The Lancet. Global health
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The Lancet. Global health · May 2018
Randomized Controlled TrialEffect of self-administration versus provider-administered injection of subcutaneous depot medroxyprogesterone acetate on continuation rates in Malawi: a randomised controlled trial.
Injectable contraceptives are popular in sub-Saharan Africa but have high discontinuation rates due partly to the need for provider-administered re-injection. We compared continuation rates of women who self-injected subcutaneous depot medroxyprogesterone acetate (DMPA-SC) and women who received DMPA-SC from a health-care provider, including community health workers (CHWs). ⋯ United States Agency for International Development and Children's Investment Fund Foundation.
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The Lancet. Global health · May 2018
Risk of maternal mortality in women with severe anaemia during pregnancy and post partum: a multilevel analysis.
Anaemia affects as many as half of all pregnant women in low-income and middle-income countries, but the burden of disease and associated maternal mortality are not robustly quantified. We aimed to assess the association between severe anaemia and maternal death with data from the WHO Multicountry Survey on maternal and newborn health. ⋯ Barts and the London Charity.
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The Lancet. Global health · Mar 2018
Randomized Controlled TrialEffects of water quality, sanitation, handwashing, and nutritional interventions on diarrhoea and child growth in rural Kenya: a cluster-randomised controlled trial.
Poor nutrition and exposure to faecal contamination are associated with diarrhoea and growth faltering, both of which have long-term consequences for child health. We aimed to assess whether water, sanitation, handwashing, and nutrition interventions reduced diarrhoea or growth faltering. ⋯ Bill & Melinda Gates Foundation, United States Agency for International Development.