Publication Date April 1, 2024 Research & Evidence

Current Approaches to Following Up Women and Newborns After Discharge from Childbirth Facilities: A Scoping Review

The postpartum period is critical for the health and well-being of women and newborns, but there is limited research on the most effective methods of post-childbirth follow-up. This scoping review synthesizes evidence from high-, middle-, and low-income countries on approaches to following up individuals after discharge from childbirth facilities. The scoping review identified multiple follow-up methods after discharge, ranging from home visits to self-administered electronic questionnaires. The studies demonstrated that post-discharge follow-up of women and newborns was feasible, well received, and important for identifying postpartum illness or complications that would otherwise be missed.

Publication Date April 1, 2024 About MOMENTUM

Strengthening Routine Immunization and Polio Eradication in DRC

This one-pager brief summarizes how MOMENTUM Routine Immunization Transformation and Equity is supporting routine immunization capacity building, gender and equity, partnership strengthening, data quality and management, and polio eradication in the Democratic Republic of Congo.

Publication Date April 1, 2024 About MOMENTUM

Strengthening COVID-19 Vaccination in DRC

This brief one-pager summarizes how MOMENTUM Routine Immunization Transformation and Equity supported COVID-19 vaccination planning and coordination, demand generation and community engagement, data quality and management, service delivery, and integration into routine immunization health services in the Democratic Republic of Congo.

Publication Date February 1, 2024 Program & Technical Resources

Policy Dialogue for Respectful Maternal Care in Rwanda: Documenting Processes and Outcomes

This package of resources details the process and outcomes from a policy dialogue co-design process in Rwanda—led by the Ministry of Health (MOH) and supported by MOMENTUM Country and Global Leadership—to guide the development of evidence-based Respectful Maternal Care (RMC) language for inclusion in existing policies. As a result, Rwanda’s MOH drafted and will incorporate RMC-specific policy language into its updated Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH) policy and Maternal Child Health (MCH) strategic plan to promote an enabling environment and best practices for RMC.

Publication Date November 1, 2023 Program & Technical Resources

Counseling, Informed Consent, and Debriefing (CCD) for Cesarean Section: Hard to Define, Achieve, and Monitor – Key Findings from a Mixed Methods Study in the Democratic Republic of Congo (DRC), India, and Nigeria

Counseling, informed consent, and debriefing (CCD) before and after cesarean section comprise important aspects of respectful maternity care. However, prior research indicates significant gaps may exist in these elements of care in many low- and middle-income countries. To better understand attitudes, preferences, and practices related to CCD in the context of both emergency and non-emergency surgical obstetric care, MOMENTUM Safe Surgery in Family Planning and Obstetrics conducted a mixed methods study (including interviews, focus group discussions, observations, and record reviews) in the Democratic Republic of Congo (DRC), India, and Nigeria. This fact sheet outlines key findings. 

Publication Date October 1, 2023 Program & Technical Resources

Cesarean Delivery Informational Video

This video profiles a couple in India, Seema and her partner Vijay, as they visit with their provider at a hospital in the days prior to Seema’s delivery. Seema receives a checkup, and the provider assures Seema that she will likely deliver without incident. However, the doctor lets the couple know that cesarean section is an option in the event it is needed to protect the life of the mother and baby – often when there are multiples, the baby is in breech position, or when there an emergency, such as prolonged labor. The provider advises the couple how to identify and prepare for emergency obstetrics situations. The couple is grateful for the advice and support of the doctor, and the health worker in their community. In Hindi and Kannada (with English subtitles). 

Publication Date September 1, 2023 Program & Technical Resources

Safe, Dignified, Respectful Delivery: A Counseling Tool for Health Workers

This tool is designed to assist health workers lead a conversation around childbirth, including the role of the partner, vaginal delivery, as well as emergency situations and cesarean delivery when vaginal delivery may not be possible. This resource is available in English, Hindi, and Kannada. 

Publication Date September 1, 2023 Research & Evidence

Counseling, Informed Consent, and Debriefing for Cesarean Section in Sub-Saharan Africa: A Scoping Review

Counseling as part of the informed consent process is a prerequisite for cesarean section. Postnatal debriefing allows women to explore their cesarean section with their healthcare providers. This scoping review in the International Journal of Obstetrics and Gynecology, authored by staff from MOMENTUM Safe Surgery in Family Planning and Obstetrics, shares practices and experiences of counseling and debriefing, the barriers and facilitators to informed consent for cesarean section, and documents the effectiveness of the interventions used to improve informed consent found in the peer-reviewed literature. 

Publication Date August 1, 2023 Program & Technical Resources

MOMENTUM Modular Health Facility Assessment

The Modular Health Facility Assessment (HFA) and user guide provide the MOMENTUM suite of awards with a tool focusing on reproductive, maternal, newborn, child and adolescent health/family planning care and services, including seven modules that collect information on the following: service availability; service readiness; quality and safety of patient care; experience of care; availability of register; community services and mobilization; health facility oversight; quality improvement; and use of data.

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 landscape review considers the importance of pediatric experience of care (PEoC) and related frameworks, metrics, and tools. Following the development of this framework, MOMENTUM Knowledge Accelerator carried out a qualitative study soliciting expert feedback on the proposed framework. The accompanying technical brief summarizes the study’s findings.

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