Amelia Castillo Morán
Dados Biográficos
| ID | 132284 |
|---|---|
| NOME | Amelia Castillo Morán |
| PRENOMES | Amelia Castillo |
| SOBRENOME | Morán |
| ASSINATURA | MORÁN A C |
| AFILIAÇÕES | World Health Organization |
| ORCID | 0000-0002-4826-1475 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 34 |
| TOTAL DE CITAÇÕES | 33 |
| TOTAL COMO AUTOR | 34 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2011 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Levels of care for maternal and neonatal healthcare
Background: To meet the 2030 aims of the Global Strategy for Women's, Children's and Adolescents' Health and Sustainable Development Goals, annual rates of maternal and newborn mortality and stillbirth must decrease. The organisation of maternal and newborn health (MNH) services influences access to and quality of care. We designed this scoping review to understand how levels of MNH care are organised in different country contexts. Methods: We co…
Operationalising an integrated mortality transition framework for programmatic priority setting across maternal and newborn health
Data-driven decision making will be instrumental in reducing maternal mortality, newborn mortality, and stillbirth levels in the coming years as the Sustainable Development Goal targets draw near in 2030. Tailoring evidence to be context-specific is crucial to target relevant questions, priorities, and needs. In doing so, there remains value in grounding local data in the broader global health data landscape. Here, we introduce one resource - an …
A global analysis of the determinants of maternal health and transitions in maternal mortality
The reduction of maternal mortality and the promotion of maternal health and wellbeing are complex tasks. This Series paper analyses the distal and proximal determinants of maternal health, as well as the exposures, risk factors, and micro-correlates related to maternal mortality. This paper also examines the relationship between these determinants and the gradual shift over time from a pattern of high maternal mortality to a pattern of low mater…
National, regional, and global estimates of preterm birth in 2020, with trends from 2010
BACKGROUND: Preterm birth is the leading cause of neonatal mortality and is associated with long-term physical, neurodevelopmental, and socioeconomic effects. This study updated national preterm birth rates and trends, plus novel estimates by gestational age subgroups, to inform progress towards global health goals and targets, and aimed to update country, regional, and global estimates of preterm birth for 2020 in addition to trends between 2010…
Measures to assess quality of postnatal care
High quality postnatal care is key for the health and wellbeing of women after childbirth and their newborns. In 2022, the World Health Organization (WHO) published global recommendations on maternal and newborn care for a positive postnatal care experience in a new WHO PNC guideline. Evidence regarding appropriate measures to monitor implementation of postnatal care (PNC) according to the WHO PNC guideline is lacking. This scoping review aims to…
Availability of priority maternal and newborn health indicators
Data from national health information systems are essential for routinely tracking progress, programmatic decision-making and to improve quality of services. Understanding the data elements captured in patient registers which are building blocks of national HMIS indicators, enables us to standardize data collection and measurement of key indicators for tracking progress towards achieving maternal and newborn health goals. This analysis was done t…
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…
Facilitators and barriers of implementation of routine postnatal care guidelines for women
Background: Postnatal care (PNC) has the potential to prevent a substantial burden of maternal and newborn morbidity and mortality. This scoping review aimed to identify and synthesise themes related to facilitators and barriers of implementation of guidelines on routine PNC for women (postpartum care) in all settings. Methods: This is a scoping review guided by the standard principles of Arksey & O'Malley's framework. We used the critical interp…
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
Percepción Docente De La Educación Intercultural en Multigrado Del Noreste Mexicano
La investigacin que se presenta en este artculo refiere al contexto educativo mexicano, en la modalidad denominada Multigrado, que consiste en nios de dos o ms grados compartiendo aprendizajes y el mismo profesor, en la misma aula, al mismo tiempo y conservando su grado respectivo. En el anlisis presentado, se describen y tensionan los conceptos y realidades del Multiculturalismo y la Educacin Intercultural. El estudio se sita desde el paradigma …
Implementation of maternal and perinatal death surveillance and response (MPDSR) in humanitarian settings
Despite the challenges, examples exist where the lessons learnt from MPDSR processes have led to improved access and quality of care in humanitarian contexts, including successful advocacy. An adapted approach is required to ensure feasibility, with varying implementation being possible in different phases of crises. There is a need for guidance on MPDSR in humanitarian contexts, and for greater documentation and learning from experiences
Implementation of the new WHO antenatal care model for a positive pregnancy experience
Monitoring the implementation and impact of routine antenatal care (ANC), as described in the new World Health Organization (WHO) ANC model, requires indicators that go beyond the previously used global benchmark indicator of four or more ANC visits. To enable consistent monitoring of ANC content and care processes and to provide guidance to countries and health facilities, WHO developed an ANC monitoring framework. This framework builds on a con…
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…
Discordance in postnatal care between mothers and newborns
BACKGROUND: Postnatal care (PNC) for mothers and newborns is essential to monitor risks of morbidity and adverse conditions following delivery. Current estimates of the coverage of PNC show substantial discordance between mothers and newborns. We investigate the sources of this discordance in Demographic and Health Surveys (DHS). METHODS: We used DHS data from 48 countries collected since 2011, spanning phases 6 and 7 of the survey program with 3…
“Every Newborn-BIRTH” protocol
BACKGROUND: - Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study aims to validate selected newborn and maternal indicators for routine tracking of coverage and quality of facility-based care for use at district, national and global levels. METHODS: EN-BIRTH is an observational study including >20 000 facility births in three countries (Tanzania, Bangladesh and Nepal) to validate selected indicators. Direct clinical observation will …
Countdown to 2030
Measuring coverage of essential maternal and newborn care interventions
Measurement of progress in newborn survival and health during the SDG era requires a comprehensive approach that involves using various sources of data. Data from health management information systems (HMIS) and health facilities will be fundamental for monitoring progress in quality of care which is crucial to meet national and global newborn survival targets
Measuring coverage of essential maternal and newborn care interventions
Postnatal care for newborns in Bangladesh
BACKGROUND: Bangladesh achieved Millennium Development Goal 4, a two thirds reduction in under-five mortality from 1990 to 2015. However neonatal mortality remains high, and neonatal deaths now account for 62% of under-five deaths in Bangladesh. The objective of this paper is to understand which newborns in Bangladesh are receiving postnatal care (PNC), a set of interventions with the potential to reduce neonatal mortality. METHODS: Using data fr…
The importance of skin–to–skin contact for early initiation of breastfeeding in Nigeria and Bangladesh
BACKGROUND: Skin-to-skin contact (SSC) between mother and newborn offers numerous protective effects, however it is an intervention that has been under-utilized. Our objectives are to understand which newborns in Bangladesh and Nigeria receive SSC and whether SSC is associated with the early initiation of breastfeeding. METHODS: Demographic and Health Survey (DHS) data were used to study the characteristics of newborns receiving SSC for non-facil…
Quality maternity care for every woman, everywhere
Improved measurement for mothers, newborns and children in the era of the Sustainable Development Goals
BACKGROUND: An urgent priority in maternal, newborn and child health is to accelerate the scale-up of cost-effective essential interventions, especially during labor, the immediate postnatal period and for the treatment of serious infectious diseases and acute malnutrition. Tracking intervention coverage is a key activity to support scale-up and in this paper we examine priorities in coverage measurement, distinguishing between essential interven…
Countdown to 2015 country case studies
These are the first HSP tools using mixed methods to systematically analyse and describe RMNCH changes within and across countries, important in informing accelerated progress for ending preventable maternal, newborn and child mortality in the post-2015 era
Improving newborn care practices through home visits
BACKGROUND: Nearly all newborn deaths occur in low- or middle-income countries. Many of these deaths could be prevented through promotion and provision of newborn care practices such as thermal care, early and exclusive breastfeeding, and hygienic cord care. Home visit programmes promoting these practices were piloted in Malawi, Nepal, Bangladesh, and Uganda. OBJECTIVE: This study assessed changes in selected newborn care practices over time in p…
Newborn survival
Neonatal deaths account for 40% of global under-five mortality and are ever more important if we are to achieve the Millennium Development Goal 4 (MDG 4) on child survival. We applied a results framework to evaluate global and national changes for neonatal mortality rates (NMR), healthy behaviours, intervention coverage, health system change, and inputs including funding, while considering contextual changes. The average annual rate of reduction …
Newborn survival in Bangladesh
Remarkable progress over the last decade has put Bangladesh on track for Millennium Development Goal (MDG) 4 for child survival and achieved a 40% decline in maternal mortality. However, since neonatal deaths make up 57% of under-five mortality in the country, increased scale up and equity in programmes for neonatal survival are critical to sustain progress. We examined change for newborn survival from 2000 to 2010 considering mortality, coverage…
Benchmarks to measure readiness to integrate and scale up newborn survival interventions
Neonatal mortality accounts for 40% of under-five child mortality. Evidence-based interventions exist, but attention to implementation is recent. Nationally representative coverage data for these neonatal interventions are limited; therefore proximal measures of progress toward scale would be valuable for tracking change among countries and over time. We describe the process of selecting a set of benchmarks to assess scale up readiness or the deg…
Effectiveness of an integrated approach to reduce perinatal mortality
The continuum of care approach provided through the integration of service delivery modes decreased the perinatal mortality rate within a short period of time. Further testing of this model is warranted within the government health system in Bangladesh and other low-income countries
Psychological and social consequences among mothers suffering from perinatal loss
This study highlights the greatly increased vulnerability of women with perinatal death to experience negative psychological and social consequences. There is an urgent need to develop appropriate mental health care services for mothers with perinatal deaths in Bangladesh, including interventions to develop positive family support
Beliefs and practices during pregnancy and childbirth in urban slums of Dhaka, Bangladesh
Behavioral change messages are needed to increase the numbers of antenatal and postnatal care visits, improve birth preparedness, and encourage skilled attendance at delivery. Programs in the urban slum areas should also consider interventions to improve social support for key influential persons in the community, particularly landladies who serve as advisors and decision-makers
Causes of neonatal and maternal deaths in Dhaka slums
Delivery at a health facility with child assessment within a day of delivery and appropriate treatment could reduce neonatal deaths. Maternal mortality is unlikely to reduce without delivering at facilities with basic Emergency Obstetric Care (EOC) and arrangements for timely referral to EOC. There is a need for a comprehensive package of services that includes control of infectious diseases during pregnancy, EOC and adequate after delivery care
Newborn survival
Neonatal deaths account for 40% of global under-five mortality and are ever more important if we are to achieve the Millennium Development Goal 4 (MDG 4) on child survival. We applied a results framework to evaluate global and national changes for neonatal mortality rates (NMR), healthy behaviours, intervention coverage, health system change, and inputs including funding, while considering contextual changes. The average annual rate of reduction …
Benchmarks to measure readiness to integrate and scale up newborn survival interventions
Neonatal mortality accounts for 40% of under-five child mortality. Evidence-based interventions exist, but attention to implementation is recent. Nationally representative coverage data for these neonatal interventions are limited; therefore proximal measures of progress toward scale would be valuable for tracking change among countries and over time. We describe the process of selecting a set of benchmarks to assess scale up readiness or the deg…
Newborn survival in Bangladesh
Remarkable progress over the last decade has put Bangladesh on track for Millennium Development Goal (MDG) 4 for child survival and achieved a 40% decline in maternal mortality. However, since neonatal deaths make up 57% of under-five mortality in the country, increased scale up and equity in programmes for neonatal survival are critical to sustain progress. We examined change for newborn survival from 2000 to 2010 considering mortality, coverage…
Newborn survival
Health Policy & Planning volume 27 supplement 3: A decade of change for newborn survival, policy and programmes (2000–2010), July 2012 pp. iii6–iii28 doi:10.1093/heapol/czs053 This article contained errors on p. 8, para 1 and in Table 3. The health density figures should refer to the number of midwives, nurses and physicians per 100 000, not per 10 000. The sentence on p. 8 should read: The density of midwives and nurses is over 30-fold higher in…
Improving newborn care practices through home visits
BACKGROUND: Nearly all newborn deaths occur in low- or middle-income countries. Many of these deaths could be prevented through promotion and provision of newborn care practices such as thermal care, early and exclusive breastfeeding, and hygienic cord care. Home visit programmes promoting these practices were piloted in Malawi, Nepal, Bangladesh, and Uganda. OBJECTIVE: This study assessed changes in selected newborn care practices over time in p…
Assessing the Continuum of Care Pathway for Maternal Health in South Asia and Sub-Saharan Africa
Quality maternity care for every woman, everywhere
Improved measurement for mothers, newborns and children in the era of the Sustainable Development Goals
BACKGROUND: An urgent priority in maternal, newborn and child health is to accelerate the scale-up of cost-effective essential interventions, especially during labor, the immediate postnatal period and for the treatment of serious infectious diseases and acute malnutrition. Tracking intervention coverage is a key activity to support scale-up and in this paper we examine priorities in coverage measurement, distinguishing between essential interven…
Countdown to 2015 country case studies
These are the first HSP tools using mixed methods to systematically analyse and describe RMNCH changes within and across countries, important in informing accelerated progress for ending preventable maternal, newborn and child mortality in the post-2015 era
Measuring coverage of essential maternal and newborn care interventions
Measurement of progress in newborn survival and health during the SDG era requires a comprehensive approach that involves using various sources of data. Data from health management information systems (HMIS) and health facilities will be fundamental for monitoring progress in quality of care which is crucial to meet national and global newborn survival targets
Measuring coverage of essential maternal and newborn care interventions
Postnatal care for newborns in Bangladesh
BACKGROUND: Bangladesh achieved Millennium Development Goal 4, a two thirds reduction in under-five mortality from 1990 to 2015. However neonatal mortality remains high, and neonatal deaths now account for 62% of under-five deaths in Bangladesh. The objective of this paper is to understand which newborns in Bangladesh are receiving postnatal care (PNC), a set of interventions with the potential to reduce neonatal mortality. METHODS: Using data fr…
The importance of skin–to–skin contact for early initiation of breastfeeding in Nigeria and Bangladesh
BACKGROUND: Skin-to-skin contact (SSC) between mother and newborn offers numerous protective effects, however it is an intervention that has been under-utilized. Our objectives are to understand which newborns in Bangladesh and Nigeria receive SSC and whether SSC is associated with the early initiation of breastfeeding. METHODS: Demographic and Health Survey (DHS) data were used to study the characteristics of newborns receiving SSC for non-facil…
Countdown to 2030
“Every Newborn-BIRTH” protocol
BACKGROUND: - Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study aims to validate selected newborn and maternal indicators for routine tracking of coverage and quality of facility-based care for use at district, national and global levels. METHODS: EN-BIRTH is an observational study including >20 000 facility births in three countries (Tanzania, Bangladesh and Nepal) to validate selected indicators. Direct clinical observation will …
Implementation of the new WHO antenatal care model for a positive pregnancy experience
Monitoring the implementation and impact of routine antenatal care (ANC), as described in the new World Health Organization (WHO) ANC model, requires indicators that go beyond the previously used global benchmark indicator of four or more ANC visits. To enable consistent monitoring of ANC content and care processes and to provide guidance to countries and health facilities, WHO developed an ANC monitoring framework. This framework builds on a con…
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…
Discordance in postnatal care between mothers and newborns
BACKGROUND: Postnatal care (PNC) for mothers and newborns is essential to monitor risks of morbidity and adverse conditions following delivery. Current estimates of the coverage of PNC show substantial discordance between mothers and newborns. We investigate the sources of this discordance in Demographic and Health Surveys (DHS). METHODS: We used DHS data from 48 countries collected since 2011, spanning phases 6 and 7 of the survey program with 3…
Percepción Docente De La Educación Intercultural en Multigrado Del Noreste Mexicano
La investigacin que se presenta en este artculo refiere al contexto educativo mexicano, en la modalidad denominada Multigrado, que consiste en nios de dos o ms grados compartiendo aprendizajes y el mismo profesor, en la misma aula, al mismo tiempo y conservando su grado respectivo. En el anlisis presentado, se describen y tensionan los conceptos y realidades del Multiculturalismo y la Educacin Intercultural. El estudio se sita desde el paradigma …
Implementation of maternal and perinatal death surveillance and response (MPDSR) in humanitarian settings
Despite the challenges, examples exist where the lessons learnt from MPDSR processes have led to improved access and quality of care in humanitarian contexts, including successful advocacy. An adapted approach is required to ensure feasibility, with varying implementation being possible in different phases of crises. There is a need for guidance on MPDSR in humanitarian contexts, and for greater documentation and learning from experiences
National, regional, and global estimates of preterm birth in 2020, with trends from 2010
BACKGROUND: Preterm birth is the leading cause of neonatal mortality and is associated with long-term physical, neurodevelopmental, and socioeconomic effects. This study updated national preterm birth rates and trends, plus novel estimates by gestational age subgroups, to inform progress towards global health goals and targets, and aimed to update country, regional, and global estimates of preterm birth for 2020 in addition to trends between 2010…
Medicine (31 obras) · Global Maternal and Child Health (30 obras) · Environmental health (24 obras) · Nursing (21 obras) · Economic growth (15 obras) · Health care (15 obras) · Population (15 obras) · Psychological intervention (13 obras) · Child Nutrition and Water Access (12 obras) · Pregnancy (12 obras)