Research
Completed Projects
 
Current Projects
Completed Projects


Analysis of cesarean delivery rates, determinants and indications in Maqassed Hospital, 1993-2002
Collaborators (PIs): Nahed Mikki, Niveen Abu-Rmeileh, Laura Wick, Nihad Abu-Asab, Sahar Hassan
Timetable: 2005-07
Location: Jerusalem
Funding: Wellcome Trust
Research Questions: To investigate the reasons for the rising cesarean operation rate over the past decade in the major Palestinian referral hospital by a record audit of two years of the hospital register
Output: One article in preparation.


The limitations on choice: Palestinian women's childbirth location, dissatisfaction with the place of birth and determinants
Collaborators (PIs): Rita Giacaman, Niveen Abu-Rmeileh, Laura Wick
Timetable: 2005-07
Location: Palestine
Funding: Wellcome Trust
Research Questions: To analyze the population-based DHS 2004 data concerning where women give birth in the OPT, their satisfaction with the place of delivery and the limited access to services.
Output: One article in a peer reviewed journal and collaboration with the PCBS to improve the instrument and analysis.


Childbirth care in a Palestinian hospital
Collaborators (PIs): Sahar Hassan and Laura Wick
Timetable: 2005-07
Location: Ramallah
Funding: Theodor-Springmann Foundation
Research Questions: To assess the quality of maternity care in a large public Palestinian referral hospital in order to develop interventions to improve the safety and quality of care.
Output: One article in a peer reviewed journal and one report for local use.


Evaluation of the UNFPA Reproductive Health Sub Program, Occupied Palestinian Territory 2001-05
Collaborators (PIs): Sahar Hassan and Laura Wick
Timetable: 2005-07
Location: Ramallah
Funding: Theodor-Springmann Foundation
Research Questions: To assess the quality of maternity care in a large public Palestinian referral hospital in order to develop interventions to improve the safety and quality of care.
Output: One article in a peer reviewed journal and one report for local use.


Palestinian women's pregnancy intentions: analysis and critique of the Demographic and Health Survey 2004
Collaborators (PIs): Rita Giacaman, Niveen Abu-Rmeileh, Awad Mataria, Laura Wick
Timetable: 2005-06
Location: Palestine
Funding: UNFPA (partial)
Research Questions: To analyze the Palestinian Demographic and Health Survey data on pregnancy intentions and their determinants, including the limitations of the survey instrument
Output: One article in a peer reviewed journal.


Study of causes of maternal mortality in Syria
Collaborators (PIs): Hyam Bashour, Asma Abdulsalam, Salah Cheikha, Mohammed Tabbaa in collaboration with the Ministry of Health
Timetable: 2005-06
Location: Syria
Funding: UNFPA
Research Questions: To determine causes of maternal deaths in a national community based study using verbal autopsy.
Output: A national report
A national action plan
One paper in preparation


Routines in facility-based maternity care: evidence from the Arab world
Collaborators (PIs): CCCC research network
Timetable: 2005
Location: Egypt, Lebanon, Palestine, Syria
Funding: Wellcome Trust
Research Questions: To compare regional facility-based childbirth practices according to WHO classifications of beneficial and harmful practices


Maternal mortality study
Collaborators (PIs): Hibah Osman, Oona Campbell, Anwar Nassar
Timetable: 2004-07
Location: Lebanon
Funding: Wellcome Trust
Research Questions:
  • Is a hospital based medical record review a feasible way to measure maternal mortality in the Lebanese context?
  • Are emergency obstetrical drills a useful means for identifying deficiencies in the hospital system?
  • What are the social, economic, and emotional issues faced by families who have experienced a maternal mortality?
Output: National Committee for Maternal Mortality; National audit system of maternal maternity in hospitals in Lebanon; three papers in preparation.


A Trial of amniotomy in a Palestinian hospital: amniotomy after randomization versus intent to conserve the membranes in normal labor and birth in Maqassed Hospital
Collaborators (PIs): Nahed Mikki, Laura Wick, Nihad Abu-Asab, Niveen Abu-Rmeileh
Timetable: 2004-07
Location: Jerusalem
Funding: Wellcome Trust
Research Questions: To investigate using an RCT the effect of the common practice of routine amniotomy in early labor in a developing country context
Output: One article in a peer reviewed journal and a report on routine practices of normal labor at Maqassed Hospital; dissemination to obstetricians and midwives.


Cocoa butter study
Collaborators (PIs): Hibah Osman, Anwar Nassar, Oona Campbell, Nelly Rubeiz
Timetable: 2004-05
Location: Lebanon
Funding: Wellcome Trust
Research Questions:
  • What is the prevalence of stretch marks in first time mothers in Lebanon?
  • Can the use of cocoa butter reduce the risk of developing stretch marks in pregnancy?
Output: Two articles in peer reviewed journals.


An intervention study to improve selected practices for normal birth in an Egyptian teaching hospital
Collaborators (PIs): Karima Khalil, Mohamed Cherine, Amr Elnouri, Nevine Hassanein, Miral Breebaart
Timetable: 2004-05
Location: Egypt
Funding: Ford Foundation, Wellcome Trust, Reproductive Health Working Group, the Population Council.
Research Questions: How to improve selected facility practices for normal birth?
Output: One paper in preparation.


Implementation of an intervention to reduce the c- section rate: A collaborative multicenter study in Beirut
Collaborators (PIs): Hala Tamim, Khaled Younis, Muhieddine Seoud
Timetable: 2004
Location: Lebanon
Funding: Wellcome Trust
Research Questions: To improve the effectiveness of documenting indications for c-section and the implication in reducing c-section rates in 3 hospitals in Beirut.
Output: Papers in preparation; recommendations and guidelines for hospitals.


Effect of a community-based intervention on postnatal outcomes: A study in Damascus, Syria
Collaborators (PIs): Hyam Bashour, Asma Abdulsalam, Mayada Kharouf, Salah Cheikha, Mohammed Tabbaa
Timetable: 2003-05
Location: Syria
Funding: Wellcome Trust
Research Questions: To measure the effectiveness of postpartum home visiting package in improving maternal and newborn health.
Output: One paper in a peer reviewed journal and findings presentation in one local dissemination seminar.


The politics of childbirth in the context of conflict: Policies or de facto practices
Collaborators (PIs): Rita Giacaman, Laura Wick, Hanan Abdul-Rahim, Livia Wick
Timetable: 2003-04
Location: West Bank
Funding: Wellcome Trust
Research Questions: To document the impact of the political context on policy formulation in childbirth and the implications of policy change on childbirth practices
Output: One article in a peer reviewed journal; dissemination to policy-makers and donors.


Analysis of policy environment affecting postpartum practices in an Egyptian teaching hospital
Collaborators (PIs): Karima Khalil, Mohamed Cherine, Amr Elnouri, Nevine Hassanein, Miral Breebaart
Timetable: 2003
Location: Egypt
Funding: Wellcome Trust
Research Questions: Why are evidence-based protocols for postpartum care not followed in this facility?
Output: Article in preparation


Analysis of DHS or PAPFAM surveys
Collaborators (PIs): Marwan Khawaja; Tamar Kabakian-Khasholian; Rozet Jurdi
Timetable: 2002-04
Location: Lebanon
Funding: Wellcome Trust
Research Questions: Analysis of DHS population based data to describe the trends and determinants of c-section rates and home births in the Arab Region.
Output: Three articles in peer reviewed journals.


The policies and practices of normal childbirth in maternity facilities in the West Bank: Implications for safe childbirth
Collaborators (PIs): Laura Wick, Nahed Mikki, Hanan Abdul-Rahim
Timetable: 2002-05
Location: West Bank
Funding: Wellcome Trust
Research Questions: To describe the policies and practices of normal childbirth in maternity facilities in the West Bank
Output: One article in a peer reviewed journal and one book; advocacy meetings, conferences and training with obstetricians and midwives.


Providers' perceptions on sexual counseling and antenatal care packages
Collaborators (PIs): Faysal El-Kak, Huda Zurayk, Afamia Kaddour, Rozzet Jurdi
Timetable: 2002-04
Location: Lebanon
Funding: Wellcome Trust
Research Questions: To describe obstetricians' perceptions on their ability and readiness to provide sexual counseling to women and to assess their perspectives on recommended antenatal care packages.
Output: One article in a peer reviewed journal.


Analysis of the environment surrounding the increase in c-section rate in Lebanon
Collaborators (PIs): Tamar Kabakian-Khasholian, Jocelyn DeJong, Anwar Nassar, Rawan Shayboub, Afamia Kaddour
Timetable: 2002-04
Location: Lebanon
Funding: Wellcome Trust
Research Questions: To describe the environment around c-section practices in hospitals in Lebanon.
Output: One article in a peer reviewed journal and a conference presentation.


Women's preferences and experiences of childbirth in relation to caregiver: A study among Syrian women
Collaborators (PIs): Hyam Bashour, Asma Abdulsalam, Salah Cheikha, Waleed Al Faisal, Raghda Hafez
Timetable: 2002-03
Location: Syria
Funding: Wellcome Trust
Research Questions: To describe women's experiences in childbirth, in relation to place and attendant at delivery.
Output: Two articles in peer reviewed journals; dissemination seminars for obstetricians.


Hospital practices for normal labor: The relationship of observed practices to evidence-based medicine (The Galaa Study)
Collaborators (PIs): Karima Khalil, Mohamed Cherine, Amr Elnouri, Nevine Hassanein, Hania Sholkamy, Miral Breebaart, Lamia Mohsen
Timetable: 2001-02
Location: Egypt
Funding: Ford Foundation, Wellcome Trust, Reproductive Health Working Group, Social Research Center at the American University in Cairo, the Population Council
Research Questions: What are doctors and other providers doing in normal deliveries? How do these practices relate to evidence-based care? What do women want?
Output: Three articles in peer reviewed journals; one RHWG monograph, over twenty regional and international conference presentations.


Improving maternal postpartum health
Collaborators (PIs): Tamar Kabakian-Khasholian, Oona Campbell
Timetable: 2000-02
Location: Lebanon
Funding: Mellon Foundation
Research Questions: To test the effectiveness of written educational materials in improving women's postpartum health and use of services.
Output: Two articles in peer reviewed journals; a booklet on postpartum health; two presentations in international conferences.
 
 
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