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CABI Book Chapter

Maternal and perinatal health in developing countries.

Book cover for Maternal and perinatal health in developing countries.

Description

The promotion of maternal health and mortality reduction is of worldwide importance, and constitutes a vital part of the UN Millennium Development Goals. The highest maternal mortality rates are in developing countries, where global and regional initiatives are needed to improve the systems and practices involved in maternal care and medical access. Taking a practical policy approach, this book co...

Metrics

Chapter 3 (Page no: 25)

The politics of progress: the story of maternal mortality.

The history of measuring maternal mortality reflects eflects the evolution of two broader strategic priorities: maternal health (safe motherhood) and health information systems. Three main periods can be distinguished: mid-1980s to 2000, 2000-2010, and 2010 to the present day, which broadly coincide with the phases of 'awareness', 'acknowledgement and enquiry' and 'commitment' used to describe the evolution of safe motherhood. Over the last 12-18 months, there has been an unprecedented level of political support and activity to accelerate progress towards achieving MDGs 4 and 5, reflecting stronger harmonization and alignment among major global actors, national governments, civil society organizations and other constituencies. Under the auspices of the United Nations Secretary General's Global Strategy for Women's and Children's Health, the WHO-led Commission on Information and Accountability has highlighted the need not only to generate reliable and powerful evidence but also to ensure its effective use in informing remedial actions at national and international levels. The Commission's recommendations include the maternal mortality ratio as one of 11 core indicators for judging progress within a framework for results and accountability, and ensure the continuing political prominence of this outcome in global health. The renewed attention to women's and children's health provides an opportunity to strengthen the information systems within countries. Although models and modelling will continue to play a useful part in estimating maternal mortality, particularly at a global and world region level, this should not be at the expense of investment in or attention to strengthening country-owned information systems and capacity.

Other chapters from this book

Chapter: 1 (Page no: 1) An introduction to maternal and perinatal health. Author(s): Hussein, J. Blanc, A. K. Donnay, F. McCaw-Binns, A.
Chapter: 2 (Page no: 10) The Millennium Development Goals. Author(s): McCaw-Binns, A. Hussein, J.
Chapter: 4 (Page no: 40) The epidemiology of maternal mortality. Author(s): Stanton, C. McCaw-Binns, A.
Chapter: 5 (Page no: 51) The epidemiology of stillbirths and neonatal deaths. Author(s): Stanton, C. Lawn, J. E.
Chapter: 6 (Page no: 64) Health systems. Author(s): Mavalankar, D. V. Raman, P. S.
Chapter: 7 (Page no: 77) Financing maternity care. Author(s): Witter, S. Ensor, T.
Chapter: 8 (Page no: 96) Implementing clinical interventions within maternal health programmes. Author(s): Langer, A. Knight, H. Charnock, A. Wegner, M. N. Villar, J.
Chapter: 9 (Page no: 114) Medical conditions in pregnancy. Author(s): Webber, R. McCaw-Binns, A. Hussein, J.
Chapter: 10 (Page no: 127) Improving the availability of services. Author(s): Phoya, A. Mavalankar, D. V. Raman, P. S. Hussein, J.
Chapter: 11 (Page no: 139) Geographical access, transport and referral systems. Author(s): Munjanja, S. P. Magure, T. Kandawasvika, G.
Chapter: 12 (Page no: 155) Demand for maternity care: beliefs, behaviour and social access. Author(s): Mumtaz, Z. Levay, A.
Chapter: 13 (Page no: 170) Empowering the community: BRAC's approach in Bangladesh. Author(s): Kaosar Afsana
Chapter: 14 (Page no: 181) Quality of care. Author(s): Achadi, E. Pitchforth, E. Hussein, J.
Chapter: 15 (Page no: 193) Monitoring and evaluation. Author(s): Hounton, S. Newlands, D. Meda, N. Hussein, J.
Chapter: 16 (Page no: 210) Addressing maternal health in emergency settings. Author(s): Bartlett, L. Aitken, I. Smith, J. M. Thomas, L. J. Rosen, H. E. Tappis, H. Burnham, G.

Chapter details

  • Author Affiliation
  • University of Aberdeen, Aberdeen, UK.
  • Year of Publication
  • 2012
  • ISBN
  • 9781845937454
  • Record Number
  • 20123188915