Reducing maternal and neonatal mortality in the
poorest communities
The British Medical
Journal has published a paper highlighting how current health programmes
are often failing to reach those at highest risk of maternal and neonatal
death. Evidence is growing that community based interventions are effective
in reducing maternal and neonatal deaths in countries with high mortality,
and the international community needs to learn from this.
Randomised, controlled trials of the community
effectiveness of interventions are urgently required as they measure the
true scale of a problem, accurately assess community and cost
effectiveness, and avoid investment in ineffective strategies.
BMJ.com | Download
paper (132KB)
Makwanpur trial results are published in the
Lancet on 11th September
A paper on the MIRA
Makwanpur study, published in The Lancet on
September 11th, details large reductions in deaths of mothers and newborn
infants in poor and remote communities in Nepal. New research by the
International Perinatal Care Unit and MIRA
shows that a new approach involving women’s community groups could save
millions of lives. Our three-year study, involving almost 29,000 women,
demonstrates the effectiveness of peer-to-peer education. During the trial,
the number of neonatal deaths in intervention groups fell by 30%, and there
was also a large reduction in maternal deaths. A comment on this paper was
published in the Lancet (Morrow, A.L. and Dawodu,
A., 2004. Influencing birth outcomes in Nepal. Lancet, 364.914-15.) Read more...
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