Accelerating Maternal and Child Health Gains in Papua New Guinea

Byrne, Abbey, Hodge, Andrew and Jimenez-Soto, Eliana (2015) Accelerating Maternal and Child Health Gains in Papua New Guinea. Maternal and Child Health Journal, 19 11: 2429-2437. doi:10.1007/s10995-015-1762-6

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Author Byrne, Abbey
Hodge, Andrew
Jimenez-Soto, Eliana
Title Accelerating Maternal and Child Health Gains in Papua New Guinea
Journal name Maternal and Child Health Journal   Check publisher's open access policy
ISSN 1092-7875
1573-6628
Publication date 2015-06-25
Sub-type Article (original research)
DOI 10.1007/s10995-015-1762-6
Open Access Status File (Author Post-print)
Volume 19
Issue 11
Start page 2429
End page 2437
Total pages 9
Place of publication New York, NY United States
Publisher Springer
Language eng
Formatted abstract
Background
Many priority countries in the countdown to the millennium development goals deadline are lagging in progress towards maternal and child health (MCH) targets. Papua New Guinea (PNG) is one such country beset by challenges of geographical inaccessibility, inequity and health system weakness. Several countries, however, have made progress through focused initiatives which align with the burden of disease and overcome specific inequities. This study identifies the potential impact on maternal and child mortality through increased coverage of prioritised interventions within the PNG health system.

Methods
The burden of disease and health system environment of PNG was documented to inform prioritised MCH interventions at community, outreach, and clinical levels. Potential reductions in maternal and child mortality through increased intervention coverage to close the geographical equity gap were estimated with the lives saved tool.

Results
A set community-level interventions, with highest feasibility, would yield significant reductions in newborn and child mortality. Adding the outreach group delivers gains for maternal mortality, particularly through family planning. The clinical services group of interventions demands greater investment but are essential to reach MCH targets. Cumulatively, the increased coverage is estimated to reduce the rates of under-five mortality by 19 %, neonatal mortality by 26 %, maternal mortality ratio by 10 % and maternal mortality by 33 %.

Conclusions
Modest investments in health systems focused on disadvantaged populations can accelerate progress in maternal and child survival even in fragile health systems like PNG. The critical approach may be to target interventions and implementation appropriately to the sensitive context of lagging countries.
Keyword Maternal Health
Child Health
Papua New Guinea
Equity
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
 
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Created: Tue, 30 Jun 2015, 00:54:06 EST by Dr Andrew Hodge on behalf of School of Public Health