Strategic planning for saving the lives of mothers, newborns and children and preventing stillbirths in KwaZulu-Natal province South Africa: modelling using the Lives Saved Tool (LiST)
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2016
TITLE AUTHOR(S): S-A.McGee, L.Chola, A.Tugendhaft, V.Mubaiwa, N.Moran, N.McKerrow, L.Kamugisha, K.Hofman
KEYWORDS: INFANT MORTALITY, KWAZULU-NATAL PROVINCE, MATERNAL HEALTH, MORTALITY, MOTHERHOOD, STILLBIRTH, WELL-BEING (HEALTH)
Print: HSRC Library: shelf number 9043
HANDLE: 20.500.11910/9323
URI: http://hdl.handle.net/20.500.11910/9323
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
KwaZulu-Natal province in South Africa has the largest population of children under the age of five and experiences the highest number of child births per annum in the country. Its population has also been ravaged by the dual epidemics of HIV and TB and it has struggled to meet targets for maternal and child mortality. In South Africa?s federal system, provinces have decision-making power on the prioritization and allocation of resources within their jurisdiction. As part of strategic planning for 2015-2019, KwaZulu-Natal provincial authorities requested an assessment of current mortality levels in the province and identification and costing of priority interventions for saving additional maternal, newborn and child lives, as well as preventing stillbirths in the province. Methods: The Lives Saved Tool (LiST) was used to determine the set of interventions, which could save the most additional maternal and child lives and prevent stillbirths from 2015-2019, and the costs of these. The impact of family planning was assessed using two scenarios by increasing baseline coverage of modern contraception by 0.5 percentage points or 1 percentage point per annum. A total of 7,043 additional child and 297 additional maternal lives could be saved, and 2,000 stillbirths could be prevented over five years. Seventeen interventions account for 75 % of additional lives saved. Increasing family planning contributes to a further reduction of up to 137 maternal and 3,168 child deaths. The set of priority interventions scaled up to achievable levels, with no increase in contraception would require an additional US$91 million over five years or US$1.72 per capita population per year. By increasing contraceptive prevalence by one percentage point per year, overall costs to scale up to achievable coverage package, decrease by US$24 million over five years. Focused attention on a set of key interventions could have a significant impact on averting stillbirths and maternal and neonatal mortality in KwaZulu-Natal. Concerted effort to prioritize family planning will save more lives overall and has the potential to decrease costs in other areas of maternal and child care.-
Related Research Outputs:
- Predictors of nurses' and midwives' intentions to provide maternal and child healthcare services to adolescents in South Africa
- Training and evaluation of community health workers (CHWs): towards improving maternal and newborn survival in an urban setting in KwaZulu-Natal, South Africa
- Children learn lessons of suffering
- Children's experiences of support received from men in rural KwaZulu-Natal
- Fragile families' experiences of caring for HIV-positive children: selected cases from the Eastern Cape and KwaZulu-Natal
- Triple return on investment: the cost and impact of 13 interventions that could prevent stillbirths and save the lives of mothers and babies in South Africa
- Letter to the editor: role of antibiotics in reducing childhood mortality in resource-poor settings
- Scaling up family planning to reduce maternal and child mortality: the potential costs and benefits of modern contraceptive use in South Africa
- Economic evaluations of interventions to reduce neonatal morbidity and mortality: a review of the evidence in LMICs and its implications for South Africa
- HealthRise technical dialogue report, Umgungundlovu district, KwaZulu-Natal, South Africa
- The effect of maternal and child early life factors on grade repitition among HIV exposed and unexposed children in rural KwaZulu-Natal, South Africa
- Improvement of Maternal and Child Morbidity and Mortality Surveillance System of South Africa (MIMMS): part 1
- Teenage pregnancy in South Africa: reducing prevalence and lowering maternal mortality rates
- Healthcare access and quality index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990-2015: a novel analysis from the Global Burden of Disease Study 2015
- Modelling the cost of community interventions to reduce child mortality in South Africa using the Lives Saved Tool (LiST)
- The Amagugu intervention: a qualitative investigation into maternal experiences and perspectives of a maternal HIV disclosure support intervention in rural South Africa
- Monitoring maternal and child morbidity and mortality in South Africa: strengthening surveillance strategies
- Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970-2016: a systematic analysis for the Global Burden of Disease Study 2016
- Establishing a community advisory group (CAG) for partnership defined quality (PDQ) towards improving primary health care in a peri-urban setting in KwaZulu-Natal, South Africa
- The impact of HIV/AIDS on land issues in Kwazulu-Natal province South Africa: case studies from Muden, Dondotha, Kwadumisa and Kwanyuswa