Maternal health in poor countries: the broader context and a call for action

@article{Filippi2006MaternalHI,
  title={Maternal health in poor countries: the broader context and a call for action},
  author={Veronique Filippi and Carine Ronsmans and Oona M R Campbell and Wendy Jane Graham and A. Mills and Josephine Borghi and Marge Koblinsky and David Osrin},
  journal={The Lancet},
  year={2006},
  volume={368},
  pages={1535-1541}
}
In this paper, we take a broad perspective on maternal health and place it in its wider context. We draw attention to the economic and social vulnerability of pregnant women, and stress the importance of concomitant broader strategies, including poverty reduction and women's empowerment. We also consider outcomes beyond mortality, in particular, near-misses and long-term sequelae, and the implications of the close association between the mother, the fetus, and the child. We make links to a… Expand
View on Elsevier
doi.org
513 Citations
Highly Influential Citations
17
Background Citations
203
Methods Citations
2
Results Citations
5

513 Citations

Citation Type

Citation Type

International health policy and stagnating maternal mortality: is there a causal link?
TLDR
This paper offers a critical perspective on the past 15 years of international health policies as a possible cofactor of high maternal mortality, because of their emphasis on disease control in public health services at the expense of access to comprehensive health care, and failures of contracting out and public–private partnerships in health care. Expand
Unintended Consequences of Policy Decisions to Reduce Maternal Mortality in the Asia Pacific
OBJECTIVES: To describe the role of midwives and maternity care in three low resource settings and to challenge some policy options introduced to reduce maternal mortality for women residing in rural… Expand
Safe motherhood and maternal mortality reduction strategies: a cross cultural perspective
TLDR
A review of 25 years of maternal mortality reduction policies proposed by international bodies under the Safe Motherhood Initiative, and the relevance of cultural preferences for birth care in maternal death reduction policies is explored. Expand
Maternal mortality and severe morbidity in rural Indonesia Part 1: The community perspective
TLDR
A participatory, community-based review of maternal mortality and severe morbidity in rural Indonesia suggested that the social and structural determination of maternal health a may be a useful point of departure for health planning and reform. Expand
Maternal mortality: surprise, hope, and urgent action
TLDR
The lessons that can be drawn from the new data are outlined and it is demonstrated that a process needs to be put in place urgently to discuss these figures their implications and the actions that should follow. Expand
Reducing maternal and neonatal deaths in ruralMalawi: evaluating the impact of a community-basedwomen’s group intervention
TLDR
Although women’s groups showed promising signs of community-level action for mother and child health, methodological factors may have limited the ability of this study to detect an impact of the intervention on mother andChild health outcomes. Expand
Improving Maternal Health: Getting What Works To Happen
TLDR
This article explores the reasons why maternal mortality reduction in many countries is unlikely despite the availability of inexpensive, efficacious interventions that are part of official policy, based on research on maternity services in Bangladesh, Russia, South Africa and Uganda. Expand
Global women's health – A global perspective
  • N. Nour
  • Medicine
  • Scandinavian journal of clinical and laboratory investigation. Supplementum
  • 2014
TLDR
A life-course approach that includes improvements in earlier-life factors such as diet and exercise is necessary to improve women's long-term health outcomes to make a significant impact on women's and girls’ health worldwide. Expand
Maternal Mortality in Developing Countries: Challenges in Scaling-Up Priority Interventions
TLDR
Examples from developing countries demonstrate that maternal mortality will decline when appropriate strategies are in place, and achievable strategies need to include redoubled commitments on the part of local, national and global political bodies and concrete investments in high-yield and cost-effective interventions. Expand
Practical lessons from global safe motherhood initiatives: time for a new focus on implementation
TLDR
Four global maternal health initiatives draw on their complementary experiences to identify a set of the central lessons on which to build a new, collaborative effort to implement equitable, sustainable maternal health services at scale. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 54 REFERENCES
Reducing child mortality: can public health deliver?
TLDR
The importance of separating biological or behavioural interventions from the delivery systems required to put them in place is highlighted, and the need to tailor delivery strategies to the stage of health-system development is discussed. Expand
Neonatal survival: a call for action
TLDR
Development, implementation, and monitoring of national action plans for neonatal survival is a priority and the running costs of the selected packages at 90% coverage in the 75 countries with the highest mortality rates are estimated to be US4.1 billion dollars a year. Expand
Strategies for reducing maternal mortality: getting on with what works
TLDR
It is shown that, despite this complexity, only a few strategic choices need to be made to reduce maternal mortality, and logic suggests that implementation of an effective intrapartum-care strategy is an overwhelming priority. Expand
The case for a new Global Fund for maternal, neonatal, and child survival
TLDR
The case is put for a new Global Fund to reduce maternal neonatal and child mortality and invest in maternal and child health programmes. Expand
Maternal mortality: who, when, where, and why
TLDR
Targeting of interventions to the most vulnerable--rural populations and poor people--is essential if substantial progress is to be achieved by 2015, and local variation can be important. Expand
Knowledge into action for child survival.
TLDR
A group of concerned scientists and policy-makers issues a call to action to leaders, governments, and citizens to translate knowledge into action for child survival. Expand
Maternal mortality, women's status, and economic dependency in less developed countries: a cross-national analysis.
TLDR
It is found that women's status, as measured by indicators such as level of education relative to men, age at first marriage, and reproductive autonomy, is a strong predictor of maternal mortality and economic dependency, especially multinational corporate investment, has a detrimental effect on maternal mortality. Expand
Systematic scaling up of neonatal care in countries
TLDR
To scale up neonatal care, two interlinked processes are required: a systematic, data-driven decision-making process, and a participatory, rights-based policy process; and systematically strengthening supply of, and demand for, services. Expand
Taking action to improve women's health through gender equality and women's empowerment
Over the past few decades great strides have been made in improvement of women’s health status; more than a decade has been added to life expectancy and fertility rates in both developed and… Expand
The state of political priority for maternal mortality reduction in Nigeria and India.
Achieving the ambitious maternal mortality reduction aims of the Millennium Development Goals will require more than generating sufficient donor support and carrying out appropriate medical… Expand
...
1
2
3
4
5
...