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Copy of PH- EMS: Shirati
How does the intervention work?
Methods
The Problem
Population
Thank you
Questions?
Do motorcycle ambulances reduce maternal mortality?
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Ethical Considerations
Informed consent not always available
Background & Significance
Transportation for other services
Restriction of services
Life Expectancy Per Capita Income (Annually is USD)Population Growth Rate (PGR)Crude Death Rate (CDR)Crude Birth Rate (CBR)Infant Mortality Rate (IMR)Under Five Mortality RateMaternal Mortality RateTotal Fertility Rate (TFR)Population with access to health facility within radius of 5kmBirths in healthcare facility Population Per Health FacilityPopulation Per PhysicianPopulation
49.5
135
2.7%
1.5%
4.6%
115/1000
191/1000
578/100000
5.2
48%
40%
8426
37294
500000
CRT
GIS Mapping
Pre-Post Data
Qualitative
- Patient Interviews with patients on perceived access and quality of care
- Random Selection of TBAs & Dispensary Sites within 1 hour radius
- Use outside radius as controls
- Baseline Collection for 3 months
- Data Collection for 1 year using standard referral practices
2005 Hospital Statistics
SHIRATI
Data Sources
Out Patient
In Patient
Deliveries
Major Operations
Minor Operations
Hospital Deaths
Maternal Deaths
Cesarean Sections
7347
6780
1341
462
474
500
8
134
- Referral forms for inclusion criteria, initial status, location, and time
- Hospital logbooks for outcomes
- Ambulance logbooks & Patient Care Reports for time and condition changes