Maternal, neonatal, and child health in southeast Asia: towards greater regional collaboration. Acuin, C. S., Khor, G. L., Liabsuetrakul, T., Achadi, E. L., Htay, T. T., Firestone, R., & Bhutta, Z. A. Lancet (London, England), 377(9764):516–25, 2011. ![Maternal, neonatal, and child health in southeast Asia: towards greater regional collaboration [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex Although maternal and child mortality are on the decline in southeast Asia, there are still major disparities, and greater equity is key to achieve the Millennium Development Goals. We used comparable cross-national data sources to document mortality trends from 1990 to 2008 and to assess major causes of maternal and child deaths. We present inequalities in intervention coverage by two common measures of wealth quintiles and rural or urban status. Case studies of reduction in mortality in Thailand and Indonesia indicate the varying extents of success and point to some factors that accelerate progress. We developed a Lives Saved Tool analysis for the region and for country subgroups to estimate deaths averted by cause and intervention. We identified three major patterns of maternal and child mortality reduction: early, rapid downward trends (Brunei, Singapore, Malaysia, and Thailand); initially high declines (sustained by Vietnam but faltering in the Philippines and Indonesia); and high initial rates with a downward trend (Laos, Cambodia, and Myanmar). Economic development seems to provide an important context that should be coupled with broader health-system interventions. Increasing coverage and consideration of the health-system context is needed, and regional support from the Association of Southeast Asian Nations can provide increased policy support to achieve maternal, neonatal, and child health goals. Copyright © 2011 Elsevier Ltd. All rights reserved.
@article{acuin_maternal_2011,
title = {Maternal, neonatal, and child health in southeast {Asia}: towards greater regional collaboration},
volume = {377},
issn = {1474-547X 0140-6736},
url = {http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med7&NEWS=N&AN=21269675},
doi = {10.1016/S0140-6736(10)62049-1},
abstract = {Although maternal and child mortality are on the decline in southeast Asia, there are still major disparities, and greater equity is key to achieve the Millennium Development Goals. We used comparable cross-national data sources to document mortality trends from 1990 to 2008 and to assess major causes of maternal and child deaths. We present inequalities in intervention coverage by two common measures of wealth quintiles and rural or urban status. Case studies of reduction in mortality in Thailand and Indonesia indicate the varying extents of success and point to some factors that accelerate progress. We developed a Lives Saved Tool analysis for the region and for country subgroups to estimate deaths averted by cause and intervention. We identified three major patterns of maternal and child mortality reduction: early, rapid downward trends (Brunei, Singapore, Malaysia, and Thailand); initially high declines (sustained by Vietnam but faltering in the Philippines and Indonesia); and high initial rates with a downward trend (Laos, Cambodia, and Myanmar). Economic development seems to provide an important context that should be coupled with broader health-system interventions. Increasing coverage and consideration of the health-system context is needed, and regional support from the Association of Southeast Asian Nations can provide increased policy support to achieve maternal, neonatal, and child health goals. Copyright © 2011 Elsevier Ltd. All rights reserved.},
number = {9764},
journal = {Lancet (London, England)},
author = {Acuin, Cecilia S. and Khor, Geok Lin and Liabsuetrakul, Tippawan and Achadi, Endang L. and Htay, Thein Thein and Firestone, Rebecca and Bhutta, Zulfiqar A.},
year = {2011},
keywords = {*Child Mortality, *Child Welfare, *Maternal Mortality, *Maternal Welfare, Asia, Southeastern, Child, Child Health Services, Child Mortality/td [Trends], Female, Health Personnel/ed [Education], Health Policy, Health Workforce, Healthcare Disparities, Humans, Infant, Newborn, Maternal Health Services, Maternal Mortality/td [Trends], Poverty, Rural Health Services, Universal Health Insurance, Urban Health Services, Vaccination},
pages = {516--25},
}
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We present inequalities in intervention coverage by two common measures of wealth quintiles and rural or urban status. Case studies of reduction in mortality in Thailand and Indonesia indicate the varying extents of success and point to some factors that accelerate progress. We developed a Lives Saved Tool analysis for the region and for country subgroups to estimate deaths averted by cause and intervention. We identified three major patterns of maternal and child mortality reduction: early, rapid downward trends (Brunei, Singapore, Malaysia, and Thailand); initially high declines (sustained by Vietnam but faltering in the Philippines and Indonesia); and high initial rates with a downward trend (Laos, Cambodia, and Myanmar). Economic development seems to provide an important context that should be coupled with broader health-system interventions. Increasing coverage and consideration of the health-system context is needed, and regional support from the Association of Southeast Asian Nations can provide increased policy support to achieve maternal, neonatal, and child health goals. Copyright © 2011 Elsevier Ltd. 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