This document discusses maternal mortality as a public health problem. It begins by outlining the global burden of maternal mortality, with over 200,000 maternal deaths occurring annually mostly in developing countries. The three main causes of maternal death are hemorrhage, hypertension, and sepsis. Reducing maternal mortality is a Sustainable Development Goal target. Maternal mortality impacts families, communities, and nations by reducing productivity and increasing poverty. Strategies to reduce maternal mortality include improving access to reproductive health services, emergency obstetric care, transportation, and increasing the number of skilled birth attendants.
Maternal Mortality is a concern for the government of India and hence it is important to know the various aspects of it. Government of India has introduced various programs to look upon it.
Module IIIMaternal Health ______________________________________.docxmoirarandell
Module III
Maternal Health _______________________________________________
Introduction
In the Module we will explore maternal health paying particular attention to global disparities in the support and care mothers around the world get, the factors that promote such disparities, causes of maternal mortality and morbidity, the impact of reproductive patterns on the health of children, and mechanisms to reduce maternal morbidity and mortality, particularly in low-and –middle income countries.
At the end of this Module you should be able to articulate the following:
Critical Skills
1. Explain the global trends in maternal health.
2. Identify the key players and they play in promoting maternal health.
3. Be able to identify the causes of maternal mortality and morbidity in the U.S and other countries, particularly developing nations.
4. Explain mechanisms used to reduce maternal morbidity and mortality.
5. Be familiar with at least two development organizations/NGOs and their work around maternal health.
Maternal Health at a Glance
Maternal health refers to the health of women during pregnancy, childbirth and the postpartum period. While most women look forward to motherhood (and their spouses to fatherhood), for too many women, motherhood is a torturous experience associated with suffering, ill-health and even death. It is estimated that about 800 women die from pregnancy- or childbirth-related complications around the world every day. Consider the following few facts about maternal health (WHO):
· Every day, approximately 800 women die from preventable causes related to pregnancy and childbirth – about 287 000 women in 2010 alone. Most of them died due to preventable cause like not being able to access skilled routine and emergency care.
· The FOUR main maternal mortality causes are: severe bleeding, infections, unsafe abortion, and hypertensive disorders (pre-eclampsia and eclampsia). After delivery bleeding is very serious condition, if unattended, it can kill even a healthy woman within two hours.
· Of the more than 136 million women who give birth a year, about 20 million of them experience pregnancy-related illness after childbirth.
· About 16 million girls aged between 15 and 19 give birth each year, accounting for more than 10% of all births. Complications from pregnancy and childbirth are the leading cause of death among girls 15-19 in developing nations.
· The state of maternal health mirrors the gap between the rich and the poor. Less than 1% of maternal deaths occur in high-income countries. The lifetime risk of dying from complications in childbirth or pregnancy for a woman in the developing world is an average of one in 150 compared to one in 3800 in developed countries. Of the 800 women who die every day,440 live in sub-Saharan Africa, 230 in Southern Asia and five in high-income countries.
· Most maternal deaths can be prevented through skilled care at childbirth and access to emergency obstetric c ...
Ghia foundation strategy document v4.dec.17.2015 (ab)Ghia Foundation
GHIA FOUNDATION WAS FOUNDED IN 2013 by a team of kind-heated Professionals.
VISION: A World where women in developing Countries live healthier , longer lives
MISSION – To reduce morbidity and mortality among women in developing Countries by strengthening Health Systems to deliver high quality, comprehensive health services.
A powerpoint presentation on maternal mortality during a resident's presentation at Komfo Anokye Teaching Hospital, obstetrics and gynecology directorate.
definitions, causes, prevention and way forward for maternal mortality in Ghana
Os cuidados de saúde prestados durante a gravidez salvaguardam o bem-estar da mãe e do feto e proporcionam um bom começo de vida aos bebês. Os custos financeiros de ter um bebê podem ser catastróficos, impedindo as mulheres grávidas de procurar serviços essenciais de saúde materna e colocando em risco a vida das mães e de seus filhos.
De acordo com a análise recentemente divulgada, estima-se que 5 milhões de famílias vivendo na África, Ásia, América Latina e Caribe incorrerão em grandes dificuldades financeiras a cada ano - ou gastos catastróficos em saúde - devido a ausência de cuidados pré-natal e parto. Os gastos com saúde são considerados grandes se excederem 40% dos gastos não essenciais, não alimentares, de um domicílio. Quase dois terços dessas famílias, ou cerca de 3 milhões de famílias, estão na Ásia.
O documento aborda ainda, a epidemia de cesáreas, o casamento infantil, a gravidez na adolescência...
Obrigado e parabéns ao Unicef!
Prof. Marcus Renato de Carvalho
Vital statistics related to maternal health in indiaPriyanka Gohil
This topic contains introduction of vital statistics, list of important statistics, birth rate, death rate, specific death rates, infant mortality rate, neonatal mortality rate, under five mortality rate, maternal mortality rate (detailed), perinatal mortality rate (detailed), expectation of life, general fertility rate and still births.
mathernal health on 4 delays during facility services by Girma Huka DukaleGirmaaHuqqaa
This power point is used for students,teacher,and for any organization those like to use as references of their study.The portion of this part should not transmitted in any means to without permission of this group.
Maternal Mortality is a concern for the government of India and hence it is important to know the various aspects of it. Government of India has introduced various programs to look upon it.
Module IIIMaternal Health ______________________________________.docxmoirarandell
Module III
Maternal Health _______________________________________________
Introduction
In the Module we will explore maternal health paying particular attention to global disparities in the support and care mothers around the world get, the factors that promote such disparities, causes of maternal mortality and morbidity, the impact of reproductive patterns on the health of children, and mechanisms to reduce maternal morbidity and mortality, particularly in low-and –middle income countries.
At the end of this Module you should be able to articulate the following:
Critical Skills
1. Explain the global trends in maternal health.
2. Identify the key players and they play in promoting maternal health.
3. Be able to identify the causes of maternal mortality and morbidity in the U.S and other countries, particularly developing nations.
4. Explain mechanisms used to reduce maternal morbidity and mortality.
5. Be familiar with at least two development organizations/NGOs and their work around maternal health.
Maternal Health at a Glance
Maternal health refers to the health of women during pregnancy, childbirth and the postpartum period. While most women look forward to motherhood (and their spouses to fatherhood), for too many women, motherhood is a torturous experience associated with suffering, ill-health and even death. It is estimated that about 800 women die from pregnancy- or childbirth-related complications around the world every day. Consider the following few facts about maternal health (WHO):
· Every day, approximately 800 women die from preventable causes related to pregnancy and childbirth – about 287 000 women in 2010 alone. Most of them died due to preventable cause like not being able to access skilled routine and emergency care.
· The FOUR main maternal mortality causes are: severe bleeding, infections, unsafe abortion, and hypertensive disorders (pre-eclampsia and eclampsia). After delivery bleeding is very serious condition, if unattended, it can kill even a healthy woman within two hours.
· Of the more than 136 million women who give birth a year, about 20 million of them experience pregnancy-related illness after childbirth.
· About 16 million girls aged between 15 and 19 give birth each year, accounting for more than 10% of all births. Complications from pregnancy and childbirth are the leading cause of death among girls 15-19 in developing nations.
· The state of maternal health mirrors the gap between the rich and the poor. Less than 1% of maternal deaths occur in high-income countries. The lifetime risk of dying from complications in childbirth or pregnancy for a woman in the developing world is an average of one in 150 compared to one in 3800 in developed countries. Of the 800 women who die every day,440 live in sub-Saharan Africa, 230 in Southern Asia and five in high-income countries.
· Most maternal deaths can be prevented through skilled care at childbirth and access to emergency obstetric c ...
Ghia foundation strategy document v4.dec.17.2015 (ab)Ghia Foundation
GHIA FOUNDATION WAS FOUNDED IN 2013 by a team of kind-heated Professionals.
VISION: A World where women in developing Countries live healthier , longer lives
MISSION – To reduce morbidity and mortality among women in developing Countries by strengthening Health Systems to deliver high quality, comprehensive health services.
A powerpoint presentation on maternal mortality during a resident's presentation at Komfo Anokye Teaching Hospital, obstetrics and gynecology directorate.
definitions, causes, prevention and way forward for maternal mortality in Ghana
Os cuidados de saúde prestados durante a gravidez salvaguardam o bem-estar da mãe e do feto e proporcionam um bom começo de vida aos bebês. Os custos financeiros de ter um bebê podem ser catastróficos, impedindo as mulheres grávidas de procurar serviços essenciais de saúde materna e colocando em risco a vida das mães e de seus filhos.
De acordo com a análise recentemente divulgada, estima-se que 5 milhões de famílias vivendo na África, Ásia, América Latina e Caribe incorrerão em grandes dificuldades financeiras a cada ano - ou gastos catastróficos em saúde - devido a ausência de cuidados pré-natal e parto. Os gastos com saúde são considerados grandes se excederem 40% dos gastos não essenciais, não alimentares, de um domicílio. Quase dois terços dessas famílias, ou cerca de 3 milhões de famílias, estão na Ásia.
O documento aborda ainda, a epidemia de cesáreas, o casamento infantil, a gravidez na adolescência...
Obrigado e parabéns ao Unicef!
Prof. Marcus Renato de Carvalho
Vital statistics related to maternal health in indiaPriyanka Gohil
This topic contains introduction of vital statistics, list of important statistics, birth rate, death rate, specific death rates, infant mortality rate, neonatal mortality rate, under five mortality rate, maternal mortality rate (detailed), perinatal mortality rate (detailed), expectation of life, general fertility rate and still births.
mathernal health on 4 delays during facility services by Girma Huka DukaleGirmaaHuqqaa
This power point is used for students,teacher,and for any organization those like to use as references of their study.The portion of this part should not transmitted in any means to without permission of this group.
Mumps virus is a common infectious agent of humans, causing parotitis, meningitis, encephalitis, and orchitis. Like other paramyxoviruses in the genus Rubulavirus, mumps virus catalyzes the proteasomal degradation of cellular STAT1 protein, a means for escaping antiviral responses initiated by alpha/beta and gamma interferons. We demonstrate that mumps virus also eliminates cellular STAT3, a protein that mediates transcriptional responses to cytokines, growth factors, nonreceptor tyrosine kinases, and a variety of oncogenic stimuli. STAT1 and STAT3 are independently targeted by a single mumps virus protein, called V, that assembles STAT-directed ubiquitylation complexes from cellular components, including STAT1, STAT2, STAT3, DDB1, and Cullin4A. Consequently, mumps virus V protein prevents responses to interleukin-6 and v-Src signals and can induce apoptosis in STAT3-dependent multiple myeloma cells and transformed murine fibroblasts. These findings demonstrate a unique cytokine and oncogene evasion property of mumps virus that provides a molecular basis for its observed oncolytic properties. more info on slides
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
2. Outline
Introduction
– Burden of maternal mortality
– Causes and preventive measures
Where are we now?
– Situation
Where do we want to go?
– Sustainable Development Goals
Why maternal mortality is of public health importance?
What do we need to do to get there?
– Strategies/Approaches
Conclusion
3. Introduction
Maternal mortality is defined as "the death of a woman while
pregnant or within 42 days of termination of pregnancy, irrespective
of the duration and site of the pregnancy, from any cause related to
or aggravated by the pregnancy or its management but not from
accidental or incidental causes. (WHO)
More than 90% of maternal deaths are preventable and occurs in
low resource settings (Sub Saharan Africa, Southern Asia etc.)
Varying maternal mortalities among high income and low income
countries reflects inequalities in accessing quality health services
Maternal mortality ratio represents the status of
healthcare services and social wellbeing of a country
4. Burden of maternal mortality
Region MMR # Maternal Deaths
Northern Africa 70 3,100
Sub Saharan Africa (SSA) 546 201,000
Eastern Asia 27 4,800
Southern Asia 176 66,000
South Eastern Asia 110 13,000
Western Asia 91 4,700
Caucasus & Central Asia 33 610
Latin America & Caribbean 67 7,300
Oceania 187 500
World 216 303,000
Source: WHO and others, trends in maternal mortality 1990 to 2015. p18
Estimates of maternal mortality ratio (MMR) and
maternal deaths in 2015 From 1990 – 2015
globally:
MMR decreased
trend by 43.9%
10.7 million women
died from maternal
causes
Despite decline in
MMR, the ratio is 15
times higher in low
income than high
income countries.
6. Situation of maternal mortality
The MMR in SSA stands at 546 per 100,000 live births
– It accounts for about two third (66%) of the global maternal
deaths
Tanzania is among the countries in SSA with highest MMR.
– The most recent population-based surveys indicate that the mean
MMR in Tanzania is 556 per 100,000 live births.
For almost three decades (1990–2016) MMR in Tanzania have
remained high, with no sign of a significant reduction despite several
efforts.
Source: TDHS 2015/2016
7. Challenges with MMR
Reliable information about the rates and trends in maternal mortality is
essential for resource mobilization, planning and assessment of
progress
Challenge to identify maternal deaths precisely, particularly in
settings where routine recording of deaths is not complete within
civil registration systems.
The woman’s pregnancy status may not have been known and the
death would, therefore, not have been reported as a maternal death.
In most low income country settings where medical certification of
cause of death does not exist, accurate attribution of female deaths
as maternal death is difficult.
Inadequate skilled attendant at birth.
Still women opt or forced to deliver at home by traditional birth
attendants.
9. Sustainable Development Goal
Assessment of progress towards MDG 5, the target for
which was a 75% reduction in the maternal mortality
ratio by 2015 was attained by only 10 countries globally
SDG target 3.1: Maternal Mortality Ratio reduction.
By the year 2030:
Reduce the average global maternal mortality ratio to less than
70 per 100,000 live births.
No country should have maternal mortality ratio twice the global
average, that is no more than 140 per 100,000 live births
Source: One Plan III
10. Causes of maternal mortalities
Source: The global maternal mortality rate,2017
11. Causes of maternal mortality (Tanzania)
Comparison of proportion of all major causes of maternal related deaths between the
2006-2010 and 2011-2015 periods in Tanzania.
(Source: Veneranda M et al, 2019)
12. Causes of maternal mortalities ..
Underlying causes:
Social: Early marriage, Early pregnancies, Gender discrimination,
Ignorance, Desire for selective sex of the child and Gender-based
Violence
Economic: Poverty, Lack of timely transport and communication,
Delay in taking decisions (3 delays - delay to seek care, delay
transport to appropriate health facility and delay in provision of
adequate care) and Improper dietary habits.
Medical: Lack of antenatal care, Lack of emergency obstetric care,
Inadequate essential drugs, Inadequate number of competent
health workers leading to wrong diagnosis and delay in making
decisions and Pre existing chronic diseases like HIV/AIDS
13. Maternal mortality as a public health problem
The maternal mortality is a public health issue due the fact that it affects
all people from the family to the nation level.
It affects many people and threatened communities, prevalence of
maternal mortality is high, causes economic burden and most of its
causes are preventable.
Family level: Children may miss immunizations, breastfeeding and
prone to malnutrition, Older sibling is likely to drop out of school to
take care of the young one, increased risk of child abuse, HIV/AIDS
acquisition, stress, alcohol abuse among men and poverty
escalation.
14. Maternal mortality as a public health problem..
Community level: Loss of productivity (breadwinner) in the
community, child and other siblings will be burden to community.
National level: Drain of resources due to malnutrition and loss of
productivity, More children in streets due to loss of a caretaker,
prone to early pregnancies, sexual abuse, drug abuse, high
number of youth with HIV, child labour, many children and youth
with lack of education and a vicious circle of poverty
15. Maternal mortality as a public health problem…
• Greater disparity in levels of maternal mortality than in any other
public health indicator between developed and developing countries.
• In developed and developing countries, not all maternal deaths are
reported and, thus, national mortality ratios obtained by analysis of
death registrations are often under-estimated
• Very little scientifically based information is available on cause-
specific mortality rates for many developing countries.
16. Maternal mortality as a public health problem….
• Most of the information comes from the verbal autopsy, used to
obtain causes of death by interviewing lay respondents on the signs
and symptoms experienced by the deceased before death.
• To obtain reliable information on the individual medical causes of
maternal mortality is however extremely difficult, especially for deaths
that occur at home.
18. Six Pillars of Safe Motherhood
Safe Motherhood
FP ANC
OBS
Care
PNC PAC
STI/HIV
Control
Communication for Behaviour Change
Primary Health Care
Equity and Education for women
Source: Wikipedia
Safe Motherhood (SM) means ensuring that all women have access to the
information and services they need to go safely through pregnancy and childbirth.
The goal of SM programs is to have prenatal care, trained birth attendants, and
postpartum follow-up focus less on preventing complications than on recognizing
them and preventing them from producing fatalities.
19. Strategies
Prevention of maternal mortality at Family level:
– Health education,
– Age at marriage,
– Utilization of RCH services,
– Awareness of ANC services,
– Importance of immunization,
– Nutritional education and
– Spacing or limitation of births.
20. Strategies ..
Prevention of maternal mortality at Community level:
– Community should take maternal mortality as a major problem,
– Proactive community initiatives like:
• Seeking medical advise/care,
• Poverty eradication,
• Women's empowerment measures,
• Improvement of literacy and
• Improved communication.
21. Strategies …
Prevention of maternal mortality at National level:
– Improvement Health Delivery Infrastructure,
– Provision of RCH services at remote areas,
– Improve qualified number of Human Resource for Health,
– Provision of Essential/Emergency Obstetric Care,
– Training of traditional birth attendants,
– Emergency management of eclampsia and third stage of labor,
– Improved transport facilities.
22. Address The Three Delays Approach
First delay - Individual decision making
Delay is on the part of the mother, family or community not
recognizing a life threatening condition
Most deaths occur during labor or in the first 24 hours postpartum,
recognizing an emergency is not easy
Most births occur at home with unskilled attendants, and it takes skill
to predict or prevent bad outcomes and medical knowledge to
diagnose and immediately act on complications.
Therefore, by the time the lay midwife or family realizes that there is
a problem, it is too late
23. Address The Three Delays Approach..
Second delay - Access to affordable services
• Delay is in reaching a health facility due to poor road conditions,
lack of transportation, or too remote area.
• Many villages do not have access to paved roads and many families
do not have access to vehicles.
• Public transportation may be the main transportation method.
• It take hours or days to reach a health facility.
• Therefore, women with life-threatening conditions often do not make
it to the facility in time
24. Address The Three Delays Approach…
Third delay - Service provision by skilled personnel
• Delay occurs at the healthcare facility.
• Upon arrival, women receive inadequate care or inefficient
treatment.
• Resource poor countries with fragile health facilities do not have
technology or services necessary to provide critical care to
hemorrhaging, infected or convulsive patients.
• Omissions in treatment, incorrect treatment, and a lack of supplies
contribute to maternal mortality
25. Conclusion
Effective and integrated healthcare system is crucial to prevent maternal deaths
Poorer marginalized women are at higher risk of maternal mortality and
morbidity that can be prevented through:
Increase number of skilled attendant at birth;
Improve access of adolescents to Sexual Reproductive Health;
Expanding use of contraceptive method mix including condoms;
Minimize levels of unsafe abortion;
Eliminating all forms of violence against women and girls;
Ending child marriage and teenage pregnancies; and
Eradicating harmful traditional practices including FGM
“No woman should die while bringing life”
26. References
• National Plan III for Reproductive, Maternal, Newborn, Child and Adolescent Health &
Nutrition (2021/2022 - 2025/2026)
• https://www.ohchr.org/sites/default/files/Documents/Issues/Women/WRGS/SexualHealth/INF
O_MMM_WEB.pdf
• Shirin, Sonia & Nahar, Shamsun. (2013). Maternal Mortality - A Public Health Problem.
Ibrahim Medical College Journal. 6. 10.3329/imcj.v6i2.14735.
• World Health Organization, Maternal Mortality, Key Facts (2018); World Health Organization,
Preventing Unsafe Abortion, Key Facts (2018); Every Woman Every Child, The Global
Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030).
• Patterns and causes of Hospital maternal mortality in Tanzania: A 10-year retrospective
analysis. Bwana VM, Rumanisha SF, Mremi IR, Lyimo EP, Mboera LEG (2019).
• Shoo RS, Mboera LEG, Ndeki S, Munishi G. Stagnating maternal mortality in Tanzania: what
went wrong and what can be done. Tanzania J Health Res 2017; 19
(2): http://dx.doi.org/10.4314/thrb.v19i2.6
Maternal mortality is higher for women living in rural areas and poorer communities
Adolescents face a higher risk of complications and death as a result of pregnancy than adult women
MMR is maternal deaths per 100,000 lives births
The MMR in developing regions (240/100,000 live births) was 15 times higher than in developed regions (16/100 000 live births).
Due to pregnancy complications 1 to less than 50 (high) women die in developing compared to 1 in 8000 (low) from developed
an annual decline of 5.5%
The rate of skilled birth attendants of delivery remained as low as 27% against a targeted goal of 50% during the period
One in five mothers and neonates receive postnatal care from a medically trained provider within 42 days after birth.
Direct causes: Haemorrhage, Infection, Unsafe abortion, Eclampsia, Obstructed labour, violence etc.
Deaths caused by postpartum haemorrhage are positively associated with both maternal age and parity,
Deaths caused by eclampsia and injuries are more common among young and low-parity women
Indirect causes: Pre-existing disorders, such as HIV/AIDS (40%), Malaria (13%), Anaemia (11%), Respiratory diseases (11%), Pulmonary Tuberculosis (9%), Others (17%) including mental diseases, epilepsy, diabetes etc.
Mothers in the developing countries are born as undervalued, neglected girls and grow as exploited, uneducated children
Mothers in the developing countries are born as undervalued, neglected girls and grow as exploited, uneducated children
The tragedy is that these women die during normal life enhancing process of procreation and not from disease.
The tragedy is that these women die during normal life enhancing process of procreation and not from disease.
SM Indicators
>75% with 4 ANC visits
>75% facility delivery
>75% skilled health professional assisted delivery
>75% with 2 postnatal check-up
In most cases deaths occur during labor or in the first 24 hours postpartum, recognizing an emergency is not easy
Most births occur at home with unskilled attendants, and it takes skill to predict or prevent bad outcomes and medical knowledge to diagnose and immediately act on complications.
A functioning health system requires adequate supplies, equipment, and infrastructure, as well as an efficient system of communication, referral and transport. States are responsible for the actions of private medical institutions. Countries need to increase number of skilled attendant at birth.
Discrimination based on sex is underlying factor that contributes to criminal abortion that leads to mortality and morbidity. Discrimination exacerbates pre-existing inequalities which prevent women from accessing the services they require. Restrictive abortion laws lead to higher rates of unsafe abortion, which contributes to maternal mortality.
Maternal mortality and morbidity disproportionately affects rural women and girls. Certain groups of women and girls are subjected to intersecting forms of discrimination. Like race, ethnicity, religion or belief, health status, age, class, caste, sexual orientation and gender identity. States are obliged under international human rights law to respect, protect and fulfil human rights in relation to maternal health, pregnancy and childbirth.