Maternal mortality in developing countries: challenges in scaling-up priority interventions.
Although maternal mortality is a significant global health issue, achievements in mortality decline to date have been inadequate. A review of the interventions targeted at maternal mortality reduction demonstrates that most developing countries face tremendous challenges in the implementation of these interventions, including the availability of unreliable data and the shortage in human and financial resources, as well as limited political commitment. Examples from developing countries, such as Sri Lanka, Malaysia and Honduras, demonstrate that maternal mortality will decline when appropriate strategies are in place. Such achievable strategies need to include redoubled commitments on the part of local, national and global political bodies, concrete investments in high-yield and cost-effective interventions and the delegation of some clinical tasks from higher-level healthcare providers to mid- or lower-level healthcare providers, as well as improved health-management information systems.
Prata
Ndola
N
University of California, Berkeley, School of Public Health, Berkeley, CA 94720-6390, USA. ndola@berkeley.edu
Passano
Paige
P
Sreenivas
Amita
A
Gerdts
Caitlin Elisabeth
CE
D003695:Delivery of Health Care / Q000458:organization & administration*; D003906:Developing Countries; D005260:Female; D006292:Health Priorities / Q000458:organization & administration*; D006293:Health Promotion / Q000458:organization & administration*; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration*; D008428:Maternal Mortality / Q000639:trends*; D007744:Obstetric Labor Complications / Q000401:mortality / Q000517:prevention & control; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D011247:Pregnancy; D011785:Quality Assurance, Health Care / Q000458:organization & administration