Publication:
Obstetric Care in Poor Settings in Ghana, India, and Kenya

Simple item page
dc.contributor.authorMills, Samuel
dc.contributor.authorBos, Eduard
dc.contributor.authorLule, Elizabeth
dc.contributor.authorRamana, G.N.V.
dc.contributor.authorBulatao, Rodolfo
dc.date.accessioned2013-06-05T15:17:40Z
dc.date.available2013-06-05T15:17:40Z
dc.date.issued2007-11
dc.description.abstractWomen are at much greater risk in childbirth in developing countries than in developed countries. This report explores why maternal mortality continues to be so high in developing countries, and why emergency obstetric services are little utilized, through research carried out in poor areas in Ghana (Kassena-Nankana district), India (Uttar Pradesh state), and Kenya (Nairobi slums). The study employed both quantitative (household surveys, verbal autopsies, and health facilities surveys) and qualitative (focus groups and in-depth interviews) methods. Among the three settings, maternal mortality ratio was highest in the Nairobi slums, followed by Uttar Pradesh, while the Kassena- Nankana district had the lowest. It is intriguing that among the three settings, Nairobi slums had the highest proportion of women (70 percent) who sought professional assistance during delivery and yet the highest maternal mortality. One possible explanation is the different extent of legality of induced abortion in these three countries. Of the major causes of maternal mortality, the largest contrast among the study areas involved complications of abortion, which were almost four times higher in the Kenya slums than in the north of Ghana or in Uttar Pradesh. A large proportion of health facilities assessed in the three study areas were not capable of providing all six elements of basic emergency obstetric care.en
dc.identifierhttp://documents.worldbank.org/curated/en/2007/11/8959579/obstetric-care-poor-settings-ghana-india-kenya
dc.identifier.doi10.1596/13770
dc.identifier.urihttps://hdl.handle.net/10986/13770
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHNP discussion paper series;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectABORTION
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH WORKERS
dc.subjectHIV
dc.subjectHOSPITAL
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD SURVEYS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUSBANDS
dc.subjectHYPERTENSION
dc.subjectHYPOTHERMIA
dc.subjectILLITERACY
dc.subjectILLITERACY RATE
dc.subjectILLNESS
dc.subjectIMMUNIZATIONS
dc.subjectIMMUNODEFICIENCY
dc.subjectINFECTIOUS DISEASES
dc.subjectINFERTILITY
dc.subjectINFORMATION SYSTEMS
dc.subjectINFORMED DECISIONS
dc.subjectINTERNATIONAL COMMUNITY
dc.subjectINTERNATIONAL CONFEDERATION OF MIDWIVES
dc.subjectINTERNATIONAL CONSENSUS
dc.subjectKNOWLEDGE BASE
dc.subjectLABOR FORCE
dc.subjectLEADING CAUSES
dc.subjectLEADING CAUSES OF DEATH
dc.subjectLIFE EXPECTANCY
dc.subjectLIFETIME RISK
dc.subjectLIVE BIRTHS
dc.subjectLIVELIHOOD OPPORTUNITIES
dc.subjectLOW-INCOME SETTINGS
dc.subjectMALARIA
dc.subjectMATERNAL CARE
dc.subjectMATERNAL CAUSES
dc.subjectMATERNAL DEATH
dc.subjectMATERNAL DEATHS
dc.subjectMATERNAL HEALTH
dc.subjectMATERNAL HEALTH CARE
dc.subjectMATERNAL HEALTH SERVICES
dc.subjectMATERNAL MORBIDITY
dc.subjectMATERNAL MORTALITY
dc.subjectMATERNAL MORTALITY RATE
dc.subjectMATERNAL MORTALITY RATIO
dc.subjectMATERNAL MORTALITY RATIOS
dc.subjectMATERNITY CARE
dc.subjectMATERNITY HOSPITAL
dc.subjectMEDICAL CARE
dc.subjectMEDICAL FACILITIES
dc.subjectMEDICAL FACILITY
dc.subjectMEDICATION
dc.subjectMIDWIFE
dc.subjectMILLENNIUM DECLARATION
dc.subjectMILLENNIUM DEVELOPMENT GOAL
dc.subjectMILLENNIUM DEVELOPMENT GOALS
dc.subjectMINISTRY OF HEALTH
dc.subjectMISSION HOSPITAL
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectMOTHER
dc.subjectNUMBER OF WOMEN
dc.subjectNURSE
dc.subjectNURSES
dc.subjectNURSING
dc.subjectNURSING HOMES
dc.subjectNUTRITION
dc.subjectOBSTETRIC CARE
dc.subjectOBSTETRIC COMPLICATIONS
dc.subjectOBSTETRIC EMERGENCIES
dc.subjectOBSTETRIC FACILITIES
dc.subjectOBSTETRIC FISTULA
dc.subjectOPINION LEADERS
dc.subjectPANDEMIC
dc.subjectPHARMACIES
dc.subjectPHYSICIANS
dc.subjectPOLICY FORMULATION
dc.subjectPOLICY IMPLICATIONS
dc.subjectPOOR WOMEN
dc.subjectPOPULATION GROWTH
dc.subjectPOPULATION GROWTH RATE
dc.subjectPOST-ABORTION
dc.subjectPOST-ABORTION CARE
dc.subjectPOSTABORTION
dc.subjectPOSTABORTION CARE
dc.subjectPOSTNATAL CARE
dc.subjectPOSTPARTUM PERIOD
dc.subjectPREGNANCIES
dc.subjectPREGNANCY
dc.subjectPREGNANCY OUTCOME
dc.subjectPREGNANCY OUTCOMES
dc.subjectPREGNANCY-RELATED CAUSES
dc.subjectPREGNANT WOMAN
dc.subjectPREGNANT WOMEN
dc.subjectPRENATAL CARE
dc.subjectPRIVATE CLINIC
dc.subjectPROGRESS
dc.subjectPROPHYLAXIS
dc.subjectPUBLIC AWARENESS
dc.subjectPUBLIC DEBATE
dc.subjectPUBLIC HEALTH
dc.subjectQUALITATIVE INFORMATION
dc.subjectQUALITY OF CARE
dc.subjectREDUCING MATERNAL MORTALITY
dc.subjectREGISTRATION SYSTEMS
dc.subjectREPRODUCTIVE AGE
dc.subjectREPRODUCTIVE HEALTH
dc.subjectREPRODUCTIVE HEALTH INDICATORS
dc.subjectREPRODUCTIVE HEALTH SERVICE
dc.subjectRISK FACTORS
dc.subjectRURAL AREAS
dc.subjectRURAL DISTRICT
dc.subjectRURAL WOMEN
dc.subjectSAFE ABORTION
dc.subjectSAFE ABORTION SERVICES
dc.subjectSANITATION
dc.subjectSCHOOLS
dc.subjectSEXUAL INTERCOURSE
dc.subjectSKILLED ATTENDANTS
dc.subjectSOCIOECONOMIC DEVELOPMENT
dc.subjectSOCIOECONOMIC STATUS
dc.subjectSPONTANEOUS ABORTION
dc.subjectSPOUSES
dc.subjectSTATUS OF WOMEN
dc.subjectSUBSISTENCE FARMING
dc.subjectTELEVISION
dc.subjectTERMINATION OF PREGNANCY
dc.subjectTRADITIONAL BELIEFS
dc.subjectTRADITIONAL BIRTH ATTENDANTS
dc.subjectTUBERCULOSIS
dc.subjectUNFPA
dc.subjectUNITED NATIONS POPULATION FUND
dc.subjectUNSAFE ABORTION
dc.subjectUNWANTED PREGNANCY
dc.subjectURBAN CENTERS
dc.subjectUSE OF MATERNAL HEALTH SERVICES
dc.subjectVAGINAL DELIVERY
dc.subjectVIOLENCE
dc.subjectVITAL STATISTICS
dc.subjectWOMAN
dc.subjectWOMEN WITH ABORTION COMPLICATIONS
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectYOUNG WOMEN
dc.titleObstetric Care in Poor Settings in Ghana, India, and Kenyaen
dspace.entity.typePublication
okr.crosscuttingsolutionareaGender
okr.date.doiregistration2025-05-05T12:40:18.904588Z
okr.doctypeEconomic & Sector Work::Other Health Study
okr.doctypeEconomic & Sector Work
okr.docurlhttp://documents.worldbank.org/curated/en/2007/11/8959579/obstetric-care-poor-settings-ghana-india-kenya
okr.globalpracticeHealth, Nutrition, and Population
okr.guid725881468339093374
okr.identifier.externaldocumentum000310607_20080123112201
okr.identifier.internaldocumentum8959579
okr.identifier.report41873
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2008/01/23/000310607_20080123112201/Rendered/PDF/418730REPLACEM1stetricCare01PUBLIC1.pdfen
okr.sectorNon-compulsory health finance,Health
okr.sectorFinance,Health and other social services
okr.themePopulation and reproductive health,Health system performance,HIV/AIDS
okr.themeHuman development
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHealth, Nutrition and Population::Adolescent Health
okr.topicHealth Monitoring and Evaluation
okr.topicHealth Systems Development and Reform
okr.topicGender::Gender and Health
okr.unitHealth, Nutrition, and Population
okr.volume1 of 1
Files
Original bundle
Now showing 1 - 2 of 2
Thumbnail Image
Name:
418730REPLACEM1stetricCare01PUBLIC1.pdf
Size:
3.21 MB
Format:
Adobe Portable Document Format
Download
No Thumbnail Available
Name:
418730REPLACEM1stetricCare01PUBLIC1.txt
Size:
511.74 KB
Format:
Plain Text
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Plain Text
Description:
Download
Collections
Health, Nutrition and Population (HNP) Discussion Papers