Item details (bjohas, Tue Aug 05 2025 11:08:37 GMT+0100 (British Summer Time))

TY - RPRT
TI - Impact of Skilled Midwives on Saving Maternal and Newborn Lives in Bangladesh
AU - Inagaki, Yoko
AU - Tam, Yvonne
AU - Rahman, Musarrat
AU - Winch, Peter
AU - Department of International Health
AU - Johns Hopkins Bloomberg School of Public Health
AB - Bangladesh has significantly reduced maternal and neonatal mortality rates, with Maternal Mortality Ratio (MMR) decreasing from 318 per 100,000 live births in 2000 to 153 in 2022, and Neonatal Mortality Rate (NMR) dropping from 39 per 1,000 live births in 2001 to 16 per 1,000 live births in 2022 (BBS 2023) Despite these advances, achieving the SDG targets of MMR below 70 and NMR below 12 by 2030 requires accelerated efforts. Predominant causes of mortality are preventable and addressable through skilled midwifery care, which includes comprehensive reproductive health services. Globally, only a modest increase in coverage of midwife-led facility-based deliveries could avert up to 22% of maternal deaths, 23% of neonatal deaths, and 14% of stillbirths by 2035. In Bangladesh, 82% of urban and 65% of rural births are attended by skilled birth attendants, far below the near-universal coverage of facility-based deliveries attended by midwives and other skilled personnel in high-income countries. The government has recognised the importance of professional midwifery since 2010, leading to the establishment of various midwifery educational institutions. Midwives were first deployed in government health facilities in 2018. Over 8,000 midwives are currently licensed in Bangladesh, but only 2,557 are active in public health facilities. The current study employed a mixed methods approach to explore the impact of midwives on health outcomes. The quantitative components, Components 1A and 1B, retrospectively and prospectively modelled the impact of midwives on maternal and neonatal lives saved. The qualitative component involved interviews with various stakeholders to identify the barriers and facilitators that affect the pathway to impact of midwifery services on maternal and neonatal lived saved. The quantitative components are based on The Lives Saved Tool (LiST), developed by Johns Hopkins Bloomberg School of Public Health (BSPH). LiST evaluates the impact of health interventions on reducing maternal, neonatal, and child mortality, and stillbirths. It calculates lives saved by assessing changes in intervention coverage, with detailed regional analysis facilitated by the LiST Subnational Wizard ... to read more, check the Executive Summary on the attached document.
DA - 2024/07/14/
PY - 2024
SP - 54
LA - en
PB - Foreign Commonwealth & Development Office
UR - https://www.evidencefund.com/lib/M6ZF5WES
KW - Queries pending
ER -