{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T06:42:27Z","timestamp":1782456147971,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T00:00:00Z","timestamp":1551225600000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine if the Expanding Maternal and Neonatal Survival (<jats:styled-content style=\"fixed-case\">EMAS<\/jats:styled-content>) program was associated with improved effectiveness of the referral system in Indonesia to facilitate timely and effective management of complications experienced by women and newborns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Poisson regression using longitudinal monitoring data was used to assess the impact of the <jats:styled-content style=\"fixed-case\">EMAS<\/jats:styled-content> program on stabilization practices prior to referral. Data from a nonrandomized quasi\u2010experimental pre\u2010post evaluation study were used to assess the impact of the <jats:styled-content style=\"fixed-case\">EMAS<\/jats:styled-content> program along the referral pathway using \u03c7<jats:sup>2<\/jats:sup> analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Monitoring data demonstrated improvements in intervention areas for stabilization of pre\u2010eclampsia\/eclampsia (24% vs 61%, incidence rate ratio [<jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content>] 2.4; 95% confidence interval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>], 2.3\u20132.6) and treatment of newborns with suspected severe infection (30% vs 54%, <jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content> 2.0; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.6\u20132.4) prior to referral. The <jats:styled-content style=\"fixed-case\">EMAS<\/jats:styled-content> program was associated with significantly higher levels of communication, advanced notification, back referral, and hospital emergency readiness and staff preparedness compared with the comparison arm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">EMAS<\/jats:styled-content> program contributed to improvements in the management of obstetric and newborn complications, including communication, transportation, and preparation of pregnant mothers in need of referral and hospital emergency readiness and staff preparedness.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12733","type":"journal-article","created":{"date-parts":[[2019,2,28]],"date-time":"2019-02-28T06:36:50Z","timestamp":1551335810000},"page":"30-41","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Assessing the effect of the Expanding Maternal and Neonatal Survival program on improving stabilization and referral for maternal and newborn complications in Indonesia"],"prefix":"10.1002","volume":"144","author":[{"given":"Alisa","family":"Pedrana","sequence":"first","affiliation":[{"name":"Disease Elimination Program Burnet Institute  Melbourne Vic. 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