Abstract
Background: Approximately 287,000 women die of causes related to pregnancy and childbirth every year. While effective interventions exist to prevent maternal death, high quality impact evaluations for these interventions are often lacking. Methods. We conducted a Delphi process consisting of three rounds in which we asked maternal health experts to provide effectiveness estimates for 31 intervention-cause of death pairs relating to maternal mortality. Anonymous feedback in the form of medians and histograms for each question was given to experts following the first and second rounds. A diverse panel of 37 experts completed all three rounds, for a final response rate 80.4%. Results: This Delphi process produced a total of 31 effectiveness estimates for key maternal interventions on cause-specific maternal mortality. Overall, many interventions had high estimated effectiveness, with the majority of interventions having effectiveness estimates above 70%. Where possible, the estimates of effectiveness of interventions were compared to previous efforts and in general there was strong agreement between the estimates in this exercise as compared to those of earlier efforts. Conclusions: There are many maternal health interventions with high estimated effectiveness that, with expansion of effective delivery channels, have the potential to have a large impact on reducing maternal mortality worldwide.
| Original language | English (US) |
|---|---|
| Article number | S12 |
| Journal | BMC Public Health |
| Volume | 13 |
| Issue number | SUPPL.3 |
| DOIs | |
| State | Published - 2013 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Estimating the impact of interventions on cause-specific maternal mortality : A Delphi approach. / Pollard, Suzanne; Mathai, Matthews; Walker, Neff.
In: BMC Public Health, Vol. 13, No. SUPPL.3, S12, 2013.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Estimating the impact of interventions on cause-specific maternal mortality
T2 - A Delphi approach
AU - Pollard, Suzanne
AU - Mathai, Matthews
AU - Walker, Neff
PY - 2013
Y1 - 2013
N2 - Background: Approximately 287,000 women die of causes related to pregnancy and childbirth every year. While effective interventions exist to prevent maternal death, high quality impact evaluations for these interventions are often lacking. Methods. We conducted a Delphi process consisting of three rounds in which we asked maternal health experts to provide effectiveness estimates for 31 intervention-cause of death pairs relating to maternal mortality. Anonymous feedback in the form of medians and histograms for each question was given to experts following the first and second rounds. A diverse panel of 37 experts completed all three rounds, for a final response rate 80.4%. Results: This Delphi process produced a total of 31 effectiveness estimates for key maternal interventions on cause-specific maternal mortality. Overall, many interventions had high estimated effectiveness, with the majority of interventions having effectiveness estimates above 70%. Where possible, the estimates of effectiveness of interventions were compared to previous efforts and in general there was strong agreement between the estimates in this exercise as compared to those of earlier efforts. Conclusions: There are many maternal health interventions with high estimated effectiveness that, with expansion of effective delivery channels, have the potential to have a large impact on reducing maternal mortality worldwide.
AB - Background: Approximately 287,000 women die of causes related to pregnancy and childbirth every year. While effective interventions exist to prevent maternal death, high quality impact evaluations for these interventions are often lacking. Methods. We conducted a Delphi process consisting of three rounds in which we asked maternal health experts to provide effectiveness estimates for 31 intervention-cause of death pairs relating to maternal mortality. Anonymous feedback in the form of medians and histograms for each question was given to experts following the first and second rounds. A diverse panel of 37 experts completed all three rounds, for a final response rate 80.4%. Results: This Delphi process produced a total of 31 effectiveness estimates for key maternal interventions on cause-specific maternal mortality. Overall, many interventions had high estimated effectiveness, with the majority of interventions having effectiveness estimates above 70%. Where possible, the estimates of effectiveness of interventions were compared to previous efforts and in general there was strong agreement between the estimates in this exercise as compared to those of earlier efforts. Conclusions: There are many maternal health interventions with high estimated effectiveness that, with expansion of effective delivery channels, have the potential to have a large impact on reducing maternal mortality worldwide.
UR - http://www.scopus.com/inward/record.url?scp=84884391717&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84884391717&partnerID=8YFLogxK
U2 - 10.1186/1471-2458-13-S3-S12
DO - 10.1186/1471-2458-13-S3-S12
M3 - Article
AN - SCOPUS:84884391717
VL - 13
JO - BMC Public Health
JF - BMC Public Health
SN - 1471-2458
IS - SUPPL.3
M1 - S12
ER -