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Going from bad to worse: Malawis maternal mortality - An analysis of the clinical, health systems and underlying reasons, with recommendations for national and international stakeholders

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Publication Information

1st Author : McCoy, David
Other Authors: Ashwood-Smith H, Ratsma E, Kemp J, Rowson M
Publisher: Global Equity Gauge Alliance and HST
Publication Date: 11/2004
ISBN:
ISSN:
Publication Type: Research Report
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summary_badtoworse 499 KB
bad to worse 245 KB
 

Summary Over the course of the 1990s Malawis maternal mortality ratio (MMR) doubled to one of the highest in the world. According to the 2000 Malawi Demographic and Health Survey (MDHS) the MMR is estimated to be 1 120 per 100 000 live births, nearly double the MMR of 620 per 100 000 live births estimated from the 1992 MDHS. How is it that maternal mortality could have doubled in the decade preceding the new millennium?
More Details

This document gives an overview of the factors contributing to the decline in maternal health. It begins by providing a background to Malawi, including a brief description of its social, economic and health systems context. It goes on to give an account of the clinical causes of maternal mortality. It describes how the high MMR is the result of poor health care, health systems deficiencies, poor access to care and harmful patient-related behaviour.

A detailed analysis of the problem and the various options for improving maternal health is available in the full version of this document. This summary carries the concrete set of recommendations flowing from the analysis for the changes and interventions required to reduce the current MMR to about 150 by the year 2015 (in accordance with the MDG target of reducing 1990 MMR levels by 75%).

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Keywords This Item is associated with the Following Keywords: Equity.
   
   
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