Mapping Maternal and  Newborn Health    Proposed Study:   Malawi & Bangladesh          In Partnership With:    The Univers...
BACKGROUND• Maternal mortality has been identified as one of the  farthest off-track MDG in many countries, partly due  to...
OBJECTIVES• Determine the potential of mapping maternal and  newborn mortality, access to maternal care, referral  network...
PROPOSED ACTIVITIES• Malawi (main study)   –   Desk review of existing data sources   –   Mapping and modeling of one poin...
INDICATORS OF INTEREST• Maternal/newborn mortality and related indicators   – Case fatality, complication rates, C-section...
POTENTIAL DATA SOURCES• Malawi  – 2008 Census  – 2010 DHS  – 2010 Averting Maternal Death and Disability Assessment -    A...
POTENTIAL TOOLS & METHODS•   AccessMod•   Lives Saved Tool•   Mapping location of maternal deaths vs. residence•   Triangu...
POTENTIAL PARTNERS• Malawi  –   MoH and National Statistics Office officials  –   Clinton Health Access Initiative  –   Co...
LINKAGES WITH MNH MAPPING NETWORK• Identify opportunities to collaborate with other GIS  and MNH researchers in our target...
ADDITIONAL USAID WORK IN THIS AREA•   Mozambique – 2008 census and AMDD assessment•   Maternal and newborn outcomes•   Rev...
Questions?  Thank you!
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Mapping Maternal and Newborn Health in Malawi and Bangladesh

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This presentation was given at the technical mash-up meeting on "Mapping for Maternal and Newborn Health", hosted by ICS Integrare and the University of Southampton, with the support of the Norwegian Agency for International Development (NORAD) in Southampton (UK), 11-12th March 2013. Further details are available here http://integrare.es/?cat=33
This presentation describes proposed research to determine the potential for mapping maternal and newborn mortality, access to maternal care, referral networks, and use of care at the district level in Malawi and Bangladesh. This would involve a desk review of existing data for Malawi and Bangladesh, resulting in mapping and modeling of MNH at one point in time (~2008-2010). The relationship between mortality and low access/low use of care would be analyzed using AccessMod and other geostatistical tools, producing policy recommendations for new facilities, improved transportation, and/or improved referral networks. Finally, in Malawi only, the project would conduct a feasibility assessment of creating a system that conducts “real-time” mapping of MNH. This would involve compiling facility records, health management information system (HMIS) data, and possible surveys in two districts.
By Allisyn Moran (USAID) and Reid Porter (University of Texas)

Published in: Health & Medicine
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Mapping Maternal and Newborn Health in Malawi and Bangladesh

  1. 1. Mapping Maternal and Newborn Health Proposed Study: Malawi & Bangladesh In Partnership With: The University of Texas at Austin AidData Center for Development Policy
  2. 2. BACKGROUND• Maternal mortality has been identified as one of the farthest off-track MDG in many countries, partly due to poor data availability.• Call for better information at subnational level resonates with UN SG’s Every Woman, Every Child campaign, IERG, and the MNH Mapping Network.• Ending preventable child and maternal deaths are a priority focus for USAID
  3. 3. OBJECTIVES• Determine the potential of mapping maternal and newborn mortality, access to maternal care, referral networks, and use of care at the district (admin 2) level• Use maps and analysis to explore the relationship between mortality and low access and use of care• Provide policy recommendations for new facilities, upgrades, improved transport, and/or improved referral networks with information on the impact of different interventions• Explore the possibility for a real-time mapping system at the district level in Malawi to inform local and national policymaking
  4. 4. PROPOSED ACTIVITIES• Malawi (main study) – Desk review of existing data sources – Mapping and modeling of one point in time (~2008-10) – Primary data collection in-country – Feasibility study of “real time” MNH mapping• Bangladesh (limited secondary study) – Desk review – Mapping and modeling of one point in time (~2009-12)
  5. 5. INDICATORS OF INTEREST• Maternal/newborn mortality and related indicators – Case fatality, complication rates, C-section rates• Maternal care service provision• Health facility access• Use of maternal care – Delivery in facilities, antenatal & postnatal care• Reported barriers to access• Contributing socioeconomic and environmental factors• Potentially unmet EmOC need
  6. 6. POTENTIAL DATA SOURCES• Malawi – 2008 Census – 2010 DHS – 2010 Averting Maternal Death and Disability Assessment - AMDD – Malawi Spatial Data Portal (MASDAP): roads, land cover, etc. – HMIS, Health Surveillance Assistants, Facility records• Bangladesh – 2010 Bangladesh Maternal Mortality and Health Service Survey – 2009 MICS – icddr,b data – AMDD assessment
  7. 7. POTENTIAL TOOLS & METHODS• AccessMod• Lives Saved Tool• Mapping location of maternal deaths vs. residence• Triangulation of data where possible – On maternal mortality, access times, mode of transport used, barriers to access, etc.
  8. 8. POTENTIAL PARTNERS• Malawi – MoH and National Statistics Office officials – Clinton Health Access Initiative – College of Medicine – USAID Mission Office• Bangladesh – icddr,b – MoH and National Statistics Office – USAID Mission Office
  9. 9. LINKAGES WITH MNH MAPPING NETWORK• Identify opportunities to collaborate with other GIS and MNH researchers in our target countries• Learn from previous work and current state of the art• Integrate project with broader MNH network from the outset
  10. 10. ADDITIONAL USAID WORK IN THIS AREA• Mozambique – 2008 census and AMDD assessment• Maternal and newborn outcomes• Review of VA for role of infectious disease• Mapping key indicators (yet to be determine)• Working in collaboration with Measure Evaluation
  11. 11. Questions? Thank you!

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