Chronic diseases raise global risks to maternal health

Subject Progress in ending Maternal Mortality Rates globally. Significance The global rate of maternal deaths since 1990 has dropped significantly. However, with the Millennium Development Goals (MDG) expiring this year, only 16 countries are on track to achieve MDG 5: to reduce the maternal mortality rate (MMR) by 75%. Reduction rates in developing countries have also slowed, while rates in the developed world are rising. Such uneven progress in maternal health suggests that the current models for public health provision are inadequate. Impacts The economies of countries with high MMR are disrupted by the significant loss of productive young women. The loss of the mother stilts the development of surviving children, perpetuating cycles of poverty. Health systems that fail to provide maternity care will also be profoundly crippled in their capacity to serve the wider population.

2014 ◽  
Vol 10 (4) ◽  
pp. 220-230
Author(s):  
Keitshokile Dintle Mogobe ◽  
Sunanda Ray ◽  
Farai Madzimbamuto ◽  
Mpho Motana ◽  
Doreen Ramogola-Masire ◽  
...  

Purpose – The purpose of this paper is to identify organisational, technical and individual factors leading to maternal deaths in non-citizen women in Botswana. Design/methodology/approach – A sub-analysis was conducted comparing non-citizen women to citizens in a case record review of maternal deaths in 2010. Feedback on the results to health professionals was provided and their comments were noted. Findings – In total, 19.6 per cent of 56 case notes reviewed to establish contributory factors to maternal deaths were in non-citizens. This is lower than health professionals perceptions that most maternal deaths are in non-citizens. Non-citizens were significantly less likely to have been tested for HIV and less likely to have received antenatal care, so did not receive interventions to prevent transmission of HIV to their infants or anti-retroviral therapy. They were more likely than citizens to have miscarried or delivered before 28 weeks gestational age at death. Delays in seeking health care were a major contributory factor to death. Research limitations/implications – Incomplete record keeping and missing details, with 30 per cent of the notes of maternal deaths missing, a common problem with retrospective case-note studies. Practical implications – Botswana is unlikely to meet Millennium Development Goal five target to reduce the maternal mortality ratio by 75 per cent. To make progress non-citizens must be given the same rights to access maternal health services as citizens. Rationing healthcare for non-citizens is a false economy since treatment of subsequent obstetric emergencies in this group is expensive. Originality/value – Discrimination against non-citizen women in Botswana, by denying them free access to maternal health services, extends into loss of life because of delays in seeking healthcare especially for obstetric emergencies.


Author(s):  
David Katamba ◽  
Cedric Marvin Nkiko ◽  
Charles Tushabomwe-Kazooba ◽  
Sulayiman Babiiha Mpisi ◽  
Imelda Kemeza ◽  
...  

Purpose – The purpose of this paper is to present corporate social responsibility (CSR) as an alternative roadmap to accelerating realization of Millennium Development Goals (MDGs) in Uganda, even after 2015. Design/methodology/approach – Using a mixed research methodology, this research documented CSR activities of 16 companies operating in Uganda. Data collection was guided by quantitative and qualitative methodologies (semi-structured interviews with CSR managers, plus non-participant observation of CSR activities and projects linked with MDGs). Triangulation was used to ensure credibility and validity of the results. For data analysis, the authors followed a three-stepwise process, which helped to develop a framework within which the collected data could be analyzed. For generalization of the findings, the authors were guided by the “adaptive theory approach”. Findings – Uganda will not realize any MDGs by 2015. However, CSR activities have the potential to contribute to a cross-section of various MDGs that are more important and relevant to Uganda when supported by the government. If this happens, realization of the MDGs is likely to be stepped up. CSR's potential contributions to the MDGs were found to be hindered by corruption and cost of doing business. Lastly, MDG 8 and MDG 3 were perceived to be too ambiguous to be integrated into company CSR interventions, and to a certain extent were perceived to be carrying political intentions which conflict with the primary business intentions of profit maximization. Practical implications – Governments in developing countries that are still grappling with the MDGs can use this research when devising collaborations with private-sector companies. These documented CSR activities that contribute directly to specific MDGs can be factored into the priority public-private partnership arrangements. Private companies can also use these findings to frame their stakeholder engagement, especially with the government and also when setting CSR priorities that significantly contribute to sustainable development. Originality value – This research advances the “Post-2015 MDG Development Agenda” suggested during the United Nations MDG Summit in 2010, which called for academic and innovative contributions on how MDGs can be realized even after 2015.


Author(s):  
Tarun Bala

<div><p><em>Reducing maternal and child mortality is the most important goal of the National Rural Health Mission. Indian government has worked towards its commitment to achieve the Millennium Development Goals.  Huge investments are being made by Government of India to achieve these goals. A well framed roadmap is being developed for accelerating child survival and improving maternal health and 16 indicators is selected for this purpose. The improvement in these indicators shows the way towards the achievement of MDGs.  India has made considerable progress over the last few years since NRHM in the area of maternal and child health, which was further accelerated after introduction of RMNCHA+ () strategy which appropriately directs the states to focus their efforts on the most vulnerable and disadvantaged sections of the society in the country. Main focus is healthy mothers and child. It also emphasizes on the need to reinforce efforts in those poor performing districts that have already been identified as the high focus districts. ‘Continuum care’ is required to have equal focus on various life stages.  Improvement in these indicators provide an understanding the importance of ‘continuum of care’ to ensure equal focus on various life stages. Some low performing districts had shown an improvement over period of time in its RMNCHA+ indicators.</em></p></div>


2020 ◽  
Vol 3 (2) ◽  
pp. 144-152
Author(s):  
You Ari Faeni ◽  
Adina Astasia

Tingkat kasus kematian Ibu di Indonesia masih tergolong tinggi. Berdasarkan evaluasi Millennium Development Goals (MDGs) pada tahun 2015, kasus kematian ibu di Indonesia masih pada posisi 305 per 100.000 kelahiran. Padahal target yang dicanangkan Perserikatan Bangsa-Bangsa (PBB) adalah 102 per 100.000 kelahiran dan target SDG’s tahun 2030 adalah 70 kematian per 100.000 kelahiran. Sebenarnya Skilled care before, during and after childbirth can save the lives of women. Paper ini bertujuan untuk mengidentifikasi risiko kematian ibu di Indonesia melalui indikator kesehatan ibu yang merupakan penjabaran dari skilled care before, during and after childbirth, kemudian mengelompokkan wilayah berdasarkan indikator tersebut. Variabel-variabel yang ada direduksi menggunakan analisis komponen utama untuk memastikan variabel-variabel bersifat orthogonal dan disajikan dalam bentuk biplot dan cluster untuk mempermudah interpretasi. Hasil analisis gabungan antara biplot dan cluster menunjukkan bahwa cluster pertama memiliki risiko kematian ibu terendah, cluster kedua memiliki risiko kematian ibu sedang, sementara cluster ketiga memiliki risiko kematian ibu tertinggi. Provinsi-provinsi pada klaster ketiga membutuhkan perhatian lebih karena memiliki risiko kematian ibu tertinggi akibat kurang adanya pengawasan oleh tenaga kesehatan saat kehamilan, saat melahirkan, dan setelah melahirkan.


2015 ◽  
Vol 47 (6) ◽  
pp. 293-301 ◽  
Author(s):  
Charbel Jose Chiappetta Jabbour ◽  
Ana Beatriz Lopes de Sousa Jabbour ◽  
Walter Leal Filho ◽  
Angappa Gunasekaran

Purpose – The search for a more sustainable society depends on more sustainable organisations and, as such, Production (Industrial) Engineering may contribute to this process through the training of professionals with a greater social and environmental consciousness. The purpose of this paper is to present arguments in favour of the integration of Production Engineering and the Millennium Development Goals and evaluate the potential of Production Engineering subareas in contributing to the Millennium Development Goals. Design/methodology/approach – This work is conceptual and integrative in order to provide an original framework. A Brazilian perspective on Production Engineering has been adopted. Findings – A framework is proposed to guide this integration process by providing suggestions for an agenda of opportunities for academics and practitioners in favour of a more sustainable society. Originality/value – This work presents a new framework integrating Production Engineering and the Millennium Development Goals in order to promote a more sustainable training in Production (Industrial) Engineering field of research.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bissane Harb ◽  
Dina Sidani

Purpose In light of the emphasis on “inclusion” in the sustainable development goals (SDGs), the notion of social inclusion encompasses the goal of granting opportunities for disabled people, integrate them and make them participate in the new environment. Referring to the capability theory, the purpose of this study is to examine the role of information and communication technology (ICT) in the social inclusion of disabled young people in Lebanon. Design/methodology/approach This paper uses a qualitative approach based on a series of focused semi-structured interviews with 11 participants occupying key positions in aid associations for disabled people. Findings The findings suggest that smart technologies can enhance social inclusion through three key factors: the nature of impairment and other personal characteristics of disabled people, the resources available to them and the environmental aspects provided by government policies and society’s cultural practices. In the contemporary society characterized by an increasing role of ICTs, the findings of this research could contribute to lead the developing countries to a sustainable and inclusive world through social inclusion of their youth. Research limitations/implications This study has some limitations that should be mentioned. First, it was conducted only on a small sample size (with 11 interviewees). Further empirical research must be conducted on larger sample to build and elaborate on the findings. Second, the results are mainly based on the points of view of people working in aid associations for disabled people. In future research, semi-structured interviews can be carried out with the disabled people themselves or with members of their family to ask them about their personal experience with smart technologies and the impact of this on their social inclusion. It was also suggested that the future research should explore the challenges of inclusion for different categories of disabled people separately because they are not all facing the same issues and the same challenges. Furthermore, as this paper focuses on the role of smart technologies in the development of social inclusion of disabled people, future research could take place with other groups, for example, Palestinian and Syrian refugees, to identify whether these groups are experiencing similar challenges and barriers when trying to use smart technologies as a way to enhance their social inclusion. Practical implications Related to a larger and broader approach, social inclusion of disabled or marginalized people or refugees in developing countries could be a way to commit to a sustainable and inclusive world, in alignment with the eight goals of the Millennium Development Goals. Originality/value Related to a larger and broader approach, social inclusion of disabled or marginalized people or refugees in developing countries could be a way to commit to a sustainable and inclusive world, in alignment with the eight goals of the Millennium Development Goals.


Author(s):  
Mary McCauley ◽  
Nynke van den Broek

Maternal morbidity describes complications that have a significant effect on women during and after pregnancy, and are a leading cause of ill-health among women of reproductive age, especially in low- and middle-income countries. With the introduction of the new Sustainable Development Goals, the scope of global maternal health targets has been expanded, moving from a focus on preventing maternal mortality to formulating targets and emphasising the importance of maternal health and wellbeing. This chapter introduces the new concept of maternal morbidity, suggests how this relates to maternal mortality, and summarises what is known about the burden of maternal morbidity globally and what interventions and research are needed to improve maternal health during and after pregnancy, with an emphasis on the context of low- and middle-income countries.


2007 ◽  
Vol 18 (3) ◽  
pp. 257-288 ◽  
Author(s):  
SOHA SAID ◽  
MICHAEL GEARY

Obstetric haemorrhage has been recognised as a major cause of maternal death as long as physicians have studied and written about childbirth. Until the 20th century, however, little was possible in the way of effective treatment. Postpartum haemorrhage (PPH) is still a frequent cause of death in many parts of the world. Even in developing countries, it remains the 3rd biggest killer of women in childbirth, despite considerable advances in medical care in the last half-century. The modern management of PPH may include a team of anaesthetists, haematologists, vascular surgeons, gynaecologists and radiologists.1Clearly, this change represents an advance which has saved and will continue to save countless lives, not only in the developed world where such teamwork is routine, but also in developing nations that are desperately looking for ways to reduce maternal mortality as part of their efforts to comply with the United Nations Millennium Development Goals by the year 2015.2


2019 ◽  
Vol 7 (2) ◽  
pp. 53-67
Author(s):  
Emmanuel Banchani ◽  
Liam Swiss

In 2010, the G8 placed renewed focus on maternal health via the Muskoka Initiative by committing to spend an additional $5 billion on maternal, newborn, and child health before 2015. Following the end of the Millennium Development Goals and the advent of the Sustainable Development Goals, maternal health issues have continued to feature prominently on the global health agenda. Despite these substantial investments of foreign aid over the past decade, there is limited evidence on the effectiveness of foreign aid in reducing maternal mortality in low- and middle-income countries (LMICs). Using data from the Organisation for Economic Cooperation and Development, the World Development Indicators and the Institute of Health Metrics and Evaluation, this study analyzes the effects of aid on maternal health in a sample of 130 LMICs from 1996 through 2015. Our results show that the effects of total foreign aid on maternal mortality are limited, but that aid allocated to the reproductive health sector and directly at maternal health is associated with significant reductions in maternal mortality. Given these targeted effects, it is important to channel more donor assistance to the promotion of reproductive health and contraceptive use among women as it serves as a tool towards the reduction of maternal mortality.


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