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Reducing Maternal Deaths in Ethiopia: Results of an Intervention Programme in Southwest Ethiopia, MMR Data, 2017

Description

Id	EPHI-DS0150
Name	Reducing Maternal Deaths in Ethiopia: Results of an Intervention Programme in Southwest Ethiopia, MMR Data, 2017
Format	. SAV
Coverage Location	Regional (Southern Nations, Nationalities and Peoples' Region- Dirashe, Bonke and Arba Minch)
Coverage Sex	Female
Abstract	In a large population in Southwest Ethiopia (population 700,000), this study was carried out a complex set of interventions with the aim of reducing maternal mortality. This study evaluated the effects of several coordinated interventions to help improve effective coverage and reduce maternal deaths. Together with the Ministry of Health in Ethiopia, we designed a project to strengthen the healthcare system. A particular emphasis was given to upgrade existing institutions so that they could carry out Basic (BEmOC) and Comprehensive Emergency Obstetric Care (CEmOC). Health institutions were upgraded by training non-clinical physicians and midwives by providing the institutions with essential and basic equipment and by regular monitoring and supervision by staff competent in emergency obstetric work. In this implementation study, the maternal mortality ratio (MMR) was the primary outcome. The study was carried out from 2010 to 2013 in three districts, and 38,312 registered-births data was used. The MMR declined by 64% during the intervention period from 477 to 219 deaths per 100,000 live births (OR 0.46; 95% CI 0.24±0.88). The decline in MMR was higher for the districts with CEmOC, while the mean number of antenatal visits for each woman was 2.6 (Inter Quartile Range 2±4). The percentage of pregnant women who attended four or more antenatal controls increased by 20%, with the number of women who delivered at home declining by 10.5% (P<0.001). Similarly, the number of deliveries at health posts, health centers, and hospitals increased, and we observed a decline in the use of traditional birth attendants. Households living near all-weather roads had lower maternal mortality rates (MMR 220) compared with households without roads (MMR 598; OR 2.72 (95% CI 1.61± 4.61)). In conclusion, the study results show that it is possible to achieve substantial reductions in maternal mortality rates over a short period of time if the effective coverage of well-known interventions is implemented.
Additional Material	No
Keywords	maternal mortality birth registry continuum of care implementation study follow-up- study Programme health facility service community health workers Ethiopia Comprehensive Emergency Obstetric Care antenatal service preterm delivery Basic Emergency Obstetric care neonatal death intrapartum care
Recommended	Yes
Location
Cleaned	Yes
Cleaned Format	. csdb
RawFormat	. csdb
Comment
Remark
Note
Treatment
Date Data Collection Started	2010-01-01
Date Data Collection End	2013-01-30
Title	Reducing Maternal Deaths in Ethiopia: Results of an Intervention Programme in Southwest Ethiopia, 2017
Data Type	Survey
PublicationYear	2017
SugestedCitation
OtherIdType
Description	The Project ”Reducing Maternal Mortality (RMM)” in southwest Ethiopia is a local effort to reduce maternal and neonatal deaths. The project is run by the local Ministry of Health with support from a Norwegian NGO (Norwegian Lutheran Mission). Started in 2008, The project aims to work is on reducing maternal deaths, reduce deaths among newborns, and increase the number of deliveries at institutions. The work aims to strengthen the health system by improving work at institutions doing comprehensive emergency obstetrics, and at health -centers doing basic emergency obstetric care. The RMM Project work consists of training, supervision, and equipping and supporting institutions, focus to increase the quality of services and better access for women to essential delivery services and improving health services for newborns. The researchers thus work with health posts in kebeles, with health centers, and hospitals.
Dataset study design	Longitudinal
Date Data Archived	2020-09-16
Date Data Cataloged	2020-10-16
Data Generating Unit	Ethiopian Public Health Institute (EPHI)
URL	https://rtds.ephi.gov.et/public/showdetail/150
Tags

Unpublished

Open Access