From MDGs to SDGs: Implications for Maternal Newborn Health in Africa

Hodin, Sarah M; Caglia, Jacquelyn M.; Baye, Martina Lukong; Bewa, Joannie; Waiswa, Peter; Langer, Ana

doi:10.29063/ajrh2016/v20i3.4

Cited by 11 publications

(14 citation statements)

References 2 publications

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“…Many are not close to achieving their Sustainable Development Goal (SDGs) targets of less than 70 maternal mortalities per 100,000 live births, and less than 12 neonatal deaths per 1,000 live births by 2030 (Hug et al, 2019 ). In Benin, the maternal mortality decreased from 576 to 335 per 100,000 live births between 1990 and 2013, while neonatal mortality rates declined from 108 to 64 deaths per 1,000 live births between 1990 and 2015 (Hodin et al, 2016 ). In Cameroon, maternal mortality rates fell from 728 to 596 per 100,000 live births between 1990 and 2015, while neonatal deaths decreased from 86 to 57 per 1000 live births (Hodin et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

“…In Benin, the maternal mortality decreased from 576 to 335 per 100,000 live births between 1990 and 2013, while neonatal mortality rates declined from 108 to 64 deaths per 1,000 live births between 1990 and 2015 (Hodin et al, 2016 ). In Cameroon, maternal mortality rates fell from 728 to 596 per 100,000 live births between 1990 and 2015, while neonatal deaths decreased from 86 to 57 per 1000 live births (Hodin et al, 2016 ). In Rwanda, the maternal mortality rate decreased from 1300 to 290 per 100,000 live births between 1990 and 2015, while the neonatal mortality rate fell from 41 to 17 between 1990 and 2016 (Gurusamy & Janagaraj, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

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Community‐ based maternal and newborn interventions in Africa: Systematic review

Nishimwe

Mchunu

Mukamusoni³

2021

Journal of Clinical Nursing

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Aim and objectives This review analysed the implementation and integration into healthcare systems of maternal and newborn healthcare interventions in Africa that include community health workers to reduce maternal and newborn deaths. Background Most neonatal deaths (99%) occur in low‐ and middle‐income countries, with approximately half happening at home. In resource‐constrained settings, community‐based maternal and newborn care is regarded as a sound programme for improving newborn survival. Health workers can play an important role in supporting families to adopt sound health practices, encourage delivery in healthcare facilities and ensure timeous referral. Maternal and newborn mortality is a major public health problem, particularly in sub‐Saharan Africa, where the Millennium Development Goals 4, 5 and 6 were not achieved at the end of 2015. Methods The review includes quantitative, qualitative and mixed‐method studies, with a data‐based convergent synthesis design being used, and the results grouped into categories and trends. The review took into account the participants, interventions, context and outcome frameworks (PICO), and followed the adapted PRISMA format for reporting systematic reviews of the qualitative and quantitative evidence guide checklist. Results The results from the 17 included studies focused on three themes: antenatal, delivery and postnatal care interventions as a continuum. The main components of the interventions were inadequate, highlighting the need for improved planning before each stage of implementation. A conceptual framework of planning and implementation was elaborated to improve maternal and newborn health. Conclusion The systematic review highlight the importance of thoroughly planning before any programme implementation, and ensuring that measures are in place to enable continuity of services. Relevant to the clinical practice Conceptual framework of planning and implementation of maternal and newborn healthcare interventions by maternal community health workers.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Community‐ based maternal and newborn interventions in Africa: Systematic review

Nishimwe

Mchunu

Mukamusoni³

2021

Journal of Clinical Nursing

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“…Relevant social benefits can be gained by addressing the most vulnerable groups, such as children and mothers. For example, political will, as well as the prioritization of maternal health in budgeting, has driven progress in addressing maternal and newborn health issues in some African countries, such as Benin, Cameroon, and Uganda [ 3 ]. In this regard, attention must be paid to the fact that crucial health-care interventions, such as attending antenatal care and having a skilled health worker at the time of delivery, can generally prevent women from dying of pregnancy-related causes in developing countries [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Illicit financial flows and the provision of child and maternal health services in low- and middle-income countries

Ortega

Sanjuán

Casquero

2020

BMC Int Health Hum Rights

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Background Illicit financial flows (IFFs) drain domestic resources with harmful social effects, especially in countries which are too poor to mobilise the revenues required to finance the provision of essential public goods and services. In this context, this article empirically examined the association between IFFs and the provision of essential health services in low- and middle-income countries. Methods Firstly, a set of indicators was selected to represent the overall coverage of essential health services at the country level. Next, a linear multivariate regression model was specified and estimated for each indicator using cross-sectional data for 72 countries for the period 2008–2013. Results After controlling for other relevant factors, the main result of the regression analysis was that an annual 1 percentage point (p.p.) increase in the ratio of IFFs to total trade was associated with a 0.46 p.p. decrease in the level of family planning coverage, a 0.31 p.p. decrease in the percentage of women receiving antenatal care, and a 0.32 p.p. decrease in the level of child vaccination coverage rates. Conclusions These findings suggest that, for the whole sample of countries considered, at least 3.9 million women and 190,000 children may not receive these basic health care interventions in the future as a consequence of a 1 p.p. increase in the ratio of IFFs to total trade. Moreover, given that family planning, reproductive health, and child immunisation are foundational components of health and long-term development in poor countries, the findings show that IFFs could be undermining the achievement of the 2030 Agenda for Sustainable Development.

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“…Although the Millennium Development Goals (MDGs) achieved a 45% reduction in Maternal Mortality, many middle and low income countries including Nigeria made insignificant contribution to that success [5], [6]. In 2017, there were 295,0000 maternal deaths with a Maternal Mortality Ratio (MMR) of 211 per 100,000 live births globally [1], [7].…”

Section: Introductionmentioning

confidence: 99%

Facility Based Maternal and Perinatal Mortality: Evidence from Maternal and Perinatal Death Surveillance and Response, Gombe State, Nigeria

Mohammed

Bajowa

Alayande

et al. 2022

EJMED

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Background: Globally, women and their unborn babies continue to die from preventable causes. This study aims to highlight the causes of maternal and perinatal deaths and bring to the fore areas that need to be improved in order to improve maternal and perinatal health indices in Gombe State. Methodology: Information for this report was obtained from Maternal and Perinatal Deaths Surveillance and Response (MPDSR) desk officers and chairmen across MPDSR supported health facilities in the state. Secondary data abstraction from registers was conducted using an electronic questionnaire and was analysed using SPSS version 23. Findings: The Maternal Mortality Ratio (MMR) was 1,092/100,000 livebirths in 2019 and 993/100,000 live births in 2020. Majority of the women (84.3% and 86.7% in 2019 and 2020 respectively) were severely ill at presentation, while most maternal deaths were as a result of eclampsia/pre-eclampsia and Post Partum Haemorrhage (PPH). Only 15.9% and 14.4% of maternal deaths in 2019 and 2020 respectively were reviewed. Perinatal asphyxia accounted for 36.4% and 31.8% of perinatal deaths in 2019 and 2020 respectively, while prematurity resulted in 24.7% and 35.6% of deaths in 2019 and 2020 respectively. The Perinatal Mortality Rates (PMR) were 78.3/1000 births in 2019 and 76.1/1000 births in 2020. Conclusion: Although MMR and PMR have been on a decline in Gombe state from 2018 till date, these figures are still far from achieving the SDG 2030 target. There is therefore the need to revive MPDSR activities in the state and improve emergency obstetric health care services.

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From MDGs to SDGs: Implications for Maternal Newborn Health in Africa

Cited by 11 publications

References 2 publications

Community‐ based maternal and newborn interventions in Africa: Systematic review

Community‐ based maternal and newborn interventions in Africa: Systematic review

Illicit financial flows and the provision of child and maternal health services in low- and middle-income countries

Facility Based Maternal and Perinatal Mortality: Evidence from Maternal and Perinatal Death Surveillance and Response, Gombe State, Nigeria

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