SidaGhanaV1, Main, Exploration, bibRecord, 000A16

What you count is what you target: the implications of maternal death classification for tracking progress towards reducing maternal mortality in developing countries

Identifieur interne : 000A16 ( Main/Exploration ); précédent : 000A15; suivant : 000A17

What you count is what you target: the implications of maternal death classification for tracking progress towards reducing maternal mortality in developing countries

Auteurs : Suzanne Cross ; Jacqueline S. Bell ; Wendy J. Graham

Source :

Bulletin of the World Health Organization [ 0042-9686 ] ; 2009.

RBID : PMC:2814479

Descripteurs français

KwdFr :
- Cause de décès, Collecte de données (), Femelle, Grossesse, Humains, Mortalité maternelle (tendances), Pays en voie de développement (), Santé des femmes, Santé mondiale.
MESH :
- tendances : Mortalité maternelle.
- Cause de décès, Collecte de données, Femelle, Grossesse, Humains, Pays en voie de développement, Santé des femmes, Santé mondiale.

English descriptors

KwdEn :
- Cause of Death, Data Collection (methods), Developing Countries (statistics & numerical data), Female, Global Health, Humans, Maternal Mortality (trends), Pregnancy, Women's Health.
MESH :
- methods : Data Collection.
- statistics & numerical data : Developing Countries.
- trends : Maternal Mortality.
- Cause of Death, Female, Global Health, Humans, Pregnancy, Women's Health.

Abstract

The first target of the fifth United Nations Millennium Development Goal is to reduce maternal mortality by 75% between 1990 and 2015. This target is critically off track. Despite difficulties inherent in measuring maternal mortality, interventions aimed at reducing it must be monitored and evaluated to determine the most effective strategies in different contexts. In some contexts, the direct causes of maternal death, such as haemorrhage and sepsis, predominate and can be tackled effectively through providing access to skilled birth attendance and emergency obstetric care. In others, indirect causes of maternal death, such as HIV/AIDS and malaria, make a significant contribution and require alternative interventions. Methods of planning and evaluating maternal health interventions that do not differentiate between direct and indirect maternal deaths may lead to unrealistic expectations of effectiveness or mask progress in tackling specific causes. Furthermore, the need for additional or alternative interventions to tackle the causes of indirect maternal death may not be recognized if all-cause maternal death is used as the sole outcome indicator. This article illustrates the importance of differentiating between direct and indirect maternal deaths by analysing historical data from England and Wales and contemporary data from Ghana, Rwanda and South Africa. The principal aim of the paper is to highlight the need to differentiate deaths in this way when evaluating maternal mortality, particularly when judging progress towards the fifth Millennium Development Goal. It is recommended that the potential effect of maternity services failing to take indirect maternal deaths into account should be modelled.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2814479

DOI: 10.2471/BLT.09.063537
PubMed: 20428372
PubMed Central: 2814479

Affiliations:

Le document en format XML

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What you count is what you target: the implications of maternal death classification for tracking progress towards reducing maternal mortality in developing countries

What you count is what you target: the implications of maternal death classification for tracking progress towards reducing maternal mortality in developing countries

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Le SIDA au Ghana (serveur d'exploration)
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