Every death counts : use of mortality audit data for decision making to save the lives of mothers, babies, and children in South Africa

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dc.contributor.author Bradshaw, Debbie
dc.contributor.author Chopra, Mickey
dc.contributor.author Kerber, Kate
dc.contributor.author Lawn, Joy E.
dc.contributor.author Bamford, Lesley
dc.contributor.author Moodley, Jack
dc.contributor.author Pattinson, Robert Clive
dc.contributor.author Patrick, Mark
dc.contributor.author Stephen, C.R. (Cindy)
dc.contributor.author Velaphi, Sithembiso
dc.date.accessioned 2009-06-01T06:57:12Z
dc.date.available 2009-06-01T06:57:12Z
dc.date.issued 2008-04-12
dc.description.abstract South Africa is one of the few developing countries with a national confidential inquiry into maternal deaths. 164 health facilities obtain audit data for stillbirths and neonatal deaths, and a new audit network does so for child deaths. Three separate reports have been published, providing valuable information about avoidable causes of death for mothers, babies, and children. These reports make health-system recommendations, many of which overlap and are intertwined with the scarcity of progress in addressing HIV/AIDS. The leaders of these three reports have united to prioritise actions to save the lives of South Africa's mothers, babies, and children. The country is off-track for the health-related Millennium Development Goals. Mortality in children younger than 5 years has increased, whereas maternal and neonatal mortality remain constant. This situation indicates the challenge of strengthening the health system because of high inequity and HIV/AIDS. Coverage of services is fairly high, but addressing the gaps in quality and equity is essential to increasing the number of lives saved. Consistent leadership and accountability to address crosscutting health system and equity issues, and to prevent mother-to-child transmission of HIV, would save tens of thousands of lives every year. Audit is powerful, but only if the data lead to action. en_US
dc.description.sponsorship US Centers for Disease Control and Prevention (CDC) and the Bill and Melinda Gates Foundation to Save the Children Federation for the Saving Newborn Lives programme. en_US
dc.identifier.citation Pattinson, RC, Stephen, C, Patrick, M & South Africa Every Death Counts Writing Group 2008,'Every death counts : use of mortality audit data for decision making to save the lives of mothers, babies, and children in South Africa', Lancet, vol. 371, no. 9620, pp. 1294-1304. [http://www.elsevier.com/wps/find/journaldescription.cws_home/31066/description#description] en_US
dc.identifier.issn 0140-6736
dc.identifier.other 10.1016/S0140-6736(08)60564-4
dc.identifier.uri http://hdl.handle.net/2263/10266
dc.language.iso en en_US
dc.publisher Elsevier en_US
dc.rights Elsevier en_US
dc.subject Death en_US
dc.subject Mortality en_US
dc.subject Save lives en_US
dc.subject Audit en_US
dc.subject Decision making en_US
dc.subject Babies en_US
dc.subject Children en_US
dc.subject Mothers en_US
dc.subject.lcsh Newborn infants -- Mortality -- South Africa
dc.subject.lcsh Children -- Mortality -- Statistics -- South Africa
dc.subject.lcsh Mothers -- Mortality -- South Africa
dc.subject.lcsh Decision making
dc.title Every death counts : use of mortality audit data for decision making to save the lives of mothers, babies, and children in South Africa en_US
dc.type Postprint Article en_US


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