title: A Needs Assessment of Health Issues Related to Maternal Mortality Rates in Afghanistan: A Pilot Study.
abstract: Maternal death rates in Afghanistan were among the highest in the world during the reign of the Taliban. Although these figures have improved, current rates are still alarming. The aim of this pilot study was to develop a needs assessment of the major health issues related to the high maternal mortality rates in Afghanistan. In-depth interviews were conducted with managerial midwives, clinical midwives, and mothers. Results of the interviews indicate that the improvement in the maternal mortality rate may be attributed to the increase in the involvement of midwives in the birthing process. However, barriers to decreasing maternal mortality still exist. These include transportation, access to care, and sociocultural factors such as the influence of the husband and mother-in-law in preventing access to midwives. Therefore, any programs to decrease maternal mortality need to address infrastructure issues (making health care more accessible) and sociocultural factors (including husbands and mother-in-laws in maternal health education). However, it should be noted that these findings are based on a small pilot study to help develop a larger scale need assessment.
authors: University of Maryland, College Park, MD, USA.
authors: Ali
authors: A
authors: Naim
authors: University of Maryland, College Park, MD, USA rfeldman@umd.edu.
authors: Robert
authors: R
authors: Feldman
authors: University of Maryland, College Park, MD, USA.
authors: Robin
authors: R
authors: Sawyer
mesh_terms: D000328:Adult; D000346:Afghanistan / Q000453:epidemiology; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007407:Interviews as Topic; D008428:Maternal Mortality / Q000639:trends*; D010865:Pilot Projects; D011247:Pregnancy; D018570:Risk Assessment; D012959:Socioeconomic Factors; D014186:Transportation
keywords: Afghanistan; maternal mortality rates (MMR); midwives; mothers; needs assessment