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Strategies for reducing maternal mortality: getting on with what works
Oona M R Campbell1, Wendy J Graham,
1Department of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK. Oona.Campbell@lshtm.ac.uk
Lancet (London, England)
|October 10, 2006
Summary
Reducing maternal mortality requires prioritizing effective intrapartum care, ideally in primary health centers with referral access. Despite complex contexts, strategic choices can significantly decrease maternal deaths, urging prompt action for the Millennium Development Goals.
Area of Science:
- Global Health
- Maternal Health
- Public Health Policy
Background:
- Maternal mortality reduction is complex due to diverse country contexts and health determinants.
- Nearly two decades of safe motherhood programming have seen inexplicable decision-making delays.
Purpose of the Study:
- To demonstrate that despite complexity, few strategic choices are needed to reduce maternal mortality.
- To prioritize an effective intrapartum care strategy and complementary approaches.
Main Methods:
- Reviewing evidence to inform strategic choices for maternal mortality reduction.
- Prioritizing a specific intrapartum care strategy based on primary-level delivery with referral access.
Main Results:
- An effective intrapartum care strategy is an overwhelming priority for reducing maternal mortality.
- Delivery in primary-level institutions (health centers) with access to referral facilities is prioritized.
Conclusions:
- Strategic choices, particularly in intrapartum care, are crucial for achieving the fifth Millennium Development Goal.
- Urgent implementation of proven strategies is necessary, questioning decision-makers' commitment to reducing maternal mortality.
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