Mother and Newborn Survival in Kayes, Mali
Author Information
Author(s): Dogba Maman, Fournier Pierre, Dumont Alexandre, Zunzunegui Maria-Victoria, Tourigny Caroline, Berthe-Cisse Safoura
Primary Institution: University of Montreal
Hypothesis
What point of entry into the referral system is associated with the best rates of joint survival of mother and newborn?
Conclusion
Mother-newborn survival in the Kayes maternal referral system is influenced by combined effects of the point of care, the skill configuration of CHC personnel, and distance traveled.
Supporting Evidence
- Women entering the referral system at the regional hospital had the best survival rates.
- Distance traveled significantly affects mother-newborn survival.
- Presence of physicians at community health centers improves outcomes.
- More qualified healthcare teams at CHCs lead to better survival rates.
Takeaway
If mothers go directly to the best hospital when they have complications, both they and their babies are more likely to survive. Having skilled doctors at the first health center also helps.
Methodology
Cross-sectional study analyzing data from 7,214 women using a referral system in Kayes from 2006 to 2009, employing bivariate probit regression.
Potential Biases
Potential overestimation of survival rates due to exclusion of women who gave birth at home.
Limitations
The study did not assess the role of travel time or individual factors like education and decision-making power.
Participant Demographics
Pregnant women residing in Kayes region, transferred from a CHC or directly admitted at a higher referral level for obstetric complications.
Statistical Information
P-Value
p<0.001
Confidence Interval
[5.99 - 17.81]
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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