Modest global achievements in maternal survival: more focus on sub-Saharan Africa is needed

@article{Hansen2016ModestGA,
  title={Modest global achievements in maternal survival: more focus on sub-Saharan Africa is needed},
  author={Christian Holm Hansen and Joanna Schellenberg},
  journal={The Lancet},
  year={2016},
  volume={387},
  pages={410-411}
}
410 www.thelancet.com Vol 387 January 30, 2016 16 years ago, the target of a 75% reduction in the global maternal mortality ratio between 1990 and 2015 was specifi ed as an indicator for Millennium Development Goal (MDG) number 5 to improve maternal health. As well as marking the end of the MDG era, 2015 also saw a new set of development targets proposed in the Sustainable Development Goals (SDGs), which are to be achieved over the next 15 years. Coinciding with the transition from MDGs to SDGs… Expand
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References

SHOWING 1-10 OF 13 REFERENCES
Maternal mortality in Bangladesh: a Countdown to 2015 country case study
TLDR
The decrease in MMR in Bangladesh seems to have been the result of factors both within and outside the health sector, and holds important lessons for other countries as the world discusses and decides on the post-MDG goals and strategies. Expand
National, regional, and global levels and trends in maternal mortality between 1990 and 2015 with scenario-based projections to 2030: a systematic analysis by the United Nations Maternal Mortality Estimation Inter-Agency Group
TLDR
Based on MMR estimates for 2015, scenario-based projections are constructed to highlight the accelerations needed to accomplish the Sustainable Development Goal (SDG) global target of less than 70 maternal deaths per 100,000 live births globally by 2030. Expand
Reduction in child mortality in Niger: a Countdown to 2015 country case study
TLDR
Niger's government policies supporting universal access, provision of free health care for pregnant women and children, and decentralised nutrition programmes permitted Niger to decrease child mortality at a pace that exceeds that needed to meet the MDG 4. Expand
A Bayesian approach to the global estimation of maternal mortality
The maternal mortality ratio (MMR) is defined as the number of maternal deaths in a population per 100,000 live births. Country-specific MMR estimates are published on a regular basis by the UnitedExpand
Tanzania's countdown to 2015: an analysis of two decades of progress and gaps for reproductive, maternal, newborn, and child health, to inform priorities for post-2015.
TLDR
Mixed progress in reproductive, maternal, newborn, and child health in Tanzania indicates a complex interplay of political prioritisation, health financing, and consistent implementation. Expand
Global, Regional, and National Levels and Trends in Maternal Mortality Between 1990 and 2015, With Scenario-based Projections to 2030: A Systematic Analysis by the UN Maternal Mortality Estimation Inter-Agency Group
Background Millennium Development Goal 5 calls for a 75% reduction in the maternal mortality ratio (MMR) between 1990 and 2015. We estimated levels and trends in maternal mortality for 183 countriesExpand
Connecting the circle from home to heart-failure disease management.
TLDR
There is a growing fiscal and medical imperative for new strategies to smooth the transition from hospital to home for patients, and financial incentives for hospitals to reduce readmissions for cardiovascular disease are established. Expand
Telemonitoring in patients with heart failure.
TLDR
Among patients recently hospitalized for heart failure, telemonitoring did not improve outcomes, and the results indicate the importance of a thorough, independent evaluation of disease-management strategies before their adoption. Expand
The Relationship Between Level of Adherence to Automatic Wireless Remote Monitoring and Survival in Pacemaker and Defibrillator Patients.
TLDR
RM is associated with improved survival, irrespective of device type (including PMs), but demonstrates a graded relationship with the level of adherence, and the results support the increased application of RM to improve patient outcomes. Expand
Remote Monitoring of Implantable Cardioverter-Defibrillators: A Systematic Review and Meta-Analysis of Clinical Outcomes.
TLDR
Meta-analysis of RCTs demonstrates that RM and IO follow-up showed comparable overall outcomes related to patient safety and survival, with a potential survival benefit in RCTS using daily transmission verification. Expand
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