Why did maternal mortality decline in matlab?

被引:44
作者
Maine, D [1 ]
Akalin, MZ [1 ]
Chakraborty, J [1 ]
deFrancisco, A [1 ]
Strong, M [1 ]
机构
[1] NATL OFF POPULAT,ADDIS ABABA,ETHIOPIA
关键词
D O I
10.2307/2137952
中图分类号
C921 [人口统计学];
学科分类号
摘要
In 1991, an article on the Maternity Care Program in Matlab, Bangladesh, reported a substantial decline in direct obstetric deaths in the intervention area, but not in the control area. The decline was attributed primarily to the posting of midwives at the village level. In this article, data are presented from the same period and area on a variety of intermediate events. They indicate that the decline in deaths was probably due to the combined efforts of community midwives and the physicians at the Matlab maternity clinic. Their ability to refer patients to higher levels of care was important. The data further indicate that the decline in deaths depended upon the functioning of the government hospital in Chandpur, where cesarean sections and blood transfusions were available. Midwives might also have made a special contribution by providing early termination of pregnancy, which is legal in Bangladesh.
引用
收藏
页码:179 / 187
页数:9
相关论文
共 14 条
[1]  
[Anonymous], 1995, Soc Sci Med, V40, P657
[2]  
[Anonymous], 1991, ESS EL OBST CAR 1 RE
[3]  
Campbell O, 1990, MEASURING MATERNAL M
[5]   EFFECT ON MORTALITY OF COMMUNITY-BASED MATERNITY-CARE PROGRAM IN RURAL BANGLADESH [J].
FAUVEAU, V ;
STEWART, K ;
KHAN, SA ;
CHAKRABORTY, J .
LANCET, 1991, 338 (8776) :1183-1186
[6]  
FAUVEAU V, 1994, MATLAB WOMEN CHILDRE, P134
[7]  
FAUVEAU V, 1988, SPECIAL PUBLICATION, V26
[8]   ESTIMATING MATERNAL MORTALITY - THE SISTERHOOD METHOD [J].
GRAHAM, W ;
BRASS, W ;
SNOW, RW .
STUDIES IN FAMILY PLANNING, 1989, 20 (03) :125-135
[9]   MATERNAL MORTALITY IN MATLAB, BANGLADESH - 1976-85 [J].
KOENIG, MA ;
FAUVEAU, V ;
CHOWDHURY, AI ;
CHAKRABORTY, J ;
KHAN, MA .
STUDIES IN FAMILY PLANNING, 1988, 19 (02) :69-80
[10]  
Loudon I., 1992, DEATH CHILDBIRTH INT