Posts in Publications
Putting Women at the Center of Care

By the SPARQ Team

Expectations of poor-quality care deter women from accessing facility-based sexual and reproductive healthcare (SRH), putting them at risk of avoidable health complications. While safety and efficacy of treatment are paramount, the way that women experience care is equally important and will dictate whether and how SRH services are accessed in the future.

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Gestational Dating & Fetal & Newborn Growth Standards

Perinatal and newborn complications are major risk factors for poor fetal and neonatal outcomes. Gestational dating and growth monitoring can help identify and manage high-risk pregnancies and births. This study captures patients' perceptions of ultrasound and newborn care before and during implementation of the INTERGROWTH-21st standards.

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Expanding Access to Depression Treatment in Kenya

Depression during pregnancy and in the postpartum period is associated with poor outcomes for women and their children. Although effective interventions exist for common mental disorders, most cases in low- and middle-income countries go untreated. This study gathers preliminary data on the Healthy Moms perinatal depression intervention to learn how to build and test a more robust service.

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Reducing Risky Birth Intervals through 'Nudges'

Short birth intervals are a major risk factor for poor maternal and newborn outcomes. Use of modern contraceptive methods can reduce risky birth intervals, but contraceptive coverage remains low. This study tests whether vouchers for free contraception and behavioral ‘nudges’ could increase modern contraceptive use in the postpartum period.

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Using Value Stream Mapping to Improve Quality of Care

In an effort to provide affordable, high-quality maternal and newborn healthcare through a chain of private health facilities in Nairobi, Jacaranda adopted quality improvement as an organization-wide strategy. This study explores the use case for a Value Stream Map - a simple visual tool enabling organizations to engage staff at all levels to gain commitment around quality improvement efforts.

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Do Active Patients Seek Higher Quality Prenatal Care?

Despite poverty and limited access to health care, evidence is growing that patients in low-income countries are taking a more active role in their selection of health care providers for prenatal (ANC) care. This study analyzes whether active ANC patients appear to be seeking out higher quality facilities and whether they are more satisfied with their care.

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Using Postnatal Checklists to Increase Health-Seeking Behaviors

A growing number of low-income countries have explored integrating postnatal home visit interventions into their maternal and newborn health strategies. This randomized trial evaluates a pilot program in which community health workers (CHWs) visit or call new mothers three days after delivery in peri-urban Kiambu County, Kenya.

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