Poor maternal and neonatal outcomes in low and middle imcome countries: epidemiological analyses of contributing factors

Research output: ThesisDoctoral Thesis

Abstract

[Truncated] Significant progress has been made in recent decades in reducing maternal and newborn deaths and stillbirths and improving access to facility services for childbirth in low-­and middle-­income countries. However, the risk of mortality and morbidity for pregnant women and newborns in many countries worldwide remains unacceptably high. A lack of reliable maternal and perinatal morbidity and mortality data is a significant limitation to understanding factors that contribute to poor outcomes in these settings.
The primary aim of this dissertation was to better understand factors contributing to poor maternal and neonatal outcomes in low-­ and middle-income countries. Three WHO multi-­country datasets from recent studies of women and newborns in predominantly low-­ and middle-­income countries were used, namely:
• The WHO Antenatal Care Trial (1996 – 1998), a cluster-­randomized controlled trial of 24,526 women attending antenatal care in four countries that evaluated the effectiveness, acceptability and cost of an antenatal care package of goal-oriented, reduced visits for low-­risk women;
• The WHO Global Survey on Maternal and Perinatal Health (2004 – 2008), a facility-­based, cross-­sectional survey of 290,610 women delivering in facilities in 24 countries; and
• The WHO Multi-­Country Survey on Maternal and Newborn Health (2010 – 2011), a facility-­based cross-­sectional survey of 314,623 women delivering in facilities in 29 countries.
From these three datasets, four thematic areas and nine epidemiological research questions were identified.
LanguageEnglish
QualificationDoctor of Philosophy
StateUnpublished - 5 Dec 2014

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Statistical Factor Analysis
Mothers
Prenatal Care
Newborn Infant
Cross-Sectional Studies
Morbidity
Maternal Death
Architectural Accessibility
Stillbirth
Perinatal Mortality
Cost-Benefit Analysis
Pregnant Women
Randomized Controlled Trials
Parturition
Mortality
Research
Maternal Health
Datasets
Surveys and Questionnaires

Cite this

@phdthesis{44b28778bdc144f6b9d1defca9c7064f,
title = "Poor maternal and neonatal outcomes in low and middle imcome countries: epidemiological analyses of contributing factors",
abstract = "[Truncated] Significant progress has been made in recent decades in reducing maternal and newborn deaths and stillbirths and improving access to facility services for childbirth in low-­and middle-­income countries. However, the risk of mortality and morbidity for pregnant women and newborns in many countries worldwide remains unacceptably high. A lack of reliable maternal and perinatal morbidity and mortality data is a significant limitation to understanding factors that contribute to poor outcomes in these settings. The primary aim of this dissertation was to better understand factors contributing to poor maternal and neonatal outcomes in low-­ and middle-income countries. Three WHO multi-­country datasets from recent studies of women and newborns in predominantly low-­ and middle-­income countries were used, namely: • The WHO Antenatal Care Trial (1996 – 1998), a cluster-­randomized controlled trial of 24,526 women attending antenatal care in four countries that evaluated the effectiveness, acceptability and cost of an antenatal care package of goal-oriented, reduced visits for low-­risk women; • The WHO Global Survey on Maternal and Perinatal Health (2004 – 2008), a facility-­based, cross-­sectional survey of 290,610 women delivering in facilities in 24 countries; and • The WHO Multi-­Country Survey on Maternal and Newborn Health (2010 – 2011), a facility-­based cross-­sectional survey of 314,623 women delivering in facilities in 29 countries. From these three datasets, four thematic areas and nine epidemiological research questions were identified.",
keywords = "Maternal, Neonatal, Health, Epidemiology, Low and middle income countries",
author = "Joshua Vogel",
year = "2014",
month = "12",
day = "5",
language = "English",

}

TY - THES

T1 - Poor maternal and neonatal outcomes in low and middle imcome countries: epidemiological analyses of contributing factors

AU - Vogel,Joshua

PY - 2014/12/5

Y1 - 2014/12/5

N2 - [Truncated] Significant progress has been made in recent decades in reducing maternal and newborn deaths and stillbirths and improving access to facility services for childbirth in low-­and middle-­income countries. However, the risk of mortality and morbidity for pregnant women and newborns in many countries worldwide remains unacceptably high. A lack of reliable maternal and perinatal morbidity and mortality data is a significant limitation to understanding factors that contribute to poor outcomes in these settings. The primary aim of this dissertation was to better understand factors contributing to poor maternal and neonatal outcomes in low-­ and middle-income countries. Three WHO multi-­country datasets from recent studies of women and newborns in predominantly low-­ and middle-­income countries were used, namely: • The WHO Antenatal Care Trial (1996 – 1998), a cluster-­randomized controlled trial of 24,526 women attending antenatal care in four countries that evaluated the effectiveness, acceptability and cost of an antenatal care package of goal-oriented, reduced visits for low-­risk women; • The WHO Global Survey on Maternal and Perinatal Health (2004 – 2008), a facility-­based, cross-­sectional survey of 290,610 women delivering in facilities in 24 countries; and • The WHO Multi-­Country Survey on Maternal and Newborn Health (2010 – 2011), a facility-­based cross-­sectional survey of 314,623 women delivering in facilities in 29 countries. From these three datasets, four thematic areas and nine epidemiological research questions were identified.

AB - [Truncated] Significant progress has been made in recent decades in reducing maternal and newborn deaths and stillbirths and improving access to facility services for childbirth in low-­and middle-­income countries. However, the risk of mortality and morbidity for pregnant women and newborns in many countries worldwide remains unacceptably high. A lack of reliable maternal and perinatal morbidity and mortality data is a significant limitation to understanding factors that contribute to poor outcomes in these settings. The primary aim of this dissertation was to better understand factors contributing to poor maternal and neonatal outcomes in low-­ and middle-income countries. Three WHO multi-­country datasets from recent studies of women and newborns in predominantly low-­ and middle-­income countries were used, namely: • The WHO Antenatal Care Trial (1996 – 1998), a cluster-­randomized controlled trial of 24,526 women attending antenatal care in four countries that evaluated the effectiveness, acceptability and cost of an antenatal care package of goal-oriented, reduced visits for low-­risk women; • The WHO Global Survey on Maternal and Perinatal Health (2004 – 2008), a facility-­based, cross-­sectional survey of 290,610 women delivering in facilities in 24 countries; and • The WHO Multi-­Country Survey on Maternal and Newborn Health (2010 – 2011), a facility-­based cross-­sectional survey of 314,623 women delivering in facilities in 29 countries. From these three datasets, four thematic areas and nine epidemiological research questions were identified.

KW - Maternal

KW - Neonatal

KW - Health

KW - Epidemiology

KW - Low and middle income countries

M3 - Doctoral Thesis

ER -