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Improving quality across the continuum of care

Session Information

20260325T1230 20260325T1330 Africa/Nairobi Improving quality across the continuum of care Sapphire Tent International Maternal Newborn Health Conference 2026 information@imnhc.org

Presentations

Novel approach to monitoring the quality of the continuum of care for maternal and newborn health in low and middle-income countries: the continuum of care coverage cascade for MNH

Research Abstract 12:30 PM - 01:30 PM (Africa/Nairobi) 2026/03/25 09:30:00 UTC - 2026/03/25 10:30:00 UTC
Improving poor maternal and newborn outcomes relies upon improving available care in low and middle-income settings. The continuum of care (CoC) coverage cascade is a novel method which makes efficient use of existing data while incorporating new data, such as content of care measures, as possible. The CoC cascade not only measures who is getting quality care but also shows the magnitude of coverage gaps and where the biggest missed opportunities are occurring for women and newborns along the entire cascade. This study demonstrates the method using data from 13 countries: Bangladesh, Burkina Faso, Cambodia, Côte d'Ivoire, Ghana, Jordan, Kenya, Lesotho, Mozambique, Nepal, Philippines, Senegal, and Tanzania.
Availability and use of actionable health information
Presenters
EH
Elizabeth Hazel
Associate Research Professor, Johns Hopkins Bloomberg School Of Public Health
Co-Authors
EW
Emily Wilson
Senior Research Associate, The Johns Hopkins University, Bloomberg School Of Public Health
GM
Gouda Roland Mady
Mr, JHU
AM
Abdoulaye Maiga
DR, JHU
Agbessi Amouzou
Professor, Johns Hopkins Bloomberg School Of Public Health

From Barriers to Breakthroughs: Leveraging Positive Outliers to Transform Neonatal Care in Tanzania

Program or Policy Abstract 12:30 PM - 01:30 PM (Africa/Nairobi) 2026/03/25 09:30:00 UTC - 2026/03/25 10:30:00 UTC
In Tanzania, neonatal deaths remain high. While NEST360 has supported hospitals with equipment, training, and data tools, outcomes still vary. This study focused on understanding what high-performing hospitals are doing differently. We analyzed NEST360 data from 2022-2024 and conducted 26 interviews with neonatal staff in four top-performing facilities. Key strategies included targeted capacity building, strong quality improvement teams, improved staffing, and consistent data use through a dashboard. Our facilities also used simple but effective thermal care, such as KMC carriers and hot bottles. Common challenges included inadequate space like bath areas for mothers, limited oxygen and electricity. Some facilities developed local solutions like 'dashboard days' and weekend technical support. Our findings show that while many strategies are scalable, national support is needed to address persistent system gaps. Strengthening infrastructure, updating guidelines, and improving funding transparency are essential for equitable newborn care.
Availability and use of actionable health information
Small and sick newborns
Presenters Jitihada Baraka
Research Scientist, IFAKARA HEALTH INSTITUTE
Co-Authors
KD
Kylie Dougherty
Nurse Scientist, Nationwide Children’s Hospital
DS
Donat Shamba
Mr, Ifakara Health Institute
Mariam Johari
Country Director , Rice360 Institute For Global Health Technologies
RT
Robert Tillya
QI Coordinator And Assistant Clinical Lead, Ifakara Health Institute
JS
Josephine Shabani
Research Scientist, Ifakara Health Institute
jj
Jennie Jaribu
Senior Program Coordinator, IFAKARA HEALTH INSTITUTE
N
Nahya Salim
Director Of Research, Publications And Innovation, And Senior Lecturer, Paediatrician, And Epidemiologist , NEST360 CO PI, MUHIMBILI UNIVERISTY OF ALLIED SCIENCE
HM
Honorati Masanja
Dr. Honorati Masanja, Senior Statistician,NEST360 PI, IFAKARA HEALTH INSTITUTE
CB
Christine A. Bohne
Director Of Data For Action, Improvement, And Learning, Rice University/NEST360

How Birth Spacing Influences Child Survival and Nutritional Outcomes: Evidence-Based Recommendations for Maternal Newborn Health Programs in India

Research Abstract 12:30 PM - 01:30 PM (Africa/Nairobi) 2026/03/25 09:30:00 UTC - 2026/03/25 10:30:00 UTC
This presentation examines the relationship between interbirth intervals and child health outcomes using data from 44,017 births in India's DHS (2015 2021). Despite evidence supporting 3+ year birth spacing, 57% of Indian births occur within three years of the previous birth, undermining child health gains. Using multivariable logistic regression, we found children born within 2 year intervals had significantly higher risks: 17% increased odds of stunting and 20% higher odds of underweight compared to 3 4 year spacing. Infant mortality was 40.3 per 1,000 for 0 2 year interval and 17.2 for 3+ year spacing. Nationally, optimal spacing could prevent 8% of undernutrition cases and reduce infant mortality by 32%. We will outline evidence based recommendations for integrating birth spacing into MNH programs, including structured counselling protocols, postpartum family planning expansion, community health worker training, and monitoring system enhancements. These can yield substantial child survival benefits within existing health platforms.
Availability and use of actionable health information
Nutrition, Small and sick newborns
Presenters
MS
Mansharan Seth
Director, William J Clinton Foundation
Co-Authors
MS
Manas Sharma
Senior Associate, William J. Clinton Foundation
SG
Surbhi Garg
Associate Director, SRMNH, William J. Clinton Foundation
SR
Satvik Rastogi
Associate, William J. Clinton Foundation
532 visits

Session Participants

User Online
Session speakers, moderators & attendees
Director
,
William J Clinton Foundation
Associate Research Professor
,
Johns Hopkins Bloomberg School Of Public Health
Research Scientist
,
IFAKARA HEALTH INSTITUTE
Professor of International Child Health & Paediatrician
,
University Of Oxford
Senior Director
,
Institute for Healthcare Improvement
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Slides

5447_1774376159_9142IMNHC2026_Howbirthspacinginfluenceschildsurvivalandnutritionaloutcomes_WJCF_v01.pptx
Presentation Slide 1
0
Submitted by Mansharan Seth on 24 Mar, 09:16 PM
2031_1773940516_6616PositiveOutliersIMNCH-19032026-JITIHADABARAKA.pptx
Presentation Slide 2
4
Submitted by Jitihada Baraka on 19 Mar, 08:15 PM

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