Oona M R Campbell
Dados Biográficos
| ID | 1446327 |
|---|---|
| NOME | Oona M R Campbell |
| PRENOMES | Oona M R |
| SOBRENOME | Campbell |
| ASSINATURA | CAMPBELL O M R |
| AFILIAÇÕES | London School of Hygiene & Tropical Medicine |
| ORCID | 0000-0002-9311-0115 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 50 |
| TOTAL DE CITAÇÕES | 173 |
| TOTAL COMO AUTOR | 50 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1985 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 8 |
The re-emergence of a data desert for maternal survival is a serious risk amid global health funding cuts
box Severe disruptions to global health financing threaten maternal health progress by destabilising fragile health systems and reversing gains in survival
Surgical indicators for obstetrics and family planning in routine health information systems
Strengthening use of high-quality data for surgical obstetrics and family planning is important for improving maternal and perinatal health outcomes. Routine health information systems (RHIS) represent an important data source for indicator tracking. This landscape analysis aims to describe and compare surgical obstetric and family planning indicators put forth by global multi-stakeholder groups and those that are currently captured in RHIS in ni…
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…
Approaching the SDG targets with sustained political commitment
BACKGROUND: Between 2000 and 2017/2018, Morocco reduced its maternal mortality ratio by 68% and its neonatal mortality rate by 52%-a higher improvement than other North African countries. We conducted the Exemplars in Maternal and Neonatal Health study to systematically and comprehensively research factors associated with this rapid reduction in mortality over the past two decades. METHODS: The study was conducted from September 2020 to December …
Increased utilisation and quality
INTRODUCTION: Maternal mortality in Nepal dropped from 553 to 186 per 100 000 live births during 2000-2017 (66% decline). Neonatal mortality dropped from 40 to 21 per 1000 live births during 2000-2018 (48% decline). Stillbirths dropped from 28 to 18 per 1000 births during 2000-2019 (34% decline). Nepal outperformed other countries in these mortality improvements when adjusted for economic growth, making Nepal a 'success'. Our study describes mech…
Evolving narratives on signal functions for monitoring maternal and newborn health services
Emergency obstetric care (EmOC) signal functions are a shortlist of key clinical interventions capable of averting deaths from the five main direct causes of maternal mortality; they have been used since 1997 as a part of an EmOC monitoring framework to track the availability of EmOC services in low- and middle-income settings. Their widespread use and proposed adaptation to include other types of care, such as care for newborns, is testimony to …
Use of motorised transport and pathways to childbirth care in health facilities
In Nigeria, 59% of pregnant women deliver at home, despite evidence about the benefits of childbirth in health facilities. While different modes of transport can be used to access childbirth care, motorised transport guarantees quicker transfer compared to non-motorised forms. Our study uses the 2018 Nigeria Demographic and Health Survey (NDHS) to describe the pathways to childbirth care and the determinants of using motorised transport to reach …
Zooming in and out
Research is needed to understand why some countries succeed in greater improvements in maternal, late foetal and newborn health (MNH) and reducing mortality than others. Pathways towards these health outcomes operate at many levels, making it difficult to understand which factors contribute most to these health improvements. Conceptual frameworks provide a cognitive means of rendering order to these factors and how they interrelate to positively …
Voices from the frontline
INTRODUCTION: The COVID-19 pandemic has substantially impacted maternity care provision worldwide. Studies based on modelling estimated large indirect effects of the pandemic on services and health outcomes. The objective of this study was to prospectively document experiences of frontline maternal and newborn healthcare providers. METHODS: We conducted a global, cross-sectional study of maternal and newborn health professionals via an online sur…
Protecting hard-won gains for mothers and newborns in low-income and middle-income countries in the face of Covid-19
The adverse impact of COVID-19 on maternal and newborn services in low-income and middle-income countries risks undermining improvements in health outcomes and care achieved over the last three decades. Alarming declines in the use of services and in the quality of care in health facilities are being reported from sources on the ground, captured rapidly and in real time using e-communication tools. Local solutions to the direct and indirect chall…
Behavioural Determinants of Hand Washing and Glove Recontamination before Aseptic Procedures at Birth
Recent research calls for distinguishing whether the failure to comply with World Health Organisation hand hygiene guidelines is driven by omitting to rub/wash hands, or subsequently recontamination of clean hands or gloves prior to a procedure. This study examined the determinants of these two behaviours. Across the 10 highest-volume labour wards in Zanzibar, we observed 103 birth attendants across 779 hand hygiene opportunities before aseptic p…
Too poor or too far? Partitioning the variability of hospital-based childbirth by poverty and travel time in Kenya, Malawi, Nigeria and Tanzania
Both poverty and long travel time are important determinants of hospital birth, although they vary in the extent to which they influence whether women give birth in a hospital within and across countries. This suggests that different strategies are needed to effectively enable poor women and women living in remote areas to gain access to skilled and adequate care for childbirth
Examining user fee reductions in public primary healthcare facilities in Kenya, 1997–2012
This study highlights mixed findings on the impact of the 10/20 policy on ANC service-seeking and content of care. Given the reduced use of public facilities among the better-off and of primary care facilities among the worse-off, this research also brings into question the mechanisms through which the policy achieved any benefits and whether reducing user fees is sufficient for equitably increasing healthcare access
A new approach to assess the capability of health facilities to provide clinical care for sexual violence against women
Several tools have been developed to collect information on health facility preparedness to provide sexual violence response services; however, little guidance exists on how this information can be used to better understand which functions a facility can perform. Our study therefore aims to propose a set of signal functions that provide a framework for monitoring the availability of clinical sexual violence services. To illustrate the potential i…
Initiation and continuity of maternal healthcare
This study explores the relationship between two health financing initiatives on women's progression through the maternal health continuum in Kenya: a subsidized reproductive health voucher programme (2006-16) and the introduction of free maternity services in all government facilities (2013). Using cross-sectional survey data, we ran three multivariable logistic regression models examining the effects of the voucher programme, free maternity pol…
Service readiness for inpatient care of small and sick newborns
BACKGROUND: Each year an estimated 2.6 million newborns die, mainly from complications of prematurity, neonatal infections, and intrapartum events. Reducing these deaths requires high coverage of good quality care at birth, and inpatient care for small and sick newborns. In low- and middle-income countries, standardised measurement of the readiness of facilities to provide emergency obstetric care has improved tracking of readiness to provide car…
Delays in access to care for abortion-related complications
Around 18 million unsafe abortions occur in low and middle-income countries and are associated with numerous adverse consequences to women's health. The time taken by women with complications to reach facilities where they can receive appropriate post-abortion care can influence the risk of death and the extent of further complications. All women aged 18+ admitted for abortion complications to public-sector hospitals in three capital cities in th…
Early breastfeeding practices
The aim of this study was to describe early breastfeeding practices (initiation within 1 hr of birth, no prelacteal feeding, and a combination of both-"optimal" early breastfeeding) according to childbirth location in low- and middle-income countries. Using data from the most recent Demographic and Health Survey (2000-2013) for 57 countries, we extracted information on the most recent birth for women aged 15-49 with a live birth in the preceding …
Should I stay or should I go
The objective of this article is to assess the extent and determinants of switching delivery location between women's first and second deliveries. We used Demographic and Health Survey data from 39 low- and middle-income countries on delivery locations from >30 000 women who had their first two deliveries in the 5-year survey recall period. Each delivery was characterized as occurring at home or in a health facility, facilities were classified as…
Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India
Hysterectomy is a leading reason for use of health insurance amongst low-income women in India, but there are limited population-level data available to inform policy. This paper reports on the findings of a mixed-methods study to estimate incidence and identify predictors of hysterectomy in a low-income setting in Gujarat, India. The estimated incidence of hysterectomy, 20.7/1000 woman- years (95% CI: 14.0, 30.8), was considerably higher than re…
Where women go to deliver
Growing evidence from a number of countries in Asia and Africa documents a large shift towards facility deliveries in the past decade. These increases have not led to the improvements in health outcomes that were predicted by health policy researchers in the past. In light of this unexpected evidence, we have assessed data from multiple sources, including nationally representative data from 43 countries in Asia and Africa, to understand the size …
The scale, scope, coverage, and capability of childbirth care
Quality maternity care for every woman, everywhere
What are the threats from antimicrobial resistance for maternity units in low- and middle- income countries
No abstract available
What do Indian children drink when they do not receive water? Statistical analysis of water and alternative beverage consumption from the 2005–2006 Indian National Family Health Survey
About 13 million Indian children aged 6-59 months received no water in the last 24 h. Further research is needed to assess the risks potentially arising from insufficient water, caffeinated beverages, and high sugar drinks at early stages of life
Women's hidden transcripts about abortion in Brazil
Birth Intervals and Childhood Mortality in Rural Bangladesh
This study investigates the relationship between birth intervals and childhood mortality, using longitudinal data from rural Bangladesh known to be of exceptional accuracy and completeness. Results demonstrate significant but very distinctive effects of the previous and subsequent birth intervals on mortality, with the former concentrated in the neonatal period and the latter during early childhood. The impact of short birth intervals on mortalit…
Investigating Induced Abortion in Developing Countries
Interest in abortion research is reemerging, partly as a result of political changes and partly due to evidence of the contribution of induced abortion to maternal mortality in developing countries. Information is lacking on all aspects of induced abortion, particularly methodological issues. This article reviews the methodological dilemmas encountered in previous studies, which provide useful lessons for future research on induced abortion and i…
Fatores de risco para mortalidade neonatal precoce
OBJETIVO: Avaliar os fatores de risco da mortalidade neonatal precoce. MÉTODOS: Estudo caso-controle de base populacional com 146 óbitos neonatais precoces e amostra de 313 controles obtidos entre os sobreviventes ao período neonatal, na região sul do município de São Paulo, no período de 1/8/2000 a 31/1/2001. As informações foram obtidas por meio de entrevistas domiciliares e prontuários hospitalares. Foi realizada análise hierarquizada em cinco…
Maternal health and the measurement trap
Validade das informações das declarações de nascidos vivos com base em estudo de caso-controle
A pesquisa Mortalidade Perinatal na Região Sul do Município de São Paulo: Um Estudo Caso-controle de Base Populacional possibilitou a comparação das informações das declarações de nascido vivo (DN) com as obtidas em entrevistas com as mães e o registro nos prontuários hospitalares, e permitiu avaliar diferenças de registro nos nascimentos que resultaram em óbitos neonatais precoces (casos) e sobreviventes (controles). Para avaliar a confiabilidad…
Women's experiences of maternity care
Risk-factors for antepartum fetal deaths in the city of São Paulo, Brazil
OBJECTIVE: To assess risk factors for antepartum fetal deaths. METHODS: A population-based case-control study was carried out in the city of São Paulo from August 2000 to January 2001. Subjects were selected from a birth cohort from a linked birth and death certificate database. Cases were 164 antepartum fetal deaths and controls were drawn from a random sample of 313 births surviving at least 28 days. Information was collected from birth and dea…
Long‐term Effects of Reproductive History on All‐cause Mortality Among Adults in Rural Bangladesh
A woman's risk of dying is altered during pregnancy and immediately postpartum. Moreover, physiological and social changes associated with pregnancy may have long‐term effects on mortality. Comparing these long‐term associations among women and their husbands may provide insights into the nature of such a relationship. In this cohort study, we examine the association between reproductive history and all‐cause mortality among ever‐married women an…
Short Birth Intervals Don't Kill Women
No previously published study has provided evidence to support the frequently made assertion that closely spaced births increase the risk of maternal death. This study reviews the literature for evidence supporting an association between short birth intervals and maternal mortality and presents empirical evidence to address the question of whether short birth-to-conception intervals alter the risk of maternal death. In this nested case-controls s…
Fertility and contraceptive use in poor urban areas of developing countries
The population in urban areas of developing countries continues to grow rapidly. Poor urban areas may have high growth rates through a number of mechanisms including continued migration, a youthful age structure, high age-specific fertility rates, and population movement. Fertility among the urban poor varies between and within cities, and is affected by many factors. Those with fertility-enhancing effects include decreases in breastfeeding and s…
Partos domiciliares acidentais na região sul do Município de São Paulo
OBJETIVO: Identificar a freqüência, o risco de mortalidade fetal e neonatal precoce e os determinantes do parto domiciliar acidental. MÉTODOS: Estudo caso-controle de base populacional sobre mortes fetais e neonatais precoces realizado na região sul do Município de São Paulo. Foram coletados dados em entrevistas domiciliares e de prontuários hospitalares. Os motivos referidos pelas mães para a ocorrência de partos domiciliares foram obtidos nas e…
How the Number of Living Sons Influences Contraceptive Use in Menoufia Governorate, Egypt
Couples in rural areas of many Arab societies, including Egypt, have consistently reported strong preferences for having sons. However, these reported preferences are not always reflected in reproductive behavior. In 38 rural villages in Menoufia Governorate in Egypt, women's responses to a community-based contraceptive distribution program were examined, taking into consideration both the number of living children and the number of living sons e…
Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India
Hysterectomy is a leading reason for use of health insurance amongst low-income women in India, but there are limited population-level data available to inform policy. This paper reports on the findings of a mixed-methods study to estimate incidence and identify predictors of hysterectomy in a low-income setting in Gujarat, India. The estimated incidence of hysterectomy, 20.7/1000 woman- years (95% CI: 14.0, 30.8), was considerably higher than re…
Sobrevida e fatores de risco para mortalidade neonatal em uma coorte de nascidos vivos de muito baixo peso ao nascer, na Região Sul do Município de São Paulo, Brasil
Estudos populacionais sobre mortalidade neonatal de nascimentos de muito baixo peso ao nascer contribuem para identificar sua complexa rede de fatores de risco. Foi estudada uma coorte de 213 recém-nascidos com peso inferior a 1.500g (112 óbitos neonatais e 101 sobreviventes) na Região Sul do Município de São Paulo, Brasil, em 2000/2001. Foram realizadas entrevistas domiciliares e obtidos dados de prontuários hospitalares. Foi realizada análise d…
Where women go to deliver
Growing evidence from a number of countries in Asia and Africa documents a large shift towards facility deliveries in the past decade. These increases have not led to the improvements in health outcomes that were predicted by health policy researchers in the past. In light of this unexpected evidence, we have assessed data from multiple sources, including nationally representative data from 43 countries in Asia and Africa, to understand the size …
Menstrual dysfunction
The field of population has undergone a paradigm shift to a broader focus on reproductive health, which recognises women's self-perceived health needs. Investigations in various countries reveal that menstruation is a primary concern of women. Yet sparse attention has been paid to understanding or ameliorating women's menstrual complaints. We propose including the management of menstrual complaints as part of reproductive health programming. Next…
A new approach to assess the capability of health facilities to provide clinical care for sexual violence against women
Several tools have been developed to collect information on health facility preparedness to provide sexual violence response services; however, little guidance exists on how this information can be used to better understand which functions a facility can perform. Our study therefore aims to propose a set of signal functions that provide a framework for monitoring the availability of clinical sexual violence services. To illustrate the potential i…
Should I stay or should I go
The objective of this article is to assess the extent and determinants of switching delivery location between women's first and second deliveries. We used Demographic and Health Survey data from 39 low- and middle-income countries on delivery locations from >30 000 women who had their first two deliveries in the 5-year survey recall period. Each delivery was characterized as occurring at home or in a health facility, facilities were classified as…
How the Number of Living Sons Influences Contraceptive Use in Menoufia Governorate, Egypt
Couples in rural areas of many Arab societies, including Egypt, have consistently reported strong preferences for having sons. However, these reported preferences are not always reflected in reproductive behavior. In 38 rural villages in Menoufia Governorate in Egypt, women's responses to a community-based contraceptive distribution program were examined, taking into consideration both the number of living children and the number of living sons e…
Birth Intervals and Childhood Mortality in Rural Bangladesh
This study investigates the relationship between birth intervals and childhood mortality, using longitudinal data from rural Bangladesh known to be of exceptional accuracy and completeness. Results demonstrate significant but very distinctive effects of the previous and subsequent birth intervals on mortality, with the former concentrated in the neonatal period and the latter during early childhood. The impact of short birth intervals on mortalit…
Investigating Induced Abortion in Developing Countries
Interest in abortion research is reemerging, partly as a result of political changes and partly due to evidence of the contribution of induced abortion to maternal mortality in developing countries. Information is lacking on all aspects of induced abortion, particularly methodological issues. This article reviews the methodological dilemmas encountered in previous studies, which provide useful lessons for future research on induced abortion and i…
Maternal health and the measurement trap
Fertility and contraceptive use in poor urban areas of developing countries
The population in urban areas of developing countries continues to grow rapidly. Poor urban areas may have high growth rates through a number of mechanisms including continued migration, a youthful age structure, high age-specific fertility rates, and population movement. Fertility among the urban poor varies between and within cities, and is affected by many factors. Those with fertility-enhancing effects include decreases in breastfeeding and s…
Women's hidden transcripts about abortion in Brazil
Short Birth Intervals Don't Kill Women
No previously published study has provided evidence to support the frequently made assertion that closely spaced births increase the risk of maternal death. This study reviews the literature for evidence supporting an association between short birth intervals and maternal mortality and presents empirical evidence to address the question of whether short birth-to-conception intervals alter the risk of maternal death. In this nested case-controls s…
Women's experiences of maternity care
Menstrual dysfunction
The field of population has undergone a paradigm shift to a broader focus on reproductive health, which recognises women's self-perceived health needs. Investigations in various countries reveal that menstruation is a primary concern of women. Yet sparse attention has been paid to understanding or ameliorating women's menstrual complaints. We propose including the management of menstrual complaints as part of reproductive health programming. Next…
Demographic and Psychosocial Profile of Smoking Among Pregnant Women in Lebanon
Long‐term Effects of Reproductive History on All‐cause Mortality Among Adults in Rural Bangladesh
A woman's risk of dying is altered during pregnancy and immediately postpartum. Moreover, physiological and social changes associated with pregnancy may have long‐term effects on mortality. Comparing these long‐term associations among women and their husbands may provide insights into the nature of such a relationship. In this cohort study, we examine the association between reproductive history and all‐cause mortality among ever‐married women an…
The Trend of Maternal Mortality in Egypt from 1992?2000
Partos domiciliares acidentais na região sul do Município de São Paulo
OBJETIVO: Identificar a freqüência, o risco de mortalidade fetal e neonatal precoce e os determinantes do parto domiciliar acidental. MÉTODOS: Estudo caso-controle de base populacional sobre mortes fetais e neonatais precoces realizado na região sul do Município de São Paulo. Foram coletados dados em entrevistas domiciliares e de prontuários hospitalares. Os motivos referidos pelas mães para a ocorrência de partos domiciliares foram obtidos nas e…
Strategies for reducing maternal mortality
Maternal health in poor countries
Validade das informações das declarações de nascidos vivos com base em estudo de caso-controle
A pesquisa Mortalidade Perinatal na Região Sul do Município de São Paulo: Um Estudo Caso-controle de Base Populacional possibilitou a comparação das informações das declarações de nascido vivo (DN) com as obtidas em entrevistas com as mães e o registro nos prontuários hospitalares, e permitiu avaliar diferenças de registro nos nascimentos que resultaram em óbitos neonatais precoces (casos) e sobreviventes (controles). Para avaliar a confiabilidad…
Huge poor–rich inequalities in maternity care
OBJECTIVE: Progress towards the Millennium Development Goals for maternal health has been slow, and accelerated progress in scaling up professional delivery care is needed. This paper describes poor-rich inequalities in the use of maternity care and seeks to understand these inequalities through comparisons with other types of health care. METHODS: Demographic and Health Survey (DHS) data from 45 developing countries were used to describe poor-ri…
Fatores de risco para mortalidade neonatal precoce
OBJETIVO: Avaliar os fatores de risco da mortalidade neonatal precoce. MÉTODOS: Estudo caso-controle de base populacional com 146 óbitos neonatais precoces e amostra de 313 controles obtidos entre os sobreviventes ao período neonatal, na região sul do município de São Paulo, no período de 1/8/2000 a 31/1/2001. As informações foram obtidas por meio de entrevistas domiciliares e prontuários hospitalares. Foi realizada análise hierarquizada em cinco…
Risk-factors for antepartum fetal deaths in the city of São Paulo, Brazil
OBJECTIVE: To assess risk factors for antepartum fetal deaths. METHODS: A population-based case-control study was carried out in the city of São Paulo from August 2000 to January 2001. Subjects were selected from a birth cohort from a linked birth and death certificate database. Cases were 164 antepartum fetal deaths and controls were drawn from a random sample of 313 births surviving at least 28 days. Information was collected from birth and dea…
Still too far to walk
BACKGROUND: Skilled attendance at childbirth is crucial for decreasing maternal and neonatal mortality, yet many women in low- and middle-income countries deliver outside of health facilities, without skilled help. The main conceptual framework in this field implicitly looks at home births with complications. We expand this to include "preventive" facility delivery for uncomplicated childbirth, and review the kinds of determinants studied in the …
O4-3.1 Distance and quality of care strongly influence choice of delivery place in rural Zambia
Introduction Maternal and perinatal mortality could be reduced if all women delivered in settings where skilled attendants can provide Emergency Obstetric Care (EmOC) if complications arise. Epidemiological research on determinants of skilled attendance at delivery has focused on household and individual factors, neglecting the influence of distance and quality of care, in part due to a lack of suitable data. Methods Using a Geographic Informatio…
Sobrevida e fatores de risco para mortalidade neonatal em uma coorte de nascidos vivos de muito baixo peso ao nascer, na Região Sul do Município de São Paulo, Brasil
Estudos populacionais sobre mortalidade neonatal de nascimentos de muito baixo peso ao nascer contribuem para identificar sua complexa rede de fatores de risco. Foi estudada uma coorte de 213 recém-nascidos com peso inferior a 1.500g (112 óbitos neonatais e 101 sobreviventes) na Região Sul do Município de São Paulo, Brasil, em 2000/2001. Foram realizadas entrevistas domiciliares e obtidos dados de prontuários hospitalares. Foi realizada análise d…
Qualidade da atenção ao aborto no Sistema Único de Saúde do Nordeste brasileiro
O aborto é grave problema de saúde no Brasil e suas complicações podem ser evitadas por atenção adequada e oportuna. O artigo avalia a qualidade da atenção às mulheres admitidas por aborto em hospitais do Sistema Único de Saúde, em Salvador, Recife e São Luís, tendo como referência as normas do Ministério da Saúde e o grau de satisfação das usuárias. Trata-se de inquérito com 2.804 usuárias, internadas por complicações do aborto em 19 hospitais, …
A systematic mapping of funders of maternal health intervention research 2000-2012
BACKGROUND: The priorities of research funding bodies govern the research agenda, which has important implications for the provision of evidence to inform policy. This study examines the research funding landscape for maternal health interventions in low- and middle-income countries (LMICs). METHODS: This review draws on a database of 2340 academic papers collected through a large-scale systematic mapping of research on maternal health interventi…
Socio-economic factors associated with maternal health-seeking behaviours among women from poor households in rural Egypt
Coverage of basic maternal health interventions and utilisation of private providers are lower among rural poor women in Upper Egypt than nationally. Variables capturing socio-cultural resourcefulness and economic resourcefulness were useful predictors of ANC and facility delivery. Further understanding of issues surrounding availability, affordability and quality of maternal health services among the poor is crucial to eliminating inequalities i…
Medicine (46 obras) · Global Maternal and Child Health (39 obras) · Environmental health (34 obras) · Population (29 obras) · Nursing (25 obras) · Demography (20 obras) · Economic growth (20 obras) · Pregnancy (19 obras) · Public health (18 obras) · Maternal and Perinatal Health Interventions (14 obras)