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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/24190

Title: The magnitude and factors related to facility-based maternal mortality in Mozambique
Authors: Chavane, Leonardo
Dgedge, Martinho
Degomme, Olivier
Loquiha, Osvaldo
Aerts, Marc
Temmerman, Marleen
Issue Date: 2017
Abstract: Facility-based maternal mortality remains an important public health problem in Mozambique. A number of factors associated with health system functioning can be described behind the occurrence of these deaths. This paper aimed to evaluate the magnitude of the health facility-based maternal mortality, its geographical distribution and to assess the health facility factors implicated in the occurrence of these deaths. A secondary analysis was done on data from the survey on maternal health needs performed by the Ministry of Health of Mozambique in 2008. During the study period 2.198 maternal deaths occurred out of 312.537 deliveries. According to the applied model the availability of Maternal and Child Health (MCH) nurses performing Emergency Obstetric Care functions was related to the reduction of facility-based maternal mortality by 40%. No significant effects were observed for the availability of medical doctors, surgical technicians and critical delivery room equipment. IMPACT STATEMENT Is largely known that the availability of skilled attendants assisting every delivery and providing Emergency Obstetric Care services during the pregnancy, labor and Childbirth is key for maternal mortality reduction. This study add the differentiation on the impact of different cadres of health services providers working on maternal and child health services on the facility based maternal mortality. In this setting the study proven the high impact of the midlevel skilled maternal and child health nurses on the reduction of maternal mortality. Another important add from this study is the use of facility based maternal mortality data to inform the management process of maternal healthcare services. The findings from this study have potential to impact on the decision of staffing prioritization in setting like the study setting. The findings support the policy choice to improve the availability of maternal and child health nurses.
Notes: [Chavane, Leonardo] Jhpiego Mozambique, Maputo, Mozambique. [Dgedge, Martinho] Eduardo Mondlane Univ, Fac Med, Maputo, Mozambique. [Degomme, Olivier; Temmerman, Marleen] Univ Ghent, Int Ctr Reprod Hlth, Ghent, Belgium. [Loquiha, Osvaldo] Eduardo Mondlane Univ, Dept Math & Informat, Maputo, Mozambique. [Aerts, Marc] I Bisotat Hasselt Univ, Interuniv Inst Biostat & Stat Bioinformat, Hasselt, Belgium.
URI: http://hdl.handle.net/1942/24190
DOI: 10.1080/01443615.2016.1256968
ISI #: 000399806600011
ISSN: 0144-3615
Category: A1
Type: Journal Contribution
Validation: ecoom, 2018
Appears in Collections: Research publications

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