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The Safe Motherhood Initiative: why has it stalled?
Complications of pregnancy and childbirth are still the leading cause of death and disability among women of reproductive age in developing countries. After decades of neglect, the founding of the Safe Motherhood Initiative in 1987 promised action on this problem. A dozen years later, there is no ev...
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| Published in: | American journal of public health (1971) 1999-04, Vol.89 (4), p.480-482 |
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| Main Authors: | , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c516t-f5ee1271055de209e9ee535e4a674712e07c79922f7bd82a95cd9ea0e64226f53 |
| container_end_page | 482 |
| container_issue | 4 |
| container_start_page | 480 |
| container_title | American journal of public health (1971) |
| container_volume | 89 |
| creator | Maine, D Rosenfield, A |
| description | Complications of pregnancy and childbirth are still the leading cause of death and disability among women of reproductive age in developing countries. After decades of neglect, the founding of the Safe Motherhood Initiative in 1987 promised action on this problem. A dozen years later, there is no evidence that maternal mortality has declined and there are still few sizeable programs. A major reason for this disappointing record is that the initiative lacks a clear, concise, feasible strategy. This article reviews the available options and proposes a strategy based on improving the availability and quality of medical treatment of obstetric complications. Once district hospitals and health centers provide such needed care, community mobilization to improve prove utilization may be beneficial. Substantial reductions in maternal deaths would be possible in a relatively short period of time if this strategy were embraced. |
| doi_str_mv | 10.2105/AJPH.89.4.480 |
| format | article |
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After decades of neglect, the founding of the Safe Motherhood Initiative in 1987 promised action on this problem. A dozen years later, there is no evidence that maternal mortality has declined and there are still few sizeable programs. A major reason for this disappointing record is that the initiative lacks a clear, concise, feasible strategy. This article reviews the available options and proposes a strategy based on improving the availability and quality of medical treatment of obstetric complications. Once district hospitals and health centers provide such needed care, community mobilization to improve prove utilization may be beneficial. Substantial reductions in maternal deaths would be possible in a relatively short period of time if this strategy were embraced.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.89.4.480</identifier><identifier>PMID: 10191784</identifier><identifier>CODEN: AJPHDS</identifier><language>eng</language><publisher>United States: Am Public Health Assoc</publisher><subject>Abortion ; Births ; Developing Countries ; Emergencies ; Family planning ; Female ; Global Health ; Health care ; Humans ; Infections ; Initiatives ; LDCs ; Maternal & child health ; Maternal Health Services - standards ; Maternal mortality ; Maternal Mortality - trends ; Maternal Welfare - legislation & jurisprudence ; Maternal Welfare - trends ; Medical disorders ; Medical technology ; Nutrition ; Obstetrics ; Pregnancy ; Prenatal care ; Progress ; Public health ; Quality Assurance, Health Care - organization & administration ; Risk factors ; Safe motherhood ; Womens health</subject><ispartof>American journal of public health (1971), 1999-04, Vol.89 (4), p.480-482</ispartof><rights>Copyright American Public Health Association Apr 1999</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c516t-f5ee1271055de209e9ee535e4a674712e07c79922f7bd82a95cd9ea0e64226f53</citedby><cites>FETCH-LOGICAL-c516t-f5ee1271055de209e9ee535e4a674712e07c79922f7bd82a95cd9ea0e64226f53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/215092136/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/215092136?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,3993,11687,21386,21393,27865,27923,27924,30999,33610,33611,33984,33985,36059,36060,43732,43947,44362,53790,53792,73992,74239,74666</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10191784$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maine, D</creatorcontrib><creatorcontrib>Rosenfield, A</creatorcontrib><title>The Safe Motherhood Initiative: why has it stalled?</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>Complications of pregnancy and childbirth are still the leading cause of death and disability among women of reproductive age in developing countries. After decades of neglect, the founding of the Safe Motherhood Initiative in 1987 promised action on this problem. A dozen years later, there is no evidence that maternal mortality has declined and there are still few sizeable programs. A major reason for this disappointing record is that the initiative lacks a clear, concise, feasible strategy. This article reviews the available options and proposes a strategy based on improving the availability and quality of medical treatment of obstetric complications. Once district hospitals and health centers provide such needed care, community mobilization to improve prove utilization may be beneficial. Substantial reductions in maternal deaths would be possible in a relatively short period of time if this strategy were embraced.</description><subject>Abortion</subject><subject>Births</subject><subject>Developing Countries</subject><subject>Emergencies</subject><subject>Family planning</subject><subject>Female</subject><subject>Global Health</subject><subject>Health care</subject><subject>Humans</subject><subject>Infections</subject><subject>Initiatives</subject><subject>LDCs</subject><subject>Maternal & child health</subject><subject>Maternal Health Services - standards</subject><subject>Maternal mortality</subject><subject>Maternal Mortality - trends</subject><subject>Maternal Welfare - legislation & jurisprudence</subject><subject>Maternal Welfare - trends</subject><subject>Medical disorders</subject><subject>Medical technology</subject><subject>Nutrition</subject><subject>Obstetrics</subject><subject>Pregnancy</subject><subject>Prenatal care</subject><subject>Progress</subject><subject>Public health</subject><subject>Quality Assurance, Health Care - organization & administration</subject><subject>Risk factors</subject><subject>Safe motherhood</subject><subject>Womens 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| fulltext | fulltext |
| identifier | ISSN: 0090-0036 |
| ispartof | American journal of public health (1971), 1999-04, Vol.89 (4), p.480-482 |
| issn | 0090-0036 1541-0048 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); ABI/INFORM Collection; Business Source Ultimate; American Public Health Association; Politics Collection; Social Science Premium Collection (Proquest) (PQ_SDU_P3); PAIS Index; PubMed Central; EBSCOhost SPORTDiscus - Ebooks |
| subjects | Abortion Births Developing Countries Emergencies Family planning Female Global Health Health care Humans Infections Initiatives LDCs Maternal & child health Maternal Health Services - standards Maternal mortality Maternal Mortality - trends Maternal Welfare - legislation & jurisprudence Maternal Welfare - trends Medical disorders Medical technology Nutrition Obstetrics Pregnancy Prenatal care Progress Public health Quality Assurance, Health Care - organization & administration Risk factors Safe motherhood Womens health |
| title | The Safe Motherhood Initiative: why has it stalled? |
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