Blog
About

  • Record: found
  • Abstract: found
  • Article: not found

Strategies for reducing maternal mortality: getting on with what works.

Lancet

organization & administration, Prenatal Care, Pregnancy, Poverty Areas, Postnatal Care, education, Midwifery, Maternal Welfare, Maternal Mortality, Humans, standards, Home Childbirth, Female, Family Planning Services, prevention & control, Anemia, Adult

Read this article at

ScienceOpenPublisherPubMed
Bookmark
      There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

      Abstract

      The concept of knowing what works in terms of reducing maternal mortality is complicated by a huge diversity of country contexts and of determinants of maternal health. Here we aim to show that, despite this complexity, only a few strategic choices need to be made to reduce maternal mortality. We begin by presenting the logic that informs our strategic choices. This logic suggests that implementation of an effective intrapartum-care strategy is an overwhelming priority. We also discuss the alternative configurations of such a strategy and, using the best available evidence, prioritise one strategy based on delivery in primary-level institutions (health centres), backed up by access to referral-level facilities. We then go on to discuss strategies that complement intrapartum care. We conclude by discussing the inexplicable hesitation in decision-making after nearly 20 years of safe motherhood programming: if the fifth Millennium Development Goal is to be achieved, then what needs to be prioritised is obvious. Further delays in getting on with what works begs questions about the commitment of decision-makers to this goal.

      Related collections

      Author and article information

      Journal
      10.1016/S0140-6736(06)69381-1
      17027735

      Comments

      Comment on this article