This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
Research
Heesang Yoon
Nursing Department, Seoul Women’s College of Nursing, 38 Ganhodae-ro, Seodaemun-gu, Seoul, Korea
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: El Salvador is recognized as a country which could effectively reduce the maternal mortality ratio (MMR). In El Salvador, there was an improvement in health indicators, such as fertility rate, adolescent fertility rate, skilled birth attendance, health expenditures, but this improvement was not extraordinary compared with other developing countries. The reason El Salvador could achieve an outstanding decrease in MMR in spite of a not so special improvement in health or non-health indicators, deserves a deep research.
Methods: We used quantitative as well as qualitative methods to show that the reason El Salvador could reduce maternal mortality ratio more than expected is the health policy that not only aimed at reducing the (adolescent) fertility rate, but also provided a safe birth service to pregnant women through maternity waiting home. As quantitative methods we ran regressions using maternal mortality ratio as dependent variable, health and non-health factors as independent variables. As qualitative methods, we carried out a case study of maternal waiting home in El Salvador.
Results: El Salvador could reduce maternal mortality ratio through the improvement of health factors, such as fertility rate, skilled birth attendance, and non-health factors, such as GDP per capita and woman empowerment. However, even considering these factors, maternal mortality ratio of El Salvador decreased more than expected. We confirmed this by analyzing the residuals of the regression model. This improvement in MMR, which is more than expected from the regression results, can be attributed partly to the government measures, such as maternity waiting home.
Conclusions: The reason of the unexplained reduction in El Salvador’s maternal mortality ratio seems to be attributable to the health policy that not only aimed at reducing the fertility rate, but also provided a safe birth service to pregnant women through maternity waiting home.
Keywords
Maternal mortality ratio, Maternity waiting home, El Salvador
Figure 1
Loading...
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 25 Aug, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Sexual & Reproductive Medicine
Learn more about our company.
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research
Heesang Yoon
Nursing Department, Seoul Women’s College of Nursing, 38 Ganhodae-ro, Seodaemun-gu, Seoul, Korea
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 25 Aug, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Sexual & Reproductive Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: El Salvador is recognized as a country which could effectively reduce the maternal mortality ratio (MMR). In El Salvador, there was an improvement in health indicators, such as fertility rate, adolescent fertility rate, skilled birth attendance, health expenditures, but this improvement was not extraordinary compared with other developing countries. The reason El Salvador could achieve an outstanding decrease in MMR in spite of a not so special improvement in health or non-health indicators, deserves a deep research.
Methods: We used quantitative as well as qualitative methods to show that the reason El Salvador could reduce maternal mortality ratio more than expected is the health policy that not only aimed at reducing the (adolescent) fertility rate, but also provided a safe birth service to pregnant women through maternity waiting home. As quantitative methods we ran regressions using maternal mortality ratio as dependent variable, health and non-health factors as independent variables. As qualitative methods, we carried out a case study of maternal waiting home in El Salvador.
Results: El Salvador could reduce maternal mortality ratio through the improvement of health factors, such as fertility rate, skilled birth attendance, and non-health factors, such as GDP per capita and woman empowerment. However, even considering these factors, maternal mortality ratio of El Salvador decreased more than expected. We confirmed this by analyzing the residuals of the regression model. This improvement in MMR, which is more than expected from the regression results, can be attributed partly to the government measures, such as maternity waiting home.
Conclusions: The reason of the unexplained reduction in El Salvador’s maternal mortality ratio seems to be attributable to the health policy that not only aimed at reducing the fertility rate, but also provided a safe birth service to pregnant women through maternity waiting home.
Figure 1
Loading...