Achieving the Millennium Development Goal of Improving Maternal Health : Determinants, Interventions and Challenges
This paper summarizes the importance of improving maternal and reproductive health, the progress made to date and lessons learned, and the major challenges confronting programs today. The paper highlights the progress that some countries, including...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2005/03/5733938/achieving-millennium-development-goal-improving-maternal-health-determinants-interventions-challenges http://hdl.handle.net/10986/13744 |
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okr-10986-13744 |
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oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
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Digital Repositories |
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World Bank Open Knowledge Repository |
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World Bank |
| language |
English en_US |
| topic |
ABORTION ACCESS TO HEALTH CARE ACCESS TO PRENATAL CARE ACQUIRED IMMUNE DEFICIENCY SYNDROME ADOLESCENCE ADULTS AGED ANEMIA ANEMIA PREVALENCE ANESTHESIA ANTENATAL CARE BIRTH INTERVALS BLEEDING BOSNIA HERZEGOVINA BURDEN OF DISEASE CANCERS CAUSES OF DEATH CHILD GROWTH CHILD HEALTH CHILD HEALTH OUTCOMES CHILD MORTALITY CHILDBEARING CHILDBIRTH COMMUNITY COMMUNITY PARTICIPATION CONTRACEPTION CONTRACEPTIVE METHODS CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE DEATHS DEPRESSION DIABETES DISABILITY DISCRIMINATION EARLY PREGNANCIES ECONOMIC DEVELOPMENT ECONOMIC PRODUCTIVITY ECTOPIC PREGNANCY EMBOLISM EMERGENCY OBSTETRIC CARE FAMILIES FAMILY CARE FAMILY PLANNING FEMALE GENITAL MUTILATION FEMALES GENITAL MUTILATION GIRLS GOVERNMENT POLICIES HEALTH HEALTH CARE HEALTH CARE DEMAND HEALTH CARE SERVICES HEALTH CONDITIONS HEALTH DETERMINANTS HEALTH FACILITIES HEALTH FINANCE HEALTH INDICATORS HEALTH ISSUES HEALTH OUTCOMES HEALTH PROBLEMS HEALTH REFORMS HEALTH SECTOR HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH STATUS HEALTH SURVEYS HEALTH SYSTEM HEALTH SYSTEMS HEART DISEASE HEMORRHAGE HEPATITIS HIV HIV INFECTION HIV INFECTIONS HOOKWORM HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HUMAN RIGHTS HYPERTENSION ILLNESSES IMMUNE DEFICIENCY IMMUNIZATION IMMUNODEFICIENCY INCOME INCONTINENCE INDUCED ABORTION INFANTS INFERTILITY INHIBITION INJURIES INTERVENTION INTRAUTERINE GROWTH RETARDATION IRON LAWS LESSONS LEARNED LIVE BIRTHS LOW BIRTH WEIGHT MALABSORPTION MALARIA MALARIA BURDEN MALNUTRITION MANAGED CARE MANAGED CARE PLANS MATERNAL AND CHILD HEALTH MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNITY CARE MORBIDITY MORTALITY MOTHERS MULTIPLE BIRTHS NUTRITION NUTRITION OUTCOMES NUTRITIONAL STATUS PARTNERSHIP PHYSICAL HEALTH PHYSIOLOGICAL EFFECTS POSTNATAL CARE PREGNANCY PREGNANCY COMPLICATIONS PREGNANT WOMEN PRENATAL CARE PUBLIC HEALTH QUALITY OF CARE QUALITY OF LIFE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH SERVICES REPRODUCTIVE TRACT INFECTIONS SAFE MOTHERHOOD SAFE SEX SANITATION SEXUAL ABUSE SEXUAL PRACTICES SEXUALITY SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTIONS SOCIAL CAPITAL STERILIZATION STILLBIRTH TETANUS TREATMENT TUBERCULOSIS UNAIDS UNWANTED PREGNANCY URINARY INCONTINENCE URINARY TRACT INFECTIONS VIOLENCE |
| spellingShingle |
ABORTION ACCESS TO HEALTH CARE ACCESS TO PRENATAL CARE ACQUIRED IMMUNE DEFICIENCY SYNDROME ADOLESCENCE ADULTS AGED ANEMIA ANEMIA PREVALENCE ANESTHESIA ANTENATAL CARE BIRTH INTERVALS BLEEDING BOSNIA HERZEGOVINA BURDEN OF DISEASE CANCERS CAUSES OF DEATH CHILD GROWTH CHILD HEALTH CHILD HEALTH OUTCOMES CHILD MORTALITY CHILDBEARING CHILDBIRTH COMMUNITY COMMUNITY PARTICIPATION CONTRACEPTION CONTRACEPTIVE METHODS CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE DEATHS DEPRESSION DIABETES DISABILITY DISCRIMINATION EARLY PREGNANCIES ECONOMIC DEVELOPMENT ECONOMIC PRODUCTIVITY ECTOPIC PREGNANCY EMBOLISM EMERGENCY OBSTETRIC CARE FAMILIES FAMILY CARE FAMILY PLANNING FEMALE GENITAL MUTILATION FEMALES GENITAL MUTILATION GIRLS GOVERNMENT POLICIES HEALTH HEALTH CARE HEALTH CARE DEMAND HEALTH CARE SERVICES HEALTH CONDITIONS HEALTH DETERMINANTS HEALTH FACILITIES HEALTH FINANCE HEALTH INDICATORS HEALTH ISSUES HEALTH OUTCOMES HEALTH PROBLEMS HEALTH REFORMS HEALTH SECTOR HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH STATUS HEALTH SURVEYS HEALTH SYSTEM HEALTH SYSTEMS HEART DISEASE HEMORRHAGE HEPATITIS HIV HIV INFECTION HIV INFECTIONS HOOKWORM HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HUMAN RIGHTS HYPERTENSION ILLNESSES IMMUNE DEFICIENCY IMMUNIZATION IMMUNODEFICIENCY INCOME INCONTINENCE INDUCED ABORTION INFANTS INFERTILITY INHIBITION INJURIES INTERVENTION INTRAUTERINE GROWTH RETARDATION IRON LAWS LESSONS LEARNED LIVE BIRTHS LOW BIRTH WEIGHT MALABSORPTION MALARIA MALARIA BURDEN MALNUTRITION MANAGED CARE MANAGED CARE PLANS MATERNAL AND CHILD HEALTH MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNITY CARE MORBIDITY MORTALITY MOTHERS MULTIPLE BIRTHS NUTRITION NUTRITION OUTCOMES NUTRITIONAL STATUS PARTNERSHIP PHYSICAL HEALTH PHYSIOLOGICAL EFFECTS POSTNATAL CARE PREGNANCY PREGNANCY COMPLICATIONS PREGNANT WOMEN PRENATAL CARE PUBLIC HEALTH QUALITY OF CARE QUALITY OF LIFE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH SERVICES REPRODUCTIVE TRACT INFECTIONS SAFE MOTHERHOOD SAFE SEX SANITATION SEXUAL ABUSE SEXUAL PRACTICES SEXUALITY SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTIONS SOCIAL CAPITAL STERILIZATION STILLBIRTH TETANUS TREATMENT TUBERCULOSIS UNAIDS UNWANTED PREGNANCY URINARY INCONTINENCE URINARY TRACT INFECTIONS VIOLENCE Lule, Elizabeth Ramana, G.N.V. Ooman, Nandini Epp, Joanne Huntington, Dale Rosen, James E. Achieving the Millennium Development Goal of Improving Maternal Health : Determinants, Interventions and Challenges |
| relation |
Health, Nutrition and Population (HNP)
discussion paper; |
| description |
This paper summarizes the importance of
improving maternal and reproductive health, the progress
made to date and lessons learned, and the major challenges
confronting programs today. The paper highlights the
progress that some countries, including very poor ones, have
made in reducing maternal mortality, but cautions that
progress in many countries remains slow. Relying on evidence
from the most recent research and survey information, the
paper also analyzes the key determinants and evidence on
effective interventions for attaining the maternal health
MDG. The paper finds that key interventions to improve
maternal and reproductive health and reduce maternal
mortality include the following mutually reinforcing
strategies: (a) mobilizing political commitment and
fostering an enabling policy environment; (b) investing in
social and economic development such as female education,
poverty reduction, and improvements in women's status;
(c) providing family planning services; (d) ensuring quality
antenatal care, skilled attendance during childbirth, and
availability of emergency obstetric services for pregnancy
complications; and (e) strengthening the health system and
community involvement. The paper emphasizes that carrying
out interventions remains a challenge in environments where
political commitment, policies, as well as institutions and
health systems, are weak. The paper concludes with guiding
lessons from some of the countries that have successfully
improved maternal health and with a discussion of some of
the difficulties of measuring maternal mortality and
morbidity outcomes. |
| format |
Publications & Research :: Working Paper |
| author |
Lule, Elizabeth Ramana, G.N.V. Ooman, Nandini Epp, Joanne Huntington, Dale Rosen, James E. |
| author_facet |
Lule, Elizabeth Ramana, G.N.V. Ooman, Nandini Epp, Joanne Huntington, Dale Rosen, James E. |
| author_sort |
Lule, Elizabeth |
| title |
Achieving the Millennium Development Goal of Improving Maternal Health : Determinants, Interventions and Challenges |
| title_short |
Achieving the Millennium Development Goal of Improving Maternal Health : Determinants, Interventions and Challenges |
| title_full |
Achieving the Millennium Development Goal of Improving Maternal Health : Determinants, Interventions and Challenges |
| title_fullStr |
Achieving the Millennium Development Goal of Improving Maternal Health : Determinants, Interventions and Challenges |
| title_full_unstemmed |
Achieving the Millennium Development Goal of Improving Maternal Health : Determinants, Interventions and Challenges |
| title_sort |
achieving the millennium development goal of improving maternal health : determinants, interventions and challenges |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2005/03/5733938/achieving-millennium-development-goal-improving-maternal-health-determinants-interventions-challenges http://hdl.handle.net/10986/13744 |
| _version_ |
1764424077284474880 |
| spelling |
okr-10986-137442021-04-23T14:03:09Z Achieving the Millennium Development Goal of Improving Maternal Health : Determinants, Interventions and Challenges Lule, Elizabeth Ramana, G.N.V. Ooman, Nandini Epp, Joanne Huntington, Dale Rosen, James E. ABORTION ACCESS TO HEALTH CARE ACCESS TO PRENATAL CARE ACQUIRED IMMUNE DEFICIENCY SYNDROME ADOLESCENCE ADULTS AGED ANEMIA ANEMIA PREVALENCE ANESTHESIA ANTENATAL CARE BIRTH INTERVALS BLEEDING BOSNIA HERZEGOVINA BURDEN OF DISEASE CANCERS CAUSES OF DEATH CHILD GROWTH CHILD HEALTH CHILD HEALTH OUTCOMES CHILD MORTALITY CHILDBEARING CHILDBIRTH COMMUNITY COMMUNITY PARTICIPATION CONTRACEPTION CONTRACEPTIVE METHODS CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE DEATHS DEPRESSION DIABETES DISABILITY DISCRIMINATION EARLY PREGNANCIES ECONOMIC DEVELOPMENT ECONOMIC PRODUCTIVITY ECTOPIC PREGNANCY EMBOLISM EMERGENCY OBSTETRIC CARE FAMILIES FAMILY CARE FAMILY PLANNING FEMALE GENITAL MUTILATION FEMALES GENITAL MUTILATION GIRLS GOVERNMENT POLICIES HEALTH HEALTH CARE HEALTH CARE DEMAND HEALTH CARE SERVICES HEALTH CONDITIONS HEALTH DETERMINANTS HEALTH FACILITIES HEALTH FINANCE HEALTH INDICATORS HEALTH ISSUES HEALTH OUTCOMES HEALTH PROBLEMS HEALTH REFORMS HEALTH SECTOR HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH STATUS HEALTH SURVEYS HEALTH SYSTEM HEALTH SYSTEMS HEART DISEASE HEMORRHAGE HEPATITIS HIV HIV INFECTION HIV INFECTIONS HOOKWORM HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HUMAN RIGHTS HYPERTENSION ILLNESSES IMMUNE DEFICIENCY IMMUNIZATION IMMUNODEFICIENCY INCOME INCONTINENCE INDUCED ABORTION INFANTS INFERTILITY INHIBITION INJURIES INTERVENTION INTRAUTERINE GROWTH RETARDATION IRON LAWS LESSONS LEARNED LIVE BIRTHS LOW BIRTH WEIGHT MALABSORPTION MALARIA MALARIA BURDEN MALNUTRITION MANAGED CARE MANAGED CARE PLANS MATERNAL AND CHILD HEALTH MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNITY CARE MORBIDITY MORTALITY MOTHERS MULTIPLE BIRTHS NUTRITION NUTRITION OUTCOMES NUTRITIONAL STATUS PARTNERSHIP PHYSICAL HEALTH PHYSIOLOGICAL EFFECTS POSTNATAL CARE PREGNANCY PREGNANCY COMPLICATIONS PREGNANT WOMEN PRENATAL CARE PUBLIC HEALTH QUALITY OF CARE QUALITY OF LIFE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH SERVICES REPRODUCTIVE TRACT INFECTIONS SAFE MOTHERHOOD SAFE SEX SANITATION SEXUAL ABUSE SEXUAL PRACTICES SEXUALITY SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTIONS SOCIAL CAPITAL STERILIZATION STILLBIRTH TETANUS TREATMENT TUBERCULOSIS UNAIDS UNWANTED PREGNANCY URINARY INCONTINENCE URINARY TRACT INFECTIONS VIOLENCE This paper summarizes the importance of improving maternal and reproductive health, the progress made to date and lessons learned, and the major challenges confronting programs today. The paper highlights the progress that some countries, including very poor ones, have made in reducing maternal mortality, but cautions that progress in many countries remains slow. Relying on evidence from the most recent research and survey information, the paper also analyzes the key determinants and evidence on effective interventions for attaining the maternal health MDG. The paper finds that key interventions to improve maternal and reproductive health and reduce maternal mortality include the following mutually reinforcing strategies: (a) mobilizing political commitment and fostering an enabling policy environment; (b) investing in social and economic development such as female education, poverty reduction, and improvements in women's status; (c) providing family planning services; (d) ensuring quality antenatal care, skilled attendance during childbirth, and availability of emergency obstetric services for pregnancy complications; and (e) strengthening the health system and community involvement. The paper emphasizes that carrying out interventions remains a challenge in environments where political commitment, policies, as well as institutions and health systems, are weak. The paper concludes with guiding lessons from some of the countries that have successfully improved maternal health and with a discussion of some of the difficulties of measuring maternal mortality and morbidity outcomes. 2013-06-04T20:17:35Z 2013-06-04T20:17:35Z 2005-03 http://documents.worldbank.org/curated/en/2005/03/5733938/achieving-millennium-development-goal-improving-maternal-health-determinants-interventions-challenges http://hdl.handle.net/10986/13744 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research |