Acknowledging HIV and malaria as major causes of maternal mortality in Mozambique
Identifieur interne : 001808 ( Pmc/Corpus ); précédent : 001807; suivant : 001809Acknowledging HIV and malaria as major causes of maternal mortality in Mozambique
Auteurs : Kavita Singh ; Allisyn Moran ; William Story ; Patricia Bailey ; Leonardo ChavaneSource :
- International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [ 0020-7292 ] ; 2014.
Abstract
To review national data on HIV and malaria as causes of maternal death and to determine the importance of looking at maternal mortality at a subnational level in Mozambique.
Three national data surveys were used to document HIV and malaria as causes of maternal mortality and to assess HIV and malaria prevention services for pregnant women. Data were collected between 2007 and 2011, and included population-level verbal autopsy data and household survey data.
Verbal autopsy data indicated that 18.2% of maternal deaths were due to HIV and 23.1% were due to malaria. Only 19.6% of recently pregnant women received at least two doses of sulfadoxine-pyrimethamine for intermittent preventive treatment, and only 42.3% of pregnant women were sleeping under an insecticide-treated net. Only 37.5% of recently pregnant women had been counseled, tested, and received an HIV test result. Coverage of prevention services varied substantially by province.
Triangulation of information on cause of death and coverage of interventions can enable appropriate targeting of maternal health interventions. Such information could also help countries in Sub-Saharan Africa to recognize and take action against malaria and HIV in an effort to decrease maternal mortality.
Url:
DOI: 10.1016/j.ijgo.2014.05.002
PubMed: 24981974
PubMed Central: 4175628
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PMC:4175628Le document en format XML
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<author><name sortKey="Singh, Kavita" sort="Singh, Kavita" uniqKey="Singh K" first="Kavita" last="Singh">Kavita Singh</name>
<affiliation><nlm:aff id="A1"> MEASURE Evaluation/Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff>
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<affiliation><nlm:aff id="A2"> Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff>
</affiliation>
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<author><name sortKey="Moran, Allisyn" sort="Moran, Allisyn" uniqKey="Moran A" first="Allisyn" last="Moran">Allisyn Moran</name>
<affiliation><nlm:aff id="A3"> Global Health Fellows Program II, United States Agency for International Development (USAID), Washington DC, USA</nlm:aff>
</affiliation>
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<author><name sortKey="Story, William" sort="Story, William" uniqKey="Story W" first="William" last="Story">William Story</name>
<affiliation><nlm:aff id="A1"> MEASURE Evaluation/Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bailey, Patricia" sort="Bailey, Patricia" uniqKey="Bailey P" first="Patricia" last="Bailey">Patricia Bailey</name>
<affiliation><nlm:aff id="A4"> FHI 360, Durham, NC, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chavane, Leonardo" sort="Chavane, Leonardo" uniqKey="Chavane L" first="Leonardo" last="Chavane">Leonardo Chavane</name>
<affiliation><nlm:aff id="A5"> Maternal and Child Health Integrated Program Jhpiego, Maputo, Mozambique</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Acknowledging HIV and malaria as major causes of maternal mortality in Mozambique</title>
<author><name sortKey="Singh, Kavita" sort="Singh, Kavita" uniqKey="Singh K" first="Kavita" last="Singh">Kavita Singh</name>
<affiliation><nlm:aff id="A1"> MEASURE Evaluation/Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2"> Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff>
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<author><name sortKey="Moran, Allisyn" sort="Moran, Allisyn" uniqKey="Moran A" first="Allisyn" last="Moran">Allisyn Moran</name>
<affiliation><nlm:aff id="A3"> Global Health Fellows Program II, United States Agency for International Development (USAID), Washington DC, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Story, William" sort="Story, William" uniqKey="Story W" first="William" last="Story">William Story</name>
<affiliation><nlm:aff id="A1"> MEASURE Evaluation/Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff>
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</author>
<author><name sortKey="Bailey, Patricia" sort="Bailey, Patricia" uniqKey="Bailey P" first="Patricia" last="Bailey">Patricia Bailey</name>
<affiliation><nlm:aff id="A4"> FHI 360, Durham, NC, USA</nlm:aff>
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<author><name sortKey="Chavane, Leonardo" sort="Chavane, Leonardo" uniqKey="Chavane L" first="Leonardo" last="Chavane">Leonardo Chavane</name>
<affiliation><nlm:aff id="A5"> Maternal and Child Health Integrated Program Jhpiego, Maputo, Mozambique</nlm:aff>
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<series><title level="j">International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics</title>
<idno type="ISSN">0020-7292</idno>
<idno type="eISSN">1879-3479</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">To review national data on HIV and malaria as causes of maternal death and to determine the importance of looking at maternal mortality at a subnational level in Mozambique.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Three national data surveys were used to document HIV and malaria as causes of maternal mortality and to assess HIV and malaria prevention services for pregnant women. Data were collected between 2007 and 2011, and included population-level verbal autopsy data and household survey data.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Verbal autopsy data indicated that 18.2% of maternal deaths were due to HIV and 23.1% were due to malaria. Only 19.6% of recently pregnant women received at least two doses of sulfadoxine-pyrimethamine for intermittent preventive treatment, and only 42.3% of pregnant women were sleeping under an insecticide-treated net. Only 37.5% of recently pregnant women had been counseled, tested, and received an HIV test result. Coverage of prevention services varied substantially by province.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">Triangulation of information on cause of death and coverage of interventions can enable appropriate targeting of maternal health interventions. Such information could also help countries in Sub-Saharan Africa to recognize and take action against malaria and HIV in an effort to decrease maternal mortality.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0210174</journal-id>
<journal-id journal-id-type="pubmed-jr-id">3342</journal-id>
<journal-id journal-id-type="nlm-ta">Int J Gynaecol Obstet</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Gynaecol Obstet</journal-id>
<journal-title-group><journal-title>International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics</journal-title>
</journal-title-group>
<issn pub-type="ppub">0020-7292</issn>
<issn pub-type="epub">1879-3479</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24981974</article-id>
<article-id pub-id-type="pmc">4175628</article-id>
<article-id pub-id-type="doi">10.1016/j.ijgo.2014.05.002</article-id>
<article-id pub-id-type="manuscript">NIHMS621080</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Acknowledging HIV and malaria as major causes of maternal mortality in Mozambique</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Singh</surname>
<given-names>Kavita</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
<xref ref-type="corresp" rid="CR1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moran</surname>
<given-names>Allisyn</given-names>
</name>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Story</surname>
<given-names>William</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bailey</surname>
<given-names>Patricia</given-names>
</name>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chavane</surname>
<given-names>Leonardo</given-names>
</name>
<xref ref-type="aff" rid="A5">e</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>a</label>
MEASURE Evaluation/Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</aff>
<aff id="A2"><label>b</label>
Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</aff>
<aff id="A3"><label>c</label>
Global Health Fellows Program II, United States Agency for International Development (USAID), Washington DC, USA</aff>
<aff id="A4"><label>d</label>
FHI 360, Durham, NC, USA</aff>
<aff id="A5"><label>e</label>
Maternal and Child Health Integrated Program Jhpiego, Maputo, Mozambique</aff>
<author-notes><corresp id="CR1"><label>*</label>
Corresponding author: Kavita Singh CB# 8120, UNC-Chapel Hill, Chapel Hill, NC 27516, USA. Tel.: +1 919 966 9668; fax: +1 919 966 2391. <email>kavita_singh@unc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>5</day>
<month>9</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>14</day>
<month>6</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>10</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>10</month>
<year>2015</year>
</pub-date>
<volume>127</volume>
<issue>1</issue>
<fpage>35</fpage>
<lpage>40</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.ijgo.2014.05.002</pmc-comment>
<abstract><sec id="S1"><title>Objective</title>
<p id="P1">To review national data on HIV and malaria as causes of maternal death and to determine the importance of looking at maternal mortality at a subnational level in Mozambique.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Three national data surveys were used to document HIV and malaria as causes of maternal mortality and to assess HIV and malaria prevention services for pregnant women. Data were collected between 2007 and 2011, and included population-level verbal autopsy data and household survey data.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Verbal autopsy data indicated that 18.2% of maternal deaths were due to HIV and 23.1% were due to malaria. Only 19.6% of recently pregnant women received at least two doses of sulfadoxine-pyrimethamine for intermittent preventive treatment, and only 42.3% of pregnant women were sleeping under an insecticide-treated net. Only 37.5% of recently pregnant women had been counseled, tested, and received an HIV test result. Coverage of prevention services varied substantially by province.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">Triangulation of information on cause of death and coverage of interventions can enable appropriate targeting of maternal health interventions. Such information could also help countries in Sub-Saharan Africa to recognize and take action against malaria and HIV in an effort to decrease maternal mortality.</p>
</sec>
</abstract>
<kwd-group><kwd>HIV</kwd>
<kwd>Malaria</kwd>
<kwd>Maternal health</kwd>
<kwd>Maternal mortality</kwd>
<kwd>Mozambique</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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