastern Ethiopia. Using standard criteria ( n = 8) adapted to the local hospital setting, w…
Measuring maternal near-miss in a middle-income country
Background: Namibia, a middle-income country in sub-Saharan Africa (SSA), plans to use the Maternal Near Miss (MNM) approach. Adaptations of the World Health Organization (WHO) MNM defining criteria (‘WHO MNM criteria’) were previously proposed for low-income settings in sub-Saharan Africa (‘SSA MNM criteria’), but whether these adaptations are required in middle-income settings is unknown.Objective: To establish MNM criteria suitable for use in …
Long-Acting Reversible Contraception Uptake and Associated Factors among Women of Reproductive Age in Rural Kenya
In the last two decades, the use of short-acting methods of contraception has driven the increase of contraceptive use in Kenya. We assessed the factors associated with uptake of long-acting reversible contraception by women seeking family planning services in public health facilities in Kakamega County, Kenya. A mixed methods cross-sectional study through client exit surveys among 423 women seeking family planning services was done at 12 public …
Factors Affecting Breastfeeding Practices in Sindh Province, Pakistan
Breastfeeding practices are critical for child health and growth. This paper investigates demographic factors, socioeconomic status, and information sources that affect breastfeeding practices in Sindh Province, Pakistan. A secondary analysis was performed of data on 10,028 women with a birth in the preceding two years who had participated in the 2013-14 Maternal and Child Health Program Indicator Survey. Multiple logistic regressions were used t…
Impact of Socio-Economic Factors and Health Information Sources on Place of Birth in Sindh Province, Pakistan
Medical facility birth with skilled birth attendance is essential to reduce maternal mortality. The purpose of this study was to assess the demographic characteristics, socio-economic factors, and varied health information sources that may influence the uptake of birth services in Pakistan. We used pooled data from Maternal-Child Health Program Indicator Survey 2013 and 2014. Study population was 9719 women. Generalized linear model with log link…
Women’s Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania
Negative experiences of care may act as a deterrent to current and/or future utilization of facility-based health services. To examine the situation in Tanzania, we conducted a sub-analysis of a cross-sectional household survey conducted in April 2016 in the Mara and Kagera regions of Tanzania. The sample included 732 women aged 15–49 years who had given birth in a health facility during the previous two years. Log binomial regression models were…
Realising the right to sexual and reproductive health
BACKGROUND: WHO has a pivotal role to play as the leading international agency promoting good practices in health and human rights. In 2005, mifepristone and misoprostol were added to WHO's Model List of Essential Medicines for combined use to terminate unwanted pregnancies. However, these drugs were considered 'complementary' and qualified for use when in line with national legislation and where 'culturally acceptable'. DISCUSSION: This article …
Sem obras proeminentes nesta página.
Realising the right to sexual and reproductive health
BACKGROUND: WHO has a pivotal role to play as the leading international agency promoting good practices in health and human rights. In 2005, mifepristone and misoprostol were added to WHO's Model List of Essential Medicines for combined use to terminate unwanted pregnancies. However, these drugs were considered 'complementary' and qualified for use when in line with national legislation and where 'culturally acceptable'. DISCUSSION: This article …
Measuring maternal near-miss in a middle-income country
Background: Namibia, a middle-income country in sub-Saharan Africa (SSA), plans to use the Maternal Near Miss (MNM) approach. Adaptations of the World Health Organization (WHO) MNM defining criteria (‘WHO MNM criteria’) were previously proposed for low-income settings in sub-Saharan Africa (‘SSA MNM criteria’), but whether these adaptations are required in middle-income settings is unknown.Objective: To establish MNM criteria suitable for use in …
Long-Acting Reversible Contraception Uptake and Associated Factors among Women of Reproductive Age in Rural Kenya
In the last two decades, the use of short-acting methods of contraception has driven the increase of contraceptive use in Kenya. We assessed the factors associated with uptake of long-acting reversible contraception by women seeking family planning services in public health facilities in Kakamega County, Kenya. A mixed methods cross-sectional study through client exit surveys among 423 women seeking family planning services was done at 12 public …
Factors Affecting Breastfeeding Practices in Sindh Province, Pakistan
Breastfeeding practices are critical for child health and growth. This paper investigates demographic factors, socioeconomic status, and information sources that affect breastfeeding practices in Sindh Province, Pakistan. A secondary analysis was performed of data on 10,028 women with a birth in the preceding two years who had participated in the 2013-14 Maternal and Child Health Program Indicator Survey. Multiple logistic regressions were used t…
Impact of Socio-Economic Factors and Health Information Sources on Place of Birth in Sindh Province, Pakistan
Medical facility birth with skilled birth attendance is essential to reduce maternal mortality. The purpose of this study was to assess the demographic characteristics, socio-economic factors, and varied health information sources that may influence the uptake of birth services in Pakistan. We used pooled data from Maternal-Child Health Program Indicator Survey 2013 and 2014. Study population was 9719 women. Generalized linear model with log link…
Women’s Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania
Negative experiences of care may act as a deterrent to current and/or future utilization of facility-based health services. To examine the situation in Tanzania, we conducted a sub-analysis of a cross-sectional household survey conducted in April 2016 in the Mara and Kagera regions of Tanzania. The sample included 732 women aged 15–49 years who had given birth in a health facility during the previous two years. Log binomial regression models were…
Surviving mothers and lost babies – burden of stillbirths and neonatal deaths among women with maternal near miss in eastern Ethiopia
BACKGROUND: Although maternal near miss (MNM) is often considered a 'great save' because the woman survived life-threatening complications, these complications may have resulted in loss of a child or severe neonatal morbidity. The objective of this study was to assess proportion of perinatal mortality (stillbirths and early neonatal deaths) in a cohort of women with MNM in eastern Ethiopia. In addition, we compared perinatal outcomes among women …
Risk Factors for Positive Appraisal of Mistreatment during Childbirth among Ethiopian Midwifery Students
The maternal mortality ratio and neonatal mortality rate remain high in Ethiopia, where few births are attended by qualified healthcare staff. This is partly due to care providers' mistreatment of women during childbirth, which creates a culture of anxiety that decreases the use of healthcare services. This study employed a cross-sectional design to identify risk factors for positive appraisal of mistreatment during childbirth. We asked 391 Ethio…
Assessing Implementation of Maternal and Perinatal Death Surveillance and Response in Rwanda
Maternal deaths remain a major public health concern in low- and middle-income countries. Implementation of maternal and perinatal deaths surveillance and response (MPDSR) is vital to reduce preventable deaths. The study aimed to assess implementation of MPDSR in Rwanda. We applied mixed methods following the six-step audit cycle for MPDSR to determine the level of implementation at 10 hospitals and three health centers. Results showed various st…
Mental Health and Quality of Life of Women One Year after Maternal Near-Miss in Low and Middle-Income Countries
Women who experienced a maternal near-miss are at risk of mental health complications and lower quality of life, but long-term consequences are largely unknown. The aim of this study is to assess whether mental health symptoms and quality of life change over time and to examine associations with risk factors among post-partum women. In this cohort study, women with maternal near-miss were matched to women without or with mild complications at Mna…
Health Indicators of Pregnant Women in Tonkolili District, Rural Sierra Leone
Despite having reported one of the highest maternal mortality ratios and neonatal mortality rates in the world, surprisingly little is known about the general health status of pregnant women in rural parts of Sierra Leone. Malaria, anaemia and malnutrition are known contributors to adverse pregnancy outcomes. Although their prevalence is known to be high, the burden of these conditions in the rural pregnant population remains unknown. Our study a…
Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia
With postpartum hemorrhage (PPH) continuing to be the leading cause of maternal mortality in most low-resource settings, an audit of the quality of care in health facilities is essential. The purpose of this study was to identify areas of substandard care and establish recommendations for the management of PPH in Hiwot Fana Specialized University Hospital, eastern Ethiopia. Using standard criteria ( n = 8) adapted to the local hospital setting, w…
Childbirths and the Prevalence of Potential Risk Factors for Adverse Perinatal Outcomes among Asylum Seekers in The Netherlands
This five-year cross-sectional study mapped the prevalence of several known risk factors for adverse perinatal outcomes in asylum-seeking women in The Netherlands. Characteristics of 2831 registered childbirths among residents of asylum seekers centers (ASCs) in The Netherlands from 2016 to 2020 were included. Results showed a high general and teenage birthrate (2.15 and 6.77 times higher compared to the Dutch, respectively). Most mothers were pr…
Maternal and Perinatal Outcomes among Maternity Waiting Home Users and Non-Users in Rural Rwanda
Most maternal and perinatal deaths could be prevented through timely access to skilled birth attendants. Women should access appropriate obstetric care during pregnancy, labor, and puerperium. Maternity waiting homes (MWHs) permit access to emergency obstetric care when labor starts. This study compared maternal and perinatal outcomes among MWH users and non-users through a retrospective cohort study. Data were collected through obstetric chart r…
How applicable is geospatial analysis in maternal and neonatal health in sub-Saharan Africa? A systematic review
Investigating feasibility of 2021 WHO protocol for cervical cancer screening in underscreened populations
ClinicalTrials.gov, NCT05234112 . Registered 10 February 2022
Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study
In Ethiopia maternal and perinatal morbidity and mortality remains high. Timely access to quality emergency obstetric and neonatal care is essential for the prevention of adverse outcomes. Training healthcare providers can play an important role in improving quality of care, thereby reducing maternal and perinatal mortality and morbidity. The aim of this study was to evaluate change of knowledge, skills and behaviour in health workers who attende…
Provider and client perspectives on the use of maternity waiting homes in rural Rwanda
BACKGROUND: The World Health Organization recommends the implementation of maternity waiting homes (MWH) to reduce delays in access to obstetric care, particularly for high-risk pregnancies and mothers living far from health facilities, and as a result, several countries have rolled out MWHs. However, Rwanda has not implemented this recommendation on a large scale. There is only one MWH in the country, hence a gap in knowledge regarding the poten…
Early evaluation of a screen-and-treat strategy using high-risk HPV testing for Uganda
Background: Uganda has a high burden of cervical cancer and its current coverage of screening based on visual inspection with acetic acid (VIA) is low. High-risk HPV (hrHPV) testing is recommended by the World Health Organization as part of the global elimination strategy for cervical cancer. In this context, country-specific health economic evaluations can inform national-level decisions regarding implementation. We evaluated the recommended hrH…
The impact of accredited social health activists in India on uptake of modern contraception
The government of India introduced the Accredited Social Health Activist (ASHA) programme in 2006 to connect marginalised communities to the health system. ASHAs are mandated to increase the uptake of modern contraception through the doorstep provision of services. There is currently no evidence on the impact of ASHAs on the uptake of contraception at the national level. This paper examines the impact of ASHAs on the uptake of modern contraceptio…
High-risk human papillomavirus testing for underscreened populations
The provided estimates can serve to inform policymakers and researchers in the context of implementing hrHPV-based screening in diverse settings
Maternal and perinatal mortality
While there is ample evidence of the overall reduction in perinatal and pregnancy-related mortality in Ethiopia, it remains uncertain if geographic disparities have diminished. This study aimed to investigate perinatal and pregnancy-related mortality spatial distributions, trends over time, and factors associated with the distribution in Ethiopia. We used data from Ethiopian Demographic and Health Surveys conducted in 2000, 2005, 2011, and 2016. …
Optimizing maternal health facility locations in Ethiopia
Emergency Obstetric and Newborn Care (EmONC) facilities are scarce in Ethiopia and concentrated in bigger cities. Using geospatial analysis, this study modeled the optimal locations for new EmONC facilities such that a maximum number of women could access them. We used data from the 2016 EmONC Assessment encompassing 3804 health facilities (including 370 EmONC facilities). Using OpenStreetMap data, we created a road network with different speed a…
Reduction of stillbirth rate in refugee and migrant populations living on the Thailand Myanmar border
Understanding the local causes of stillbirth is essential to providing safe care in pregnancy and birth. This study describes the rate and causes of stillbirth and identifies factors associated with stillbirth in the migrant and refugee population residing in border regions between Thailand and Myanmar. A retrospective review of medical records of all singleton pregnancies delivered or followed at antenatal clinics of the Shoklo Malaria Research …
Antenatal group education for pregnant asylum seeker in the netherlands
A relatively small sample size and high loss to follow-up because of frequent relocations have influenced the results of this study
Medicine (22 obras) · Environmental health (15 obras) · Global Maternal and Child Health (15 obras) · Population (13 obras) · Pregnancy (11 obras) · Nursing (10 obras) · Maternal and Perinatal Health Interventions (7 obras) · Obstetrics (7 obras) · Demography (6 obras) · Economic growth (6 obras)