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

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Author<br />

(year)<br />

(IV)/(EV)<br />

Lim<br />

(2010)<br />

(++)/(++)<br />

Ronsmans<br />

(2001)<br />

(+)/(+)<br />

Target population Brief intervention description Targeted<br />

outcome(s)<br />

In some Indian states,<br />

all women were eligible<br />

<strong>for</strong> the intervention. In<br />

others, only women<br />

with a below the<br />

poverty line card were<br />

eligible.<br />

Janani Suraksha Yojana (translated as<br />

safe motherhood scheme), a national<br />

conditional cash transfer scheme to<br />

incentivise women of low socioeconomic<br />

status to give birth in a health facility.<br />

Women in general Safe Motherhood programme<br />

implemented by Mother Care and<br />

Ministry of Health in Indonesia.<br />

Interventions included training,<br />

deployment and supervision of a large<br />

number of professional midwives in<br />

villages; an in<strong>for</strong>mation, education and<br />

communication (IEC) strategy to<br />

increase use of village midwives <strong>for</strong><br />

birth; and a district-based maternal and<br />

perinatal audit (MPA).<br />

Maternal<br />

mortality<br />

Neonatal<br />

mortality<br />

Perinatal<br />

mortality<br />

Births admitted<br />

to hospital<br />

requiring CS or<br />

other life-saving<br />

intervention<br />

Findings summary<br />

Appendix 4.3<br />

Findings suggest that the programme<br />

is reducing perinatal and neonatal<br />

mortality but its effect on maternal<br />

mortality remains unknown. (Note:<br />

the study may not have been powered<br />

to detect differences in maternal<br />

mortality).<br />

The programme did not increase the<br />

use of specialised obstetric care <strong>for</strong><br />

those in need. The proportion<br />

admitted to hospital <strong>for</strong> a Caesarean<br />

section declined from 1.7 to 1.4% and<br />

the proportion admitted to hospital<br />

with a complication requiring a lifesaving<br />

intervention declined from 1.1%<br />

to 0.7%.<br />

What are the effects of different models of delivery <strong>for</strong> improving maternal and infant health outcomes <strong>for</strong> poor people in urban areas in low income<br />

and lower middle income countries?<br />

218

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