Prioritizing family planning for achieving provincial maternal child health and development goals

Sathar, Zeba A.; Wazir, Muhammad Asif; Sadiq, Maqsood

doi:10.31899/rh10.1022

Cited by 6 publications

(13 citation statements)

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“…Maternal deaths account for 35 percent of mortality among women of reproductive age (PDHS 2007). In 2012, the maternal mortality ratio (MMR) was estimated at 996 per 100,000 births (Sathar, Wazir and Sadiq 2014); the infant mortality ratio (IMR) was 97 per 1,000 births; and the under-five mortality ratio (U5MR) was 111 per 1,000 births (PDHS 2013). The ratios currently translate into an annual death toll of nearly 3,000 women, 28,600 infants and 4,000 children (aged 1-4), primarily due to conditions that could easily be prevented with basic healthcare.…”

Section: Rethinking the Role Of Family Planning In Balochistan's Healmentioning

confidence: 99%

“…In 2014, the Population Council, Pakistan conducted a study to estimate the size of reductions achievable in maternal, infant, and child mortality in Balochistan through increased family planning (Sathar, Wazir and Sadiq 2014). Simulations were conducted to gauge the change in maternal, infant, and child mortality when existing unmet need for family planning (31 percent) is reduced or eliminated by raising the CPR.…”

Section: Measuring the Powerful Life-saving Potential Of Family Plannmentioning

confidence: 99%

“…To ensure that family planning finds its due place in Balochistan's development framework, it is also vital to recognize its profound links with the government's wider socioeconomic aims and policies. The benefits of family planning in terms of increased women's empowerment, female participation in the workforce, household savings, poverty reduction, and school enrollment are well-documented (Sathar, Wazir and Sadiq 2014). These gains will be most visible when interventions are targeted at the segments of Balochistan with the greatest unmet need for family planning: the less developed districts; the rural areas; poor communities; and young, uneducated women…”

Section: Policy Implicationsmentioning

confidence: 99%

See 2 more Smart Citations

Reducing maternal and child mortality in Balochistan: The untapped potential of family planning

Sathar¹,

Sadiq²,

Ashfaq³

2015

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Section: Rethinking the Role Of Family Planning In Balochistan's Healmentioning

confidence: 99%

Section: Measuring the Powerful Life-saving Potential Of Family Plannmentioning

confidence: 99%

Section: Policy Implicationsmentioning

confidence: 99%

See 1 more Smart Citation

Reducing maternal and child mortality in Balochistan: The untapped potential of family planning

Sathar¹,

Sadiq²,

Ashfaq³

2015

Self Cite

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“…Maternal deaths account for 27 percent of mortality among women of reproductive age (PDHS 2007). In 2012, the maternal mortality ratio (MMR) was estimated at 206 per 100,000 births (Sathar, Wazir and Sadiq 2014); the infant mortality ratio (IMR) was 58 per 1,000 births; and the under-five mortality ratio (U5MR) was 70 per 1,000 births (PDHS 2013). These ratios currently translate into an annual death toll of nearly 1,700 women, 47,400 infants, primarily due to conditions that could easily be prevented with basic healthcare.…”

Section: Rethinking the Role Of Family Planning In Khyber Pakhtunkhwamentioning

confidence: 99%

“…In 2014, the Population Council, Pakistan conducted a study to estimate the size of reductions achievable in maternal, infant, and child mortality in KP through increased family planning (Sathar, Wazir and Sadiq 2014). Simulations were conducted to gauge the change in maternal, infant and child mortality when existing unmet need for family planning (26 percent) is reduced or eliminated by raising the CPR.…”

Section: Ignored At Perilmentioning

confidence: 99%

Reducing maternal and child mortality in Khyber Pakhtunkhwa: The untapped potential of family planning

Sathar¹,

Sadiq²,

Ashfaq³

2015

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Under-estimation of maternal and perinatal mortality revealed by an enhanced surveillance system: enumerating all births and deaths in Pakistan

et al. 2018

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BackgroundReliable and timely data on maternal and neonatal mortality is required to implement health interventions, monitor progress, and evaluate health programs at national and sub-national levels. In most South Asian countries, including Pakistan, vital civil registration and health information systems are inadequate. The aim of this study is to determine accurate maternal and perinatal mortality through enhanced surveillance of births and deaths, compared with prior routinely collected data.MethodsAn enhanced surveillance system was established that measured maternal, perinatal and neonatal mortality rates through more complete enumeration of births and deaths in a rural district of Pakistan. Data were collected over a period of 1 year (2015/16) from augmentation of the existing health information system covering public healthcare facilities (n = 19), and the community through 273 existing Lady Health Workers; and with the addition of private healthcare facilities (n = 10), and 73 additional Community Health Workers to cover a total study population of 368,454 consisting of 51,690 eligible women aged 18 to 49 years with 7580 pregnancies and 7273 live births over 1 year. Maternal, neonatal, perinatal and stillbirth rates and ratios were calculated, with comparisons to routine reporting from the previous period (2014–15).ResultsHigher maternal mortality, perinatal mortality and neonatal mortality rates were observed through enhanced surveillance compared to mortality rates in the previous 1.5 years from the routine monitoring system from increased completeness and coverage. Maternal mortality was 247 compared to 180 per 100, 000 live births (p = 0.36), neonatal mortality 40 compared to 20 per 1, 000 live births (p < 0.001), and perinatal mortality 60 compared to 47 per 1000 live births (p < 0.001). All the mortality rates were higher than provincial and national estimates proffered by international agencies based on successive Pakistan Demographic and Health Surveys and projections.ConclusionExtension of coverage and improvement in completeness through reconciliation of data from health information systems is possible and required to obtain accurate maternal, perinatal and neonatal mortality for assessment of health service interventions at a local level.

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Prioritizing family planning for achieving provincial maternal child health and development goals

Cited by 6 publications

References 0 publications

Reducing maternal and child mortality in Balochistan: The untapped potential of family planning

Reducing maternal and child mortality in Balochistan: The untapped potential of family planning

Reducing maternal and child mortality in Khyber Pakhtunkhwa: The untapped potential of family planning

Under-estimation of maternal and perinatal mortality revealed by an enhanced surveillance system: enumerating all births and deaths in Pakistan

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