063: addressing hidden barriers to institutional deliveries – a key intervention for reducing maternal mortality in rural zambia

by:Aonousi     2020-05-07
Background in Zambia, most rural women give birth at home without skilled midwives, resulting in high maternal mortality (MMR)
591/100 people live;
The world\'s highest 60% Zambian people live below the poverty line.
Institutional delivery of skilled midwives is considered to be the most important strategy to reduce the MMR.
Low institutional delivery (48%)
Despite the high rate of single prenatal attendance (93%).
An important obstacle to established institutional delivery is that health providers require women to carry delivery supplies and mother/infant clothing.
Objective the purpose of this study is to determine the provision of non-
Financial incentives provided by rural institutions in Mengze district, Zambia. Methods A one-
An annual Community Intervention Trial (Jan–Dec 2014)
Supported by UNICEF and WHO.
Two similar rural areas in Mengze were separated by central urban areas, and the intervention group selected a pregnant woman who gave birth in a health facility to receive a motherbaby delivery-
Packaging on delivery, including non-basic delivery supplies
Under financial stimulus, the Control Department continued to provide regular health care services.
Main results-
The measure is to compare the number of institutional deliveries of the two weapons within one year and compare the previous institutional deliveries (2012 & 2013)and after (2014)
Intervention.
As a result, institutional delivery in the intervention department increased by 43% in 2014 (n=2396)
Compared with 2013 (n=1674), 2012 (n=1680); p0. 103).
Conclusion of mother
High baby delivery bagimpact, low-cost, easier-to-
Replication and extension
Intervention using the existing health system.
The package is developed for hidden barriers that community end users cross-identify
A segmented survey conducted prior to the study.
These results provide scientific evidence for decision makers to design effective interventions to overcome reversible barriers hindering the use of pregnancy facilities
Women, key interventions to reduce MMR.
In Zambia, most rural women give birth at home without skilled midwives, resulting in a high maternal mortality rate (MMR)
591/100 people live;
The world\'s highest 60% Zambian people live below the poverty line.
Institutional delivery of skilled midwives is considered to be the most important strategy to reduce the MMR.
Low institutional delivery (48%)
Despite the high rate of single prenatal attendance (93%).
An important obstacle to established institutional delivery is that health providers require women to carry delivery supplies and mother/infant clothing.
Objective the purpose of this study is to determine the provision of non-
Financial incentives provided by rural institutions in Mengze district, Zambia. Methods A one-
An annual Community Intervention Trial (Jan–Dec 2014)
Supported by UNICEF and WHO.
Two similar rural areas in Mengze were separated by central urban areas, and the intervention group selected a pregnant woman who gave birth in a health facility to receive a motherbaby delivery-
Packaging on delivery, including non-basic delivery supplies
Under financial stimulus, the Control Department continued to provide regular health care services.
Main results-
The measure is to compare the number of institutional deliveries of the two weapons within one year and compare the previous institutional deliveries (2012 & 2013)and after (2014)
Intervention.
As a result, institutional delivery in the intervention department increased by 43% in 2014 (n=2396)
Compared with 2013 (n=1674), 2012 (n=1680); p0. 103).
Conclusion of mother
High baby delivery bagimpact, low-cost, easier-to-
Replication and extension
Intervention using the existing health system.
The package is developed for hidden barriers that community end users cross-identify
A segmented survey conducted prior to the study.
These results provide scientific evidence for decision makers to design effective interventions to overcome reversible barriers hindering the use of pregnancy facilities
Women, key interventions to reduce MMR.
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