Citation

Jiang Z, Guo SF, Scherpbier RW, Wen CM, Xu XC, Guo Y. Biomed. Environ. Sci. 2015; 28(8): 606-610.

Affiliation

School of Public Health, Peking University, Beijing 100191, China.

Copyright

(Copyright © 2015, Chinese Center for Disease Control and Prevention and Chinese Academy of Preventive Medicine, Publisher Academic Press)

DOI

10.3967/bes2015.084

PMID

26383598

Abstract

China, as a whole, is about to meet the Millennium Development Goals for reducing the maternal mortality ratio (MMR) and infant mortality rate (IMR), but the disparities between rural area and urban area still exists. This study estimated the potential effectiveness of expanding coverage with high impact interventions using the Lives Saved Tool (LiST). It was found that gestational hypertension, antepartum and postpartum hemorrhage, preterm birth, neonatal asphyxia, and neonatal childhood pneumonia and diarrhea are still the major killers of mothers and children in rural area in China. It was estimated that 30% of deaths among 0-59 month old children and 25% of maternal deaths in 2008 could be prevented in 2015 if primary health care intervention coverage expanded to a feasible level. The LiST death cause framework, compared to data from the Maternal and Child Mortality Surveillance System, represents 60%-80% of neonatal deaths, 40%-50% of deaths in 1-59 month old children and 40%-60% of maternal deaths in rural areas of western China.

Language: en