MotherCare

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.it,V andLracy, 4 inab: I4t4y t.:,, peak : rn - were sgr,if cartty o at . :: =fa~pevc(s llbi~hcrr, naaideat-h Wer-5 SiqrI,ii-nt-I asso,:i._t- i th r.L .isk,....--vt-r h,3l f-:of_women: re,:eived icn , prenatalc re ..... pecifiiecomplii ation s duing pregnan:y ind h t rhwere sebi isInIf :ant,IY associatIed w st,h risk perinafai and neonatal mortality. Review of t.he -verbal autopsy ':omponent, of the st.udy indicat.ed that the majority of perinatal and mater'nal deaths were .-sso,:,iated wit.h a limited number of obstetric :omplications (infections, t.rauma, hemorrhage, ,malpresent.at,:ons and other ,bst.ruct.ed labors). The maj,:,rit.y of neonat.al deaths were associated with infetious diseases (sepsis, pneumonia, and in some cases tetanus) Review of the "Process Diagnosis" S,omponent, of the stdy revealed that families decision - making in the face of 1 ife-threatening maternal or neonat.al oomplioations was extremely inadequat,e and ill - informed: only one-fourth of situations were recognized when sympt-oms of a life-threatening ,:ondition appeared, and t.he majorit.y .:f Families who took some action either tried to treat the problem at, home or s-,.ught inadequate 'rare sources. These findings were presented to the umbrella group of non-governmental ,:,rganizjtions working in Bolivia, an d discussed in detail wit.h t he SCF director and <strong>MotherCare</strong> representafive in Bolivia. The results of this study suggest that. the intervention will require a st.rong informat.ion, education, and ,:ommnLcati,:n component t:, promote the recognition c,f and appropriate responset life-threat.ening co::,mplic-ations ,:,f pregnancy, labor and delivery, 4 the pi:erperium, and the newborn. Defining "appropriate response" in the face of the ext.remely limit.ed healt.h resources in the project. area should be the next major step in the process of intervention development. "ESTAVA/LASLE COPY
VPURPOSE OF VSI7T ~This visit Ti s t.ende.d- -o-vihi ia Tsnc t he Motheri-are support-ed raternal/perinataI/reonata heal th project. -being carried out by Save the Children, Bolivia. This vLsit was designed to review data entry and cleaning procedures end t.o provide technicAl assistane in the execution of data analysis of the case-control study which forms one of the principal diagnostl, 1Z/ "
Page 1 and 2: MotherCare L I~iI' INgUISIVI, BOLIV
Page 3 and 4: ..... - V.... *7>E F -'_N';ET 8" .
Page 5: 3 EXECUTIVE SUMMARY At qies, iOf Sa
Page 9 and 10: Inmpact. Area of Irquilsivi . This
Page 11 and 12: develo, pmen, t.hese addit.ional li
Page 13 and 14: ,-ritera est.abl ished by t.he grou
Page 15 and 16: : • 2, , / . , • , t . ,, . , .
Page 17 and 18: Id~~22 t he, CDIc*2 t7/7:. i : [2
Page 19 and 20: 9 L7 The fami le s e:n .4 dar C ,rr
Page 21 and 22: t; lomeone ahead t.,: sek and r,:,t
Page 23 and 24: "signific:ant," ctors is not. great
Page 25 and 26: from one in-.five (bleedinq during
Page 27 and 28: -Lacl, of care at. birth, hypot her
Page 29 and 30: ,. - .... opsis and/or Fneumori.
Page 31 and 32: . DicnoseE. i r)ble ,,camses -Puerp
Page 33 and 34: Thu-, feweir t.han -,ne t.h rd -rt/
Page 35 and 36: egard t:, int.erat.. ':n o -hese re
Page 37 and 38: ~ VII PECOMMENDATIONS 'All ,ecommen
Page 39 and 40: USA DL II .VI..: -Charles Lle.welly
Page 41 and 42: To apply these definitions, we use
Page 43 and 44: CATEGORY NUMBER OF OF THE PERI- CAS
Page 45 and 46: Cases Controls Total Water supply w
Page 47 and 48: . % of these women's communities th
Page 49 and 50: calculated. This mortality index is
Page 51 and 52: The father has: - basic formal educ
Page 53 and 54: without speaking knowledge of spani
Page 55 and 56: cases occurred in mothers considere
Page 57 and 58:
population, certain past obstetrica
Page 59 and 60:
during this pregnancy) Cases Contro
Page 61 and 62:
Fever 16% 9% 11% The presence of he
Page 63 and 64:
Once more the importance of the hus
Page 65 and 66:
the risk of perinatal and neonatal
Page 67 and 68:
Cord Prolapse 1 1 1.00 These estima
Page 69 and 70:
Half the neonates were not fed thei
Page 71 and 72:
diagnosis of "asphyxia and/or traum
Page 73 and 74:
Once again, the results point out t
Page 75 and 76:
adequate response is in regards to
Page 77 and 78:
?1,-,rt, I ildd 1 ~serns ... .. . F
Page 79 and 80:
ESTAD12TICAS C:ASIDS (F'RMULARIO) C
Page 81 and 82:
, Aq,,_ua en el-rom1," Iie,- 3 * .~
Page 83 and 84:
.2 Ofras Caracteristicas de las Com
Page 85 and 86:
3.2. 1 diare c:i.E:nric Piso de 94%
Page 87 and 88:
E-7t.t-Cs hallazgos t -Lenen tmplic
Page 89 and 90:
I Abort.o 17 1'0% 1 t Jic:domierr,,
Page 91 and 92:
Tct~rica Tofli1 ant~es -2 S L-a mi
Page 93 and 94:
6. Af:enc16n v Fr1icticas durant. e
Page 95 and 96:
6.3. Caracteri'sticas v Problemas d
Page 97 and 98:
Fr'bieas e ecn+,c~ .venf.:os re- pc
Page 99 and 100:
ne4 ro rimed4,- i-4a ,a me nt a1 n
Page 101 and 102:
.rbz 0 Un~a s;-nFora I---1bj 'ir
Page 103 and 104:
9.1 areceris~cpd lesa madres Casos,
Page 105:
S -3.3% 3'~'.~~'3 > i'.' ~ ~,QJA ti
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MotherCare

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