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Safe childbirth needs more than medical services.
O A Viegas1, G Wiknsosastro, G H Sahagun
1Department of Obstetrics and Gynaecology, National University Hospital, Singapore.
Summary
Nonmedical factors significantly impact maternal mortality in Southeast Asia. Each country should prioritize interventions to address these influences effectively.
Area of Science:
- Public Health
- Global Health
- Reproductive Health
Background:
- Maternal mortality remains a critical global health issue, particularly in low- and middle-income countries.
- Nonmedical factors, beyond direct clinical care, play a substantial role in maternal deaths.
- Understanding these determinants is crucial for effective public health strategies.
Purpose of the Study:
- To review and identify key nonmedical factors contributing to maternal mortality in Indonesia, the Philippines, and Thailand.
- To provide a basis for developing targeted intervention strategies in these specific regions.
- To highlight the need for region-specific approaches to maternal mortality reduction.
Main Methods:
- A comprehensive literature review was conducted.
- Data synthesis focused on nonmedical determinants of maternal mortality.
- Comparative analysis across Indonesia, the Philippines, and Thailand was performed.
Main Results:
- Identified common and distinct nonmedical factors influencing maternal mortality across the three countries.
- Highlighted the significant impact of socioeconomic status, education, and access to transportation.
- Emphasized the role of cultural practices and healthcare system accessibility.
Conclusions:
- Nonmedical factors are significant contributors to maternal mortality in Indonesia, the Philippines, and Thailand.
- Effective intervention strategies must be tailored to the unique contexts of each country or region.
- Prioritizing interventions based on local needs is essential for reducing maternal deaths.
Keywords:
Age FactorsAsiaBleedingBruneiCauses Of DeathContraceptionContraceptive UsageCultureDelivery Of Health CareDemographic FactorsDeveloping CountriesDiseasesEconomic FactorsEducational StatusFamily And HouseholdFamily CharacteristicsFamily PlanningFamily RelationshipsFertilityFertility MeasurementsHealthHealth ServicesHuman ResourcesIndonesiaLabor Force--womenLogisticsManagementMaternal Health ServicesMaternal MortalityMaternal-child Health ServicesMethodological StudiesMortalityMothersMultiparityNeedsOrganization And AdministrationParentsParityPhilippinesPolitical FactorsPopulationPopulation CharacteristicsPopulation DynamicsPrenatal CarePrimary Health CarePrimiparityProspective StudiesResearch MethodologyRural PopulationSigns And SymptomsSingaporeSocioeconomic FactorsSocioeconomic StatusSoutheastern AsiaStudiesThailand