Objective
The general objective of this proposal is to promote interventions to reduce maternal mortality and serious maternal morbidity in different West African settings. Based on a situation analysis using a multidisciplinary approach, possible interventions will be designed in concertation with health authorities and specialists.
Four West African countries where vital registration system of well-defined sub-groups of population have been under way for several years will participate. These sites are located in Senegal, Mali, The Gambia, Bissau-Guinea.
Situation analysis
- to assess the quality of care by performing a maternal audit of each maternal death and make technical recommendations for personnel, equipment and procedures for the management of obstetrical emergencies;
- to assess the magnitude of maternal mortality and its consequences on the newborns, and to identify risk factors associated with maternal death;
- to analyse the relationship between pregnant/parturient women and the personnel in the health centers in charge of them;
- to improve the policy environment for maternal health through a better understanding of the supply of and the demand for maternal health services and obstetrical care.
Design possible interventions to reduce maternal mortality
Expected Outcome
* Site-specific and global situation analysis on maternal mortality
* Possible intervention protocols.
Situation analysis
Clinical activities
Verbal autopsy of all deaths of women, aged 12-49, which occurred in past years and which will occur within one year after beginning of the project will be completed by interviewing relatives. Additional information in health services will be searched.
An auditing committee will review all female deaths, classify deaths as maternal or not and attribute the most likely cause of death; on this basis, unmet obstetrical needs will be assessed.
Obstetricians will visit references centers to issue technical recommendations on staffing/training, equipment and on procedures for the management of obstetrical emergencies.
Epidemiological activities
Epidemiologists will estimate maternal and perinatal mortality indicators, measure the proportion of life-threatening obstetrical complications, assess the survival of children of deceased women and a case-control study on risk factors for female/maternal deaths in certain sites will be carried out.
Anthropological activities
A sample of women and local specialists will be interviewed to describe popular opinion and representations of pregnancy and delivery. A quantitative and qualitative survey among the midwifery students will analyse their social identities and relationships.
Health economics activities
The supply and the demand of maternal health and obstetric services will be investigated through structured questionnaires passed respectively to providers and pregnant women recorded by the vital registration. Questions will be designed for a contingency-based assessment of willingness to pay and to participate in alternative service delivery and financing schemes.
Design of possible interventions to reduce maternal mortality
Possible interventions will be discussed during workshop(s) to be held in each participating country involving researchers of the present initiative, regional and national health authorities and obstetricians.
Fields of science (EuroSciVoc)
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: The European Science Vocabulary.
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: The European Science Vocabulary.
- social sciences sociology demography mortality
- medical and health sciences clinical medicine obstetrics
- social sciences economics and business economics health economics
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Funding Scheme
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Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.
Coordinator
PARIS
France
The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.