scholarly journals Millennium Development Goal 5 and adolescents: looking back, moving forward

2015 ◽  
Vol 100 (Suppl 1) ◽  
pp. S43-S47 ◽  
Author(s):  
Joshua P Vogel ◽  
Cynthia Pileggi-Castro ◽  
Venkatraman Chandra-Mouli ◽  
Vicky Nogueira Pileggi ◽  
João Paulo Souza ◽  
...  
Keyword(s):  
Maternal Health ◽  
Reproductive Health ◽  
Maternal Mortality ◽  
Universal Access ◽  
Maternal Mortality Ratio ◽  
Millennium Development Goal ◽  
Reproductive Health Services ◽  
Development Goal ◽  
Health Community ◽  
Mortality Ratio

Since the Millennium Declaration in 2000, unprecedented progress has been made in the reduction of global maternal mortality. Millennium Development Goal 5 (MDG 5; improving maternal health) includes two primary targets, 5A and 5B. Target 5A aimed for a 75% reduction in the global maternal mortality ratio (MMR), and 5B aimed to achieve universal access to reproductive health. Globally, maternal mortality since 1990 has nearly halved and access to reproductive health services in developing countries has substantially improved. In setting goals and targets for the post-MDG era, the global maternal health community has recognised that ultimate goal of ending preventable maternal mortality is now within reach. The new target of a global MMR of <70 deaths per 100 000 live births by 2030 is ambitious, yet achievable and to reach this target a significantly increased effort to promote and ensure universal, equitable access to reproductive, maternal and newborn services for all women and adolescents will be required. In this article, as we reflect on patterns, trends and determinants of maternal mortality, morbidity and other key MDG5 indicators among adolescents, we aim to highlight the importance of promoting and protecting the sexual and reproductive health and rights of adolescents as part of renewed global efforts to end preventable maternal mortality.

scholarly journals Maternal Mortality: Paradigm Shift in Nepal

2014 ◽  
Vol 7 (2) ◽  
pp. 3-8 ◽  
Author(s):  
TR Bhadari ◽  
G Dangal
Keyword(s):  
Maternal Health ◽  
Maternal Mortality ◽  
Maternal Mortality Ratio ◽  
Health Indicators ◽  
Millennium Development Goal ◽  
Care Providers ◽  
Continuous Assessment ◽  
Development Goal ◽  
Quality Health ◽  
Mortality Ratio

Achieving Millennium Development Goal (MDG) 5 still remains a challenge to Nepal. It is necessary to collect reliable evidence on maternal health for tackling MDG 5 with limited resources. A continuous assessment of maternal mortality is required to assure the progress towards the MDG 5. This study aims to assess the results of the different studies on maternal mortality in Nepal.The results published in PubMed, Lancet, Medline, WHO and Google Scholar web pages from 1990 to 2012 have been utilized to prepare this paper. In spite of the low proportion of births attended by skilled persons and institutional delivery, the maternal mortality ratio (MMR) in Nepal has declined drastically between the years 1990 and 2011, from 850 to 229 deaths per 100,000 live births. In recent years, Nepal is also reaching progress in different maternal health indicators such as mothers receiving antenatal care from skilled providers (60%- up from 24% in 1996). More than one-third births in the past five years have been assisted by skilled care providers. Nearly, 45% of women received postnatal care for their last birth in the first two days after delivery, 38% of women is aware of abortion which has been legalized since 2003.Though maternal health is a priority agenda of Nepal among the policy makers and the country is likely to achieve Millennium Development Goal 5 by the year 2015, there is still a wide gap between policies and charted targets, and the real accessibility and availability of the quality health services. DOI: http://www.dx.doi.org/10.3126/njog.v7i2.11132   Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 3-8

Declining maternal mortality ratio in Uganda: Priority interventions to achieve the Millennium Development Goal

2007 ◽  
Vol 98 (3) ◽  
pp. 285-290 ◽  
Author(s):  
A.K. Mbonye ◽  
M.G. Mutabazi ◽  
J.B. Asimwe ◽  
O. Sentumbwe ◽  
J. Kabarangira ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Maternal Mortality Ratio ◽  
Millennium Development Goal ◽  
Development Goal ◽  
Mortality Ratio

Correlates of Maternal Mortality

2018 ◽  
Vol 20 (3) ◽  
pp. 337-344
Author(s):  
Anjali Radkar
Keyword(s):  
Reproductive Health ◽  
Maternal Mortality ◽  
Health Care Services ◽  
Maternal Mortality Ratio ◽  
Family Health ◽  
Health Indicators ◽  
Policy Implications ◽  
Normal Body Mass Index ◽  
Reproductive Health Services ◽  
Maternal Deaths

Maternal death is an indicator of quality and efficiency of reproductive health services and is regarded as a composite measure of the country’s progress. Reduction in maternal mortality is one of the eight globally accepted Millennium Development Goals (MDGs). To achieve the goal of 109, by 2015, the developing world needs to take challenge where the burden of maternal mortality is 99 per cent. This study attempts to understand the strength of relationship of the correlates of maternal mortality with actual maternal mortality ratio (MMR) to come out with policy implications to lessen maternal deaths. Based on the National Family Health Survey (NFHS)-3 data on maternal health indicators and sample registration systems (SRS) estimates of maternal mortality, the relationships are explored. Maternal deaths would significantly reduce when fertility declines, that is, when contraception increases, when status of women enhances, they are sufficiently fed to have normal body mass index (BMI) and have awareness of reproductive health issues. The most prominent correlate is utilization of reproductive health care services. When all antenatal, natal and postnatal services are utilized to a large extent, maternal deaths would diminish significantly. Effective implementation of services is a key to trim down maternal mortality.

scholarly journals Rising trends and persisting inequalities in cesarean section rates in Nepal: evidence from demographic and health surveys 2006-2016

2020 ◽  
Author(s):  
Kiran Acharya ◽  
Yuba Raj Paudel ◽  
Chandra Mani Dhungana
Keyword(s):  
Higher Education ◽  
Cesarean Section ◽  
Maternal Mortality ◽  
Health Surveys ◽  
Universal Access ◽  
Maternal Mortality Ratio ◽  
Mountain Region ◽  
Income Quintile ◽  
Demographic And Health Surveys ◽  
Mortality Ratio

Abstract Background Sustainable development goals require member countries to reduce maternal mortality ratio below 70 per 100,000 live births by 2030. Addressing inequalities in accessing emergency obstetric care is crucial for reducing the maternal mortality ratio. This study was undertaken to examine the time trends and socio-demographic inequalities in the utilization of cesarean section (CS) in Nepal during the period of 2006 and 2016.Methods Data from the Nepal Demographic and Health Surveys (NDHS) 2006, 2011 and2016 were sourced for this study. Women who had a live birth in the last five years of the survey (most recent birth if there were two or more childbirths) were the unit of analysis for this study. Absolute and relative inequalities in CS rates were expressed in-terms of rate difference and rate ratios, respectively. We used binary logistic regression models to assess the rate of cesarean sections by background socio-demographic characteristics of women. Results Age and parity adjusted CS rates were found to have increased almost three-fold (from 3.2%,95% CI:2.1-4.3 in 2006 to 10.5%;95% CI:8.9-11.9 in 2016) over the decade. In 2016, women from Mountain region (3.0%;95% CI:1.1-4.9), those from poorest wealth quintile (2.4%,95% CI:(1.2-3.7) and those living in province 6(2.4%,95% CI:1.3-3.5) had CS rate below 5%. Whereas, women from the richest income quintile (25.1%,95% CI :20.2-30.1), with higher education (21.2%,95% CI:14.7-27.8) and those delivering in private facilities (37.1%,95% CI:30.5-43.7) had CS rate above 15%. Women from the richest income quintile (OR-3.3,95% CI: 1.6-7.0) and those delivered in private/NGO-run facilities (OR-3.6;95% CI:2.7-4.9) were more than three times more likely to deliver by CS compared to women from the poorest income quintile and those delivering in public facilities, respectively. Conclusion To improve maternal and newborn health, strategies need to be revised to address the underuse of C-section in poor, mountain region and province 2, province 5, province 6 and province 7 so that universal access to comprehensive sexual and reproductive health care services is ensured. Simultaneously, there is a pressing need for policies, guidelines and continuous monitoring of CS rates to reduce overuse in rich women, women with higher education and those delivered in private facilities.

scholarly journals Towards safe motherhood to - are we moving in the right direction?: experience from an urban health facility in South India

2019 ◽  
Vol 8 (7) ◽  
pp. 2851
Author(s):  
Ramya Thangavelu ◽  
Lalitha Natarajan
Keyword(s):  
Maternal Mortality ◽  
Universal Access ◽  
Maternal Mortality Ratio ◽  
Safe Motherhood ◽  
Quality Health Care ◽  
College Hospital ◽  
Mortality Ratio ◽  
Classical Triad ◽  
Maternal Suicide ◽  
The Right

Background: This study was designed to evaluate the institutional Maternal Mortality Ratio (iMMR) in our institution, a tertiary private medical college hospital and to suggest recommendations and possible interventions to reduce it.Methods: This retrospective descriptive study was conducted by reviewing the hospital records over a period of ten years from January 2009-December 2018. The case records were reviewed for maternal demographic characteristics and complications.Results: The total number of deaths during the study period was 21, giving an iMMR of 85.268 per 100000 live births. Most of the maternal deaths (>80%) occurred postpartum. Obstetric causes contributed to 57% of the deaths with hypertension and hemorrhage topping the list. Other causes were sepsis and non obstetric causes including one case of maternal suicide. 52.38% of the women died more than 48 hours after admission to the hospital, while 28.57% succumbed in less than six hours. Secondary complications noted were ICU admission, extended intubation, massive transfusion, operative intervention and multi organ dysfunction.Conclusions: The classical triad of Hypertension, Hemorrhage and Sepsis continues to be the major determinant of maternal mortality and are potentially preventable by promoting universal access to quality health care, strengthening of health services and ensuring accountability.

scholarly journals Strengthened family planning is critical to help accelerate the reduction of maternal mortality in Indonesia

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 904
Author(s):  
Budi Utomo ◽  
Nohan Arum Romadlona
Keyword(s):  
Family Planning ◽  
Maternal Mortality ◽  
Health Program ◽  
Program Effectiveness ◽  
Maternal Mortality Ratio ◽  
Emergency Obstetric Care ◽  
Government Support ◽  
Reproductive Health Services ◽  
Mortality Ratio ◽  
Core Program

The still stubbornly high maternal mortality ratio challenges Indonesia to improve health program strategies to achieve the Sustainable Development Goal 3.1 target of a maternal mortality ratio below 70 per 100,000 live births by 2030. Indonesia has already adopted maternal-neonatal health experts’ recommendation of four core program strategies to reduce maternal mortality: (1) family planning with related reproductive health services; (2) skilled care during pregnancy and childbirth; (3) timely emergency obstetric care; and (4) immediate postnatal care (WHO, 1996). These four core strategies would reduce maternal mortality through reduced high-risk births. To be effective, however, these four core program strategies require continued strong quality assurance and central and local government support to ensure program effectiveness yielded towards widely accessible, sustained, quality family planning and maternal and neonatal emergency services. This paper provides evidence for the importance of family planning to help health program strategies to accelerate maternal mortality reduction.

scholarly journals Two decades of Iranian midwives' activities as a health care provider under supervision in a multidisciplinary team in reducing maternal mortality

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Mojgan Mirghafourvand ◽  
Shahla Khosravi ◽  
Jafar Sadegh Tabrizi ◽  
Azam Mohammadi ◽  
Parvin Abedi
Keyword(s):  
Health Care ◽  
Maternal Mortality ◽  
Health Care Provider ◽  
Care Provider ◽  
Multidisciplinary Team ◽  
Maternal Mortality Ratio ◽  
Development Goal ◽  
Decline Rate ◽  
Mortality Ratio ◽  
Annual Decline

AbstractIran is amongst the countries that have achieved the fifth goal of the United Nations Millennium Development Goal. The maternal mortality ratio (MMR) in Iran has declined from 48 cases per 100,000 in 2000 to 16 cases per 100,000 in 2017, showing an annual decline rate of about 6.3%. In the International Year of the Nurse and the Midwife (year 2020), this commentary highlights two decades of Iranian midwives' activities as a health care provider under supervision in a multidisciplinary team in reducing maternal mortality.

Sustainable Development Goal 3 and Maternal Health in Nigeria

2019 ◽  
pp. 247-271
Author(s):  
Idongesit Eshiet
Keyword(s):  
Sustainable Development ◽  
Maternal Health ◽  
Postnatal Care ◽  
Maternal Mortality Ratio ◽  
Sustainable Development Goal ◽  
Maternal Deaths ◽  
Development Goal ◽  
Live Births ◽  
Mortality Ratio ◽  
The Government

This chapter addresses the feasibility of Nigeria achieving Target 3.1 of Sustainable Development Goal 3, which aims at reducing maternal deaths to less than 70 per 100,000 live births by 2030. Maternal deaths occur due to lack of access to maternal healthcare, which encompasses the healthcare dimensions of family planning, preconception, prenatal, and postnatal care for women. Nigeria is presently the second largest contributor to maternal deaths globally, having a maternal mortality ratio of 814 per 100,000 live births. Will Nigeria achieve this goal by 2030? This chapter assesses the maternal health landscape of Nigeria and the measures taken by the government to address maternal health from the perspective of the feasibility of achieving SDG 3, Target 3.1 by 2030.

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