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Taking critical services to the home : scaling-up home-based maternal and postnatal care, including family planning, through community midwifery in Kenya

MWANGI, Annie
WARREN, Charlotte
2008

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This publication is the report of a project to scale-up a community-based model, in Kenya, that enabled women to give birth safely at home or be referred to a hospital when attended by a self-employed skilled midwife living in the community. The findings of the project were that community midwifery contributed to increasing the proportion of women assisted by skilled attendants during birth in the four districts in which the scheme was trialed, amounting to just under half of all skilled attended births in the districts. Although the skilled birth attendant rate in these districts was well below the national average of 42 percent, there was a steady increase in the proportion of attended deliveries since CMs were introduced in 2005. The districts also reported an increase in postnatal assessments in the first 48 hours and increase in immunization coverage

Paediatric ARV roll-out in South Africa

HORIZONS PROGRAM
CAPE TOWN UNIVERSITY
2005

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The Horizons Program of the Population Council and the University of Cape Town are conducting a study to identify successful programme strategies in paediatric HIV treatment in South Africa and to determine priority knowledge gaps to be addressed by operations research. This report summarises key findings from the initial consultative workshop of expert practitioners and stake-holders, focusing on the status of providing antiretroviral therapy to children in South Africa and strategies to expand and improve services. It includes providing services to under six year olds

Ethical approaches to gathering information from children and adolescents in international settings : guidelines and resources

SCHENK, Katie
WILLIAMSON, Jan
2005

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This publication was developed in response to the need for guidance in research activities involving children and adolescent with HIV/AIDS. It is aimed at project managers and researchers gathering information from and about children, and provides recommendations on how to avoid unintentional harm and how to safeguard the rights of vulnerable children during the process of data collection. Part 1 of this document presents some key principles and considerations that must be considered from the earliest stages of planning and throughout the information-gathering activity. Part 2 contains practical ethical guidelines, which are presented using a question-and-answer format. Part 3 summarizes the main recommendations and suggests roles for various staff members involved in information gathering activities with children and adolescents

Enhancing quality for clients : the balanced counseling strategy

POPULATION COUNCIL
July 2003

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Based on experience in Peru and Guatemala, this brief presents the "balanced counseling strategy", an approach to improving the quality of reproductive health services and in particular, provider-client interaction. This strategy structures interaction between service provider and client to focus on the client's needs, support the client's choice of appropriate methods, and improve information provision on the methods. It consists of a decision tree, used in combination with job aids or visual memory aids. This brief outlines the origin and rationale for developing the strategy, details its adaptation for use in other contexts and lists several findings and lessons learned

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