Abstract

Since the beginning of the Safe Motherhood Initiative, India has accounted for at least a quarter of maternal deaths reported globally. India's goal is to lower maternal mortality to less than 100 per 100,000 livebirths but that is still far away despite its programmatic efforts and rapid economic progress over the past two decades. Geographical vastness and sociocultural diversity mean that maternal mortality varies across the states, and uniform implementation of health-sector reforms is not possible. The case study analyzes the trends in maternal mortality nationally, the maternal healthcare-delivery system at different levels, and the implementation of national maternal health programmes, including recent innovative strategies. It identifies the causes for limited success in improving maternal health and suggests measures to rectify them. It recommends better reporting of maternal deaths and implementation of evidence-based, focused strategies along with effective monitoring for rapid progress. It also stresses the need for regulation of the private sector and encourages further public-private partnerships and policies, along with a strong political will and improved management capacity for improving maternal health. [PUBLICATION ABSTRACT]

Details

Title
Maternal Health Situation in India: A Case Study
Author
Vora, Kranti S; Mavalankar, Dileep V; Ramani, K V; Upadhyaya, Mudita; Sharma, Bharati; Iyengar, Sharad; Gupta, Vikram; Iyengar, Kirti
Pages
184-201
Publication year
2009
Publication date
Apr 2009
Publisher
BioMed Central
ISSN
16060997
e-ISSN
20721315
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
202994072
Copyright
Copyright Intenational Centre for Diarrhoeal Disease Research, Bangladesh Apr 2009