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An Evaluation of a Safe Motherhood Hospital Program​

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Name of the Asset | An Evaluation of a Safe Motherhood Hospital Program
Type of Asset | Working Paper
Date | October 2009


The Maternal Mortality Ratio (MMR) represents the risks associated with pregnancy and is a key indicator of good family health. Thailand’s Department of Health (DOH), Ministry of Public Health (MOPH) reported that the MMR in Thailand was at 36 per 100,000 live births in 1990 one decade after the introduction of the Safe Motherhood Hospital program. This study evaluates whether the program has an impact on maternal mortality and the cost of child delivery, using the Propensity Score Matching (PSM) technique, which is widely used for non-experimental studies.

The study finds that a number of factors – administrative changes, geographic factors, size of catchment area, the socio-demographic structure of the district and hospital resources – are statistically significant determinants of program participation. However, the SMH program has no impact on the proportion of maternal death per child 20 delivery. The program, however, can reduce cost (i.e. the length of stay for birth giving and labor cost) of participating hospitals.


  • Worawan Chandoevwit, Thailand Development Research Institute
  • Kriengsak Vacharanukulkieti, Phu Ka Dung Hospital

Country and/or Region | Thailand 
Name of the Program | GDN’s Global Research Project ‘Promoting Innovative Programs from the Developing World: Towards Realizing the Health MDGs in Africa and Asia
Funder(s) | The Bill & Melinda Gates Foundation, United States

Download the Full Study here

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