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

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Author<br />

(year)<br />

(IV)/(EV)<br />

Mswia (2003)<br />

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

Okaro (2001)<br />

(-)/(-)<br />

Padmanaban<br />

(2009)<br />

(-)/(+)<br />

Target<br />

population<br />

Women in<br />

general<br />

Neonates in<br />

general<br />

Women in<br />

general<br />

Women in<br />

general<br />

Brief intervention description Targeted<br />

outcome(s)<br />

disinfection of equipment<br />

Raising the status of women; increasing the<br />

amount of health education; improving access<br />

to FP and EmOC.<br />

Safe Motherhood Initiative launched in<br />

Nigeria in 1990. Interventions included<br />

workshops <strong>for</strong> doctors and midwives referring<br />

pregnant women to the University of Nigeria<br />

Teaching Hospital, Enugu; radio and<br />

television campaigns on the need <strong>for</strong><br />

pregnant women to seek help early; and<br />

discussion of maternal or foetal deaths within<br />

the obstetrics and gynaecology departments<br />

at the hospital.<br />

Promotion of institutional delivery; improved<br />

antenatal and postpartum care; surveillance<br />

of deaths; reviews of maternal deaths; nearmiss<br />

audit; enhanced skilled care in rural<br />

areas; birth-companion programmes; and<br />

increasing the availability of blood. The state<br />

developed and added innovations to nationallevel<br />

programmes.<br />

Maternal<br />

mortality<br />

Maternal<br />

mortality<br />

Maternal<br />

mortality<br />

Findings summary<br />

Appendix 4.5<br />

In Tanzania, the maternal mortality rates in<br />

1999 were substantially lower than at the start<br />

of surveillance (1992 <strong>for</strong> rural districts, 1993<br />

<strong>for</strong> the urban area), although trends during the<br />

period were statistically significant at the 90%<br />

level only in the urban site.<br />

Maternal mortality increased in the teaching<br />

hospital in Enugum Nigeria, following<br />

implementation of the Safe Motherhood<br />

Initiative.<br />

In Tamil Nadu, India, the MMR reduced from<br />

380 per 100,000 births in 1993 to 90 in 2007.<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 />

229

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