Please provide a literature summary review of the evidence for interventions to reduce maternal and newborn mortality, including evidence of the impact of selective interventions such as training and equipment provision and the extent to which context is influential. Include cost benefit findings where relevant. Compare the strength of the evidence for selective versus comprehensive approaches.
Many of the papers in this report identify key interventions which are
then recommended to be delivered using an integrated or continuum of
care approach. The evidence also emphasises the need for attention to
the local situation when implementing interventions and note the
limitations of vertical programmes in addressing co-morbidities.
The report consists of the following sections:
- Evidence of the impact of selective interventions
- Key and packaged interventions
- Integrated primary health care
- Community-based interventions
- Cost findings
- Specialist input from IPACT
The most cost effective mix of interventions for countries in Africa and
SE Asia with high mortality rates are the community-based newborn care
package, followed by antenatal care (tetanus toxoid, screening for
pre-eclampsia, screening and treatment of asymptomatic bacteriuria and
syphilis), skilled attendance at birth, offering first level maternal
and neonatal care around childbirth and emergency obstetric and neonatal
care around and after birth.
Bolton, L.; Holley, C. Helpdesk Report: Selective vs. integrated support for maternal and newborn health. Human Development Resource Centre, UK (2012) 19 pp.