Sennen Hounton|Peter Byass|Brahima Bassane
Towards reduction of maternal and perinatal mortality in rural Burkina Faso: communities are not empty vessels
University of Aberdeen
background reducing maternal perinatal mortality sub saharan africa remains challenging requires effective context specific interventionsobjective aims paper demonstrate impact community mobilisation skilled care initiative sci reducing maternal perinatal mortality describe concept implementation order guide replication scaling updesigns quasi experimental design used assess extent sci associated increased institutional births maternal perinatal mortality reduction intervention ouargaye versus comparison diapaga district georeferenced census conducted retrospectively assess changes outcomes process measures detailed description activities rationale timing implementation gathered sci project officers summarised data analyses included descriptive statistics multivariate analysesresults macro level main significant difference ouargaye diapaga districts scope intensity communitybased interventions implemented ouargaye temporal association relationship implementation demanddriven interventions remarkable 30 increase institutional births intervention district compared 10 increase comparison district significant reduction perinatal mortality rates 075 ci 070080 intervention district larger decrease maternal mortality ratios intervention district although statistical significance reached comprehensive framework community mobilisation strategy proposed improve maternal child health poorest communitiesconclusion controlling availability quality health services working partnership effectively communities hence characterising communities empty vessels impacts outcomes district community mobilisation programme marked increase institutional births reductions maternal perinatal deaths