Health-seeking behaviour
Perinatal Mortality
Urbanicity
Secondary Data
Demographic and Health Surveys
Cities

Health-seeking and health outcomes in urban sub-Saharan Africa

In this portfolio of studies, we study the dynamics that arise between the provision and the utilisation of maternal and newborn health services in urban areas, particularly in large cities. These studies include those conceived and conducted by PhD students.

As part of this portfolio, we focus on three key topics:

• Women’s health service utilisation along the maternal continuum of care in 22 large African cities. We analysed the use of antenatal, childbirth, and postnatal care services and their content, and concluded that few cities achieved good performance across these three services. Most cities showed inconsistent levels of maternal care utilisation and content across the continuum of care. Cotonou and Accra relatively showed the best performance and Nairobi and Ndjamena the worst.

• Levels of perinatal mortality in cities in sub-Saharan Africa are different from rural areas. We examined mortality in 21 countries of Sub-Saharan Africa and looked at Tanzania in particular, because its mortality rate among newborns was higher in urban areas compared to rural.

• The meaning of “urbanicity” in terms of how we understand it in maternal and newborn health research, how we measure it and how it affects the health outcomes of women and their babies. We co-authored a commentary calling for more extensive multisectoral approaches to addressing global urban maternal and perinatal health inequities, which includes case studies from Rotterdam and Kampala.

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Contacts
Lenka Beňová
Amani Kikula
Catherine Birabwa
Period
January 2021 - ongoing
Institutions
Funding

Studies in this portfolio are funded by the Institute of Tropical Medicine’s internal funds, the Department of Economy, Science & Innovation of the Flemish Government and the Research Foundation – Flanders (FWO) as part of Lenka Benova's senior postdoctoral fellowship (2019-2022). PhD students are funded by the Belgian Federal Directorate-General for Development Cooperation and Humanitarian Aid (DGD) and other project funds.

External Website
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Explore more of our projects in maternal and medical research.
January 2022 - December 2026
FR
&
EN
UrbanMat Guinea
Analysis of accessibility and quality of care in urban maternity wards in Guinea. We examine how infrastructure and resource availability at hospitals of choice influence quality of care and maternal and perinatal mortality and morbidity.
Large Hospitals
Referral Networks
Obstetric Complications
Quality Of Care
Cities
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January 2022 - December 2026
FR
&
EN
UrbanMat Grand Nokoué metropolitan area (Bénin)
Expectations and needs of postpartum women in urban areas: an exploratory study
Postpartum Care
Qualitative Research
Urban Context
Women's Lived Experience
Benin
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October 2024 to September 2027
FR
&
EN
Conurba_M-ATLAS
This study aims to identify locations with maternal health vulnerabilities and inequities within 20 urban areas across space and time in 20 Sub-Saharan Africa countries
Spatial epidemiology
Maternal Health Vulnerability
Urban Areas
Geospatial modelling
Cornubations
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