Delivering the Millennium Development Goals To Reduce Maternal and Child Mortality A Systematic Review of Impact Evaluation Evidence Delivering the Millennium Development Goals To Reduce Maternal and Child Mortality A Systematic Review of Impact Evaluation Evidence Contents ABBREVIATIONS .................................................................................................................................. V ACKNOWLEDGMENTS ....................................................................................................................... VII PREFACE .............................................................................................................................................. IX OVERVIEW .......................................................................................................................................... XIII Objectives of the Review .......................................................................................................................................... xv Methodology and Scope ......................................................................................................................................... xvi 1. INTRODUCTION: BACKGROUND AND APPROACH ...................................................................... 1 Global Trends in Maternal and Child Health ............................................................................................................. 1 Current Progress in Maternal Health ..................................................................................................................................... 3 Current Progress in Child Health ........................................................................................................................................... 4 Pathways of Interventions on Reducing Maternal and Child Mortality ...................................................................... 5 Maternal and Child Health Strategies at the World Bank .......................................................................................... 8 Search Strategy ...................................................................................................................................................... 10 Data Description .................................................................................................................................................................. 15 Method of Analysis and Synthesis ....................................................................................................................................... 15 2. MOTHERS ........................................................................................................................................ 18 Skilled Birth Attendance as an Outcome ................................................................................................................. 21 Data Description .................................................................................................................................................................. 22 Governance ......................................................................................................................................................................... 22 Provision: Health Sector ...................................................................................................................................................... 22 Provision: Nonhealth Sectors .............................................................................................................................................. 22 Utilization ............................................................................................................................................................................. 23 Bundled Intervention ............................................................................................................................................................ 23 Findings ............................................................................................................................................................................... 24 Skilled Birth Attendance as an Intervention ............................................................................................................ 29 Data Description .................................................................................................................................................................. 31 Governance ......................................................................................................................................................................... 31 Provision: Health Sector ...................................................................................................................................................... 32 Provision: Nonhealth Sectors .............................................................................................................................................. 32 Utilization ............................................................................................................................................................................. 32 Bundled Interventions .......................................................................................................................................................... 33 Findings ............................................................................................................................................................................... 34 Maternal Mortality .................................................................................................................................................... 41 Data Description .................................................................................................................................................................. 43 Provision: Health Sector ...................................................................................................................................................... 44 Utilization ............................................................................................................................................................................. 44 Bundled Interventions .......................................................................................................................................................... 44 Findings ............................................................................................................................................................................... 45 i CONTENTS 3. CHILDREN ........................................................................................................................................ 50 Neonatal Mortality ................................................................................................................................................... 53 Data Description .................................................................................................................................................................. 54 Governance ......................................................................................................................................................................... 54 Provision: Health Sector ...................................................................................................................................................... 55 Provision: Nonhealth Sectors .............................................................................................................................................. 55 Utilization ............................................................................................................................................................................. 55 Bundled Interventions .......................................................................................................................................................... 56 Infant Mortality ......................................................................................................................................................... 62 Data Description .................................................................................................................................................................. 63 Governance ......................................................................................................................................................................... 63 Provision: Health Sector ...................................................................................................................................................... 63 Provision: Nonhealth Sector ................................................................................................................................................ 63 Utilization ............................................................................................................................................................................. 64 Bundled Interventions .......................................................................................................................................................... 64 Findings ..............................................................................................................................................................................