Browsing by Author "Habib, H.H."

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Are respectful maternity care (RMC) interventions effective in reducing intrapartum mistreatment against adolescents? A systematic review
(Frontiers Global. Women's Health, 2023) Habib, H.H.; Mwaisaka, J.; Torpey, K.; Maya, E.T.; Ankomah, A.
Intrapartum mistreatment of women by health professionals is a widespread global public health challenge. It leads to a decreased quality of maternity care and is evinced to precipitate detrimental maternal and neonatal outcomes, especially among adolescents. Relatedly, research indicates that Respectful Maternity Care (RMC) interventions are especially effective in mitigating intrapartum mistreatment and improving birth outcomes. However, evidence on the success of RMC, specifically for adolescents, is insufficient and unaggregated. Accordingly, this review specifically aims to synthesize existing evidence on RMC care provision to adolescent parturients. This review searched for relevant literature from published and gray sources including PubMed, ScienceDirect, Cochrane, CINAHL, PsycINFO, Scopus, as well as Population Council, WHO and White Ribbon Alliance data sources published between January 1990 and December 2021. Based on eligibility, studies were selected and quality appraised after which thematic analysis and narrative synthesis was conducted. Twenty nine studies were included in the systematic review. Due to paucity and heterogeneity of quantitative studies, the review was limited to a thematic analysis. Adolescent and health provider perspectives alike underscored the burden and outcomes of mistreatment. Need for RMC interventions to improve quality of maternity care was recommended by majority of studies
Evidence on respectful maternity care for adolescents: a systematic review protocol
(BMC, 2021) Habib, H.H.; Mwaisaka, J.; Torpey, K.; Maya, E.T.; Ankomah, A.
Background: Intrapartum mistreatment of women is an ubiquitous public health and human rights challenge. The issue reportedly has severe maternal and neonatal outcomes including mortality, and generally leads to a decreased satisfaction with maternity care. Intrapartum mistreatment, despite being ubiquitous, indicates higher incidence amongst adolescent parturients who are simultaneously at a higher risk of maternal morbidity and mortality. Studies have suggested that Respectful Maternity Care interventions reduce intrapartum mistreatment and improve clinical outcomes for women and neonates in general. However, evidence on the effect of RMC on adolescents is unclear. Hence, the specific aim of this study is to synthesise the available evidence relating to the provision of RMC for adolescents during childbirth. Methods: The methodology of the proposed systematic review follows the procedural guideline depicted in the preferred reporting items for systematic review protocol. The review will include published studies and gray literature from January 1, 1990, to June 30, 2021. Electronic databases including MEDLINE, PubMed, ScienceDirect, Cochrane, CINAHL, PsycINFO, Scopus, Google Scholar and Web of Science will be searched to retrieve available studies using the appropriate search strings. Studies included in the review will be appraised for quality using tools tailored to each study design. If appropriate, we will conduct random effects meta-analysis of data to summarise the pooled estimates of respectful maternity care prevalence and outcomes. The selection of relevant studies, data extraction and quality assessment of individual studies will be carried out by two independent authors. Results: Summaries of the findings will be compiled and synthesised in a narrative summary. In addition to the narrative synthesis, where sufficient data are available, a random-effects meta-analysis will be conducted to obtain a pooled estimate value for respectful maternity care prevalence and outcomes. Discussion: Respectful Maternity Care for adolescents holds great promise for improved maternal and neonatal care. However, there is a gap in knowledge on the interventions that work and the extent of their effectiveness. Findings from this study will be beneficial in improving Adolescents Sexual and Reproductive Health and Rights and reducing maternal mortality, especially for adolescents.
Factors Influencing Hiv Preventive Practices among Female Sex Workers in Takoradi
(University of Ghana, 2016-07) Habib, H.H.; Nortey, P.; University of Ghana, College of Health Sciences School of Public Health
BACKGROUND: Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome, (HIV-AIDS) is an incurable disease estimated to cause an annual worldwide mortality of above 1 million, most of which are in Sub Saharan Africa alone (WHO, 2014). Female Sex Workers are a higher risk Key Population where HI is concentrated. FSW HIV prevalence in Ghana is 11.1%, several times higher than the national prevalence of 1.3% (NACP, 2014). This study focused on FSW in Takoradi, a city which has recently encountered a large influx of moneyed migrants working in the petroleum sector due to oil finds off the western coast of Ghana. AIM: The aim of the study was to investigate factors influencing HIV preventive practices among Female Sex Workers in Takoradi. METHOD: The study was a cross sectional study involving 121 FSW from the Takoradi Metropolis. A standardised questionnaire was administered to FSW in different hotspots to collect socio-demographic, comprehensive HIV knowledge, condom use and other relevant data. Data collected were audited, coded, entered into STATA version 13 and subsequently cleaned. Frequencies were run for each variable to determine statistics. Bivariate analyses was conducted to investigate the relationships between variables at P<0.05 significance. RESULTS: A total of 121 FSWs participated in the study out of which 58.68 % were brothel based and 41.32% were street/pub/club based. Awareness of HIV, condom use and knowledge of modes of transmission were highly reported although comprehensive knowledge on HIV was relatively low (26.45%). Self-perceived risk was also low. Most FSW reported high condom usage and negotiation efficacy with their paying clients although out of those who had non-paying partners, majority reported no condom usage and negotiation efficacy. Although there was significant level of alcohol and drug consumption, they did not significantly affect preventive behaviour. CONCLUSION: Findings indicate that although there is knowledge about HIV, it is only superficial. Moreover, risky sexual practices exist between FSW and their non-paying partners which indicates a gap in preventive behaviour and a necessity for appropriate targeted interventions.
Promoting respectful maternity care for adolescents in Ghana: a quasi-experimental study protocol
(Reproductive Health, 2020) Habib, H.H.; Torpey, K.; Maya, E.T.; Ankomah, A.
Background: Intra-partum mistreatment by healthcare providers remains a global public health and human rights challenge. Adolescents, who are typically younger, poorer and less educated have been found to be disproportionately exposed to intra-partum mistreatment. In Ghana, maternal mortality remains a leading cause of death among adolescent females, despite increasing patronage of skilled birth attendance in health facilities. In response to the the World Health Organisation Human Reproduction Programme (WHO-HRP) recommendations to address mistreatment with Respectful Maternity Care (RMC), this study aims to generate evidence on promoting respectful treatment of adolescents using an intervention that trains health providers on the concept of mistreatment, their professional roles in RMC and the rights of adolescents to RMC. Methods: This study will employ a pre-test post-test quasi-experimental design. At pre-test and post-test, quantitative surveys will be conducted among adolescents who deliver at health facilities about their labour experience with mistreatment and RMC. A total target of 392 participants will be recruited across intervention and control facilities. Qualitative interviews will also be conducted with selected adolescents and health professionals for an in-depth understanding of the phenomenon. Following the pre-test, a facility-based training module will be implemented at intervention facilities for the facility midwives. The modules will be co-facilitated by the principal investigator and key resource persons from the district health directorate Quality of Care teams. Training will cover the rights of adolescents to quality healthcare, classifications of mistreatment, RMC as a concept and the role of professionals in providing RMC. No intervention will occur in the control facilities. Descriptive statistics, logistic regressions and difference in differences analyses will be computed. Qualitative data will be transcribed and thematically analysed. Discussion: This study is designed to test the success of an intervention in promoting RMC and reducing intra-partum mistreatment towards adolescents. It is expected that the findings of this study will be beneficial in adding to the body of knowledge in improving maternal healthcare and reducing maternal mortality, especially for adolescents.
Small-scale egg and orange-fleshed sweet potato production and utilisation in selected communities in Ghana: A mixed-methods study
(World Nutrition, 2024) Habib, H.H.; Donkor, W.E.S.; Agordoh, S.W.; et al.
Background Nutrition-related exposures during the first 1,000 days of life are a predictor of health outcomes later in life. World Vision Ghana’s ‘Improved Feeding Practices for the 1,000 days’ (IFP) project aimed to improve the dietary practices of women and children by utilising an integrated intervention approach including nutrition, health, and agriculture strategies. Objective This paper reports on the production and utilization of orange-fleshed sweet potatoes (OFSP) and eggs for improving the diets of women of reproductive age and young children during the first 1,000 days of life. Methods Primary data from Kassena-Nankana West (KNW), Sekyere East (SE) and Kintampo South (KS) districts were triangulated with project routine data for this analysis. Univariate analyses of quantitative data from baseline and implementation monitoring data were conducted to describe the sociodemographic characteristics of beneficiaries, inputs disbursed, outputs produced, and utilization of the food commodities. Qualitative interviews from 61 participants were transcribed, coded, and thematically analyzed; these were triangulated with quantitative data to capture the main themes and findings. Results OFSP and egg production and consumption increased annually across beneficiary communities. In 2021, 100% of OFSP produced was consumed in KS; in SE, 95.0% was consumed and 5.0% lost to post-harvest losses. In 2022, 90% of OFSP produced in KNW was consumed and 9.0% was sold. In KS, 90.3% was consumed and 9.0% sold. In SE, 82.3% was consumed and 17.1% sold. Egg production at the end of the first production year (2022) was 18,720 crates in KNW, 19,680 crates in KS, and 40,128 crates in SE. Egg consumption in sample households was less than 10% in 2022 and showed a decreased trend in the first half of 2023. In SE and KS, egg and OFSP production, respectively, increased, exponentially; sale for income was the most common mode of utilization in eggs but OFSP was consumed in these districts. In KNW, climate, irrigation, and socio-cultural barriers hindered the maximal production and utility of the produce, which was not observed in SE and KS, which did not have any of these identified barriers. Reported unintended benefits of production and utilization included increased household income, food security, and availability of organic manure as a side-product of poultry. Conclusions The IFP project resulted in increased household-level production, use, and distribution of Eggs and OFSP across the three focal districts. Similar settings may benefit from this intervention by adapting the strategies to make it easier for beneficiaries to better cope with likely potential barriers such as poultry mortality and water scarcity.