The MCH-FP project--a series of carefully designed reproductive health interventions that may directly and indirectly affect maternal health and mortality--was implemented in Matlab in 1977.
As mentioned, the comparison area is served by the standard government program, and residents do not have access to the range of maternal health services available in the MCH-FP area.
To explore whether the gap in the incidence of pregnancy termination between the MCH-FP and comparison areas has shrunk, we included interactions between area and calendar year in our regression analyses.
The proportion of pregnancies that were terminated was greater in the comparison area than in the MCH-FP area in all years except 2008 (Figure 1, page 121).
For example; the General Directorate of Primary Health Care manages the maternal and neonatal tetanus elimination programme, but the General Directorate of MCH-FP manages the safe motherhood programme.
Bureaucratic procedures for spending the budget of the General Directorate of MCH-FP are very complex, which causes wasting of time and resources.
However, quite a few service elements are still excluded from integrated MCH-FP programmes.
12) In fact, wherever MCH-FP services have not been able to meet women's needs, and poor quality of care stops women from wanting to attend, reproductive health outcomes have not improved.
METHODS: Data from the Matlab Demographic Surveillance System on 165,894 pregnancies over the period 1982-2005 were used to calculate four measures of maternal mortality for the MCH-FP and comparison areas.
RESULTS: The maternal mortality rate of 35 deaths per 100,000 women of reproductive age in the MCH-FP area was 37% lower than that in the comparison area (56 deaths per 100,000).
Previously, programme activities at district level relied heavily on vertical donor funding that came earmarked for STI/HIV or MCH-FP activities.
with earmarked funding and resources, as has been done in South Africa, and at the same time consider how best to involve the MCH-FP Unit and the Institutional Care Division who are responsible for STI treatment, within the decentralised system.