Professional Documents
Culture Documents
Significant Progress
Global and regional maternal mortality in decline
Better measurement of maternal mortality
16.4
1990
2000
2011
Source: 2011 IHME
Progress at the Country Level: Maternal Mortality in Malaysia & Sri Lanka
83.2 73.6
48.2 32.6
1990
2000
2011
Source: 2011 IHME
417.1
247.0
1990
2000
2011
Source: 2011 IHME
2
Improved infrastructure
Strong political commitment to maternal health
6
Affordable & accessible facility-based services
Dominican Republic
Ethiopia
Notable commitment to reduce maternal morbidity and mortality at the national level Health Sector Development Program
Improving the facility infrastructure Training health care providers Promoting referrals to health facilities for birth
Despite these efforts, MMR remains stubbornly high low utilization of services (10%)
poor quality of care
India
Notable commitment to reduce maternal morbidity and mortality at the national level Janani Suraksha Yojana (JSY) is the largest conditional cash transfer program aimed at increasing institutional deliveries in the world.
Evidence of positive impact on perinatal & neonatal health The verdict is still out in terms of impact on maternal health
India has seen a reduction in MMR, but maternal mortality remains a serious problem.
Dominican Republic
The DR has a relatively high maternal mortality ratio despite nearly universal coverage of institutionalized deliveries
Major referral hospitals are overcrowded & understaffed Normal deliveries are over-medicalized Complicated deliveries are often not handled in an appropriate or timely manner
Risk of Mortality
3rd Trimester
2nd Trimester
28 days
1st Trimester 42 days
Pre-conception
Time
A focus on improving the quality of interpersonal & technical maternal health care
A focus on supporting promising innovative strategies for improving quality of maternal health care
A focus on supporting educational opportunities & technical capacity building for maternal health professionals
The question should not be why do women not accept the service that we offer, but why do we not offer a service that women will accept
- Mahmoud Fathalla, 1998
Thank you!
Maternal Health Task Force
www.maternalhealthtaskforce.org