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Strategies for reducing maternal mortality: getting on with what works

The Lancet (British edition), 2006-10, Vol.368 (9543), p.1284-1299 [Peer Reviewed Journal]

2006 Elsevier Ltd ;2006 INIST-CNRS ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(06)69381-1 ;PMID: 17027735 ;CODEN: LANCAO

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  • Title:
    Strategies for reducing maternal mortality: getting on with what works
  • Author: Campbell, Oona MR ; Graham, Wendy J
  • Subjects: Adult ; Anemia - prevention & control ; Biological and medical sciences ; Family Planning Services ; Female ; General aspects ; Home Childbirth - standards ; Humans ; Maternal Mortality ; Maternal Welfare ; Medical sciences ; Midwifery - education ; Postnatal Care - organization & administration ; Poverty Areas ; Pregnancy ; Prenatal Care - organization & administration
  • Is Part Of: The Lancet (British edition), 2006-10, Vol.368 (9543), p.1284-1299
  • Description: The concept of knowing what works in terms of reducing maternal mortality is complicated by a huge diversity of country contexts and of determinants of maternal health. Here we aim to show that, despite this complexity, only a few strategic choices need to be made to reduce maternal mortality. We begin by presenting the logic that informs our strategic choices. This logic suggests that implementation of an effective intrapartum-care strategy is an overwhelming priority. We also discuss the alternative configurations of such a strategy and, using the best available evidence, prioritise one strategy based on delivery in primary-level institutions (health centres), backed up by access to referral-level facilities. We then go on to discuss strategies that complement intrapartum care. We conclude by discussing the inexplicable hesitation in decision-making after nearly 20 years of safe motherhood programming: if the fifth Millennium Development Goal is to be achieved, then what needs to be prioritised is obvious. Further delays in getting on with what works begs questions about the commitment of decision-makers to this goal.
  • Publisher: London: Elsevier Ltd
  • Language: English
  • Identifier: ISSN: 0140-6736
    EISSN: 1474-547X
    DOI: 10.1016/S0140-6736(06)69381-1
    PMID: 17027735
    CODEN: LANCAO
  • Source: ProQuest One Psychology
    AUTh Library subscriptions: ProQuest Central
    MEDLINE
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