caa a22 4500 39752031X CHVBK 20180308164630.0 cr unu---uuuuu 161202e199503 xx s 000 0 eng 10.1093/heapol/10.1.71 doi (NATIONALLICENCE)oxford-10.1093/heapol/10.1.71 Reducing maternal mortality in Kigoma, Tanzania [Elektronische Daten] [GODFREY MBARUKU, STAFFAN BERGSTRÖM] An intervention programme aiming at a reduction of maternal deaths in the Regional Hospital, Kigoma, Tanzania, is analyzed. A retrospective study was carried out from 1984-86 to constitute a background for an intervention programme in 1987-91. The retrospective study revealed gross under-registration of data and clarified a number of potentially useful issues regarding avoidable maternal mortality. An intervention programme comprising 22 items was launched and the maternal mortality ratio was carefully followed in 1987-91. The intervention programme paid attention to professional responsibilities with regular audit-oriented meetings, utilization of local material resources, schedules for regular maintenance of equipment, maintenance of working skills by regular on-the-job training of staff, norms for patient management, provision of blood, norms for referral of severely ill patients, use of antibiotics, regular staff evaluation, public complaints about patient management, travel distance of all essential staff to the hospital, supply of essential drugs, the need of a small infusion production unit, the creation of culture facilities for improved quality of microbiology findings, and to efforts to stimulate local fund-raising. The results indicate that the maternal mortality ratio fell from 933 to 186 per 100 000 live births over the period 1984-91. Thus it is underscored that the problem of maternal mortality can be successfully approached by a low-cost intervention programme aiming at identifying issues of avoidability and focusing upon locally available problem solutions. © Oxford University Press Review article nationallicence MBARUKU GODFREY Regional Hospital, Kigoma, Tanzani aut BERGSTRÖM STAFFAN Departments of International Health and Obstetrics & GynaecologyUlleval University Hospital, Oslo, Norway aut Health Policy and Planning Oxford University Press 10/1(1995-03), 71-78 0268-1080 10:1<71 1995 10 heapol https://doi.org/10.1093/heapol/10.1.71 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/heapol/10.1.71 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- MBARUKU GODFREY Regional Hospital, Kigoma, Tanzani aut NATIONALLICENCE 700 1- BERGSTRÖM STAFFAN Departments of International Health and Obstetrics & GynaecologyUlleval University Hospital, Oslo, Norway aut NATIONALLICENCE 773 0- Health Policy and Planning Oxford University Press 10/1(1995-03), 71-78 0268-1080 10:1<71 1995 10 heapol Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford