By Marjorie A. Koblinsky

The stimulus of this examine was once the query to whether present application recommendations can lessen maternal mortality faster than within the traditionally winning nations for Malaysia and Sari Lanka. via circumstances experiences, learn and research of volume facts of secure motherhood courses in seven nations, the answer's definite: classes realized difficulty six elements linked to contemporary luck in decreasing maternal mortality. This publication presents a radical research of things lowering maternal mortality via 3 retrospective case stories in China, Honduras and Zimbabwe; and 4 learn reports in Bolivia, Egypt, Indonesia, and Jamaica. aid of maternal mortality has now develop into an specific concentration of many courses. the place such is concentrated, and methods tailored to handle the neighborhood boundaries to maneuver girls into acceptable take care of start has resulted, this has impacted at the said maternal mortality.

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Additional info for Reducing Maternal Mortality: Learning from Bolivia, China, Egypt, Honduras, Indonesia, Jamaica, and Zimbabwe (Health, Nutrition and Population Series)

Sample text

Perhaps their MMRs were lower in a shorter period of time, but no information is available. Like Malaysia and Sri Lanka, the countries reported in this volume also use multifaceted approaches to lower their MMRs, with high availability of skilled birth attendants and supportive facilities where women can go for management of complications being two very prominent features. Targeting resources to increase such availability in geographic areas with high MMRs, as well as intervening with a mechanism that triggers awareness and use of care specifically in cases of high risk or obstetric complications, has proved a successful strategy in Honduras.

1999. ” Draft Report. Geneva. WHO, UNICEF (United Nations Children’s Fund), and UNFPA (United Nations Population Fund). 2001. Maternal Mortality in 1995: Estimates Developed by WHO, UNICEF, UNFPA. Geneva: WHO. PART 1 Case Studies CHAPTER 2 Yunnan, China, 1980–1999 Institute for Health Science China has reported a large decline in the maternal mortality ratio over three decades, from approximately 1,500 per 100,000 live births in 1950 to 100–200 in rural areas in 1980. Even with replacement of free services, through the cooperative medical system/insurance, with fee for service around 1978, the MMR has continued to slowly decline, registering 74 in rural China in 1998 (Ministry of Public Health, or MOPH).

This could lead to an overemphasis on the importance of measurement, or conversely the emphasis on reporting the MMR may be an important factor in stimulating action (Van Lerberghe and De Brouwere 2001). We note that all the above factors could also limit prospective evaluations of maternal health care when nonexperimental designs are used and signal areas of research yet to be developed. 3 were not witnessed in each setting reviewed, but the effect of their implementation in specific settings is instructive and is discussed below.

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