Reducing Maternal Mortality : Learning from Bolivia, China, Egypt, Honduras, Indonesia, Jamaica, and Zimbabwe

Of the 515,000 maternal deaths that occur every year worldwide, 99 percent take place in developing countries. Women In the developing world have a 1 in 48 chance of dying from pregnancy-related causes; the ratio in industrial countries is 1 in 1,800. Of all the human development indicators, the greatest discrepancy between industrial, and developing countries is in maternal health. The stimulus for this study was the question - Can current program strategies reduce maternal mortality faster that the decades required in the historically successful countries of Malaysia, and Sri Lanka? The answer was no. Based on case studies in seven selected countries, the study stipulates the factor common to all reviewed programs, is the high availability of a provider who is, either a skilled birth attendant, or closely connected with a capable referral system. A second common factor is the high availability of facilities that can provide basic, and essential obstetric care. But, unlike historic successes however, strong government policy now focuses explicitly on safe motherhood, and sets the tone for programs in most of the selected countries. Another difference between the case studies selected, and that in historically successful countries, is the financing of services: while service were free to families in Malaysia and Sri Lanka, costs of safe motherhood services are now substantial, and a major deterrent to use.

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Bibliographic Details
Main Author: Koblinsky, Marjorie A.
Language:English
en_US
Published: Washington, DC: World Bank 2003-04
Subjects:ANTENATAL CARE, BABIES, BIRTHING CENTERS, BIRTHRATE, BIRTHS, CHILD HEALTH, CHILDBIRTH, CLINICS, CONTRACEPTIVE PREVALENCE, CONTRACEPTIVE PREVALENCE RATE, DELIVERY CARE, DEMOGRAPHIC INDICATORS, DOCTORS, DRUGS, ECONOMIC DEVELOPMENT, EMERGENCY OBSTETRIC CARE, EPIDEMIOLOGY, EXPENDITURES, FAMILIES, FAMILY HEALTH, FAMILY PLANNING, FAMILY PLANNING SERVICES, FEMALE PATIENTS, FERTILITY, HEALTH, HEALTH CARE, HEALTH CENTERS, HEALTH FACILITIES, HEALTH FACILITY, HEALTH OUTCOMES, HEALTH PROGRAMS, HEALTH PROVIDERS, HEALTH SECTOR, HEALTH SERVICES, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH TRAINING, HOSPITAL BIRTHS, HOSPITALS, HUMAN IMMUNODEFICIENCY VIRUS, HYGIENE, HYPERTENSIVE DISORDERS, IMMUNE DEFICIENCY SYNDROME, IMMUNODEFICIENCY, INTERVENTION, LIVE BIRTHS, MANAGERS, MATERNAL AND CHILD HEALTH, MATERNAL AND CHILD HEALTH CARE, MATERNAL DEATH, MATERNAL DEATHS, MATERNAL HEALTH, MATERNAL HEALTH CARE, MATERNAL MORTALITY, MATERNAL MORTALITY RATIO, MATERNITY CARE, MCH, MEDICAL PERSONNEL, MEDICAL SUPPLIES, MIDWIFERY, MIDWIVES, MODERN CONTRACEPTION, MORTALITY, MOTHERS, NATIONAL FAMILY PLANNING COUNCIL, NURSES, NUTRITION, OBSTETRIC CARE, OBSTETRIC EMERGENCIES, PATIENTS, PEER REVIEW, POSTPARTUM PERIOD, PREGNANCY, PREGNANT WOMEN, PRIMARY HEALTH CARE, PRIVATE CLINICS, PRIVATE SECTOR, PROFESSIONAL ASSOCIATIONS, PUBLIC HEALTH, QUALITY CONTROL, REFERRAL HOSPITALS, REPRODUCTIVE AGE, RISK ASSESSMENT, RISK FACTORS, SAFE MOTHERHOOD, SAFETY, SERVICE DELIVERY MODELS, STD, SURGERY, TETANUS, TOTAL FERTILITY RATE, TRADITIONAL BIRTH ATTENDANTS, TRAINED MIDWIFE, WORKERS MATERNAL MORTALITY, CASE STUDIES, DEVELOPING COUNTRIES, HUMAN DEVELOPMENT, BIRTH ATTENDANTS, HEALTH CARE FACILITIES, OBSTETRIC HOSPITALS, HEALTH POLICY, HEALTH CARE FINANCING,
Online Access:http://documents.worldbank.org/curated/en/2003/04/2360798/reducing-maternal-mortality-learning-bolivia-china-egypt-honduras-indonesia-jamaica-zimbabwe
https://hdl.handle.net/10986/15163
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