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The Maternal and Neonatal Programme Effort Index (MNPI).

J A Ross1, O M Campbell, R Bulatao

  • 1The Futures Group International, Glastonbury, CT 06033, USA. J.Ross@tfgi.com

Tropical Medicine & International Health : TM & IH
|October 27, 2001
PubMed
Summary

A new Maternal and Neonatal Programme Effort Index (MNPI) assesses national efforts to reduce maternal and neonatal mortality. The index shows average program scores are at 50%, with improvements over time and variations across regions and program components.

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Area of Science:

  • Global Health
  • Public Health Policy
  • Maternal and Child Health

Background:

  • Maternal and neonatal mortality remain significant global health challenges.
  • Measuring national program effort is crucial for effective intervention strategies.

Purpose of the Study:

  • To introduce and validate the Maternal and Neonatal Programme Effort Index (MNPI).
  • To assess national program efforts in reducing maternal and neonatal mortality across diverse regions.

Main Methods:

  • Developed a questionnaire with 14 headings and 81 items to create the MNPI.
  • Collected data from 10-25 raters per country using a 0-5 adequacy scale.
  • Covered 49 countries across major geographical regions, assessing data for the current year and 3 years prior.

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Main Results:

  • Average country program scores reached approximately 50% of the maximum potential.
  • Significant variations in scores were observed across the 14 effort components, with low scores for rural women's treatment access and high scores for neonatal care.
  • Regional averages showed minimal differences overall, but South Asia scored particularly low and East Asia high.
  • Program scores increased by approximately 10% over the 3-year period.
  • Most MNPI components differentiated between high and medium maternal mortality countries, with about half distinguishing medium from low mortality countries.

Conclusions:

  • The MNPI provides a valuable tool for measuring various dimensions of maternal and neonatal health program efforts.
  • The index demonstrates a sensible relationship with maternal mortality rates, offering insights for targeted interventions.