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CABI Book Chapter

Maternal and perinatal health in developing countries.

Book cover for Maternal and perinatal health in developing countries.


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...


Chapter 16 (Page no: 210)

Addressing maternal health in emergency settings.

Emergency and crises situations are e special circumstances in which maternal and perinatal health programmes are required. Countries that have just gone through a conflict or civil war typically have among the highest maternal and newborn mortality in the world, along with other poor reproductive health indicators. In acute emergencies, globally endorsed best practice guidelines for response focus on urgent lifesaving interventions, largely implemented by humanitarian relief agencies. Essential core services in these settings include family planning, care for labour and delivery, newborn care and emergency obstetric care to handle complications, within a 'Minimal Initial Service Package' of reproductive health interventions. After the acute phase, in protracted emergencies or during recovery, the priority is to strengthen the health system, with early and long-term inputs needed especially for effective leadership, health service delivery, performance monitoring and improvement and health workforce development. A 'Basic Package of Health Services' is being adopted in many post-conflict countries as a framework for reconstruction of the health system. Components of the package typically include the essential core services provided in the acute phase, but including a broader range of promotive, preventive and curative services. Although the government health system may undertake to provide health services in the post-crisis phase, the priority is to strengthen government's stewardship over health care. The delivery of services may be contracted out to non-state actors such as non-government organizations, at least until the government's human resource, supply chain and financial management capacities are built. Depending on the type of emergency and the extent of the destruction or development, there may also be the opportunity to introduce new health priorities and evidence-based interventions and approaches into what is left of the previous system.

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: 3 (Page no: 25) The politics of progress: the story of maternal mortality. Author(s): Graham, W. 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 details

  • Author Affiliation
  • Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
  • Year of Publication
  • 2012
  • ISBN
  • 9781845937454
  • Record Number
  • 20123188927