Deborah Maine
Biographic Data
| ID | 1734934 |
|---|---|
| NAME | Deborah Maine |
| GIVEN NAMES | Deborah |
| FAMILY NAME | Maine |
| SIGNATURE | MAINE D |
| AFFILIATIONS | Columbia University |
| VERIFIED | No |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 214 |
| AUTHOR COUNT | 16 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1981 |
| LATEST PUBLICATION YEAR | 2012 |
| H-INDEX | 5 |
Maine and Hurlburt Respond
While Tsu and LaMontagne claim that our article contains inaccuracies, the authors present little evidence to back up this statement. They cite experience in “demonstration projects.” Such experience—in carefully implemented and monitored, and (presumably) well-financed projects—cannot be taken as an indication of performance in large, routine programs. It is not surprising that demonstration projects have lower rates of loss-to-follow-up than do…
Maine Responds
Cervical Cancer Prevention in the 21st Century
The wide publicity related to human papillomavirus (HPV) vaccines has led to a sense that HPV vaccine programs are inevitable in both developed and developing countries, whereas 2 existing methods of screening—visual inspection with ascetic acid (VIA) and DNA testing—have received much less attention. These screening methods detect cervical lesions better than does the Papanicolaou test and allow immediate treatment, minimizing loss to follow-up.…
Cervical Cancer Prevention in the 21st Century
The wide publicity related to human papillomavirus (HPV) vaccines has led to a sense that HPV vaccine programs are inevitable in both developed and developing countries, whereas 2 existing methods of screening—visual inspection with ascetic acid (VIA) and DNA testing—have received much less attention. These screening methods detect cervical lesions better than does the Papanicolaou test and allow immediate treatment, minimizing loss to follow-up.…
The evidence for emergency obstetric care
PURPOSE: We searched for evidence for the effectiveness of emergency obstetric care (EmOC) interventions in reducing maternal mortality primarily in developing countries. METHODS: We reviewed population-based studies with maternal mortality as the outcome variable and ranked them according to the system for ranking the quality of evidence and strength of recommendations developed by the US Preventive Services Task Force. A systematic search of pu…
The Safe Motherhood Initiative
Complications of pregnancy and childbirth are still the leading cause of death and disability among women of reproductive age in developing countries. After decades of neglect, the founding of the Safe Motherhood Initiative in 1987 promised action on this problem. A dozen years later, there is no evidence that maternal mortality has declined and there are still few sizeable programs. A major reason for this disappointing record is that the initia…
Why Perinatal Mortality Cannot be a Proxy for Maternal Mortality
In recent years, the perinatal mortality rate (PNMR) has been proposed as a proxy measure of maternal mortality, because perinatal deaths are more frequent and potentially more easily measured. This report assesses evidence for an association between these two statistics. This study, based upon data from Matlab, Bangladesh, shows that the maternal mortality ratio (MMR) and the PNMR do not vary together over time, and that the PNMR does not reliab…
Why did Maternal Mortality Decline in Matlab
In 1991, an article on the Maternity Care Program in Matlab, Bangladesh, reported a substantial decline in direct obstetric deaths in the intervention area, but not in the control area. The decline was attributed primarily to the posting of midwives at the village level. In this article, data are presented from the same period and area on a variety of intermediate events. They indicate that the decline in deaths was probably due to the combined e…
Risks and rights
This paper describes the multiple ways that the concept of risk is used in the health field, looking specifically at maternal mortality, contraceptive mortality and morbidity, and HIV/AIDS. Although risk data are often presented as objective and neutral, the paper shows how decisions about policies, programmes and individual treatment inevitably require value-laden choices to be made. It argues that reproductive rights principles should play a cr…
Too far to walk
A Framework for Analyzing the Determinants of Maternal Mortality
Hundreds of thousands of women in developing countries die each year from complications of pregnancy, attempted abortion, and childbirth. This article presents a comprehensive and integrated framework for analyzing the cultural, social, economic, behavioral, and biological factors that influence maternal mortality. The development of a comprehensive framework was carried out by reviewing the widely accepted frameworks that have been developed for…
Spousal Veto over Family Planning Services
In many countries a spouse, usually the husband, can veto a partner's use of family planning services. Where spousal veto acts as a barrier to family planning services it represents a serious threat to the lives and health of women and children. Removal of spousal authorization requirements has been shown to increase the use of family planning services. The Family Guidance Association of Ethiopia, for example, removed their requirement in 1982 an…
Spousal veto over family planning services
In many countries a spouse, usually the husband, can veto a partner's use of family planning services. Where spousal veto acts as a barrier to family planning services it represents a serious threat to the lives and health of women and children. Removal of spousal authorization requirements has been shown to increase the use of family planning services. The Family Guidance Association of Ethiopia, for example, removed their requirement in 1982 an…
Spousal Veto Over Family Planning Services
In many countries a spouse, usually the husband, can veto a partner's\nuse of family planning services. Where spousal veto acts as a barrier to\nfamily planning services, it represents a serious threat to the lives of women\nand children. This article discusses the nature and application of spousal\nveto practices throughout the world; explains how such requirements can\nviolate human rights; and explores possible remedies to the problem, includi…
Maternal Mortality-a Neglected Tragedy
Family Planning
Too far to walk
A Framework for Analyzing the Determinants of Maternal Mortality
Hundreds of thousands of women in developing countries die each year from complications of pregnancy, attempted abortion, and childbirth. This article presents a comprehensive and integrated framework for analyzing the cultural, social, economic, behavioral, and biological factors that influence maternal mortality. The development of a comprehensive framework was carried out by reviewing the widely accepted frameworks that have been developed for…
The Safe Motherhood Initiative
Complications of pregnancy and childbirth are still the leading cause of death and disability among women of reproductive age in developing countries. After decades of neglect, the founding of the Safe Motherhood Initiative in 1987 promised action on this problem. A dozen years later, there is no evidence that maternal mortality has declined and there are still few sizeable programs. A major reason for this disappointing record is that the initia…
Why did Maternal Mortality Decline in Matlab
In 1991, an article on the Maternity Care Program in Matlab, Bangladesh, reported a substantial decline in direct obstetric deaths in the intervention area, but not in the control area. The decline was attributed primarily to the posting of midwives at the village level. In this article, data are presented from the same period and area on a variety of intermediate events. They indicate that the decline in deaths was probably due to the combined e…
Spousal veto over family planning services
In many countries a spouse, usually the husband, can veto a partner's use of family planning services. Where spousal veto acts as a barrier to family planning services it represents a serious threat to the lives and health of women and children. Removal of spousal authorization requirements has been shown to increase the use of family planning services. The Family Guidance Association of Ethiopia, for example, removed their requirement in 1982 an…
Cervical Cancer Prevention in the 21st Century
The wide publicity related to human papillomavirus (HPV) vaccines has led to a sense that HPV vaccine programs are inevitable in both developed and developing countries, whereas 2 existing methods of screening—visual inspection with ascetic acid (VIA) and DNA testing—have received much less attention. These screening methods detect cervical lesions better than does the Papanicolaou test and allow immediate treatment, minimizing loss to follow-up.…
Why Perinatal Mortality Cannot be a Proxy for Maternal Mortality
In recent years, the perinatal mortality rate (PNMR) has been proposed as a proxy measure of maternal mortality, because perinatal deaths are more frequent and potentially more easily measured. This report assesses evidence for an association between these two statistics. This study, based upon data from Matlab, Bangladesh, shows that the maternal mortality ratio (MMR) and the PNMR do not vary together over time, and that the PNMR does not reliab…
Family Planning
Maternal Mortality-a Neglected Tragedy
Spousal veto over family planning services
In many countries a spouse, usually the husband, can veto a partner's use of family planning services. Where spousal veto acts as a barrier to family planning services it represents a serious threat to the lives and health of women and children. Removal of spousal authorization requirements has been shown to increase the use of family planning services. The Family Guidance Association of Ethiopia, for example, removed their requirement in 1982 an…
Spousal Veto Over Family Planning Services
In many countries a spouse, usually the husband, can veto a partner's\nuse of family planning services. Where spousal veto acts as a barrier to\nfamily planning services, it represents a serious threat to the lives of women\nand children. This article discusses the nature and application of spousal\nveto practices throughout the world; explains how such requirements can\nviolate human rights; and explores possible remedies to the problem, includi…
Spousal Veto over Family Planning Services
In many countries a spouse, usually the husband, can veto a partner's use of family planning services. Where spousal veto acts as a barrier to family planning services it represents a serious threat to the lives and health of women and children. Removal of spousal authorization requirements has been shown to increase the use of family planning services. The Family Guidance Association of Ethiopia, for example, removed their requirement in 1982 an…
A Framework for Analyzing the Determinants of Maternal Mortality
Hundreds of thousands of women in developing countries die each year from complications of pregnancy, attempted abortion, and childbirth. This article presents a comprehensive and integrated framework for analyzing the cultural, social, economic, behavioral, and biological factors that influence maternal mortality. The development of a comprehensive framework was carried out by reviewing the widely accepted frameworks that have been developed for…
Too far to walk
Risks and rights
This paper describes the multiple ways that the concept of risk is used in the health field, looking specifically at maternal mortality, contraceptive mortality and morbidity, and HIV/AIDS. Although risk data are often presented as objective and neutral, the paper shows how decisions about policies, programmes and individual treatment inevitably require value-laden choices to be made. It argues that reproductive rights principles should play a cr…
Why did Maternal Mortality Decline in Matlab
In 1991, an article on the Maternity Care Program in Matlab, Bangladesh, reported a substantial decline in direct obstetric deaths in the intervention area, but not in the control area. The decline was attributed primarily to the posting of midwives at the village level. In this article, data are presented from the same period and area on a variety of intermediate events. They indicate that the decline in deaths was probably due to the combined e…
Why Perinatal Mortality Cannot be a Proxy for Maternal Mortality
In recent years, the perinatal mortality rate (PNMR) has been proposed as a proxy measure of maternal mortality, because perinatal deaths are more frequent and potentially more easily measured. This report assesses evidence for an association between these two statistics. This study, based upon data from Matlab, Bangladesh, shows that the maternal mortality ratio (MMR) and the PNMR do not vary together over time, and that the PNMR does not reliab…
The Safe Motherhood Initiative
Complications of pregnancy and childbirth are still the leading cause of death and disability among women of reproductive age in developing countries. After decades of neglect, the founding of the Safe Motherhood Initiative in 1987 promised action on this problem. A dozen years later, there is no evidence that maternal mortality has declined and there are still few sizeable programs. A major reason for this disappointing record is that the initia…
The evidence for emergency obstetric care
PURPOSE: We searched for evidence for the effectiveness of emergency obstetric care (EmOC) interventions in reducing maternal mortality primarily in developing countries. METHODS: We reviewed population-based studies with maternal mortality as the outcome variable and ranked them according to the system for ranking the quality of evidence and strength of recommendations developed by the US Preventive Services Task Force. A systematic search of pu…
Cervical Cancer Prevention in the 21st Century
The wide publicity related to human papillomavirus (HPV) vaccines has led to a sense that HPV vaccine programs are inevitable in both developed and developing countries, whereas 2 existing methods of screening—visual inspection with ascetic acid (VIA) and DNA testing—have received much less attention. These screening methods detect cervical lesions better than does the Papanicolaou test and allow immediate treatment, minimizing loss to follow-up.…
Cervical Cancer Prevention in the 21st Century
The wide publicity related to human papillomavirus (HPV) vaccines has led to a sense that HPV vaccine programs are inevitable in both developed and developing countries, whereas 2 existing methods of screening—visual inspection with ascetic acid (VIA) and DNA testing—have received much less attention. These screening methods detect cervical lesions better than does the Papanicolaou test and allow immediate treatment, minimizing loss to follow-up.…
Maine and Hurlburt Respond
While Tsu and LaMontagne claim that our article contains inaccuracies, the authors present little evidence to back up this statement. They cite experience in “demonstration projects.” Such experience—in carefully implemented and monitored, and (presumably) well-financed projects—cannot be taken as an indication of performance in large, routine programs. It is not surprising that demonstration projects have lower rates of loss-to-follow-up than do…
Maine Responds
Medicine (15 works) · Environmental health (14 works) · Global Maternal and Child Health (9 works) · Population (9 works) · Economic growth (7 works) · Political science (6 works) · Developing country (5 works) · Family planning (5 works) · Pregnancy (5 works) · Cervical Cancer and HPV Research (4 works)