Publication Date May 1, 2023 Research & Evidence

National Programs for the Prevention and Management of Postpartum Hemorrhage and Hypertensive Disorders of Pregnancy: A Global Survey

Postpartum hemorrhage (PPH) and hypertensive disorders of pregnancy (HDP) continue to be two of the three leading direct causes of maternal death in low- and middle-income countries. In 2022, USAID, with support from MOMENTUM Country and Global Leadership and MOMENTUM Private Healthcare Delivery and their multiple partners, conducted a survey of national programs working to reduce maternal and newborn mortality from PPH and HDP. From January to May 2022, 31 countries in sub-Saharan Africa, South and Southeast Asia, and Latin America and the Caribbean completed a 69-question survey on national PPH and HDP policies and practices in the public and private sectors. Findings from the 2022 survey generated several compelling insights into the current status of national programs addressing PPH and HDP; these insights have implications for national policies, guidelines, capacity building and training, midwife scope of practice, data tracking on HMIS, programs, and future research. 

Publication Date May 1, 2023 Program & Technical Resources

Women’s Experience of Peripartum Hysterectomy and Provision of Care in Low- and Middle-Income Countries

This brief summarizes a scoping review focused on the provision and experience of care in the context of peripartum hysterectomy in low‐ and middle‐income countries. This brief also summarizes key facilitators and barriers to appropriate care (evidence‐based, high‐quality, timely, and at the appropriate levels) in facilities providing peripartum hysterectomy as well as recommendations to strengthen the provision of care and women’s experience of this procedure in low‐ and middle-income countries.

Publication Date April 1, 2023 Research & Evidence

Improving Metrics and Methods for Assessing Experience of Care Among Children and Caregivers in Low- and Middle-Income Countries

There is a growing recognition of the importance of conceptualizing and measuring young children’s and their families’ experience of care in health facilities in low- and middle-income countries. This scoping review, undertaken by MOMENTUM Knowledge Accelerator, considers the importance of pediatric experience of care and related frameworks, metrics, and tools. It proposes a comprehensive framework for positive pediatric experience of care with interpersonal and health systems concepts drawn from the World Health Organization’s standards for pediatric quality of care and examines existing metrics and tools against this framework. The review also offers recommendations for advancing measurement of pediatric experience of care.

Publication Date April 1, 2023 About MOMENTUM

Tackling Obstacles to Increase Equity for Immunization

MOMENTUM Routine Immunization Transformation and Equity applies best practices and explores innovations to increase equitable immunization coverage in USAID-supported countries. It works to build countries’ capacity to identify and overcome barriers to reaching zero-dose and under-immunized children and older populations with lifesaving vaccines and other integrated health services, including rebuilding immunization systems adversely affected by the pandemic. This infographic showcases some of the project's major achievements to date. 

Publication Date April 1, 2023 Research & Evidence

Informed Consent for Cesarean Section in Sub-Saharan Africa: A Scoping Review Brief

The original scoping review conducted by the London School of Hygiene and Tropical Medicine (LSHTM), on which this brief is based, sought to better understand the existing range of literature on informed consent practices for CS in low- and middle-income countries. The scoping review mapped and synthesized evidence from existing literature on the practices and experiences of counseling, informed consent, and debriefing (CCD)—including barriers, facilitators, and interventions to promote these practices—to highlight key challenges and any previously successful programmatic interventions to address them. The review also identified research gaps and provides recommendations for future research.

Publication Date April 1, 2023 Program & Technical Resources

Assessment Findings for Improving the Participation of Family Planning Private Sector Providers in Health Care Provider Networks in the Provinces of Antique and Guimaras, Philippines

This technical report summarizes the results of field assessments undertaken by MOMENTUM Private Healthcare Delivery in 2021, which will help improve private health provider participation in family planning service delivery. This report guides health sector actors in the Philippines and offers lessons learned for global audiences considering health financing mechanisms similar to the healthcare provider networks found in the Philippines.

Publication Date April 1, 2023 Research & Evidence

Engaging Faith-Based Organizations for Promoting the Uptake of COVID-19 Vaccine in India: A Case Study of a Multi-Faith Society

Mass vaccination, currently the most promising solution to contain communicable diseases, including COVID-19, requires collaboration between a variety of partners to improve the supply and demand and alleviate vaccine inequity. This article presents experiences from the strategic engagement with faith-based organizations (FBOs)  to promote uptake of COVID-19 vaccination, especially among the vulnerable and marginalized communities in India.

Publication Date April 1, 2023 Research & Evidence

Private Sector Engagement for Immunization Programs in Low- and Middle-Income Countries

This technical report updates and summarizes the evidence base on private sector engagement (PSE) for immunization service delivery in low- and middle-income countries (LMICs) using a new analytical framework developed by MOMENTUM Private Healthcare Delivery, with insights from their work and learnings over the past two years.

Publication Date March 1, 2023 Program & Technical Resources

The Role of Social Accountability in Improving Respectful Care

Respectful care is of increasing interest within reproductive, maternal, newborn, child, and adolescent health (RMNCAH) care. Concurrently, there has been a call for health systems to be accountable to the populations they serve for delivering quality care. This package of materials focuses on the role of social accountability in enhancing respectful care across RMNCAH.

Publication Date March 1, 2023 Research & Evidence

Uncovering the Drivers of Childhood Immunization Inequality with Caregivers, Community Members and Health System Stakeholders: Results from a Human-Centered Design Study in DRC, Mozambique and Nigeria

The importance of immunization for child survival underscores the need to eliminate immunization inequalities. Few existing studies of inequalities use approaches that view the challenges and potential solutions from the perspective of caregivers. This study aimed to identify barriers and context-appropriate solutions by engaging deeply with caregivers, community members, health workers, and other health system actors through participatory action research, intersectionality, and human-centered design lenses.