Cited by 108Global Maternal and Child HealthMaternal and Neonatal HealthcareChild Nutrition and Water Access

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Maternal, neonatal, and child health in southeast Asia: towards greater regional collaboration.

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Acuin, Cecilia S, Khor, Geok Lin, Liabsuetrakul, Tippawan, Achadi, Endang L, Htay, Thein Thein, Firestone, Rebecca, Bhutta, Zulfiqar A·2011·The Lancet

DOI 10.1016/s0140-6736(10)62049-1PMC PMC7159081

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Abstract

Although maternal and child mortality are on the decline in southeast Asia, there are still major disparities, and greater equity is key to achieve the Millennium Development Goals. We used comparable cross-national data sources to document mortality trends from 1990 to 2008 and to assess major causes of maternal and child deaths. We present inequalities in intervention coverage by two common measures of wealth quintiles and rural or urban status. Case studies of reduction in mortality in Thailand and Indonesia indicate the varying extents of success and point to some factors that accelerate progress. We developed a Lives Saved Tool analysis for the region and for country subgroups to estimate deaths averted by cause and intervention. We identified three major patterns of maternal and child mortality reduction: early, rapid downward trends (Brunei, Singapore, Malaysia, and Thailand); initially high declines (sustained by Vietnam but faltering in the Philippines and Indonesia); and high initial rates with a downward trend (Laos, Cambodia, and Myanmar). Economic development seems to provide an important context that should be coupled with broader health-system interventions. Increasing coverage and consideration of the health-system context is needed, and regional support from the Association of Southeast Asian Nations can provide increased policy support to achieve maternal, neonatal, and child health goals.

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Authors: Acuin, C. S., Khor, G. L., Liabsuetrakul, T., Achadi, E. L., Htay, T. T., Firestone, R., & Bhutta, Z. A.
Affiliations: University of the Philippines Manila (PH)
IMU University (MY)
Prince of Songkla University (TH)
University of Indonesia (ID)
Ministry of Health (MM)
Harvard University (US)
Aga Khan University (PK)
Corresponding author: Acuin, Cecilia S
ORCID: Acuin, Cecilia S
Khor, Geok Lin
Liabsuetrakul, Tippawan
Bhutta, Zulfiqar A
Venue: The Lancet
Publisher: Elsevier BV
Published: 2011-02
Volume: 377
Issue: 9764
Pages: 516-525
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(10)62049-1
PMC: PMC7159081
OpenAlex: W2117371169
Cited by: 108
References: 50
Citations by year: 2026: 4 · 2025: 6 · 2024: 8 · 2023: 6 · 2022: 5 · 2021: 7 · 2020: 4 · 2019: 9 · 2018: 6 · 2017: 5 · 2016: 8 · 2015: 6 · 2014: 3 · 2013: 12 · 2012: 10
FWCI: 9.74
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: China Medical Board
Prince of Songkla University
University of the Philippines
Faculty of Medicine, Prince of Songkla University
National Institutes of Health
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
Keywords: maternal mortality, neonatal mortality, child mortality, Southeast Asia, mortality trends, health equity, wealth inequality, urban-rural differences, Lives Saved Tool, mortality averted, economic development, health system interventions, regional cooperation, ASEAN, Millennium Development Goals
MeSH terms: Asia, Southeastern, Child, Child Health Services, Child Welfare, Female, Health Workforce, Health Personnel, Health Policy, Humans, Infant, Newborn, Maternal Health Services, Maternal Mortality, Maternal Welfare, Poverty, Vaccination, Rural Health Services, Urban Health Services, Universal Health Insurance, Child Mortality, Healthcare Disparities

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Maternal, neonatal, and child health in southeast Asia: towards greater regional collaboration.

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