Improving Birth Outcomes Meeting the Challenge in the Developing World (2003) / Chapter Skim
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Appendix E: Dissenting Note
Appendix E: Dissenting Note
Pages 320-323
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From page 320... ...
Donor agencies and policy makers in developing countries will invest billions of dollars and could be putting the lives of millions of women at stake. These recommendations have implications of mammoth proportions.
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From page 321... ...
Who will decide as to where and how women should deliver? Will this decision for every woman in the developed as well as developing countries be made by the professionals and policy makers alone or will women and their families have a choice?
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From page 322... ...
The total estimated cost of public health and clinical services in low income countries was $12 per capita. Many developing countries may not be able to devote the required resources for this recommended approach, as it may need $3.80/12, or 30 percent of their total estimated cost of health services, but it will avert only 4 percent of their disease burden (WorId Bank, 1993~.
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From page 323... ...
The policy makers and donor agencies need to consider these issues, ask for the evidence that the recommended solution is acceptable to people, feasible to implement, effective in reducing maternal and neonatal deaths, and is more cost-effective than other interventions. Recommendations based on what appears "sensible" but, not tested in large field trials may fail to produce the desired results, leading to one more round of disillusionment.
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