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Cost and impact of scaling up interventions to save lives of mothers and children: taking South Africa closer to MDGs 4 and 5

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dc.date.accessioned 2015-05-14 en
dc.date.accessioned 2021-02-09T15:24:43Z
dc.date.available 2021-02-09T15:24:43Z
dc.date.issued 2015-08-25 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/1940
dc.description.abstract South Africa has made substantial progress on child and maternal mortality, yet many avoidable deaths of mothers and children still occur. This analysis identifies priority interventions to be scaled up nationally and projects the potential maternal and child lives saved. We modelled the impact of maternal, newborn and child interventions using the Lives Saved Tools Projections to 2015 and used realistic coverage increases based on expert opinion considering recent policy change, financial and resource inputs, and observed coverage change. A scenario analysis was undertaken to test the impact of increasing intervention coverage to 95%. By 2015, with realistic coverage, the maternal mortality ratio (MMR) can reduce to 153 deaths per 100,000 and child mortality to 34 deaths per 1,000 live births. Fifteen interventions, including labour and delivery management, early HIV treatment in pregnancy, prevention of mother-to-child transmission and hand washing with soap, will save an additional 9,000 newborns and children and 1,000 mothers annually. An additional US$370 million (US$7 per capita) will be required annually to scale up these interventions. When intervention coverage is increased to 95%, breastfeeding promotion becomes the top intervention, the MMR reduces to 116 and the child mortality ratio to 23. The 15 interventions identified were adopted by the National Department of Health, and the Health Minister launched a campaign to encourage Provincial Health Departments to scale up coverage. It is hoped that by focusing on implementing these 15 interventions at high quality, South Africa will reach Millennium Development Goal (MDG) 4 soon after 2015 and MDG 5 several years later. Focus on HIV and TB during early antenatal care is essential. Strategic gains could be realised by targeting vulnerable populations and districts with the worst health outcomes. The analysis demonstrates the usefulness of priority setting tools and the potential for evidence-based decision making in the health sector. en
dc.format.medium Print en
dc.publisher Co-Action Publishing en
dc.subject WOMEN en
dc.subject CHILDREN en
dc.subject MILLENIUM DEVELOPMENT GOALS en
dc.subject INTERVENTION en
dc.title Cost and impact of scaling up interventions to save lives of mothers and children: taking South Africa closer to MDGs 4 and 5 en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 8 en
dc.BudgetYear 2015/16 en
dc.ResearchGroup Population Health, Health Systems and Innovation en
dc.SourceTitle Global Health Action en
dc.PlaceOfPublication Jarfalla, Sweden en
dc.ArchiveNumber 8639 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=15617 en
dc.PageNumber Online en
dc.outputnumber 7402 en
dc.bibliographictitle Chola, L., Pillay, Y., Barron, P., Tugendhaft, A., Kerber, K. & Hofman, K. (2015) Cost and impact of scaling up interventions to save lives of mothers and children: taking South Africa closer to MDGs 4 and 5. <i>Global Health Action</i>. 8:Online. http://hdl.handle.net/20.500.11910/1940 en
dc.publicationyear 2015 en
dc.contributor.author1 Chola, L. en
dc.contributor.author2 Pillay, Y. en
dc.contributor.author3 Barron, P. en
dc.contributor.author4 Tugendhaft, A. en
dc.contributor.author5 Kerber, K. en
dc.contributor.author6 Hofman, K. en


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