Achieving the Millennium Development Goal of reducing maternal mortality in rural Africa: an experience from Burundi.

Hdl Handle:
http://hdl.handle.net/10144/264553
Title:
Achieving the Millennium Development Goal of reducing maternal mortality in rural Africa: an experience from Burundi.
Authors:
Tayler-Smith, K; Zachariah, R; Manzi, M; Van den Boogaard, W; Nyandwi, G; Reid, T; Van den Bergh, R; De Plecker, E; Lambert, V; Nicolai, M; Goetghebuer, S; Christaens, B; Ndelema, B; Kabangu, A; Manirampa, J; Harries, A D
Journal:
Tropical Medicine & International Health : TM & IH
Abstract:
OBJECTIVES: To estimate the reduction in maternal mortality associated with the emergency obstetric care provided by Médecins Sans Frontières (MSF) and to compare this to the fifth Millennium Development Goal of reducing maternal mortality. METHODS: The impact of MSF's intervention was approximated by estimating how many deaths were averted among women transferred to and treated at MSF's emergency obstetric care facility in Kabezi, Burundi, with a severe acute maternal morbidity. Using this estimate, the resulting theoretical maternal mortality ratio in Kabezi was calculated and compared to the Millennium Development Goal for Burundi. RESULTS: In 2011, 1385 women from Kabezi were transferred to the MSF facility, of whom 55% had a severe acute maternal morbidity. We estimated that the MSF intervention averted 74% (range 55-99%) of maternal deaths in Kabezi district, equating to a district maternal mortality rate of 208 (range 8-360) deaths/100 000 live births. This lies very near to the 2015 MDG 5 target for Burundi (285 deaths/100 000 live births). CONCLUSION: Provision of quality emergency obstetric care combined with a functional patient transfer system can be associated with a rapid and substantial reduction in maternal mortality, and may thus be a possible way to achieve Millennium Development Goal 5 in rural Africa.
Affiliation:
Medecins sans Frontieres, Medical Department (Operational Research), Operational Centre Brussels, MSF-Luxembourg, Luxembourg.
Issue Date:
20-Nov-2012
URI:
http://hdl.handle.net/10144/264553
DOI:
10.1111/tmi.12022
PubMed ID:
23163431
Language:
en
ISSN:
1365-3156
Appears in Collections:
Womens/Reproductive Health

Full metadata record

DC FieldValue Language
dc.contributor.authorTayler-Smith, Ken_GB
dc.contributor.authorZachariah, Ren_GB
dc.contributor.authorManzi, Men_GB
dc.contributor.authorVan den Boogaard, Wen_GB
dc.contributor.authorNyandwi, Gen_GB
dc.contributor.authorReid, Ten_GB
dc.contributor.authorVan den Bergh, Ren_GB
dc.contributor.authorDe Plecker, Een_GB
dc.contributor.authorLambert, Ven_GB
dc.contributor.authorNicolai, Men_GB
dc.contributor.authorGoetghebuer, Sen_GB
dc.contributor.authorChristaens, Ben_GB
dc.contributor.authorNdelema, Ben_GB
dc.contributor.authorKabangu, Aen_GB
dc.contributor.authorManirampa, Jen_GB
dc.contributor.authorHarries, A Den_GB
dc.date.accessioned2013-01-08T19:38:56Z-
dc.date.available2013-01-08T19:38:56Z-
dc.date.issued2012-11-20-
dc.identifier.citationAchieving the Millennium Development Goal of reducing maternal mortality in rural Africa: an experience from Burundi. 2012: Trop. Med. Int. Healthen_GB
dc.identifier.issn1365-3156-
dc.identifier.pmid23163431-
dc.identifier.doi10.1111/tmi.12022-
dc.identifier.urihttp://hdl.handle.net/10144/264553-
dc.description.abstractOBJECTIVES: To estimate the reduction in maternal mortality associated with the emergency obstetric care provided by Médecins Sans Frontières (MSF) and to compare this to the fifth Millennium Development Goal of reducing maternal mortality. METHODS: The impact of MSF's intervention was approximated by estimating how many deaths were averted among women transferred to and treated at MSF's emergency obstetric care facility in Kabezi, Burundi, with a severe acute maternal morbidity. Using this estimate, the resulting theoretical maternal mortality ratio in Kabezi was calculated and compared to the Millennium Development Goal for Burundi. RESULTS: In 2011, 1385 women from Kabezi were transferred to the MSF facility, of whom 55% had a severe acute maternal morbidity. We estimated that the MSF intervention averted 74% (range 55-99%) of maternal deaths in Kabezi district, equating to a district maternal mortality rate of 208 (range 8-360) deaths/100 000 live births. This lies very near to the 2015 MDG 5 target for Burundi (285 deaths/100 000 live births). CONCLUSION: Provision of quality emergency obstetric care combined with a functional patient transfer system can be associated with a rapid and substantial reduction in maternal mortality, and may thus be a possible way to achieve Millennium Development Goal 5 in rural Africa.en_GB
dc.languageENG-
dc.language.isoenen
dc.rightsArchived on this site with the kind permission of Wiley-Blackwell, [url]http://www.blackwell-synergy.com/loi/tmi[/url]en_GB
dc.titleAchieving the Millennium Development Goal of reducing maternal mortality in rural Africa: an experience from Burundi.en
dc.contributor.departmentMedecins sans Frontieres, Medical Department (Operational Research), Operational Centre Brussels, MSF-Luxembourg, Luxembourg.en_GB
dc.identifier.journalTropical Medicine & International Health : TM & IHen_GB
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