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Essay / Research Paper Abstract
This 89 page paper is a comprehensive in-depth review examining the literature concerning maternal mortality in Sub-Sahara Africa with specific attention to two countries with poor maternal mortality rates; Chad and Burkina Faso, and two countries where the rate has been improved; Botswana and South Africa. The papers starts by examining the extent of the problem in Sub-Sahara as a whole and then in the four countries chosen by looking at the profile of the countries and then quantifying the level and range of the problem in each of the countries. The next section of the paper examines the causes of the maternal deaths, looking at physical causes including, but not limited to, sepsis, haemorrhage, unsafe abortion and obstructed labour. In addition the social and political causes are also considered. The next section considers the interventions in Sub-Sahara Africa, including the Safe Motherhood Initiative (SMI) and each of the four countries including public policies and the way that interventions have taken pace. The paper ends with a comparison of the countries, a discussion and recommendations for the future. The bibliography cites 26 sources.
Page Count:
89 pages (~225 words per page)
File: TS14_TEmatmort.rtf
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Unformatted sample text from the term paper:
Burkina Faso 13 2.2.2 Profile of Chad 16 2.2.3 Profile of Botswana 21 2.2.4 Profile of South Africa 23 2.3 Extent of the Problems in Burkina Faso and Chad, Botswana and South Africa 28 2.3.1 The Extent of the Problem
in Burkina Faso 28 2.3.2 The Extent of the Problem in Chad 30 2.3.3 The Extent of the Problem in Botswana 31 2.3.4 The Extent of the Problem in South Africa 31 3. CAUSES OF MATERNAL MORTALITY 32 3.1 Causes
of Maternal Mortality in Sub-Sahara Africa. 32 3.2 Causes of Maternal Mortality in Burkina Faso, Chad, Botswana and South Africa 39 3.2.1 Burkina Faso 39 3.2.2 Chad 46 3.2.3 Botswana 51 3.2.4 South Africa 53 3.3 Comparison of South Africa, Botswana, Burkina
Faso and Chad 57 4. INTERVENTIONS 61 4.1 Existing Interventions 61 4.1.1 Burkina Faso 66 4.1.2 Chad 70 4.1.3 Botswana 70 4.1.4 South Africa 75 4.2 Comparison of the Interventions 78 5. DISCUSSION 83 5.2 Recommendations 86 REFERENCES 89 GLOSSARY 91
Abstract Maternal mortality is an area of healthcare that shows a high level of disparity between developed and
developing nations with more than 98% of the deaths taking place in developing countries. However, it is also a cause of death that can be tackled in a cost effective
manner in developing countries even in the developing countries of Sub-Sahara Africa where there are some of the poorest countries are located. South Africa and Botswana have shown how the
commitment to reduce maternal mortality and the provision of services supported by government policies and changes in legislation can bring mortality rates down significantly. The international Safe Motherhood Initiative
(SMI) programme has been developed in order to target maternal mortality rates in developing countries. There are seven main causes of maternal mortality in physical terms; haemorrhage, sepsis, post
abortion, placenta retention, obstructive labour, ruptured uterus and eclampsia. These causes tend t be seen throughout the developing world, but in different proportions and at differing levels in the various
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