Sustainable Development Goals and the Ongoing Process of Reducing Maternal Mortality

Callister, Lynn Clark; Edwards, Joan E.

doi:10.1016/j.jogn.2016.10.009

Cited by 82 publications

(68 citation statements)

References 45 publications

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“…Despite established interventions to treat and prevent postpartum haemorrhage, haemorrhage was the primary cause of death in our study, in keeping with global data . EmOC training emphasises the timely management of haemorrhage; however, this data emphasises the need to continue to strengthen this training.…”

Section: Discussionsupporting

confidence: 78%

Maternal mortality at the National Referral Hospital in Honiara, Solomon Islands over a five‐year period

Silva

Panisi²,

Maepioh³

et al. 2019

Aust NZ J Obst Gynaeco

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Background The Solomon Islands is a developing country facing significant barriers to the provision of quality antenatal and obstetric care. The maternal mortality rate is 114/100 000 live births, ranking the Solomon Islands 113th globally. Investigating maternal mortality may yield valuable insight into improving these numbers. Aim The objective of this study was to review all cases of maternal mortality at the National Referral Hospital, Solomon Islands over a five‐year period. Materials and methods This was a retrospective review of maternal deaths occurring at the National Referral Hospital, Solomon Islands from 2013 to 2017. Data on maternal demographics, characteristics and cause of death were collected. Results There were 39 maternal deaths at the National Referral Hospital from 2013 to 2017. The maternal mortality rate of the National Referral Hospital (139/100 000) is higher than the national rate (114/100 000). Most deaths were direct, with 28% attributed to haemorrhage. Overall, 79% of the total maternal deaths had elements that may be considered preventable, with laboratory delays present in 54% and medication shortages present in 29% of cases. Conclusion Maternal mortality is high in the Solomon Islands, with many potentially preventable deaths occurring at the National Referral Hospital. Continued focus on improving data collection, access to resources, and training is vital to reduce maternal mortality in the Solomon Islands.

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Section: Discussionsupporting

confidence: 78%

Maternal mortality at the National Referral Hospital in Honiara, Solomon Islands over a five‐year period

Silva

Panisi²,

Maepioh³

et al. 2019

Aust NZ J Obst Gynaeco

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“…Further reduction in use inequity remains imperative to decrease maternal mortality and to achieve SDG target for maternal health. 27 …”

Section: Discussionmentioning

confidence: 99%

Trends and inequities in use of maternal health care services in Indonesia, 1986−2012

Nababan¹,

Hasan²,

Marthias³

et al. 2017

IJWH

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PurposeOverall health status indicators have improved significantly over the past three decades in Indonesia. However, the country’s maternal mortality ratio remains high with a stark inequality by region. Fewer studies have explored access inequity in maternal health care service over time using multiple inequality markers. In this study, we analyzed Indonesian Demographic and Health Survey (DHS) data to explore trends and inequities in use of any antenatal care (ANC), four or more ANC (ANC4+), institutional birth, and cesarean section (c-section) birth in Indonesia during 1986–2012 to inform policy for future strategies ending preventable maternal deaths.MethodsIndonesian DHS data from 1991, 1994, 1997, 2002/3, 2007, and 2012 surveys were downloaded, merged, and analyzed. Inequity was measured in terms of variation in use by asset quintile, parental education, urban–rural location, religion, and region. Trends in use inequities were assessed plotting changes in rich:poor ratio, rich:poor difference, and concentration indices over period based on asset quintiles. Sociodemographic determinants for service use were explored using multivariable logistic regression analysis.FindingsBetween 1986 and 2012, institutional birth rate increased from 22% to 73% and c-section rate from 2% to 16%. Private sector was increasingly contributing in maternal health. There were significant access inequities by asset quintile, parental education, area of residence, and geographical region. The richest women were 5.45 times (95% CI: 4.75–6.25) more likely to give birth in a health facility and 2.83 times (95% CI: 2.23–3.60) more likely to give birth by c-section than their poorest counterparts. Urban women were 3 times more likely to use institutional birth and 1.45 times more likely to give birth by c-section than rural women. Use of all services was higher in Java and Bali than in other regions. Access inequity was narrowing over time for use of ANC and institutional birth but not for c-section birth.ConclusionOngoing pro-poor health-financing strategies should be strengthened with introduction of innovative ways to monitor access, equity, and quality of care in maternal health.

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“…Maternal mortality is defined as "the death of a woman during pregnancy, childbirth, or within 42 days postpartum" [5]. It is assumed that this goal emerged from the fact that the maternal mortality rate (MMR) decreased by 44% globally, from 2010 to 2014 [6]. SDG 3.7 aims, by 2030, to "ensure universal access to sexual and reproductive healthcare services, including family planning, information and education, and the integration of reproductive health into national strategies and programs" [7].…”

Section: Introductionmentioning

confidence: 99%

Women’s Health and Well-Being in the United Nations Sustainable Development Goals: A Narrative Review of Achievements and Gaps in the Gulf States

Daher‐Nashif

Bawadi

2020

IJERPH

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Background: In 2014, United Nations member states proposed a set of sustainable development goals (SDGs) to help further the millennium development goals that they had proposed in New York in 2000. Of these 13 SDGs, Goal 3 (i.e., SDG 3) was titled “Good Health and Well-Being.” This goal highlighted women’s health and well-being via two key objectives. The first, SDG 3.1, aimed to reduce maternal mortality rates (MMR) and the second, SDG 3.7, aimed to ensure access to sexual and reproductive health care services. Drawing on all the latest reports, which have been released by Gulf Cooperation Council states (GCC), this paper sheds light on GCC states’ work on women’s wellbeing through SDG 3. Aim: the paper aims to review GCC states’ work on women’s wellbeing in SDG3, which achievements they obtained, which tools they used and which gaps still exist. The paper aims to explain the socio-cultural background behind these achievements, tools, and gaps. Methodology: For the purpose of this study, we used narrative review approach through which we reviewed reports from 2017 and 2018 on SDGs published online by the Ministry of Development and Planning of each GCC state, and latest reports of the WHO on the same states. Findings: the study found similarities and differences between different GCC states, which in turn reveals gaps and areas that are not meeting women’s needs. The findings show that MMR in GCC countries has declined by nearly half. The main strategies they adopted to address SDG 3.1 included awareness campaigns, improving access to healthcare systems and training professionals. The tools used to meet SDG 3.7 included training health professionals and raising awareness of consanguinity. The study reveals several gaps, such as a lack of discussion around challenges and barriers, and a lack of linkage between an SDG and the targets contained within it. Conclusion: The paper concludes that there is a much greater emphasis on reducing MMR, compared to providing access to sexual and reproductive healthcare. This difference is due to different socio-cultural framing of each of these two issues.

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Sustainable Development Goals and the Ongoing Process of Reducing Maternal Mortality

Cited by 82 publications

References 45 publications

Maternal mortality at the National Referral Hospital in Honiara, Solomon Islands over a five‐year period

Maternal mortality at the National Referral Hospital in Honiara, Solomon Islands over a five‐year period

Trends and inequities in use of maternal health care services in Indonesia, 1986−2012

Women’s Health and Well-Being in the United Nations Sustainable Development Goals: A Narrative Review of Achievements and Gaps in the Gulf States

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Sustainable Development Goals and the Ongoing Process of Reducing Maternal Mortality

Cited by 82 publications

References 45 publications

Maternal mortality at the National Referral Hospital in Honiara, Solomon Islands over a five‐year period

Maternal mortality at the National Referral Hospital in Honiara, Solomon Islands over a five‐year period

Trends and inequities in use of maternal health care services in Indonesia, 1986&minus;2012

Women’s Health and Well-Being in the United Nations Sustainable Development Goals: A Narrative Review of Achievements and Gaps in the Gulf States

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Trends and inequities in use of maternal health care services in Indonesia, 1986−2012