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Community-based interventions to reduce maternal mortality
Posted: Tuesday Feb 9, 2010
Immpact researchers have contributed to a lively discussion in this week's issue of The Lancet.
Correspondence regarding an article by Christina Pagel and colleagues highlights several key issues relevant to the reduction of maternal mortality in developing countries, and specifically sub-Saharan Africa.
Responses from researchers at the London School of Hygeine and Tropical Medicine, the Department of Reproductive Health and Research at WHO and the Centre for Infectious Diseases and International Health at University College London refer to a variety of issues which need to be addressed in order to enhance current efforts to meet MDG 5. Among these the state of the current evidence base for maternal mortality reduction, the "false dichotomy of community-based versus facility-based research" and the importance of health system strengthening are mentioned. You can access the full correspondence via The Lancet website.
The original article presents a mathematical model with the aim to assess whether improved community-based access to life-saving drugs, to augment a core programme of facility-based strengthening, could reduce maternal mortality due to post-partum haemorrhage and sepsis.
Pagel, C.; Lewycka, S.; Colbourn, T. et al. Estimation of potential effects of improved community-based drug provision, to augment health-facility strengthening, on maternal mortality due to post-partum haemorrhage and sepsis, in sub-Saharan Africa: an equity-effectiveness model. Lancet 2009; 374:1441-48.
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