Interventions can be provided individually or packaged into integrated services. Economic and programmatic aspects of congenital syphilis prevention PDF.
Facilities and attendants have key functions Figure 2 that have been described elsewhere Goldie et al.
We evaluated single interventions e. Implement streamlined and evidence-based maternal health interventions. Bangladesh, China and Rwanda made good progress while following diverse economic strategies. Nepal, for example, has emphasized testing and scaling up community-based approaches.
Some have only focused on single interventions  — others have not included costs and recent analyses that did assess multiple strategies did not explicitly model critical barriers to life-saving referral, such as recognition of referral need and accessible transport .
Bulletin of the World Health Organization ; Indeed, note the researchers, the cost savings from an initial focus on family planning and safe abortion provision would partly offset the resources needed to assure that every woman had access to high quality routine and emergency obstetric care.
Increased family planning was the most effective single intervention for the reduction of pregnancy-related mortality. University of Otago, Dunedin, New Zealand. In Brazil and Peru, concerted efforts to address similar sub-national inequalities have brought about progress.
To date, however, few cost-effectiveness analyses of safe motherhood strategies in Mexico have been conducted from a societal perspective and long-term investment approach. High-impact interventions and systems strengthening were important; e.
However, both the Boolean and econometric analyses were limited by the fact that the global maternal mortality estimates, e. Use of a clean delivery kit and factors associated with cord infection and puerperal sepsis in Mwanza, Tanzania. After synthesizing national and sub-national trends in maternal mortality, the model was calibrated to current intervention-specific coverage levels and validated by comparing model-projected life expectancy, total fertility rate, crude birth rate and maternal mortality ratio with Mexico-specific data.
Methods Using national and sub-national data, we adapted a previously validated model that simulates the natural history of pregnancy and pregnancy-related complications.
Skilled community-based birth attendants should be trained and posted to increase maternal coverage in remote areas. This will ensure rural areas are covered and will reduce supply shortages—but attention must also be paid to the quality of service provided.
Accordingly, the ultimate impact of interventions depends on several setting-specific factors, such as delivery site, presence of birth attendant, quality and type of referral facility, as well as successful referral when necessary.
Bull World Health Organization 82 6: Bell, and Colin H.The magnitude of the reduction in maternal mortality was most sensitive to the assumptions about the baseline effective coverage rates assumed in the base case, the risk of mortality due to unsafe abortion, and the.
Alternative Strategies to Reduce Maternal Mortality in India: A Cost-Effectiveness Analysis (Article begins on next page) The Harvard community.
A properly running health system is necessary for the implementation of strategies to reduce maternal mortality. The current major public health issues in low resource countries, safe motherhood is unique in requiring large numbers of clinical staff including some trained in surgical techniques.
The Costs, Benefits, and Cost-Effectiveness of Interventions to Reduce Maternal Morbidity and Mortality in Mexico Delphine Hu, Affiliation Program in Health Decision Science, Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, United States of America.
These factors include more information on maternal mortality measures, an increasing number of studies evaluating interventions, renewed determination on the part of the maternal health and public health communities, and, most importantly, the emergence of maternal mortality reduction as a clear priority on the Indian national political.
Jul 28, · The African Union conference in Kampala which started on July 19 and will end July 27, has been discussing strategies to reduce maternal mortality. As a mother who has experienced the consequences of poor maternal health systems in Uganda, I thought it was time to tackle this crucial yet often neglected area of maternal health.Download