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Related Experiment Videos

FIGO Save the Mothers Initiative: the Pakistan-UK collaboration.

S K Lodhi1, R Sohail, F Zaman

  • 1Department of Obstetrics and Gynaecology, King Edward Medical College, Lahore, Pakistan.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|October 7, 2004
PubMed
Summary

Implementing emergency obstetric care (EmOC) in rural Pakistan significantly improved key performance indicators and met need. This capacity-building initiative demonstrated a marked reduction in maternal mortality through local resource utilization.

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Area of Science:

  • Public Health
  • Maternal Health
  • Healthcare Systems Strengthening

Background:

  • Maternal mortality remains a critical issue in low-resource settings.
  • Limited access to emergency obstetric care (EmOC) contributes significantly to preventable maternal deaths.
  • A pilot study was initiated in Punjab, Pakistan, to address these challenges.

Purpose of the Study:

  • To implement and evaluate the effectiveness of basic and comprehensive emergency obstetric care (EmOC) in a rural area.
  • To assess the impact of utilizing existing rural health facilities and local capacity building.
  • To improve maternal health outcomes by reducing maternal mortality.

Main Methods:

  • A paired demonstration project approach was used within the existing rural health system.

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  • Focus on building local capacity for EmOC, including premises, trained personnel, equipment, and essential supplies (drugs, blood).
  • Initial facilitation by specialist staff, with a goal of sustainable local operation.

    • Main Results:

    • Significant improvement in key performance indicators, with some indicators trebling.
    • Increased "met need" for obstetric care services.
    • A concurrent rise in the uptake of general medical services was observed.
    • Marked improvement in process indicators related to EmOC provision.

    Conclusions:

    • Building local capacity for EmOC is essential for reducing maternal mortality.
    • The integration of EmOC services into existing rural health systems can be effective.
    • Availability of EmOC, coupled with community engagement, leads to improved maternal health outcomes.