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February 2005, Vol 95, No. 2 | American Journal of Public Health 200-203
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2003.036715

COMMENTARY

Maternal Mortality in Resource-Poor Settings: Policy Barriers to Care

Dileep V. Mavalankar, MD, DrPH and Allan Rosenfield, MD

Dileep V. Mavalankar is with the Indian Institute of Management Ahmedabad, India. Allan Rosenfield is with the Mailman School of Public Health, Columbia University, New York, NY.

Correspondence: Requests for reprints should be sent to Allan Rosenfield, MD, Columbia University, Mailman School of Public Health, 722 W 168th St, Rm 1408, New York, NY 10032 (e-mail: ar32{at}columbia.edu).

Maternal mortality remains one of the most daunting public health problems in resource-poor settings, and reductions in maternal mortality have been identified as a prominent component of the United Nations Millennium Development Goals. The World Health Organization estimates that 515000 women die each year from pregnancy-related causes, and almost all of these deaths occur in developing countries.

Evidence has shown that access to and utilization of high-quality emergency obstetric care (EmOC) is central to efforts aimed at reducing maternal mortality. We analyzed health care policies that restrict access to life-saving EmOC in most resource-poor settings, focusing on examples from rural India, a country of more than 1 billion people that contributes approximately 20% to 24% of the world’s maternal deaths.




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Additional Steps to Reduce Maternal Mortality
Malcolm Potts, et al.
AJPH Online, 31 Mar 2005 [Full text]

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