Delivering the Millennium Development Goals to Reduce Maternal and Child Mortality
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World Bank, Washington, DC
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Improved outcomes for women and children
- more education, lower fertility rates, higher nutritional
status, and lower incidence of illness, among other outcomes
- have broad individual, family, and societal benefits. For
nearly 15 years, the targets of the millennium development
goals (MDGs) have been a bellwether for progress,
particularly for maternal and child health (MCH) - a
two-thirds reduction in under-five mortality in MDG 4 and a
three-quarters reduction in the maternal mortality ratio in
MDG 5. This systematic review by the Independent Evaluation
Group (IEG) is a learning exercise that looks beyond World
Bank experience. It is intended to be used a reference for
practitioners in the Bank and elsewhere with an interest in
interventions that have demonstrated attributable
improvements in skilled birth attendance and reductions in
maternal and child mortality. This review also identifies
important gaps in the impact evaluation evidence for
interventions that may be effective in reducing maternal and
child mortality but whose impacts have not yet been tested
using robust impact evaluation methods. The systematic
review provides findings on what is known about the effects
of interventions on skilled birth attendance, maternal
mortality, neonatal mortality, infant mortality, and
under-five mortality, as well as the effect of skilled birth
attendance on these and other intermediate MCH outcomes.
Finally, the review highlights the main gaps in the body of
impact evaluation knowledge for maternal and child mortality.
Palabras clave
SANITATION, HEALTH CARE PROVIDERS, INFANT MORTALITY RATES, WASTE, CHILD HEALTH, RISKS, MATERNAL DEATH, WORKFORCE, FORMAL EDUCATION, SKILLED HEALTH PERSONNEL, VACCINATION, MIDWIFERY, VITAMINS, ANTENATAL CARE, RICHER COUNTRIES, PREVENTION, LAWS, CALORIES, MORBIDITY, HEALTH EDUCATION, COMMUNITY HEALTH, HOME CARE, PEDIATRICS, DEVELOPING COUNTRIES, HEALTH CARE, DEATH, BIRTH CONTROL, UNITED NATIONS POPULATION FUND, SKILLED ATTENDANCE, HEALTH, HEALTH WORKERS, PRESCHOOL CHILDREN, DEVELOPMENT GOALS, POPULATION FUND, HYPERTENSION, SUSTAINABLE DEVELOPMENT, NATIONAL LEVEL, COMMUNITY PARTICIPATION, PUBLIC HEALTH, MATERNAL MORTALITY, RANDOMIZED CONTROLLED TRIALS, HEALTH SECTOR, KNOWLEDGE, DISABILITIES, COST EFFECTIVENESS, EXERCISES, INTERNATIONAL COOPERATION, DISEASES, MILLENNIUM DEVELOPMENT GOAL, CAUSES OF DEATH, IRON, TRAINING, IMMUNIZATION, INFECTIOUS DISEASES, PATIENT, INTERVENTION, FERTILITY RATES, HEALTH INDICATORS, FAMILY HEALTH, NURSES, OBSERVATION, HEALTH MANAGEMENT, TETANUS, FAMILY HEALTH SERVICES, MARKETING, NEONATAL CARE, POLLUTION, FOOD POISONING, SAFE MOTHERHOOD, MORTALITY RATE, FOLIC ACID, GYNECOLOGY, WORK ENVIRONMENT, SCREENING, POLICY DECISIONS, MORTALITY, MEDICAL TREATMENT, RESPECT, NUTRITIONAL STATUS, PROGRESS, INFORMATION CAMPAIGNS, SOCIAL MARKETING, CHILDBIRTH, INFANT MORTALITY, INFANT, WORKERS, INFLUENZA, POPULATION STUDIES, SURVEILLANCE, POSTNATAL CARE, CHILD DEATH, POLICY MAKERS, HEALTH POLICY, HEALTH EFFECTS, PURCHASING POWER, HEALTH OUTCOMES, HYGIENE, HEPATITIS B, FAMILY PLANNING, SOCIAL NETWORKS, DECISION MAKING, SKILLED BIRTH ATTENDANCE, MEASUREMENT, NUTRITION, SERVICE QUALITY, MOTHER, MALARIA, POLICY, INFANT HEALTH, PRIMARY HEALTH CARE, WORLD HEALTH ORGANIZATION, RISK FACTORS, CHILD MORTALITY, MATERNAL MORTALITY RATIO, CHILD MORTALITY RATES, WEIGHT, PHYSICIANS, COMMUNICABLE DISEASES, PREGNANT WOMEN, MATERNAL HEALTH, CHILDREN, MORTALITY RATIO, CLINICS, MATERNAL DEATHS, NUMBER OF BIRTHS, BIRTH ATTENDANTS, ILLNESS, WELLNESS, TRADITIONAL BIRTH ATTENDANTS, LOWER FERTILITY, POPULATION, PURCHASING POWER PARITY, LIVING CONDITIONS, PRACTITIONERS, NEONATAL MORTALITY, UNFPA, STRATEGY, FERTILITY, EPIDEMIOLOGY, REGISTRATION, FAMILIES, CHILD HEALTH SERVICES, WOMEN, MEDICINES, NEWBORN, HOSPITALS, HEALTH INTERVENTIONS, MATERNAL MORTALITY RATES, MILLENNIUM DEVELOPMENT GOALS, ILLNESSES, COMPLICATIONS, BIRTH ATTENDANT, HEALTH SERVICES, IMPLEMENTATION, PREGNANCY, ABORTION, NURSING, BREASTFEEDING, STILLBIRTH