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Effects of skilled care initiative on pregnancy-related mortality in rural Burkina Faso

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dc.contributor.author Hounton, S. en_US
dc.contributor.author Menten, J. en_US
dc.contributor.author Ouédraogo, M. en_US
dc.contributor.author Dubourg, D. en_US
dc.contributor.author Meda, N. en_US
dc.contributor.author Ronsmans, C. en_US
dc.contributor.author Byass, P. en_US
dc.contributor.author De Brouwere, V. en_US
dc.date.accessioned 2008-06-27T14:32:44Z
dc.date.available 2008-06-27T14:32:44Z
dc.date.issued 2008
dc.identifier.issn 1360-2276
dc.identifier.doi http://dx.doi.org/10.1111/j.1365-3156.2008.02087.x
dc.identifier.other ITG-I2A en_US
dc.identifier.other ITG-H4A en_US
dc.identifier.other ITG-HLA en_US
dc.identifier.other MULTI en_US
dc.identifier.other INTER en_US
dc.identifier.other U-CTU en_US
dc.identifier.other HEALTH en_US
dc.identifier.other U-PUBLIC en_US
dc.identifier.other JIF en_US
dc.identifier.other DOI en_US
dc.identifier.other UPD4 en_US
dc.identifier.other FTB en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.uri http://hdl.handle.net/10390/2322
dc.description The definitive version is available at www3.interscience.wiley.com
dc.description.abstract Objective The aim of this paper is to assess to what extent a Skilled Care Initiative (SCI) was associated with pregnancy-related mortality in Ouargaye district, Burkina Faso. Methods We used a quasi-experimental design to compare pregnancy-related mortality within the intervention district (health facility areas covered by the SCI vs. areas not covered) and between the intervention district (Ouargaye) and a comparison district (Diapaga). Population-based data were used to examine differences in pregnancy-related mortality levels, their determinants and how they related to uptake of care, as well as examining contexts and mechanisms of pregnancy-related deaths that occurred. Data analyses included descriptive statistics, univariate and multivariate regression analyses. Results The main risk factors for pregnancy-related mortality in rural Burkina Faso were age (extreme ages of reproductive period), low coverage of antenatal care and low institutional delivery. The introduction of the SCI, as implemented within the study reference period, had no appreciable effect on pregnancy-related mortality. Conclusion Although the SCI was conceptually well designed and implemented, structural constraints may have limited its effectiveness for reducing pregnancy-related mortality within its period of implementation. Lessons have been identified which might enable similar skilled attendance strategies to make their full potential impact on pregnancy-related mortality in remote and rural settings. en_US
dc.language English en_US
dc.publisher Blackwell Publishing
dc.subject Health interventions en_US
dc.subject Skilled attendance en_US
dc.subject Effectiveness en_US
dc.subject Impact assessment en_US
dc.subject Maternal mortality en_US
dc.subject Burkina Faso en_US
dc.subject Africa, West en_US
dc.title Effects of skilled care initiative on pregnancy-related mortality in rural Burkina Faso en_US
dc.type Article en_US
dc.citation.issue Suppl. 1 en_US
dc.citation.jtitle Tropical Medicine and International Health en_US
dc.citation.volume 13 en_US
dc.citation.pages 53-60 en_US
dc.publisher.place Oxford
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/18578812
dc.citation.jabbreviation Trop Med Int Health en_US


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