World wide, pregnancy and childbirth claim the lives of an estimated 514,000 women each year.
This translates to one woman dying every minute.
Maternal mortality is one of the measures of the QUALITY of health care system.
In Malaysia, significant reduction in MMR over the last 50 yrs:
540/100,000 LB in 1950
139/100,000LB in 1970
44/100,000 LB in 1991
28.1/100,000 LB in 2000
National objective - to reduce MMR to <20/100,000 LB.
Successes in Maternal Mortality Reduction China Malaysia USA England & Wales Sweden Source: England, Wales, Sweden, USA: VanLerberghe and DeBrouwere, Safe Motherhood Strategies, A Review of the Evidence, 2001 Malaysia, China: Koblinsky, Et al., Issues in Programming for Safe Motherhood, 2000
Comprehensive - every maternal death must be investigated.
Seamless-intersectoral collaboration (between public health, hospital and private sectors).
Flow Chart On The Organization Of Investigation Of Maternal Mortality
IDENTIFIED BY COORDINATOR INVESTIGATED BY INVESTIGATOR MCHO NOTIFIED FORMS FILLED BY INVESTIGATOR AND OTHERS AT DISTRICT LEVEL & SUBMITTED TO MCHO MCHO OBTAINS CODES FROM SECRETARIAT,WRITES COMBINED SUMMARY & SUBMITS TO NATIONAL ETHICAL COMMITTEE REVIEW BY NTC REPORTS ACTION
Utilisation of point-of-care HIV testing during labour should be seriously considered for those who present with no prior HIV testing prenatally, so that not to deny the unborn child of the benefit of antiretroviral therapy intrapartum to reduce maternal to child transmission.