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Titolo:
The Maternal and Neonatal Programme Effort Index (MNPI)
Autore:
Ross, JA; Campbell, OMR; Bulatao, R;
Indirizzi:
Futures Grp Int, Glastonbury, CT 06033 USA Futures Grp Int Glastonbury CTUSA 06033 p Int, Glastonbury, CT 06033 USA London Sch Hyg & Trop Med, London WC1, England London Sch Hyg & Trop Med London England WC1 op Med, London WC1, England
Titolo Testata:
TROPICAL MEDICINE & INTERNATIONAL HEALTH
fascicolo: 10, volume: 6, anno: 2001,
pagine: 787 - 798
SICI:
1360-2276(200110)6:10<787:TMANPE>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Keywords:
delivery care; developing countries; evaluation; international policies; key informants; maternity services; maternal health; policies;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Ross, JA Futures Grp Int, 80 Glastonbury Blvd, Glastonbury, CT 06033 USA Futures Grp Int 80 Glastonbury Blvd Glastonbury CT USA 06033 USA
Citazione:
J.A. Ross et al., "The Maternal and Neonatal Programme Effort Index (MNPI)", TR MED I H, 6(10), 2001, pp. 787-798

Abstract

A new index is presented that measures the effort levels of national programmes to reduce maternal and neonatal mortality. These indices come from a questionnaire instrument composed of 14 major headings and 81 items. Forty-nine countries including most of the population in each geographical regionare covered. Data were collected from 10 to 25 raters in each country, whorated the 81 items for both the current year and 3 years ago, using a 0-5 scale running from no adequacy to full adequacy. The raters were drawn froma variety of positions and backgrounds, and were identified by a consultant retained in each country for that purpose. On average, country programmesscore at about half of the maximum score, but this varies considerably across the 14 components of effort, from very low scores for access to treatment by rural women, to high scores for neonatal care. Regional averages are not far apart for the overall score, although South Asia scores are especially low and East Asia's are especially high. To a considerable extent regions agree in the relative stress they give to each of the 14 components. Over the 3-year period, average scores rose by about 10%. When countries are divided into three groups by their maternal mortality levels, most of the 14components distinguish the high from the medium mortality countries; and about half of the components distinguish the medium from the low mortality countries. This new Maternal and Neonatal Programme Effort Index (MNPI) appears to yield useful measures for various dimensions of programme effort, and it relates sensibly to the output measure of maternal mortality, at leastas it is currently measured.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 12:32:16