NDLI: Where are the gaps in improving maternal and child health in Mauritania? the case for contextualised interventions: a cross sectional study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Vallières, Frédérique Cassidy, Emma Louise McAuliffe, Eilish Isselmou, Sidina Ould Hamahoullah, Mohamed Saleh Lang, Juliet
Spatial Coverage	Mauritania
Description	Country affiliation: Ireland Author Affiliation: Vallières F ( Centre for Global Health, Trinity College Dublin, 7-9 Leinster Street South, Dublin 2, Ireland.)
Abstract	INTRODUCTION: It is estimated that any progress made towards improving maternal and child health in Mauritania has likely stalled. A lack of reliable and up-to-date data regarding maternal and child health indicators makes it difficult to identify current gaps and adapt international programmes to meet local needs. METHODS: Using secondary data collected as part of a baseline assessment for a maternal and child health programme being implemented in two health departments, we compared maternal and child health indicators across two different samples of pregnant women and children under-five in M'bagne and Guérou. Descriptive analyses were conducted using a Pearson's Chi-Squared test, assuming a binomial distribution and a confidence level of alpha=0.05. RESULTS: Our results indicated that there were marked regional differences in maternal and child health indicators between these two rural sites, with M'bagne generally performing better across a range of indicators including: immunisation rates, child registration, vitamin A supplementation, deworming, delivery in the presence of a skilled birth attendant, and post-natal care coverage. In Guérou we observed lower rates of fever, diarrhoea, and fast and difficult breathing among children under-five. CONCLUSION: Though socio-cultural differences may play a part in explaining some of these observed differences, these alone do not account for the observed differences in maternal and child health indicators. Context-specific activities to overcome barriers to care must be designed to address such rural regional differences if we are to see an improvement across maternal and child health indicators and accelerate progress towards MDGs 4 & 5 in Mauritania.
File Format	HTM / HTML
e-ISSN	19378688
DOI	10.11604/pamj.2013.14.97.2292
Journal	Pan African Medical Journal
Volume Number	14
Language	English
Publisher	African Field Epidemiology Network
Publisher Date	2013-01-01
Publisher Place	Uganda
Access Restriction	Open
Subject Keyword	Discipline Medicine Child Health Services Child Welfare Maternal Health Services Maternal Welfare Child, Preschool Cross-sectional Studies Infant Infant, Newborn Mauritania Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article

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