Health Systems and Workforce | Targets and Metrics Room: Watsonia & Bluebell Pre-Formed Panel
May 09, 2023 13:15 - 14:30(Africa/Johannesburg)
20230509T1315 20230509T1430 Africa/Johannesburg Learning from the Past, Connecting to the Future: Insights from Seven Maternal and Newborn Health (MNH) Exemplar Countries Using a Mortality Transition Model

Based on the results of the Maternal and Newborn Health (MNH) Exemplars study conducted during 2020–2022 in seven countries in Africa and Asia (Bangladesh, India, Nepal, Morocco, Ethiopia, Niger, and Senegal), four presentations use a maternal mortality, stillbirth, and neonatal mortality transition model to address the key lessons learnt from past progress for today's programs and for tomorrow's strategies.#1 describes the transition model and its dimensions of causes of death, fertility, health systems, service delivery strategies, and inequalities, based on extensive analyses for 149 countries, and then applied to the seven MNH exemplar countries, with special attention to India's subnational progress and present issues.#2 synthesizes how mortality and cause of death tracking and analyses are affected by major data gaps, hampering the ability to assess trends and inequalities. High coverage of births in health facilities afford new opportunities to collect better data.#3 presents intrapartum service strategies, which vary considerably between countries. Future strategies can be informed by experiences of countries in more advanced stages of the transition model. High coverage of hospital deliveries with quality care and adequate cesarean section rates among the poorest women appear to be key.#4 discusses how inequality patterns in neonatal mortality vary across the transition, but intervention coverage disparities reduced almost everywhere. A focus on disadvantaged women and neonates is a critical driver, but strategies vary by transition stage.The panel will conclude with two invited comments from policymakers on the utility of the transition model approach, followed by a moderated discussion with participants.

Room: Watsonia & Bluebell International Maternal Newborn Health Conference 2023 information@imnhc.org
157 attendees saved this session

Based on the results of the Maternal and Newborn Health (MNH) Exemplars study conducted during 2020–2022 in seven countries in Africa and Asia (Bangladesh, India, Nepal, Morocco, Ethiopia, Niger, and Senegal), four presentations use a maternal mortality, stillbirth, and neonatal mortality transition model to address the key lessons learnt from past progress for today's programs and for tomorrow's strategies.

#1 describes the transition model and its dimensions of causes of death, fertility, health systems, service delivery strategies, and inequalities, based on extensive analyses for 149 countries, and then applied to the seven MNH exemplar countries, with special attention to India's subnational progress and present issues.

#2 synthesizes how mortality and cause of death tracking and analyses are affected by major data gaps, hampering the ability to assess trends and inequalities. High coverage of births in health facilities afford new opportunities to collect better data.

#3 presents intrapartum service strategies, which vary considerably between countries. Future strategies can be informed by experiences of countries in more advanced stages of the transition model. High coverage of hospital deliveries with quality care and adequate cesarean section rates among the poorest women appear to be key.

#4 discusses how inequality patterns in neonatal mortality vary across the transition, but intervention coverage disparities reduced almost everywhere. A focus on disadvantaged women and neonates is a critical driver, but strategies vary by transition stage.

The panel will conclude with two invited comments from policymakers on the utility of the transition model approach, followed by a moderated discussion with participants.

Data Gaps in the Understanding of Progress in Maternal and Neonatal Mortality in the Exemplar Countries
Panel 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
None
Targets and Metrics
Health Systems and Workforce
Presenters Agbessi Amouzou
Professor, Johns Hopkins Bloomberg School Of Public Health
Co-authors
OC
Oona Campbell
Professor, London School Of Hygiene & Tropical Medicine And Makerere University School Of Public Health
TB
Ties Boerma
Professor, University Of Manitoba
Applying a Maternal and Neonatal Mortality Transition Model to Identify Drivers of Progress in India's States
Panel 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
None
Targets and Metrics
Health Systems and Workforce
Presenters
UR
Usha Ram
Professor And Head, International Institute For Population Sciences
Co-authors
RM
Ramesh Manjappa
Researcher, University Of Manitoba
HB
Himanshu Bhushan
Researcher, National Health Systems Resource Centre, New Delhi, India
Andrea Blanchard
Postdoctoral Fellow, Institute For Global Public Health, University Of Manitoba
KS
Kerry Scott
Researcher, University Of Manitoba
PK
Prakash Kumar
Post Doctoral Fellow, International Institute For Population Sciences, Mumbai, India
Closing the Gap: Trends and Inequalities in Maternal and Newborn Health among Seven Exemplar Countries
Panel 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
None
Targets and Metrics
Health Systems and Workforce
Presenters Cauane Blumenberg
Researcher, International Center For Equity In Health
Co-authors
LA
Luisa Arroyave
Postdoctoral Fellow, International Center For Equity In Health - Federal University Of Pelotas
LF
Leonardo Ferreira
Researcher, International Center For Equity In Health
AJ
Aluísio J. D. Barros
Professor, International Center For Equity In Health - Federal University Of Pelotas
Successful Strategies for Intrapartum Care: What Have Exemplar Countries Done and How Was This Achieved?
Panel 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
None
Targets and Metrics
Health Systems and Workforce
Presenters
OC
Oona Campbell
Professor, London School Of Hygiene & Tropical Medicine And Makerere University School Of Public Health
Co-authors Agbessi Amouzou
Professor, Johns Hopkins Bloomberg School Of Public Health
TB
Ties Boerma
Professor, University Of Manitoba
JK
Jessica King
Research Fellow, The London School Of Hygiene & Tropical Medicine (LSHTM)
WO
William Oswald
Assistant Professor, The London School Of Hygiene & Tropical Medicine (LSHTM)
A
Bouchra Assarag
Professor, École Nationale De Sante Publique Maroc
Shams El Arifeen
Senior Director, Maternal And Child Health Division (MCHD), International Centre For Diarrhoeal Disease Research, Bangladesh (icddr,b)
Youssoufa Lamou
Directeur Des Statistiques Et Des Etudes Demographiques Et Sociales, Institut National De La Statistique
Professor
,
London School of Hygiene & Tropical Medicine and Makerere University School of Public Health
Researcher
,
International Center for Equity in Health
Professor and Head
,
International Institute for Population Sciences
Professor
,
Johns Hopkins Bloomberg School of Public Health
Head of the West Africa Regional Office
,
African Population and Health Research Center
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