کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3953059 1600344 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The MANDATE model for evaluating interventions to reduce postpartum hemorrhage
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
The MANDATE model for evaluating interventions to reduce postpartum hemorrhage
چکیده انگلیسی

ObjectiveTo create a comprehensive model of the comparative impact of various interventions on maternal, fetal, and neonatal (MFN) mortality.MethodsThe major conditions and sub-conditions contributing to MFN mortality in low-resource areas were identified, and the prevalence and case fatality rates documented. Available interventions were mapped to these conditions, and intervention coverage and efficacy were identified. Finally, a computer model developed by the Maternal and Neonatal Directed Assessment of Technology (MANDATE) initiative estimated the potential of current and new interventions to reduce mortality.ResultsFor PPH, the sub-causes, prevalence, and MFN case fatality rates were calculated. Available interventions were mapped to these sub-causes. Most available interventions did not prevent or treat the overall condition of PPH, but rather sub-conditions associated with hemorrhage and thus prevented only a fraction of the associated deaths.ConclusionThe majority of current interventions address sub-conditions that cause death, rather than the overall condition; thus, the potential number of lives saved is likely to be overestimated. Additionally, the location at which mother and infant receive care affects intervention effectiveness and, therefore, the potential to save lives. A comprehensive view of MFN conditions is needed to understand the impact of any potential intervention.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Gynecology & Obstetrics - Volume 121, Issue 1, April 2013, Pages 5–9
نویسندگان
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