Browsing by Author "Jackson, D."

Now showing 1 - 4 of 4
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    Birth, stillbirth and death registration data completeness, quality and utility in population-based surveys: EN-INDEPTH study
    (BioMed Central Ltd, 2021) Kasasa, S; Natukwatsa, D; Jackson, D.
    Birth registration is a child’s first right. Registration of live births, stillbirths and deaths is foundational for national planning. Completeness of birth registration for live births in low- and middle-income countries is measured through population-based surveys which do not currently include completeness of stillbirth or death registration. Methods: The EN-INDEPTH population-based survey of women of reproductive age was undertaken in five Health and Demographic Surveillance System sites in Bangladesh, Ethiopia, Ghana, Guinea-Bissau and Uganda (2017–2018). In four African sites, we included new/modified questions regarding registration for 1177 stillbirths and 11,881 livebirths (1333 neonatal deaths and 10,548 surviving the neonatal period). Questions were evaluated for completeness of responses, data quality, time to administer and estimates of registration completeness using descriptive statistics. Timing of birth registration, factors associated with non-registration and reported barriers were assessed using descriptive statistics and logistic regression.
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    Exploring the journey to maternal death: gender and human rights perspectives on the major causes of maternal mortality in the Western Cape province, South Africa
    (University of the Western Cape, 2003) Mbombo, Nomafrench; Jackson, D.
    In this thesis, I use gender and human rights approaches to examine and analyse the major causes of maternal mortality, which result from delay in seeking maternity care and failure to attend maternity care during pregnancy. A gender approach was used to identify and analyse inequalities that arise from belonging to one sex or from unequal power relations between sexes and how these impact on women accessing maternity care. The Human Rights approach was used to identify and analyse health system related factors that led women to delay seeking care and also failing to attend maternity care. A qualitative multiple case study methodology was followed with data analysed thematically. Findings were interpreted in the context of the International Bill of Rights, the South African Bill of Rights and International Human Rights treatises. Maternity women are unable to access maternity care because of their unmet gender equity needs, and because of maternity services that are not respecting, protecting and fulfilling their human right to access health care. A Gender-Human rights model of accessibility to quality maternity care is developed to assist health care providers in promoting availability of maternity services to health consumers. The model propositions are based on the major concepts which are: Gender equity, Women empowerment, Human rights to quality health care, Evidence Based Health Care, and Support during labour.
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    Exploring the Journey to Maternal Death: Gender and Human Rights perspectives on the major causes of maternal mortality in the Western Cape Province, South Africa
    (University of the Western Cape, 2003) Mbombo, Nomafrench; Jackson, D.
    In this thesis, I use gender and human rights approaches to examine and analyse the major causes of maternal mortality, which result from delay in seeking maternity care and failure to attend maternity care during pregnancy. A gender approach was used to identify and analyse inequalities that arise from belonging to one sex or from unequal power relations between sexes and how these impact on women accessing maternity care. The Human Rights approach was used to identify and analyse health system related factors that led women to delay seeking care and also failing to attend maternity care. A qualitative multiple case study methodology was followed with data analysed thematically. Findings were interpreted in the context of the International Bill of Rights, the South African Bill of Rights and International Human Rights treatises. Maternity women are unable to access maternity care because of their unmet gender equity needs, and because of maternity services that are not respecting, protecting and fulfilling their human right to access health care. A Gender-Human rights model of accessibility to quality maternity care is developed to assist health care providers in promoting availability of maternity services to health consumers. The model propositions are based on the major concepts which are: Gender equity, Women empowerment, Human rights to quality health care, Evidence Based Health Care, and Support during labour.
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    Leadership and the functioning of maternal health services in two rural district hospitals in South Africa
    (Oxford University Press, 2018) Lembani, M.; Jackson, D.; Zarowsky, C.; Bijlmakers, L.; Sanders, David; Mathole, Thubelihle
    Maternal mortality remains high in Eastern Cape Province, South Africa, despite over 90% of pregnant women utilizing maternal health services. A recent survey showed wide variation in performance among districts in the province. Heterogeneity was also found at the district level, where maternal health outcomes varied considerably among district hospitals. In ongoing research, leadership emerged as one of the key health systems factors affecting the performance of maternal health services at facility level. This article reports on a subsequent case study undertaken to examine leadership practices and the functioning of maternal health services in two resource-limited hospitals with disparate maternal health outcomes. An exploratory mixed-methods case study was undertaken with the two rural district hospitals as the units of analysis. The hospitals were purposively selected based on their maternal health outcomes: one reported good maternal health outcomes (pseudonym: Chisomo) and the other had poor outcomes (pseudonym: Tinyade). Comparative data were collected through a facility survey, non-participant observation of management and perinatal meetings, record reviews and interviews with hospital leadership, staff and patients to elicit information about leadership practices including supervision, communication and teamwork. Descriptive and thematic data analysis was undertaken. The two hospitals had similar infrastructure and equipment. Hospital managers at Chisomo used their innovation and entrepreneurial skills to improve quality of care, and leadership style was described as supportive, friendly, approachable but ‘firm’. They also undertook frequent and supportive supervisory meetings. Each department at Chisomo developed its own action plan and used data to monitor their actions. Good performers were acknowledged in group meetings. Staff in this facility were motivated and patients were happy about the quality of services. The situation was different at Tinyade hospital. Participants described the leadership style of their senior managers as authoritarian. Managers were rarely available in the office and did not hold regular meetings, leading to poor communication across teams and poor coordination to address resource constraints. This demotivated the staff. The differences in leadership style, structures, processes and work culture affected teamwork, managerial supervision and support. The study demonstrates how leadership styles and practices influence maternal health care services in resource limited hospitals. Supportive leadership manifested itself in the form of focused efforts to build teamwork, enhance entrepreneurship and in management systems that are geared to improving maternal care.