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SUMMARY OBJECTIVES To determine changes in the proportion of deliveries at health facilities and the proportion attended by health professionals after delivery fee exemption implementation. DESIGN Pre and post intervention implementation cluster-sampled household survey. SETTING Central and Volta regions of Ghana. PARTICIPANTS Women who had delivered(More)
Difficulties in understanding emotional signals might have important implications for social interactions in old age. In this study we investigated emotion perception skills involved in decoding facial expressions of emotion in healthy older adults, compared with those with Alzheimer's disease (AD) or late-life mood disorder (MD). Although those with MD(More)
Functional abnormalities in emotion-related brain systems have been implicated in depression, and depressed patients may therefore attribute emotional valence to stimuli that are normally interpreted as emotionally neutral. The present study examined this hypothesis by comparing recognition of different facial expressions in patients with moderate to severe(More)
This paper explores the scientific justification for the key action message " ensure skilled attendance at delivery. " Many governments and other provider agencies in poor countries will need to commit additional health resources in order to respond to this message, and opportunity costs will be incurred. Achieving targets will take time, and benefits in(More)
BACKGROUND Recognition of the synergy between health and poverty is now apparent in the development strategies of many low-income countries, and markers are needed to monitor progress towards poverty-relevant goals. Maternal mortality has been proposed as a possible candidate but evidence is lacking on the link with poverty at the level of individuals. We(More)
SUMMARY BACKGROUND To improve access to skilled attendance at delivery and thereby reduce maternal mortality, the Government of Ghana introduced a policy exempting all women attending health facilities from paying delivery care fees. OBJECTIVE To examine the effect of the exemption policy on delivery-related maternal mortality. METHODS Maternal deaths(More)
BACKGROUND How socio-demographic factors influence women's autonomy in decision making on health care including purchasing goods and visiting family and relatives are very poorly studied in Nepal. This study aims to explore the links between women's household position and their autonomy in decision making. METHODS We used Nepal Demographic Health Survey(More)
4 ; others are evaluating this but believe that testing has limited potential in triaging low grade squamous intraepithelial lesions (approximates to mild dyskaryosis). 5 We found an overall test sensitivity and specificity of 86% and 76% for 75 subjects with borderline smears, 94% and 39% for 117 with mild dyskaryosis, and 95% and 54% for 141 with both(More)
The first target of the fifth United Nations Millennium Development Goal is to reduce maternal mortality by 75% between 1990 and 2015. This target is critically off track. Despite difficulties inherent in measuring maternal mortality, interventions aimed at reducing it must be monitored and evaluated to determine the most effective strategies in different(More)
BACKGROUND Little is known about the burden of diabetes mellitus (DM) in pregnancy in low- and middle-income countries despite high prevalence and mortality rates being observed in these countries. OBJECTIVE To investigate the prevalence and geographical patterns of DM in pregnancy up to 1 year post-delivery in low- and middle-income countries. SEARCH(More)