Full Report - Research for Development - Department for ...

Author
(year)
(IV)/(EV)
Provider models
de Bernis
(2000)
(+)/(+)
Financing
Ahmed
(2004)
(-)/(-)
Bashir
(1991)
(-)/(-)
Target population Brief intervention description Targeted
outcome(s)
Women in general 2 areas with contrasting availability of
health care in Senegal: (1) where
women giving birth in health centres
went principally to the regional hospital
and were usually assisted by trained
midwives and (2) where most women
gave birth in district health centres,
usually assisted by TBAs.
Poor women with
uterine rupture
Loan scheme from a hospital in Nigeria
for women to purchase emergency
surgical pack (loan to be paid back
before discharge).
Women in general Introduction of specialised ‘obstetric
flying squad’ which deals with
emergencies at home.
Maternal
mortality
Maternal
mortality
Maternal
mortality
Findings summary
Appendix 4.3
Maternal mortality was higher in area
2 than in area 1 (874 and 151 maternal
deaths per 100,000 live births,
respectively).
Case fatality of 38% found in a
previous study from the hospital
declined to 11% during the
intervention. The difference was
statistically significant.
In Faisalabad (Pakistan), the maternal
mortality rate of 0.86/1,000 in 1989
was below the maternal mortality rate
of 10.1/1,000 in 1977.
What are the effects of different models of delivery for improving maternal and infant health outcomes for poor people in urban areas in low income
and lower middle income countries?
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