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.
Details
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Author
Koblinsky, Marjorie A. [editor] Campbell, Oona D
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Document Date
2003/04/30
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Document Type
Publication
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Report Number
25953
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Volume No
1
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Total Volume(s)
1
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Country
Bolivia, Zimbabwe
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Region
Africa, East Asia and Pacific, Latin America & Caribbean, Middle East and North Africa,
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Disclosure Date
2010/07/01
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Doc Name
Reducing maternal mortality - learning from Bolivia, China, Egypt, Honduras, Indonesia, Jamaica, and Zimbabwe
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Keywords
Maternal mortality; Case studies; Pregnant women; Developing countries; Human development; Demographic indicators; Health programs; Health providers; Birth attendants; Health care facilities; Obstetric hospitals; Health policy; Safe motherhood; Health care financing
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Citation
Koblinsky, Marjorie A. [editor] Campbell, Oona D
Reducing maternal mortality - learning from Bolivia, China, Egypt, Honduras, Indonesia, Jamaica, and Zimbabwe (English). Health, nutrition, and population series Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/262811468771721342/Reducing-maternal-mortality-learning-from-Bolivia-China-Egypt-Honduras-Indonesia-Jamaica-and-Zimbabwe