Community-based delivery of maternal care in conflict-affected areas of eastern Burma: Perspectives from lay maternal health workers

Social Science and Medicine

Volumn 68, Issue 7, 2009, Pages 1332-1340

  Teela, Katherine C ^b   Mullany, Luke C ^a   Lee, Catherine I ^b   Poh, Eh ^c   Paw, Palae ^c   Masenior, Nicole ^a   Maung, Cynthia ^c   Beyrer, Chris ^a   Lee, Thomas J ^b  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^b Global Health Access Program   (United States)

^c Burma Medical Association   (Thailand)

Author keywords

Burma; Childbirth; Community health; Conflict setting; Emergency obstetrical care; Health workers; Internally displaced populations; Reproductive health

Indexed keywords

HEALTH SERVICES; HEALTH WORKER; MATERNAL CARE; PARTICIPATORY APPROACH; REPRODUCTION;

ADULT; COMMUNITY NETWORKS; EMERGENCY MEDICAL SERVICES; FAMILY PLANNING SERVICES; FEMALE; HEALTH SERVICES ACCESSIBILITY; HUMANS; MATERNAL HEALTH SERVICES; MIDWIFERY; MOBILE HEALTH UNITS; MYANMAR; OBSTETRICS; PREGNANCY; PREGNANCY COMPLICATIONS; SECURITY MEASURES; VIOLENCE;

ASIA; EURASIA; MYANMAR; SOUTHEAST ASIA;

EID: 62249109408     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.socscimed.2009.01.033     Document Type: Article

References (40)

1. Backpack Health Worker Team. Chronic emergency: Health and human rights in Eastern Burma (2006)
2. Barnes-Josiah D., Myntti C., and Augustin A. The "three delays" as a framework for examining maternal mortality in Haiti. Social Science & Medicine 46 8 (1998) 981-993
3. Bassey E.B., Elemuwa C.O., and Anukam K.C. Knowledge of, and attitudes to, acquired immune deficiency syndrome (AIDS) among traditional birth attendants (TBAs) in rural communities in Cross River State, Nigeria. International Nursing Review 54 (2007) 354-358
4. Buffington S., Sibley L., Beck D., and Armbruster D. Home base life saving skills. 1st ed. (2004), American College of Nurse Midwives, Washington, DC
5. Campbell O.M., and Graham W.J. Strategies for reducing maternal mortality: getting on with what works. Lancet 368 9543 (2006) 1284-1299
6. Costello A., Osrin D., and Manandhar D. Reducing maternal and neonatal mortality in the poorest communities. BMJ 329 7475 (2004) 1166-1168
7. Farmer P., and Gastineau N. Rethinking health and human rights: time for a paradigm shift. Journal of Law, Medicine & Ethics 30 4 (2002) 655-666
8. Filippi V., Ronsmans C., Campbell O.M., Graham W.J., Mills A., Borghi J., et al. Maternal health in poor countries: the broader context and a call for action. Lancet 368 9546 (2006) 1535-1541
9. Fullerton J.T., Killian R., and Gass P.M. Outcomes of a community- and home-based intervention for safe motherhood and newborn care. Health Care for Women International 26 7 (2005) 561-576
10. Gilson L. Trust and health care as a social institution. Social Science & Medicine 6 67 (2003) 1452-1468
11. Gilson L., Palmer N., and Schneider H. Trust and health worker performance: exploring a conceptual framework using South African evidence. Social Science & Medicine 61 7 (2005) 1418-1429
12. Karen Human Rights Group. One year on: Continuing abuses in Toungoo District (2006)
13. Koblinsky M., Matthews Z., Hussein J., Mavalankar D., Mridha M.K., Anwar I., et al. Going to scale with professional skilled care. Lancet 368 9544 (2006) 1377-1386
14. Krause S., Meyers J.L., and Friedlander E. Improving the availability of emergency obstetric care in conflict affected settings. Global Public Health 1 3 (2006) 205-228
15. Kyomuhendo G.B. Low use of rural maternity services in Uganda: impact of women's status, traditional beliefs and limited resources. Reproductive Health Matters 11 21 (2003) 16-26
16. Lawn J.E., Cousens S., and Zupen J. 4 Million neonatal deaths: when? Where? Why?. (Neonatal Survival 1). Lancet 365 (2005) 891-900
17. Lee, C. I., Paw, P., Yone, L., Teela, K., Maung, C., & Mullany, L. C. (2008). The MOM project: delivering maternal health services among internally displaced populations in eastern Burma. [Abstract] In Reproductive health in emergencies 2008, Kampala, Uganda, June 17th-June 21st, 2008. Available at http://www.raiseinitiative.org/conf2008/raise_book_of_abstracts.pdf.
18. McGinn T. Reproductive health of war-affected populations: what do we know?. International Family Planning Perspectives 26 24 (2000) 174-180
19. Miller S., Hamza S., Bray E.H., Lester F., Nada K., Gibson R., et al. First aid for obstetric haemorrhage: the pilot study of the non-pneumatic anti-shock garment in Egypt. BJOG 113 4 (2006) 424-429
20. Mullany L.C., Lee C.I., Paw P., Shwe Oo E.K., Maung C., Kuiper H., et al. The MOM project: delivering maternal health services among internally displaced populations in eastern Burma. Reproductive Health Matters 16 31 (2008) 44-56
21. Mullany L.C., Richards A.K., Lee C.I., Suwanvanichkij V., Maung C., Mahn M., et al. Population-based survey methods to quantify associations between human rights violations and health outcomes among internally displaced persons in eastern Burma. Journal of Epidemiology & Community Health 61 10 (2007) 908-914
22. Nigussie M., Mariam D.H., and Mitike G. Assessment of safe delivery service utilization among women of childbearing age in north Gondar Zone, north west Ethiopia. Ethiopian Journal of Health and Development 18 3 (2004) 145-152
23. Okafor C.B., and Rizzuto R.R. Women's and health-care providers' views of maternal practices and services in rural Nigeria. Studies in Family Planning 25 6 Pt 1 (1994) 353-361
24. Pfitzer A., and Sanghvi H. Preventing postpartum hemorrhage: from research to practice. In: JHPIEGO (Ed). Maternal & neonatal health (2004), JHPIEGO, Baltimore
25. Prata N., Mbaruku G., and Campbell M. Using the kanga to measure postpartum blood loss. International Journal of Gynecology and Obstetrics 89 1 (2005) 49-50
26. Prata N., Mbaruku G., Campbell M., Potts M., and Vahidnia F. Controlling postpartum hemorrhage after home births in Tanzania. International Journal of Gynecology and Obstetrics 90 (2005) 51-55
27. Richards A.K., Smith L., Mullany L.C., Lee C.I., Whichard E., Banek K., et al. Prevalence of plasmodium falciparum in active conflict areas of eastern Burma: a summary of cross-sectional data. Conflict and Health 1 (2007) 9
28. Riewpaiboon W., Chuengsatiansup K., Gilson L., and Tangcharoensathien V. Private obstetric practice in a public hospital: mythical trust in obstetric care. Social Science & Medicine 61 7 (2005) 1408-1417
29. Ronsmans C., and Graham W.J. Maternal mortality: who, when, where, and why. Lancet 368 9542 (2006) 1189-1200
30. Russell S. Treatment-seeking behaviour in urban Sri Lanka: trusting the state, trusting private providers. Social Science & Medicine 61 7 (2005) 1396-1407
31. Sibley L., Buffington S.T., Tedessa Sr. L., and McNatt K. Home-based life saving skills in Ethiopia: an update on the second phase of field testing. Journal of Midwifery & Women's Health 51 4 (2006) 284-291
32. Stover E., Suwanvanichkij V., Moss A., Tuller D., Lee T.J., Whichard E., et al. In: U. o. C. Human Rights Center, Berkeley, Center for Public Health and Human Rights, and Johns Hopkins Bloomberg School of Public Health (Eds). The Gathering storm: Infectious diseases and human rights in Burma (July 2007)
33. Sullivan T.M., Sophia N., and Maung C. Using evidence to improve reproductive health quality along the Thailand-Burma border. Disasters 28 3 (2004) 255-268
34. Thaddeus S., and Maine D. Too far to walk: maternal mortality in context. Newsletter (Women's Global Network on Reproductive Rights) 36 (1991) 22-24
35. Thai Burma Border Consortium (TBBC). Internal displacement in Eastern Burma - 2006 Survey (November 2006)
36. The Global Fund. Termination of grants to Myanmar. The global fund to fight AIDS, tuberculosis and malaria (2005), Switzerland, Geneva. http://www.theglobalfund.org/en/media_center/press/pr_050819.asp Available at
37. Thiede M. Information and access to health care: is there a role for trust?. Social Science & Medicine 61 7 (2005) 1452-1462
38. WHO. Myanmar: statistics - total expenditure on health as % of GDP. Available at (2004). http://www.who.int/countries/mmr/en/
39. World Health Organization. The world health report 2005: Make every mother and child count (2005), World Health Organization, Geneva
40. World Health Organization. World Health report 2006: Working together for health (2006), World Health Organization, Geneva