Monday, April 21
Grant Miller: Managerial Incentives in Public Service Delivery
Anderson, F.W., S.I. Naik, S.A. Feresu, B. Gebrian, M. Karki, and Sioban D. Harlow. 2008. "Perceptions of pregnancy complications in Haiti." International Journal of Gynecology & Obstetrics, 100(2): 116-123.
Objective To determine the incidence of perceived pregnancy complications and associated factors.
Methods During a census, 450 women identified themselves as pregnant and 388 were interviewed postpartum.
Results Complications were reported by 58.6%. Bleeding post-delivery was the most frequent complication (42.5%), followed by great pain (33.8%), bleeding during pregnancy (20.1%), and fever post-delivery (11.6%). Prenatal care at either a dispensary or a clinic was associated with reports of bleeding during pregnancy (odds ratio [OR] 9.06; 95% confidence interval [CI], 1.71–48.00 and OR 7.58; 95% CI, 1.53–37.48, respectively). Women who visited a doctor were less likely to report bleeding during pregnancy (OR 0.20; 95% CI, 0.08–0.55) or fever post-delivery (P = 0.015). Herb use was associated with reported bleeding during pregnancy (OR 2.22; 95% CI, 1.12–4.40) and great pain (OR 1.94; 95% CI, 1.05–3.58).
Conclusion The perceived pregnancy complication rate in Haiti is high and is associated with access to health care. The association between use of herbs and pregnancy complications warrants investigation.
Country of focus: Haiti.