Maternal mortality in Jordan: role of substandard care and delays
AbstractUnderstanding the factors that operate during pregnancy, delivery and postpartum is the key to success in the prevention of maternal mortality. This cross-sectional survey in Jordan for the years 2007-2008 aimed to identify the role of substandard care and delays in maternal deaths. All maternal deaths among women aged 15-49 years over this period [n = 76] were investigated retrospectively through file review and household interviews in all hospitals [n =102] and forensic medicine departments in Jordan; elements of substandard care and delays at hospital, home and transport levels were evaluated. Substandard care accounted for 52.6% of deaths, delay in seeking care 55.3%, delay in transport 15,8% and delay in hospital care 17.1%. Women who did not recognize the danger signs of pregnancy [OR 6.32], refused medical advice to terminate the pregnancy [OR 1.78] or at a gestational age > 37 weeks [OR 1.85] were significantly more likely to delay seeking care, as were those with larger mean family size
Okour, A.M., Khader, Y., Amarin, Z., Jaddou, H. & Gharaibeh, M. (2012). Maternal mortality in Jordan: role of substandard care and delays. http://www.who.int/iris/handle/10665/118256
EMHJ - Eastern Mediterranean Health Journal, 18 (5), 426-431, 2012
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Summary report on the meeting of national maternal, neonatal and child health programme managers: addressing main causes of maternal, neonatal and child mortality, Amman, Jordan 29 March –2 April 2015 World Health Organization, Regional Office for the Eastern Mediterranean (WHO-EM/WRH/097/E, 2015)
Report on the meeting of national maternal, neonatal and child health programme managers: addressing the main causes of maternal, neonatal and child mortality, Amman, Jordan 29 March–2 April 2015 World Health Organization, Regional Office for the Eastern Mediterranean (WHO-EM/WRH/098/E, 2015)
Regional Committee for Africa, 57 (AFR/RC57/PD/1, 2011-06-16)1. In Africa, most of the causes of maternal, newborn and under-five deaths can be prevented with the existing cost-effective interventions. However, ensuring universal access and utilization of the key interventions remains a challenge. Mothers and children continue to die due to the triple delays in seeking appropriate care, reaching the health facility and receiving the appropriate management at the facility. 2. Lessons from maternal, newborn and child health (MNCH) services show that community empowerment, participation and ownership ...