Mapping Maternal and Newborn Health

Proposed Study:Malawi & Bangladesh

In Partnership With:

The University of Texas at Austin

AidData Center for Development Policy

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

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

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)

• 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

INDICATORS OF INTEREST

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

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.

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

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

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

Questions?

Thank you!