The results of dynamic interaction between families and providers to improve the quality and coverage of maternal and newborn health serivces in Bolivia

Abstract

Objective: The project aim was directed towards the goal to reduce maternal and newborn mortality through objectives to increase access to quality services; to promote client-oriented care and institute policy in support of improved maternal and newborn health. All project objectives were met during the duration of the project. Methodology..The results of increased quality and access were compared in seven MotherCare target districts to one control district. The MotherCare interventions included: provider training to clinical and client counseling skills; community-based information/communication (IEC) to increase women/families' awareness of pregnancy complications and appropriate actions to be taken, and policy promotions. The control area introduced only the IEC intervention. Data were collected from a similar facility monitoring system of key indicators and community-based surveys. The facility monitoring data were collected during the first six months of 1996,1997 and 1998. Results (Preliminary) 1.Facility deliveries in the MotherCare districts increased by 41%.