Women's experiences and perceptions on the impacts of maternal near miss and related complications in Rwanda: A qualitative study

Maternal morbidity and mortality continue to emerge across the globe especially in lower-income countries. This study aimed at exploring in-depth perceptions of near-miss experiences among Rwandan women and how these experiences can be used to develop strategies for health policy implementation. Using qualitative inductive research based on grounded theory, we analyzed 27 indepth interviews that were conducted with women with documented records of maternal near-miss events. Women were knowledgeable about pregnancy complications and the benefits of antenatal care. Near-miss events that occurred either before or during hospitalization. Women recognized their own involvement their near-miss events by delaying care seeking. They also mentioned delays due to healthcare providers delaying transfers, misdiagnosing the events, and delaying to intervene even at the time the diagnosis was made. Women acknowledged the life-saving role of outreach programs and community health workers. We that pregnancy outcomes would be improved in this population of women with education on pregnancy complications, training of community health workers, and sustained mentorship program. (Afr J Reprod Health 2022; 26[5]: 63-71).

Depth of Poverty in an Informal Settlement in the Vaal Region; South Africa

Despite the large number of people currently living in poverty in sub-Saharan Africa; the debate about the definition and meaning of poverty continues. Two distinct problems exist regarding the measurement of poverty; namely the difficulty of identifying the poor in a population and the difficulty in developing an index for the measurement of poverty. The main objective of the survey was to apply a poverty model for determining the depth of poverty in an informal settlement in the Vaal Region; as well as the impact of possible income-generating activities on the community. A questionnaire; which had been devised for measuring poverty indicators; was administered to 429 randomly selected households in the informal settlement; with the poverty model being applied to measure the degree of poverty. The results of the survey showed that 286 households lived in poverty at the time. The impact of extra income on the poverty levels of these 286 households was then determined. The results of the survey also showed that the unemployment level was 91and that the mean monthly income was R612.50. The average poverty gap was R1017.21; with the poverty gap ratio being 56. The poverty model showed that an increase of R500 in monthly household income resulted in a poverty gap ratio of 35. The results indicated that the community was a poverty-stricken community; suffering from chronic food insecurity. The results of the study will be used to facilitate the planning and implementation of sustainable; income-generating; community-based interventions aimed at promoting urban food security and alleviating poverty in the community in question