TY - JOUR
T1 - Burden of severe maternal morbidity and association with adverse birth outcomes in sub-Saharan Africa and south Asia
T2 - Protocol for a prospective cohort study
AU - AMANHI Maternal Morbidity study group
AU - Baqui, Abdullah H.
AU - Mitra, Dipak
AU - Moin, Mamun Ibne
AU - Naher, Nurun
AU - Quaiyum, Mohammad Abdul
AU - Tshefu, Antoinette
AU - Otomba, John
AU - Kalonji, Michel
AU - Ngowu, Andre
AU - Ngaima, Serge
AU - Kirkwood, Betty
AU - Hurt, Lisa
AU - Shannon, Caitlin
AU - Newton, Samuel
AU - Edmond, Karen
AU - Kumar, Vishwajeet
AU - Kumar, Aarti
AU - Singh, Shambhavi
AU - Singh, Jai Vir
AU - Ghosh, Amit Kumar
AU - Esamai, Fabian
AU - Marete, Irene
AU - Gisore, Peter
AU - Nisar, Imran
AU - Jehan, Fyezah
AU - Ilyas, Muhammad
AU - Hussain, Atiya
AU - Zaid, Anita
AU - Soofi, Sajid
AU - Ariff, Shabina
AU - Wasan, Yaqub
AU - Hussain, Amjid
AU - Ahmed, Imran
AU - Sazawal, Sunil
AU - Dhingra, Usha
AU - Dutta, Arup
AU - Ali, Said Moh d.
AU - Ame, Shaali Makame
AU - Hamer, Davidson
AU - Semrau, Katherine
AU - Hamomba, Fern
AU - Banda, Bowen
AU - Herlihy, Julie
AU - Yoshida, Sachiyo
AU - Bahl, Rajiv
AU - Manu, Alexander Ansah
PY - 2016
Y1 - 2016
N2 - Objectives The AMANHI morbidity study aims to quantify and describe severe maternal morbidities and assess their associations with adverse maternal, fetal and newborn outcomes in predominantly rural areas of nine sites in eight South Asian and sub-Saharan African countries. Methods AMANHI takes advantage of on-going population-based cohort studies covering approximately 2 million women of reproductive age with 1- to 3-monthly pregnancy surveillance to enrol pregnant women. Morbidity information is collected at five follow-up home visits - three during the antenatal period at 24-28 weeks, 32-36 weeks and 37+ weeks of pregnancy and two during the postpartum period at 1-6 days and after 42-60 days after birth. Structured- questionnaires are used to collect self-reported maternal morbidities including hemorrhage, hypertensive disorders, infections, difficulty in labor and obstetric fistula, as well as care-seeking for these morbidities and outcomes for mothers and babies. Additionally, structured questionnaires are used to interview birth attendants who attended women's deliveries. All protocols were harmonised across the sites including training, implementation and operationalising definitions for maternal morbidities. Importance of the AMANHI morbidity study Availability of reliable data to synthesize evidence for policy direction, interventions and programmes, remains a crucial step for prioritization and ensuring equitable delivery of maternal health interventions especially in high burden areas. AMANHI is one of the first large harmonized population- based cohort studies being conducted in several rural centres in South Asia and sub-Saharan Africa, and is expected to make substantial contributions to global knowledge on maternal morbidity burden and its implications.
AB - Objectives The AMANHI morbidity study aims to quantify and describe severe maternal morbidities and assess their associations with adverse maternal, fetal and newborn outcomes in predominantly rural areas of nine sites in eight South Asian and sub-Saharan African countries. Methods AMANHI takes advantage of on-going population-based cohort studies covering approximately 2 million women of reproductive age with 1- to 3-monthly pregnancy surveillance to enrol pregnant women. Morbidity information is collected at five follow-up home visits - three during the antenatal period at 24-28 weeks, 32-36 weeks and 37+ weeks of pregnancy and two during the postpartum period at 1-6 days and after 42-60 days after birth. Structured- questionnaires are used to collect self-reported maternal morbidities including hemorrhage, hypertensive disorders, infections, difficulty in labor and obstetric fistula, as well as care-seeking for these morbidities and outcomes for mothers and babies. Additionally, structured questionnaires are used to interview birth attendants who attended women's deliveries. All protocols were harmonised across the sites including training, implementation and operationalising definitions for maternal morbidities. Importance of the AMANHI morbidity study Availability of reliable data to synthesize evidence for policy direction, interventions and programmes, remains a crucial step for prioritization and ensuring equitable delivery of maternal health interventions especially in high burden areas. AMANHI is one of the first large harmonized population- based cohort studies being conducted in several rural centres in South Asia and sub-Saharan Africa, and is expected to make substantial contributions to global knowledge on maternal morbidity burden and its implications.
UR - http://www.scopus.com/inward/record.url?scp=85010303366&partnerID=8YFLogxK
U2 - 10.7189/jogh.06.020601
DO - 10.7189/jogh.06.020601
M3 - Article
C2 - 27648256
AN - SCOPUS:85010303366
SN - 2047-2978
VL - 6
JO - Journal of Global Health
JF - Journal of Global Health
IS - 2
M1 - 020601
ER -