Reduction in maternal and child mortality in sub-Saharan Africa: The yo-yo effect in delivering on the promises

Journal of Health Care for the Poor and Underserved

Volumn 20, Issue 4 SUPPL., 2009, Pages 149-169

  Mwalali, Philip ^a   Ngui, Emmanuel ^b  

^a Africa Economic Foundation Inc   (United States)

^b MEDICAL COLLEGE OF WISCONSIN   (United States)

Author keywords

Child mortality; Family Planning; Infant mortality; Maternal and Child Health; Maternal mortality; Primary health care; Sub Saharan Africa; Yo yo effect

Indexed keywords

AFRICA SOUTH OF THE SAHARA; ARTICLE; CHILD HEALTH CARE; CHILDHOOD MORTALITY; CONSUMER; ECONOMIC DEVELOPMENT; ECONOMICS; FAMILY PLANNING; FEMALE; HEALTH; HEALTH CARE POLICY; HEALTH DISPARITY; HEALTH SERVICE; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INFANT; INTERNATIONAL COOPERATION; MALE; MATERNAL MORTALITY; ORGANIZATION AND MANAGEMENT; PREGNANCY; PRESCHOOL CHILD; PRIMARY HEALTH CARE; SOCIOECONOMICS;

AFRICA SOUTH OF THE SAHARA; CHILD HEALTH SERVICES; CHILD MORTALITY; CHILD, PRESCHOOL; CONSUMER PARTICIPATION; ECONOMIC DEVELOPMENT; FAMILY PLANNING SERVICES; FEMALE; HEALTH POLICY; HEALTH STATUS DISPARITIES; HIV INFECTIONS; HUMANS; INFANT; INTERNATIONAL COOPERATION; MALE; MATERNAL HEALTH SERVICES; MATERNAL MORTALITY; PREGNANCY; PRIMARY HEALTH CARE; SOCIOECONOMIC FACTORS; WORLD HEALTH;

EID: 77249163156     PISSN: 10492089     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (94)

1. Maine D, Rosenfield A. The safe motherhood initiative: why has it stalled? Am J Public Health. 1999;89(4):480-2.
2. Starrs AM. Safe motherhood initiative: 20 years and counting. Lancet. 2006;368(9542):1130-2.
3. Gribble J, Haffey J. Reproductive health in sub-Saharan Africa. Washington, DC: Population Reference Bureau; 2008. Available at: http://www.prb.org/pdf08/repro ductivehealth-subsaharanafrica.pdf.
4. AbouZahr C, Wardlaw T. Maternal mortality at the end of a decade: signs of progress? Bull World Health Organ. 2001;79(6):561-8.
5. Hill K, Thomas K, AbouZahr C, et al. Estimates of maternal mortality worldwide between 1990 and 2005: an assessment of available data. Lancet. 2007 Oct; 370(9595):1311-9.
6. Bankole A, Sedgh G, Okonofua F, et al. Barriers to safe motherhood in Nigeria. New York: Guttmacher Institute, 2009. Available at: http://www.guttmacher.org/pubs/2009/05/28/MotherhoodNigeria.pdf.
7. McCarthy J, Maine D. A framework for analyzing the determinants of maternal mortality. Stud Fam Plann. 1992;23(1):23-33.
8. Winikoff B. The effects of birth spacing on child and maternal health. Stud Fam Plann. 1983 Oct;14(10):231-45.
9. Trussell J, Pebley, AR. The potential impact of changes in fertility on infant, child and maternal mortality. Stud Fam Plann. 1984 Nov-Dec;15 (6 Pt 1) :267-80.
10. Khan KS, Wojdyla D, Say L, et al. WHO analysis of causes of maternal death: a systematic review. Lancet. 2006 Apr;367(9516):1066-74.
11. Post M. Preventing maternal mortality through emergency obstetric care. Washington, DC: Support for Analysis and Research in Africa (SARA) Project and U. S. Agency for International Development, 1997. Available at: http://sara.aed.org/publications/reproductive-health/maternal-mortality/html/ eoc.htm.
12. Donnay F. Maternal survival in developing countries: what has been done, what can be achieved in the next decade. Int J Gynecol Obstet. 2000;70(1):89-97.
13. Walraven G, Telfer M, Rowley J, et al. Maternal mortality in rural Gambia: levels, causes and contributing factors. Bull World Health Org. 2000;78(5):603-13.
14. Magadi MA, Zulu EM, Brockerhoff M. The inequality of maternal health care in urban sub-Saharan Africa in the 1990s. Popul Stud. 2003;57(3):347-66.
15. Tarver JD. The demography of Africa. Westport, CT: Praeger, 1996; 268.
16. Rogo KO, Oucho J, Mwalali P. Maternal mortality: diseases and mortality in sub-Saharan Africa. Washington, DC: World Bank, 2006. Available at: http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=dmssa&part=A1437.
17. Lawn JE, Rohde J, Rifkin S, et al. Alma-Ata 30 years on: revolutionary, relevant, and time to revitalize. Lancet. 2008 Sep;372(9642):917-27.
18. UNICEF. Maternal mortality. Geneva (Switzerland) : UNICEF, 2002. Available at: http://www.unicef.org/specialsession/about/sgreport-pdf/09- MaternalMortality-D7341 Insert-English.pdf.
19. Carrera JM. Maternal mortality in Africa. J Perinat Med. 2007;35(4):266-77.
20. Ronsmans C, Graham WJ, Lancet Maternal Survival Series steering group. Maternal mortality: who, when, where, and why. Lancet. 2006 Sep;368(9542):1189- 200.
21. Bour D, Bream K. An analysis of the determinants of maternal mortality in sub-Saharan Africa. J Womens Health (Larchmt). 2004 Oct;13(8):926-38.
22. Hogberg U. The decline in maternal mortality in Sweden: the role of community midwifery. Am J Public Health. 2004 Aug;94(8):1312-20.
23. Campbell OM, Graham WJ, Lancet Maternal Survival Series steering group. Strategies for reducing maternal mortality: getting on with what works. Lancet. 2006 Oct; 368(9543):1284-99.
24. UNICEF. The state of the world's children 2008: child survival. New York: United Nations Children's Fund (UNICEF), 2007. Available at: http://www.unicef.org/sowc08/docs/sowc08.pdf.
25. Garenne M, Gakusi E. Health transitions in sub-Saharan Africa: overview of mortality trends in children under 5 years old (1950-2000). Bull World Health Organ. 2006 Jun;84(6):470-8.
26. Jamison DT, Feachem RG, Makgoba M W, et al. Diseases and mortality in sub-Saharan Africa (2nd ed.). Washington, DC: The World Bank, 2006.
27. United Nations. Millennium development goals, targets and indicators. New York: United Nations, 2008. Available at: http://mdgs.un.org/unsd/mdg/ Resources/Static/Data/Stat%20Annex.pdf.
28. Lawn JE, Cousens S, Zupan J, et al. 4 million neonatal deaths: when? where? why? Lancet. 2005 Mar;365(9462):891-900.
29. Bryce J, Boschi-Pinto C, Shibuya K, et al. WHO estimates of the causes of death in children. Lancet. 2005 Mar-Apr;365(9465):1147-52.
30. Ewbank DC, Gribble JN. Effects of health programs on child mortality in sub-Saharan Africa. Washington, DC: National Academy Press, 1993.
31. World Health Organization. Progress in reducing global measles deaths 1999-2004. Wkly Epidemiol Rec. 2006 Mar;81(10):90-4.
32. Otten M, Kezaala R, Fall A, et al. Public-health impact of accelerated measles control in the WHO African region 2000-03. Lancet. 2005 Sep;366(9488):832-9.
33. Knippenberg R, Lawn JE, Darmstadt GL, et al. Systematic scaling up of neonatal care in countries. Lancet. 2005;365(9464):1087-98.
34. Williams CD, Baumslag N, Jelliffe DB. Maternal and child health: delivering the services (3rd ed.). Oxford, UK: Oxford University Press, 1994.
35. Stilwell B, Diallo K, Zurn P, et al. Migration of health-care workers from developing countries: strategic approaches to its management. Bull World Health Organ. 2004 Aug;82(8):595-600.
36. Stilwell B, Diallo K, Zurn P, et al. Developing evidence-based ethical policies on the migration of health workers: conceptual and practical challenges. Hum Resour Health. 2003 Oct;1(1):8.
37. Connell J, Zurn P, Stilwell B, et al. Sub-Saharan Africa: beyond the health worker migration crisis. Soc Sci Med. 2007;64(9):1876-91.
38. Masanja H, de Savigny D, Smithson P, et al. Child survival gains in Tanzania: analysis of data from demographic and health surveys. Lancet. 2008;Apr. 371(9620):1276-83.
39. Lanre-Abass B. Poverty and maternal mortality in Nigeria: towards a more viable ethics of modern medical practice. Int J Equity Health. 2008;7 (11).
40. Tejada de Rivero DA. Alma-Ata revisited. Washington, DC: Pan American Health Organization, 2003; 8 (2). Available at: http://www.paho.org/English/DD/ PIN/Number 17-article1-1.htm.
41. Rohde J, Cousens S, Chopra M, et al. 30 years after Alma-Ata: has primary health care worked in countries? Lancet. 2008 Sep;372(9642):950-61.
42. Walley J, Lawn JE, Tinker A, et al. Primary health care: making Alma-Ata a reality. Lancet. 2008 Sep;372(9642):1001-7.
43. Bossert TJ, Beauvais JC. Decentralization of health systems in Ghana, Zambia, Uganda, and the Philippines: a comparative analysis of decision space. Health Policy Plan. 2002 Mar;17(1):14-31.
44. Thieren M. Concept of universal access: technical meeting for the development of a framework for universal access to prevention, care, treatment and support in the health sector. Geneva (Switzerland) : World Health Organization, 2005. Available at: http://www.who.int/hiv/universalaccess2010/UA- definitions-detailed.ppt.
45. LaFond A, Kleinau E, Shafritz L, et al. Using data to improve service delivery: a selfevaluation approach. Washington, DC: Center for Applied Research on Population and Development (CERPOD), 2003. Available at: http://sara.aed.org/publications/cross-cutting/self-evaluation/ self-evaluation%20guide%20 (English).pdf.
46. Mwalali P. The Perinatal Project: end of project report (unpublished report). Botswana: Ministry of Health, 1990.
47. Hill AG, MacLeod WB, Joof D, et al. Decline of mortality in children in rural Gambia: the influence of village-level primary health care. Trop Med Int Health. 2000 Feb; 5(2):107-18.
48. Cueto M. The origins of primary health care and selective primary health care. Am J Public Health. 2004 Nov;94(11):1864-74.
49. Egger D, Ollier L. Managing the health millennium development goals-challenge of management strengthening, making health systems work. Geneva (Switzerland) : World Health Organization, 2007. Available at: http://www.who.int/management/WP8.pdf.
50. Hall JJ, Taylor R. Health for all beyond 2000: the demise of the Alma-Ata Declaration and primary health care in developing countries. Med J Aust. 2003 Jan;178(1):17-20.
51. Okuonzi S. Learning from failed health reform in Uganda. BMJ. 2004 Nov. 13; 329(7475):1173-5.
52. Warren KS. The evolution of selective primary health care. Soc Sci Med. 1988;26(9):891-8.
53. Knippenberg R, Alihonou E, Soucat A, et al. Implementation of the Bamako Initiative: strategies in Benin and Guinea. Int J Health Plann Manage. 1997 Jun;12 Suppl 1:S29-47.
54. World Health Organization. Women and children's health through funding and management of essential drugs at community level: the Bamako Initiative. Brazzaville, 1987. Cited in: Uzochukwu BS, et al. Did the Bamako Initiative improve the utilization of maternal and child-care services in Nigeria? A case study of Oji River local government area in Southeast Nigeria. Health Policy Plan. 2002 Dec;17(4):378-83.
55. UNICEF. UNICEF E/ICEF/1988/P/L40: the Bamako Initiative recommendations to the executive board for program co-ordination 1989-1993. New York: UNICEF, 1988.
56. Girma A. The Bamako Initiative: rebuilding health systems. New York: UNICEF, 1995.
57. Ebrahim GJ. The Bamako Initiative. J Trop Pediatr. 1993;39(2):66-67.
58. Paganini A. The Bamako Initiative was not about money. Health Pol Dev. 2004; 2(1):11-13.
59. Levy-Bruhl D, Soucat A, Osseni R, et al. The Bamako Initiative in Benin and Guinea: improving the effectiveness of primary health care. Int J Health Plann Manage. 1997 Jun;12 Suppl 1:S49-79.
60. Uzochukwu BS, Onwujekwe OE, Akpala CO. Effect of the Bamako-Initiative drug revolving fund on availability and rational use of essential drugs in primary health care facilities in south-east Nigeria. Health Policy Plan. 2002 Dec;17(4):378-83.
61. Uzochukwu BS, Onwujekwe OE, Akpala CO. Did the Bamako Initiative improve the utilization of maternal and child health-care services in Nigeria? A case study of Oji River local government area in southeast Nigeria. J Health Pop Dev Count. 2004 Feb;1-18.
62. Mahler H. The safe motherhood initiative: a call to action. Lancet. 1987 Mar;1(8534):668-70.
63. Druce N, Dickinson C, Attawell K, et al. Strengthening linkages for sexual reproductive health, HIV and AIDS: progress, barriers and opportunities for scaling up. London, UK: DFID Health Resource Centre, 2006. Available at: http://www.dfidhealthrc.org/publications/HIV-SRH-strengthening-responses-06.pdf.
64. World Health Organization. Making pregnancy safer: a health sector strategy for reducing maternal and perinatal morbidity and mortality. (WHO/RHR/00.6.) Geneva (Switzerland) : WHO, 2000.
65. Garrido PI. Women's health and political will. Lancet. 2007 Oct;370(9595):1288-9.
66. Winikoff B, Sullivan M. Assessing the role of family planning in reducing maternal mortality. Stud Fam Plann. 1987 May-Jun;18(3):128-43.
67. Bulatao RA, Ross JA. Which health services reduce maternal mortality? Evidence from ratings of maternal health services. Trop Med Int Health. 2003 Aug;8(8):710-21.
68. Fauveau V, Wojtyniak B, Chakraborty J, et al. The effect of maternal and child health and family planning services on mortality: is prevention enough? BMJ. 1990 Jul;301(6743):103-7.
69. Mayhew SH. Donor dealings: the impact of international donor aid on sexual and reproductive health services. Int Fam Plann Persp. 2002 Dec;28(4):220-4.
70. Speidel JJ. Population donor landscape analysis for the review of packard foundation international grantmaking for population sexual reproductive health and rights. San Francisco, CA: Packard Foundation, 2005. Available at: http://www.packard.org/assets/files/population/program%20review/ pop-rev-speidel-030606.pdf.
71. Crane BB, Dusenberry J. Power and politics in international funding for reproductive health: the U. S. global gag rule. Reprod Health Matters. 2004 Nov;12(24):128-37.
72. Cohen SA. Global gag rule threatens international family planning programs. Guttmacher Rep Publ Policy. New York, 2000; 3 (1). Available at: http://www.guttmacher.org/pubs/tgr/03/1/gr030101.pdf.
73. Ernst J, Mor T. Breaking the silence: the global gag rule's impact on unsafe abortion. New York: Center for Reproductive Rights, 2003. Available at: http://reproductiverights.org/sites/default/files/documents/bo-ggr.pdf.
74. Singh S, Darroch JE, Vlassof M, et al. Adding it up: the benefits of investing in sexual and reproductive health care. Washington, DC: Guttmacher Institute, 2003.
75. Smith R, Ashford L, Gribble J, et al. Family planning saves lives. Washington, DC: Population Reference Bureau, 2009. Available at: http://www.prb.org/pdf09/family planningsaveslives.pdf.
76. Jong-wook L. Global health improvement and WHO: shaping the future. Lancet. 2003 Dec;362(9401):2083-8.
77. Bhutta ZA, Ali S, Cousens S, et al. Interventions to address maternal, newborn, and child survival: what difference can integrated primary health care strategies make? Lancet. 2008 Sep;372(9642):972-89.
78. Aloo-Obunga C. Country analysis of family planning and HIV/AIDS: Kenya. Washington, DC: The Policy Project, 2003.
79. Maathai W. The challenge for Africa. New York: Pantheon Books, 2009.
80. Transparency International. Global corruption report: corruption and health. Berlin (Germany) : Transparency International, 2006.
81. Tayler L, Dickinson C. The link between corruption and HIV/AIDS. IAPAC Mon. 2006 Feb;12(2):37-9.
82. Tanui K, Ng'ang'a N. Corruption and HIV/AIDS: corruption in Kenya's National AIDS Control Council. IAPAC Mon. 2006 Feb;12(2):39-41.
83. Scheier R. Africa graft stings donors: a recent inquiry revealed gross misuse of AIDS donations in Uganda. The Christian Science Monitor. 2006 June. Available at: http://www.csmonitor.com/2006/0601/p06s02-woaf.html.
84. Lewis M. Governance and corruption in public health care systems: working paper 78. Washington, DC: Center for Global Development, 2006. Available at: http://www.cgdev.org/content/publications/detail/5967%20.
85. Stevens P. Foreign aid for health: moving beyond government. London, UK: Campaign for Fighting Diseases-International Policy Network, 2008. Available at: http://www.fightingdiseases.org/pdf/Foreign-Aid-Health-WEB.pdf.
86. King K. Microenterprise: macroeconomic environment: revisiting Kenya's informal (jua kali) sector against the background of the formal globalising economy. Int J Educ Dev. 1996;16(4):417-42.
87. Livingstone I. A reassessment of Kenya's rural and urban informal sector. World Devel. 1991;19(6):651-70.
88. Muraya PWK. Urban planning and small-scale enterprises in Nairobi, Kenya. Habitat Int. 2006;30(1):127-43.
89. Orwa B. Jua Kali asssociations in Kenya: a force for development and reform. Washington, DC: The Center for International Private Enterprise, 2007. Available at: http://www.cipe.org/publications/papers/pdf/IP0701-juakali.pdf.
90. Hancock G. Lords of poverty: the power, prestige, and corruption of the international aid business. New York: Atlantic Monthly Press, 1989.
91. Moyo D. Dead aid: why aid is not working and how there is another way for Africa. London, UK: Allen Lane, 2009.
92. Ayittey GBN. Africa unchained: the blueprint for Africa's future. New York: Palgrave Macmillan, 2005.
93. Martines J, Paul VK, Bhutta ZA, et al. Neonatal survival: a call for action. Lancet. 2005 Mar;365(9465):1189-97.
94. Zakaria F. Africa's new path: Paul Kagame charts a way forward. Washington, DC: Newsweek, July 27, 2009. Available at: http://www.newsweek.com/ id/207403.