Browsing by Autor "Alexis C. Shindhelm"

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Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 4. Nutrition-related activities and changes in childhood stunting, wasting, and underweight
(BioMed Central, 2023) Henry B. Perry; Ira Stollak; Ramiro Llanque; Stanley Blanco; Elizabeth Jordan-Bell; Alexis C. Shindhelm; Carey Westgate; Andrew Herrera; Mario Valdez
The Project Area in which Curamericas/Guatemala implemented the CBIO+ Approach experienced a reduction in the prevalence of stunting and other measures of undernutrition in under-2 children. Given the burden of undernutrition in Guatemala and other parts of the world, this approach merits broader application and further evaluation.
Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 5. Mortality assessment
(BioMed Central, 2023) Henry B. Perry; Ira Stollak; Ramiro Llanque; Annah Okari; Carey Westgate; Alexis C. Shindhelm; Victoria B. Chou; Mario Valdez
The baseline maternal mortality ratio is one of the highest in the Western hemisphere. There is strong evidence of a decline in maternal mortality in the Project Area. The evidence of a decline in neonatal and under-5 mortality is less robust. Childhood pneumonia and neonatal conditions were the leading causes of under-5 mortality. Expanding access to evidence-based community-based interventions for (1) prevention of postpartum hemorrhage, (2) home-based neonatal care, and (3) management of childhood pneumonia could help further reduce mortality in the Project Area and in similar areas of Guatemala and beyond.