TY - JOUR PY - 2015// TI - Determining optimal strategies to reduce maternal and child mortality in rural areas in western china: an assessment using the lives saved tool JO - Biomedical and environmental sciences A1 - Jiang, Zhen A1 - Guo, Su Fang A1 - Scherpbier, Robert W. A1 - Wen, Chun Mei A1 - Xu, Xiao Chao A1 - Guo, Yan SP - 606 EP - 610 VL - 28 IS - 8 N2 - 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
LA - en SN - 0895-3988 UR - http://dx.doi.org/10.3967/bes2015.084 ID - ref1 ER -