Global Health and Population, Harvard School of Public Health, Boston, Massachusetts, United States of America ; Program on the Health Rights of Women and Children, Franςois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, Massachusetts, United States of America.
PLoS One. 2013 Aug 19;8(8):e71674. doi: 10.1371/journal.pone.0071674. eCollection 2013.
Little is known about the interconnectedness of maternal deaths and impacts on children, beyond infants, or the mechanisms through which this interconnectedness is established. A study was conducted in rural Tanzania to provide qualitative insight regarding how maternal mortality affects index as well as other living children and to identify shared structural and social factors that foster high levels of maternal mortality and child vulnerabilities.
Adult family members of women who died due to maternal causes (N = 45) and key stakeholders (N = 35) participated in in-depth interviews. Twelve focus group discussions were also conducted (N = 83) among community leaders in three rural regions of Tanzania. Findings highlight the widespread impact of a woman's death on her children's health, education, and economic status, and, by inference, the roles that women play within their families in rural Tanzanian communities.
The full costs of failing to address preventable maternal mortality include intergenerational impacts on the nutritional status, health, and education of children, as well as the economic capacity of families. When setting priorities in a resource-poor, high maternal mortality country, such as Tanzania, the far-reaching effects that reducing maternal deaths can have on families and communities, as well as women's own lives, should be considered.
除了婴儿之外，对于孕产妇死亡与儿童的影响之间的关联性，以及这种关联性建立的机制，人们知之甚少。本研究在坦桑尼亚农村地区进行，旨在深入了解孕产妇死亡如何影响指数儿童和其他存活儿童，并确定促进孕产妇死亡率和儿童脆弱性居高不下的共同结构和社会因素。
因孕产妇原因死亡的妇女的成年家庭成员（N=45）和利益攸关方（N=35）参加了深入访谈。还在坦桑尼亚三个农村地区的社区领导中进行了 12 次焦点小组讨论（N=83）。研究结果强调了妇女死亡对其子女健康、教育和经济状况的广泛影响，并且推断出妇女在农村坦桑尼亚社区家庭中的作用。
未能解决可预防的孕产妇死亡问题所带来的全部代价包括对儿童营养状况、健康和教育以及家庭经济能力的代际影响。在资源匮乏、孕产妇死亡率高的国家（如坦桑尼亚）确定优先事项时，应考虑到降低孕产妇死亡率对家庭和社区以及妇女自身生活可能产生的深远影响。
