Continuing with “…a heavy heart” - consequences of maternal death in rural Kenya

Pande, Rohini; Ogwang, Sheila; Karuga, Robinson; Rajan, Roy; Kes, Aslihan; Odhiambo, Frank; Laserson, Kayla F.; Schaffer, Kathleen

doi:10.1186/1742-4755-12-s1-s2

Cited by 16 publications

(21 citation statements)

References 20 publications

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“…Furthermore, the benefits of legal abortion extend well beyond reduced health system costs, even with potential shifts in abortion caseloads from clandestine, unsafe environments to safe services in public hospitals and health centers. Improvements in women’s health and human rights, saving their lives, and strengthening their families must be prioritized [ 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Costs of postabortion care in public sector health facilities in Malawi: a cross-sectional survey

Benson¹,

Gebreselassie

Mañibo³

et al. 2015

BMC Health Serv Res

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BackgroundHealth systems could obtain substantial cost savings by providing safe abortion care rather than providing expensive treatment for complications of unsafely performed abortions. This study estimates current health system costs of treating unsafe abortion complications and compares these findings with newly-projected costs for providing safe abortion in Malawi.MethodsWe conducted in-depth surveys of medications, supplies, and time spent by clinical personnel dedicated to postabortion care (PAC) for three treatment categories (simple, severe non-surgical, and severe surgical complications) and three uterine evacuation (UE) procedure types (manual vacuum aspiration (MVA), dilation and curettage (D&C) and misoprostol-alone) at 15 purposively-selected public health facilities. Per-case treatment costs were calculated and applied to national, annual PAC caseload data.ResultsThe median cost per D&C case ($63) was 29 % higher than MVA treatment ($49). Costs to treat severe non-surgical complications ($63) were almost five times higher than those of a simple PAC case ($13). Severe surgical complications were especially costly to treat at $128. PAC treatment in public facilities cost an estimated $314,000 annually. Transition to safe, legal abortion would yield an estimated cost reduction of 20 %-30 %.ConclusionsThe method of UE and severity of complications have a large impact on overall costs. With a liberalized abortion law and implementation of induced abortion services with WHO-recommended UE methods, current PAC costs to the health system could markedly decrease.

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Section: Discussionmentioning

confidence: 99%

Costs of postabortion care in public sector health facilities in Malawi: a cross-sectional survey

Benson¹,

Gebreselassie

Mañibo³

et al. 2015

BMC Health Serv Res

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“…Similar issues, particularly direct health care and funeral costs 80 and the lasting effects on family function have been described for maternal death. [81][82][83][84] In addition to families, the effects on staff and subsequent implications for staff wellbeing and future service quality and delivery must be considered. Depending on the setting, costs might be met by the government, insurance companies, or individuals and their families.…”

Section: The Consequences Of Stillbirthmentioning

confidence: 99%

Stillbirths: economic and psychosocial consequences

et al. 2016

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Despite the frequency of stillbirths, the subsequent implications are overlooked and underappreciated. We present findings from comprehensive, systematic literature reviews, and new analyses of published and unpublished data, to establish the effect of stillbirth on parents, families, health-care providers, and societies worldwide. Data for direct costs of this event are sparse but suggest that a stillbirth needs more resources than a livebirth, both in the perinatal period and in additional surveillance during subsequent pregnancies. Indirect and intangible costs of stillbirth are extensive and are usually met by families alone. This issue is particularly onerous for those with few resources. Negative effects, particularly on parental mental health, might be moderated by empathic attitudes of care providers and tailored interventions. The value of the baby, as well as the associated costs for parents, families, care providers, communities, and society, should be considered to prevent stillbirths and reduce associated morbidity.

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“…Ferramentas como Textalyser, AntConc e Voyant Tools permitiram dirigir a busca, porém, são encontrados termos pouco frequentes, como HOUSEHOLD, LIVING e IMPACTS que, isoladamente, não contribuem com informações específicas, no entanto, no contexto de estudo da mortalidade infantil podem ser vinculados com os acontecimentos sociais, familiares e estruturais em torno da morte da mãe. Conforme Pande et al 31 , dois terços dos indivíduos que sofreram com a morte materna tiveram de se mudar para outro lar. A maioria das crianças mudou-se para a casa dos avós.…”

Section: Figuraunclassified

Consequências na alimentação de crianças órfãs após a morte materna: uma investigação por meio de softwares de mineração de texto

2020

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Objetiva-se descrever as consequências no aleitamento e na alimentação que terão as crianças órfãs menores de cinco anos em decorrência da morte materna, aplicando-se softwares livres de mineração de texto. Estudo transversal com base em artigos publicados nos repositórios PubMed e BIREME nos temas de morte materna e crianças órfãs. Foram selecionados dez artigos publicados entre 2005 e 2015, de acesso livre, nos quais foram lidos apenas o título ou o resumo e que cumpriam com os critérios. Os arquivos de texto definiram o corpus para análise de conteúdo semiestruturado. Palavras-chave foram incluídas para a mineração. A análise do corpus foi feita com TagCrowd e Textalyser para encontrar os termos mais e menos frequentes, AntConc e Voyant Tools, para extrair palavras-chave na análise de contexto. Foram analisadas 67.642 palavras em dez textos semiestruturados. Os termos CHILDREN (827) e DEATH (821) foram os mais frequentes, e os menos frequentes foram BREASTFEEDING (10) e NUTRITION (4). Foram encontradas 44 concordâncias para o termo raiz BREAST* e 25 para a palavra NUTRITION em orações como: “crianças órfãs têm o aumento de risco de mortalidade por falta de amamentação, e são mais susceptíveis às infecções”. As sentenças de concordância apontam que a mudança no aleitamento materno conduz a uma nutrição pobre, o que deixa o recém-nascido exposto a infecções, aumentando o risco de morte. O processamento de texto com as ferramentas livres foi rápido e permitiu extrair informações úteis e compreensíveis; a análise dos dez artigos mostrou as consequências na alimentação da criança após a morte materna, tendo efeito na morbidade e mortalidade infantil.

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Continuing with “…a heavy heart” - consequences of maternal death in rural Kenya

Cited by 16 publications

References 20 publications

Costs of postabortion care in public sector health facilities in Malawi: a cross-sectional survey

Costs of postabortion care in public sector health facilities in Malawi: a cross-sectional survey

Stillbirths: economic and psychosocial consequences

Consequências na alimentação de crianças órfãs após a morte materna: uma investigação por meio de softwares de mineração de texto

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