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Étape de planification : Renforcement de la communauté du continuum de soins hospitaliers à Marrere, au Mozambique

Le Mozambique s’était fixé l’objectif de réduire son taux de mortalité des mères et son taux de grossesse chez les adolescentes. Il est particulièrement difficile d’obtenir des renseignements sur la santé sexuelle et génésique, des services prénataux et des services d’accouchement dans les régions rurales du Mozambique.

Ce projet aidera à trouver des solutions viables à ces problèmes dans le district rural de Natikir dans la province de Nampula. Les chercheurs ont travaillé en étroite collaboration avec la communauté environnante, l’hôpital de la région et les ministères provinciaux et national de la Santé afin d’établir l’ordre prioritaire des problèmes de santé et de mettre au point un ensemble d’interventions novatrices.

Le projet évaluera les effets et établira le coût d’un service communautaire d’ambulance à motocyclette et d’un accès élargi à des services de santé génésique de proximité et de services hospitaliers communautaires d’accouchement d’urgence. Le renforcement des capacités du personnel de soins de maternité, l’amélioration des services d’obstétrique d’urgence et de proximité et la promotion des efforts d’élimination des frais illicites imposés aux clients devraient contribuer à rehausser la qualité des services provinciaux de santé maternelle.

Une méthodologie de recherche-action fondée sur la mise en œuvre d’interventions et sur le suivi continu servira à établir le coût des interventions, à déterminer les améliorations à apporter à l’application des interventions et à en évaluer les effets. Les résultats seront transmis aux cliniques et autorités provinciales et nationales afin d’en promouvoir l’application et l’adoption à plus grande échelle. Des publications scientifiques seront produites et les constatations seront présentées dans le cadre de conférences nationales et internationales.

Ce projet sera mis en oeuvre avec la collaboration de l’Université de la Saskatchewan et la Universidade Lúrio au Mozambique. Ce projet, qui fait partie intégrante du programme Innovation pour la santé des mères et des enfants d’Afrique, contribuera à ses objectifs en améliorant l’accès aux services destinés aux femmes enceintes du Mozambique à l’aide de l’innovation et de la participation communautaire.

Le programme Innovation pour la santé des mères et des enfants d’Afrique est une initiative d’une durée de sept ans dotée d’un budget de 36 millions de dollars et financée par Affaires mondiales Canada, le CRDI, organisme canadien, et les Instituts de recherche en santé du Canada.

No projet
108508
État du projet
Terminé
Date de fin
Durée
40 months
Agent(e) responsable du crdi
Nafissatou Diop
Financement total
CA$ 843,040.00
Emplacement
Mozambique
Programmes
Santé mondiale
Innovation pour la santé des mères et des enfants d’Afrique
Pays de l’institution
Mozambique
Chargé(e) de projet
Paulo Pires
Institution
Universidade Lúrio
Pays de l’institution
Canada
Chargé(e) de projet
Ronald Siemens
Institution
University of Saskatchewan

Résultats

Quality assessment in primary care : adolescent and youth friendly service, a Mozambican case study

Quality assessment in primary care : adolescent and youth friendly service, a Mozambican case study

Article

The adolescent and youth friendly service (AYFS) is an important strategy towards adolescent reproductive health. Almost half of girls aged 15-19 years have one child or have been pregnant. The highest mortality ratio is in the 12-14 age group. At 14 years old 33% of Mozambican girls are sexually active and vulnerable to HIV. Usually, they have no power to refuse unprotected sex. Survey data related to health providers in AYFS is analyzed. There are significant deficiencies in the type of information and manner of communication with adolescent users, especially regarding Family Planning. Information reinforcement about sexual and reproductive health and male participation in Family Planning needs to be strengthened.

Auteur ou autrice(s) : Bomfim, Emiliana, Mupueleque, Martins Abudo, Dos Santos, Delmar Mario Mutereda, Abdirazak, Ahmed, Bernardo, Regina de Arminda

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Langage : Anglais

Maternal and newborn mortality : community opinions on why pregnant women and newborns are dying In Natikiri, Mozambique

Maternal and newborn mortality : community opinions on why pregnant women and newborns are dying In Natikiri, Mozambique

Article

This study assesses the barriers to health care access, attendance at antenatal consultations, institutional delivery and postnatal and neonatal follow-up. It is part of the baseline study for an implementation research project to reduce maternal and neonatal mortality in Natikiri, Nampula, Mozambique. The article covers aims and activities, including survey results and analysis of the data, and includes recommendations.

Auteur ou autrice(s) : Belo, C., Pires, P., Josaphat, J., Siemens, R., Rooke, E., Spence-Gress, C.

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Langage : Anglais

Improving sexual and reproductive health knowledge and practice in Mozambican families with media campaign and volunteer family health champions

Improving sexual and reproductive health knowledge and practice in Mozambican families with media campaign and volunteer family health champions

Article

Radio spots, community theatre and volunteer champions together increased knowledge about sexual and reproductive health, and led to a more positive attitude toward family planning. The media campaign and local volunteers were useful in promoting maternal and child health, especially to those with no access to social media. There is an unmet need for family planning information and contraception which needs further research that includes investigating cultural barriers. There is a scarcity of professionals skilled in education for contraception, especially in rural areas.

Auteur ou autrice(s) : Pires, Paulo Henrique, Mupueleque, Martins

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Langage : Anglais

Community engagement helps eliminate illicit charges in health care

Community engagement helps eliminate illicit charges in health care

Brief

To address shortcomings of the health system in maternal and neonatal care in Mozambique, the Ministry of Health (MISAU) has targeted issues of illicit health care fees and difficulties in access to services. This project developed a series of objectives that align with the MISAU-defined strategies, programs, and tools. The research and project results show that when leadership and monitoring are supported through information sharing and Co-Management Committees, there is a decrease in illicit charges along with improved delivery of health care services.

Auteur ou autrice(s) : Pires, P, Belo, C., Siemens, R., Puaheque, C.

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Langage : Anglais

Enhancing access to safe and timely caesarian sections by prioritizing quality care and building strong partnerships in Nakitiri, Mozambique

Enhancing access to safe and timely caesarian sections by prioritizing quality care and building strong partnerships in Nakitiri, Mozambique

Brief

The Alert Community Prepared Hospital (ACPH) project team designed a strategy for the provision of safe and timely C-sections at Marrere General Hospital (MGH) in Nakitiri, Mozambique. The MGH surgery department introduced a second operating room through a joint undertaking: the ACPH project paid for equipment, the MGH facilitated the implementation measures and private Canadian donors covered construction costs. This briefing paper provides a synopsis of the project aims, background and activities.

Auteur ou autrice(s) : Pires, P., Belo, C., Siemens, R., Puaheque, C.

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Langage : Anglais

Engaging the community in transforming maternal care

Engaging the community in transforming maternal care

Brief

With 48% of girls married before the age of 18 and 46% of girls aged 15-19 already having at least one child, sexual and reproductive health education and support for adolescents is paramount. The research goal was to develop and implement community engagement interventions that promote better maternal and infant outcomes. Recommendations include developing a manual for teachers who conduct traditional initiation rites for training adolescents on sexual reproductive health, and regular radio broadcasts of key sexual and reproductive health messages in rural areas. The policy brief outlines successful actions taken to increase sexual and reproductive health by engaging communities, and through information campaigns.

Auteur ou autrice(s) : Pires, P., Belo, C., Siemens, R., Puaheque, C.

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Langage : Anglais

Maternal and child health implementation research in Mozambique : effective community interventions to promote sexual and reproductive health

Maternal and child health implementation research in Mozambique : effective community interventions to promote sexual and reproductive health

Article

The article/study assesses the impact of community participation on improving sexual and reproductive health. Comparing changes between 2016 and 2019, the number of health committees operating in Natikiri (Nampula, Mozambique) rose from 7 to 20. Population access to contraceptives was facilitated, rising from 42% to 91% in women and 65% to 90% in men. At Marrere General Hospital (Nampula) maternity deliveries rose by 60%. The article reviews a baseline study, strategies designed to improve health services, and empowerment in sexual and reproductive health and rights, as well as enhancing maternal and child health.

Auteur ou autrice(s) : Pires, PHNM, Mupueleque M,, Zakus D,, Mucufo J,, Abdirazak A

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Langage : Anglais

Implementation research methods : an extension tool in health education and information

Implementation research methods : an extension tool in health education and information

Article

Implementation research methods were found to be an efficient extension tool in population health and education, and educational professionals vocational training. The two-page article provides a review of the project, methodology, intervention and results. Reproductive health, family planning, and contraceptive knowledge and other “culturally sensitive” information was transferred from researchers, interviewers and project surveyors to target groups for further discussion and dissemination, including community leaders, religious leaders, midwives, traditional healers, school teachers, and health professionals.

Auteur ou autrice(s) : Pires, Paulo Henrique das Neves Martins

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Langage : Anglais