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A strategy for reducing maternal mortality.

A B Suleiman1, A Mathews, R Jegasothy

  • 1Ministry of Health, Kuala Lumpur, Malaysia.

Bulletin of the World Health Organization
|March 20, 1999
PubMed
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Malaysia established a confidential inquiry into maternal mortality in 1991. This system analyzes findings to reduce preventable deaths and improve maternal healthcare outcomes.

Area of Science:

  • Public Health
  • Obstetrics & Gynecology
  • Health Services Research

Background:

  • Maternal mortality remains a significant public health concern globally.
  • Effective surveillance systems are crucial for understanding and addressing maternal deaths.
  • Malaysia initiated a national confidential enquiry system in 1991.

Purpose of the Study:

  • To report on the methods and initial findings of Malaysia's maternal mortality enquiry system.
  • To outline recommendations and actions derived from the enquiry's results.
  • To inform strategies for reducing maternal mortality in Malaysia.

Main Methods:

  • Implementation of a confidential system for investigating maternal deaths.
  • Data collection and analysis of cases up to 1994.
Keywords:
AsiaDelivery Of Health CareDemographic FactorsDeveloping CountriesDiseasesHealthHealth ServicesMalaysiaMaternal Health ServicesMaternal MortalityMaternal-child Health ServicesMortality--womenPopulationPopulation CharacteristicsPopulation DynamicsPregnancy ComplicationsPregnant WomenPrimary Health CareResearch ReportSoutheastern AsiaWomen

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  • Development of recommendations based on identified trends and causes.

    • Main Results:

    • The enquiry system provided insights into the circumstances surrounding maternal deaths.
    • Specific areas for improvement in maternal healthcare were identified.
    • The findings guided the formulation of targeted interventions.

    Conclusions:

    • Confidential enquiries are valuable tools for maternal mortality surveillance.
    • Systematic review of maternal deaths facilitates evidence-based policy and practice changes.
    • The Malaysian experience demonstrates a proactive approach to improving maternal health outcomes.