Effect on mortality of community-based maternity-care programme in rural Bangladesh

摘要: Various community-based interventions have been proposed to improve maternity care, but hardly any studies reported the effect of these measures on maternal mortality. In this study, efficacy a maternity-care programme reduce mortality has evaluated in context primary health-care project rural Bangladesh. Trained midwives were posted villages, and asked attend as many home-deliveries possible, detect manage obstetric complications at onset, accompany patients requiring referral for higher-level care central clinic. The was by comparison direct ratios between area neighbouring control without midwives. Random assignment intervention not possible potentially confounding characteristics, including coverage use other health family planning services, similar both areas. Maternal due areas during 3 years preceding start programme. By contrast, following years, ratio significantly lower than (1.4 vs 3.8 per 1000 live births, p = 0.02). findings suggest that survival can be improved posting village level, if they are given proper training, means, supervision, back-up. inputs such succeed constraints its replication large scale should underestimated.