Int J Health Geogr - Mapping for maternal and newborn health: the distributions of women of childbearing age, pregnancies and births.

Tópicos

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Resumo

CKGROUND: The health and survival of women and their new-born babies in low income countries has been a key priority in public health since the 1990s. However, basic planning data, such as numbers of pregnancies and births, remain difficult to obtain and information is also lacking on geographic access to key services, such as facilities with skilled health workers. For maternal and newborn health and survival, planning for safer births and healthier newborns could be improved by more accurate estimations of the distributions of women of childbearing age. Moreover, subnational estimates of projected future numbers of pregnancies are needed for more effective strategies on human resources and infrastructure, while there is a need to link information on pregnancies to better information on health facilities in districts and regions so that coverage of services can be assessed.METHODS: This paper outlines demographic mapping methods based on freely available data for the production of high resolution datasets depicting estimates of numbers of people, women of childbearing age, live births and pregnancies, and distribution of comprehensive EmONC facilities in four large high burden countries: Afghanistan, Bangladesh, Ethiopia and Tanzania. Satellite derived maps of settlements and land cover were constructed and used to redistribute areal census counts to produce detailed maps of the distributions of women of childbearing age. Household survey data, UN statistics and other sources on growth rates, age specific fertility rates, live births, stillbirths and abortions were then integrated to convert the population distribution datasets to gridded estimates of births and pregnancies.RESULTS AND CONCLUSIONS: These estimates, which can be produced for current, past or future years based on standard demographic projections, can provide the basis for strategic intelligence, planning services, and provide denominators for subnational indicators to track progress. The datasets produced are part of national midwifery workforce assessments conducted in collaboration with the respective Ministries of Health and the United Nations Population Fund (UNFPA) to identify disparities between population needs, health infrastructure and workforce supply. The datasets are available to the respective Ministries as part of the UNFPA programme to inform midwifery workforce planning and also publicly available through the WorldPop population mapping project.

Resumo Limpo

ckground health surviv women newborn babi low incom countri key prioriti public health sinc s howev basic plan data number pregnanc birth remain difficult obtain inform also lack geograph access key servic facil skill health worker matern newborn health surviv plan safer birth healthier newborn improv accur estim distribut women childbear age moreov subnat estim project futur number pregnanc need effect strategi human resourc infrastructur need link inform pregnanc better inform health facil district region coverag servic can assessedmethod paper outlin demograph map method base freeli avail data product high resolut dataset depict estim number peopl women childbear age live birth pregnanc distribut comprehens emonc facil four larg high burden countri afghanistan bangladesh ethiopia tanzania satellit deriv map settlement land cover construct use redistribut areal census count produc detail map distribut women childbear age household survey data un statist sourc growth rate age specif fertil rate live birth stillbirth abort integr convert popul distribut dataset grid estim birth pregnanciesresult conclus estim can produc current past futur year base standard demograph project can provid basi strateg intellig plan servic provid denomin subnat indic track progress dataset produc part nation midwiferi workforc assess conduct collabor respect ministri health unit nation popul fund unfpa identifi dispar popul need health infrastructur workforc suppli dataset avail respect ministri part unfpa programm inform midwiferi workforc plan also public avail worldpop popul map project

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