title: Next generation maternal health: external shocks and health-system innovations.
abstract: In this Series we document the substantial progress in the reduction of maternal mortality and discuss the current state of science in reducing maternal mortality. However, maternal health is also powerfully influenced by the structures and resources of societies, communities, and health systems. We discuss the shocks from outside of the field of maternal health that will influence maternal survival including economic growth in low-income and middle-income countries, urbanisation, and health crises due to disease outbreaks, extreme weather, and conflict. Policy and technological innovations, such as universal health coverage, behavioural economics, mobile health, and the data revolution, are changing health systems and ushering in new approaches to affect the health of mothers. Research and policy will need to reflect the changing maternal health landscape.
authors.affiliation: Department of Global Health and Population, School of Public Health, Harvard T H Chan, Boston, Boston, MA, USA. Electronic address: mkruk@hsph.harvard.edu.
authors.forename: Margaret E
authors.initials: ME
authors.lastname: Kruk
authors.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, NY, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Kujawski
authors.affiliation: Department of Learning Health Sciences and Department of Obstetrics and Gynaecology, Medical School, University of Michigan, Ann Arbor, MI, USA.
authors.forename: Cheryl A
authors.initials: CA
authors.lastname: Moyer
authors.affiliation: School of Public Health, University of Ghana, Accra, Ghana.
authors.forename: Richard M
authors.initials: RM
authors.lastname: Adanu
authors.affiliation: James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
authors.forename: Kaosar
authors.initials: K
authors.lastname: Afsana
authors.affiliation: Department of Global Health and Population, School of Public Health, Harvard T H Chan, Boston, Boston, MA, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Cohen
authors.affiliation: Center for Global Development, Washington, DC, USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Glassman
authors.affiliation: Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Alain
authors.initials: A
authors.lastname: Labrique
authors.affiliation: Public Health Foundation of India, Gurgaon, India.
authors.forename: K Srinath
authors.initials: KS
authors.lastname: Reddy
authors.affiliation: Duke Global Health Institute, Durham, NC, USA.
authors.forename: Gavin
authors.initials: G
authors.lastname: Yamey
mesh_terms: D003906:Developing Countries / Q000191:economics*; D005260:Female; D006078:Government Programs / Q000191:economics; D061889:Healthcare Financing; D006801:Humans; D000068097:Maternal Health / Q000191:economics / Q000592:standards*; D008427:Maternal Health Services / Q000191:economics / Q000458:organization & administration*; D011247:Pregnancy; D019472:Universal Health Insurance / Q000191:economics; D014507:Urbanization