title: Applying the lessons of maternal mortality reduction to global emergency health.
abstract: Over the last few decades, maternal health has been a major focus of the international community and this has resulted in a substantial decrease in maternal mortality globally. Although, compared with maternal illness, medical and surgical emergencies account for far more morbidity and mortality, there has been less focus on global efforts to improve comprehensive emergency systems. The thoughtful and specific application of the concepts used in the effort to decrease maternal mortality could lead to major improvements in global emergency health services. The so-called three-delay model that was developed for maternal mortality can be adapted to emergency service delivery. Adaptation of evaluation frameworks to include emergency sentinel conditions could allow effective monitoring of emergency facilities and further policy development. Future global emergency health efforts may benefit from incorporating strategies for the planning and evaluation of high-impact interventions.
authors.affiliation: Department of Emergency Medicine, University of Maryland, 110 South Paca Street, Sixth Floor, Suite 200, Baltimore, Maryland, 21201, United States of America (USA).
authors.forename: Emilie J
authors.initials: EJ
authors.lastname: Calvello
authors.affiliation: Department of Emergency Medicine, University of Maryland, 110 South Paca Street, Sixth Floor, Suite 200, Baltimore, Maryland, 21201, United States of America (USA).
authors.forename: Alexander P
authors.initials: AP
authors.lastname: Skog
authors.affiliation: Department of Emergency Medicine, University of California San Francisco, San Francisco, USA .
authors.forename: Andrea G
authors.initials: AG
authors.lastname: Tenner
authors.affiliation: Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa .
authors.forename: Lee A
authors.initials: LA
authors.lastname: Wallis
mesh_terms: D004632:Emergency Medical Services / Q000379:methods*; D005260:Female; D014943:Global Health; D006297:Health Services Accessibility; D006801:Humans; D008427:Maternal Health Services; D008428:Maternal Mortality; D008429:Maternal Welfare; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*; D013997:Time Factors