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Appendix 4.5: Included items dealing with complex interventions and maternal mortality
Author
(year)
(IV)/(EV)
Alwen (2005)
(-)/(+)
Bashir (1995)
(-)/(-)
Campbell
(2005)
(+)/(+)
Mbaruku
(1995)
(-)/(-)
Target
population
Women in
general
Women in
general
Women in
general
Women in
general
Brief intervention description Targeted
outcome(s)
Safe Motherhood programmes in Upper Egypt:
training; revised curricula; publication of
medical protocols and services standards;
upgrading of facilities; community outreach
programmes; media campaigns.
Free access to obstetric care for ‘deserving
cases’; subsidies; training and refresher
courses for TBAs; community education;
introduction of specialised services; obstetric
flying squad.
Maternal
mortality
Maternal
mortality
Safe Motherhood programmes. Maternal
mortality
There were 22 parts to the intervention:
1. Obstetrician nominated leader for
intervention, change of traditional hierarchy,
greater delegation to nurses and midwives.
Maternal
mortality
Findings summary
Appendix 4.5
Maternal mortality ratio (MMR) dropped by 52%
between 1992-2000 (from 174 to 84/100,000
live births).
Trends in city-level (Faisalabad, Pakistan)
maternal mortality, from 0.86/1,000 live births
in 1989 to 0.64/1,000 live births in 1993.
The maternal mortality ratio (MMR) declined
from 174 to 84/100,000 live births between
1992-93 and 2000. Improvements in parts of
Egypt were due in part to extensive training,
revised curricula, the publication of medical
protocols and services standards, the upgrading
of facilities, and successful community
outreach programmes and media campaigns.
Average maternal mortality ratio for two years
before intervention was 849/100,000 live births
and 275/100,000 in the period following
implementation of intervention.
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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