UNFPAState of World Population 2004
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HOME: STATE OF WORLD POPULATION 2004: Maternal Health
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Maternal Health

New Approaches
Causes and Consequences
Maternal Morbidity
Obstetric Fistula
Reducing Maternal Mortality and Morbidity
Difficulties in Measurement
Holistic Responses
Antenatal Care
Skilled Attendance
Emergency Obstetric Care
Post-abortion Care
Quality of Maternal Health
Men and Maternal Health
UNFPA and Safe Motherhood

Holistic Responses

Dramatic reductions in maternal mortality in Sri Lanka (by half in three years) and Malaysia (by three fourths in 20 years) resulted from the phased development of widespread, accessible networks of facilities able to treat obstetric emergencies, complemented by the training and appropriate deployment of professional midwives, with closely linked back-up emergency obstetric services.(28) Expenditures were not high, but attention was paid to developing a primary health care system that reached all parts of the population, regardless of ethnicity, class or urban-rural difference, in line with the ICPD Programme’s recommendations. (29) In these efforts, both countries have tried to find the appropriate mix of private versus public expenditures.(30)

Haiti’s Ministry of Health has established a Committee for Reduction of Maternal Mortality, which has developed a national plan. A model of comprehensive emergency obstetric care, developed in eight hospitals, includes infection prevention, post-abortion care and the integration of maternity services with family planning methods and counselling.(31)

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