By Indra Padmanathan, Jerker Liljestrand, Jo. M. Martins, Lalini C. Rajapaksa, Craig Lissner, Amala de Silva, Swarna Selvaraju, Prabha Joginder Singh
The adaptation among maternal mortality within the industrialized and constructing global is larger than the other improvement indicator. the obvious loss of growth during this zone has generated a feeling of hopelessness. Malaysia and Sri Lanka are of the only a few constructing international locations that experience succeeded in lowering maternal mortality to degrees resembling many industrialized nations. This examine presents the 1st accomplished, in-depth research of the standards that contributed to maternal mortality decline in Malaysia and Sri Lanka over the past 50-60 years. It considers coverage concerns, overall healthiness method advancements, healthiness method charges in maternal well-being, and the use in either international locations, of professionally expert midwives.
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Additional resources for Investing in Maternal Health in Malaysia and Sri Lanka (Health, Nutrition and Population Series)
The critical ele- Overview • 13 Figure 8. ” ments in the successive phases can be characterized as (a) establishing solid foundations for effective maternity care, (b) increasing access to such care, and (c) subsequently ensuring appropriate utilization of available services through improved quality. The foundation that supported development of effective maternal health care included professionalization of midwifery, civil registra- 14 • Investing in Maternal Health Transition from high to low MMR passes through evolutionary phases characterized by: • High MMR with low levels of skilled attendance • Declining MMR with medium levels of skilled attendance • High levels of skilled attendance with acceptable MMR or high levels of skilled attendance with plateau or unacceptable levels of MMR.
The case studies indicate how this issue was addressed. Preventing Maternal Deaths Maternal deaths have devastating and costly effects on children, families, and communities, and they are largely preventable. A complex interaction of various factors contributes to such disastrous outcomes. The dynamic interaction of determinants of health, as outlined in Poverty-Reduction and the Health-Sector (Claeson and others 2001), provide the conceptual basis for analyzing the case studies of Malaysia and Sri Lanka (figure 10).
In Malaysia, implementation of integrated rural development, which included coordinated investment in clinics, rural schools, The Ingredients of Success • 43 and rural roads, was closely monitored with special attention to less developed states. • In Sri Lanka, equitable social sector development was provided for all districts, including investment for free primary and secondary education, free health care, and food subsidies. • Monitoring systems were strengthened to track implementation achievements and gaps.
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