Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/26587
Title: Maternal death and delays in accessing emergency obstetric care in Mozambique
Authors: Chavane, Leonardo Antonio
Bailey, Patricia
Loquiha, Osvaldo
Dgedge, Martinho
AERTS, Marc 
Temmerman, Marleen
Issue Date: 2018
Source: BMC PREGNANCY AND CHILDBIRTH, 18 (Art N° 71)
Abstract: Background: Despite declining trends maternal mortality remains an important public health issue in Mozambique. The delays to reach an appropriate health facility and receive care faced by woman with pregnancy related complications play an important role in the occurrence of these deaths. This study aims to examine the contribution of the delays in relation to the causes of maternal death in facilities in Mozambique. Methods: Secondary analysis was performed on data from a national assessment on maternal and neonatal health that included in-depth maternal death reviews, using patient files and facility records with the most comprehensive information available. Statistical models were used to assess the association between delay to reach the health facility that provides emergency obstetric care (delay type II) and delay in receiving appropriate care once reaching the health facility providing emergency obstetric care (delay type III) and the cause of maternal death within the health facility. Results: Data were available for 712 of 2,198 maternal deaths. Delay type II was observed in 40.4% of maternal deaths and delay type III in 14.2%. and 13.9% had both delays. Women who died of a direct obstetric complication were more likely to have experienced a delay type III than women who died due to indirect causes. Women who experienced delay type II were less likely to have also delay type III and vice versa. Conclusions: The delays in reaching and receiving appropriate facility-based care for women facing pregnancy related complications in Mozambique contribute significantly to maternal mortality. Securing referral linkages and health facility readiness for rapid and correct patient management are needed to reduce the impact of these delays within the health system.
Notes: Chavane, LA (reprint author), Jhpiego Mozamb, Rua AW Bayly 61, Maputo, Mozambique, leochavane@gmail.com
Keywords: Maternal deaths; Delays type II & III; Mozambique
Document URI: http://hdl.handle.net/1942/26587
e-ISSN: 1471-2393
DOI: 10.1186/s12884-018-1699-z
ISI #: 000428211900001
Rights: © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Category: A1
Type: Journal Contribution
Validations: ecoom 2019
Appears in Collections:Research publications

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