Maternal and Child Survival : Findings from Five Countries Experience in Addressing Maternal and Child Health Challenges

Considerable progress has been made towards the achievement of the Millennium Development Goals (MDGs) since 1990. Although advances in improving MDG 4 and MDG 5a (reducing child and maternal mortality, respectively) have been made, progress is som...

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Main Authors:	Cortez, Rafael, Saadat, Seemeen, Chowdhury, Sadia, Sarker, Intissar
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2014
Subjects:	ABORTION ACCESS TO EDUCATION ACCESS TO REPRODUCTIVE HEALTH SERVICES ADOLESCENT REPRODUCTIVE HEALTH ADOLESCENTS AGED BASIC EDUCATION BEHAVIOR CHANGE BEHAVIOUR CHANGE BIRTH ATTENDANTS BIRTH RATES CARE FOR CHILDREN CENSUSES CHILD HEALTH CHILD HEALTH SERVICES CHILD MORTALITY CHILD SURVIVAL CHILDBEARING CHILDBIRTH CHILDHOOD DISEASES CLINICS COMMUNICABLE DISEASES COMMUNITY DEVELOPMENT COMMUNITY HEALTH CONTRACEPTION CONTRACEPTIVE CHOICES CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE DECISION MAKING DELIVERY CARE DELIVERY OF FAMILY PLANNING DEMAND FOR SERVICES DEPENDENCY RATIO DIPHTHERIA ECONOMIC GROWTH EDUCATED WOMEN EDUCATION FOR GIRLS EDUCATIONAL ATTAINMENT EMPOWERING WOMEN EQUAL OPPORTUNITIES EQUAL OPPORTUNITY ESSENTIAL HEALTH SERVICES ETHNIC GROUPS FAMILIES FAMILY PLANNING FAMILY PLANNING PROGRAM FAMILY PLANNING SERVICES FEMALE CIRCUMCISION FEMALE EDUCATION FEMALE LITERACY GENDER INEQUALITY GENDER PARITY GENDER PARITY INDEX GLOBAL HEALTH GROSS NATIONAL INCOME HEALTH CARE HEALTH CARE SERVICES HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH FOR ALL HEALTH INFRASTRUCTURE HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH OUTCOMES HEALTH POLICY HEALTH SECTOR HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTHY MOTHER HEPATITIS B HIV HOME VISITS HOSPITALS HUMAN DEVELOPMENT HUMAN RIGHTS HYGIENE ILLNESS ILLNESSES IMMUNIZATION IMMUNIZATIONS INDIGENOUS POPULATIONS INEQUITIES INFANT INFANT HEALTH INFANT MORTALITY INFERTILITY INFLUENZA INFORMATION SYSTEM INFORMATION SYSTEMS INTERNATIONAL CONFERENCE ON POPULATION INVESTMENTS IN EDUCATION IRON LABOR FORCE LABOR MARKET LAWS LEADING CAUSES LIVE BIRTHS LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MALARIA MANDATES MATERNAL DEATH MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY DATA MATERNAL MORTALITY RATIO MEASLES MEASLES IMMUNIZATION MEDICAL STAFF MIDWIVES MIGRATION MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MINISTRY OF HEALTH MOBILE CLINICS MORBIDITY MORTALITY MORTALITY RATE MOTHER MOTHER TO CHILD MOTHER TO CHILD TRANSMISSION MULTILATERAL ORGANIZATIONS NATIONAL HEALTH POLICY NATIONAL PLAN NATIONAL POPULATION NATIONAL POPULATION POLICY NEO-NATAL MORTALITY NEONATAL MORTALITY NEWBORN NEWBORN CARE NEWBORN HEALTH NUTRITION NUTRITIONAL STATUS NUTRITIONAL STATUS OF WOMEN PLAN OF ACTION POLIO POLIOMYELITIS POLITICAL CLIMATE POPULATION AND DEVELOPMENT POPULATION CONCERNS POPULATION DENSITY POPULATION GROWTH POPULATION ISSUES POST-ABORTION POST-ABORTION CARE POSTNATAL CARE PREGNANCY PREGNANT WOMEN PRENATAL CARE PRIMARY HEALTH CARE PRIMARY SCHOOLING PROGRESS PROMOTING GENDER EQUALITY PUBLIC HEALTH PUBLIC HEALTH SERVICES QUALITY OF CARE REDUCING MATERNAL MORTALITY REGIONAL STRATEGIES REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE REPRODUCTIVE HEALTH POLICY REPRODUCTIVE HEALTH PROGRAM RESEARCH INSTITUTIONS RIGHT TO HEALTH CARE RURAL AREAS RURAL POPULATIONS RURAL WOMEN SAFE MOTHERHOOD SCHOOL CHILDREN SCHOOL HEALTH SCREENING SECONDARY ENROLMENT SERVICE DELIVERY SERVICE PROVIDERS SERVICE PROVISION SERVICES FOR ADOLESCENTS SERVICES TO WOMEN SEX SEXUALLY TRANSMITTED INFECTIONS SKILLED BIRTH ATTENDANCE SKILLED BIRTH ATTENDANTS SMALLER FAMILIES SOCIAL CHANGE SOCIAL DEVELOPMENT SOCIAL NORMS SOCIAL SECTOR SOCIAL SERVICES SOCIOECONOMIC FACTORS TERTIARY LEVEL TETANUS TRADITIONAL PRACTICES TRANSPORTATION UNEMPLOYMENT UNFPA UNITED NATIONS POPULATION FUND UNIVERSAL PRIMARY EDUCATION UNPLANNED PREGNANCIES URBAN POPULATIONS USER FEES VACCINATION VIOLENCE VULNERABLE POPULATIONS WHOOPING COUGH WOMAN WOMEN OF CHILDBEARING AGE WORKERS WORKING-AGE POPULATION WORLD HEALTH ORGANIZATION
Online Access:	http://documents.worldbank.org/curated/en/2014/05/20275501/maternal-child-survival-findings-five-countries-experience-addressing-maternal-child-health-challenges http://hdl.handle.net/10986/20757

id	okr-10986-20757
recordtype	oai_dc
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	ABORTION ACCESS TO EDUCATION ACCESS TO REPRODUCTIVE HEALTH SERVICES ADOLESCENT REPRODUCTIVE HEALTH ADOLESCENTS AGED BASIC EDUCATION BEHAVIOR CHANGE BEHAVIOUR CHANGE BIRTH ATTENDANTS BIRTH RATES CARE FOR CHILDREN CENSUSES CHILD HEALTH CHILD HEALTH SERVICES CHILD MORTALITY CHILD SURVIVAL CHILDBEARING CHILDBIRTH CHILDHOOD DISEASES CLINICS COMMUNICABLE DISEASES COMMUNITY DEVELOPMENT COMMUNITY HEALTH CONTRACEPTION CONTRACEPTIVE CHOICES CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE DECISION MAKING DELIVERY CARE DELIVERY OF FAMILY PLANNING DEMAND FOR SERVICES DEPENDENCY RATIO DIPHTHERIA ECONOMIC GROWTH EDUCATED WOMEN EDUCATION FOR GIRLS EDUCATIONAL ATTAINMENT EMPOWERING WOMEN EQUAL OPPORTUNITIES EQUAL OPPORTUNITY ESSENTIAL HEALTH SERVICES ETHNIC GROUPS FAMILIES FAMILY PLANNING FAMILY PLANNING PROGRAM FAMILY PLANNING SERVICES FEMALE CIRCUMCISION FEMALE EDUCATION FEMALE LITERACY GENDER INEQUALITY GENDER PARITY GENDER PARITY INDEX GLOBAL HEALTH GROSS NATIONAL INCOME HEALTH CARE HEALTH CARE SERVICES HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH FOR ALL HEALTH INFRASTRUCTURE HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH OUTCOMES HEALTH POLICY HEALTH SECTOR HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTHY MOTHER HEPATITIS B HIV HOME VISITS HOSPITALS HUMAN DEVELOPMENT HUMAN RIGHTS HYGIENE ILLNESS ILLNESSES IMMUNIZATION IMMUNIZATIONS INDIGENOUS POPULATIONS INEQUITIES INFANT INFANT HEALTH INFANT MORTALITY INFERTILITY INFLUENZA INFORMATION SYSTEM INFORMATION SYSTEMS INTERNATIONAL CONFERENCE ON POPULATION INVESTMENTS IN EDUCATION IRON LABOR FORCE LABOR MARKET LAWS LEADING CAUSES LIVE BIRTHS LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MALARIA MANDATES MATERNAL DEATH MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY DATA MATERNAL MORTALITY RATIO MEASLES MEASLES IMMUNIZATION MEDICAL STAFF MIDWIVES MIGRATION MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MINISTRY OF HEALTH MOBILE CLINICS MORBIDITY MORTALITY MORTALITY RATE MOTHER MOTHER TO CHILD MOTHER TO CHILD TRANSMISSION MULTILATERAL ORGANIZATIONS NATIONAL HEALTH POLICY NATIONAL PLAN NATIONAL POPULATION NATIONAL POPULATION POLICY NEO-NATAL MORTALITY NEONATAL MORTALITY NEWBORN NEWBORN CARE NEWBORN HEALTH NUTRITION NUTRITIONAL STATUS NUTRITIONAL STATUS OF WOMEN PLAN OF ACTION POLIO POLIOMYELITIS POLITICAL CLIMATE POPULATION AND DEVELOPMENT POPULATION CONCERNS POPULATION DENSITY POPULATION GROWTH POPULATION ISSUES POST-ABORTION POST-ABORTION CARE POSTNATAL CARE PREGNANCY PREGNANT WOMEN PRENATAL CARE PRIMARY HEALTH CARE PRIMARY SCHOOLING PROGRESS PROMOTING GENDER EQUALITY PUBLIC HEALTH PUBLIC HEALTH SERVICES QUALITY OF CARE REDUCING MATERNAL MORTALITY REGIONAL STRATEGIES REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE REPRODUCTIVE HEALTH POLICY REPRODUCTIVE HEALTH PROGRAM RESEARCH INSTITUTIONS RIGHT TO HEALTH CARE RURAL AREAS RURAL POPULATIONS RURAL WOMEN SAFE MOTHERHOOD SCHOOL CHILDREN SCHOOL HEALTH SCREENING SECONDARY ENROLMENT SERVICE DELIVERY SERVICE PROVIDERS SERVICE PROVISION SERVICES FOR ADOLESCENTS SERVICES TO WOMEN SEX SEXUALLY TRANSMITTED INFECTIONS SKILLED BIRTH ATTENDANCE SKILLED BIRTH ATTENDANTS SMALLER FAMILIES SOCIAL CHANGE SOCIAL DEVELOPMENT SOCIAL NORMS SOCIAL SECTOR SOCIAL SERVICES SOCIOECONOMIC FACTORS TERTIARY LEVEL TETANUS TRADITIONAL PRACTICES TRANSPORTATION UNEMPLOYMENT UNFPA UNITED NATIONS POPULATION FUND UNIVERSAL PRIMARY EDUCATION UNPLANNED PREGNANCIES URBAN POPULATIONS USER FEES VACCINATION VIOLENCE VULNERABLE POPULATIONS WHOOPING COUGH WOMAN WOMEN OF CHILDBEARING AGE WORKERS WORKING-AGE POPULATION WORLD HEALTH ORGANIZATION
spellingShingle	ABORTION ACCESS TO EDUCATION ACCESS TO REPRODUCTIVE HEALTH SERVICES ADOLESCENT REPRODUCTIVE HEALTH ADOLESCENTS AGED BASIC EDUCATION BEHAVIOR CHANGE BEHAVIOUR CHANGE BIRTH ATTENDANTS BIRTH RATES CARE FOR CHILDREN CENSUSES CHILD HEALTH CHILD HEALTH SERVICES CHILD MORTALITY CHILD SURVIVAL CHILDBEARING CHILDBIRTH CHILDHOOD DISEASES CLINICS COMMUNICABLE DISEASES COMMUNITY DEVELOPMENT COMMUNITY HEALTH CONTRACEPTION CONTRACEPTIVE CHOICES CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE DECISION MAKING DELIVERY CARE DELIVERY OF FAMILY PLANNING DEMAND FOR SERVICES DEPENDENCY RATIO DIPHTHERIA ECONOMIC GROWTH EDUCATED WOMEN EDUCATION FOR GIRLS EDUCATIONAL ATTAINMENT EMPOWERING WOMEN EQUAL OPPORTUNITIES EQUAL OPPORTUNITY ESSENTIAL HEALTH SERVICES ETHNIC GROUPS FAMILIES FAMILY PLANNING FAMILY PLANNING PROGRAM FAMILY PLANNING SERVICES FEMALE CIRCUMCISION FEMALE EDUCATION FEMALE LITERACY GENDER INEQUALITY GENDER PARITY GENDER PARITY INDEX GLOBAL HEALTH GROSS NATIONAL INCOME HEALTH CARE HEALTH CARE SERVICES HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH FOR ALL HEALTH INFRASTRUCTURE HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH OUTCOMES HEALTH POLICY HEALTH SECTOR HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTHY MOTHER HEPATITIS B HIV HOME VISITS HOSPITALS HUMAN DEVELOPMENT HUMAN RIGHTS HYGIENE ILLNESS ILLNESSES IMMUNIZATION IMMUNIZATIONS INDIGENOUS POPULATIONS INEQUITIES INFANT INFANT HEALTH INFANT MORTALITY INFERTILITY INFLUENZA INFORMATION SYSTEM INFORMATION SYSTEMS INTERNATIONAL CONFERENCE ON POPULATION INVESTMENTS IN EDUCATION IRON LABOR FORCE LABOR MARKET LAWS LEADING CAUSES LIVE BIRTHS LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MALARIA MANDATES MATERNAL DEATH MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY DATA MATERNAL MORTALITY RATIO MEASLES MEASLES IMMUNIZATION MEDICAL STAFF MIDWIVES MIGRATION MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MINISTRY OF HEALTH MOBILE CLINICS MORBIDITY MORTALITY MORTALITY RATE MOTHER MOTHER TO CHILD MOTHER TO CHILD TRANSMISSION MULTILATERAL ORGANIZATIONS NATIONAL HEALTH POLICY NATIONAL PLAN NATIONAL POPULATION NATIONAL POPULATION POLICY NEO-NATAL MORTALITY NEONATAL MORTALITY NEWBORN NEWBORN CARE NEWBORN HEALTH NUTRITION NUTRITIONAL STATUS NUTRITIONAL STATUS OF WOMEN PLAN OF ACTION POLIO POLIOMYELITIS POLITICAL CLIMATE POPULATION AND DEVELOPMENT POPULATION CONCERNS POPULATION DENSITY POPULATION GROWTH POPULATION ISSUES POST-ABORTION POST-ABORTION CARE POSTNATAL CARE PREGNANCY PREGNANT WOMEN PRENATAL CARE PRIMARY HEALTH CARE PRIMARY SCHOOLING PROGRESS PROMOTING GENDER EQUALITY PUBLIC HEALTH PUBLIC HEALTH SERVICES QUALITY OF CARE REDUCING MATERNAL MORTALITY REGIONAL STRATEGIES REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE REPRODUCTIVE HEALTH POLICY REPRODUCTIVE HEALTH PROGRAM RESEARCH INSTITUTIONS RIGHT TO HEALTH CARE RURAL AREAS RURAL POPULATIONS RURAL WOMEN SAFE MOTHERHOOD SCHOOL CHILDREN SCHOOL HEALTH SCREENING SECONDARY ENROLMENT SERVICE DELIVERY SERVICE PROVIDERS SERVICE PROVISION SERVICES FOR ADOLESCENTS SERVICES TO WOMEN SEX SEXUALLY TRANSMITTED INFECTIONS SKILLED BIRTH ATTENDANCE SKILLED BIRTH ATTENDANTS SMALLER FAMILIES SOCIAL CHANGE SOCIAL DEVELOPMENT SOCIAL NORMS SOCIAL SECTOR SOCIAL SERVICES SOCIOECONOMIC FACTORS TERTIARY LEVEL TETANUS TRADITIONAL PRACTICES TRANSPORTATION UNEMPLOYMENT UNFPA UNITED NATIONS POPULATION FUND UNIVERSAL PRIMARY EDUCATION UNPLANNED PREGNANCIES URBAN POPULATIONS USER FEES VACCINATION VIOLENCE VULNERABLE POPULATIONS WHOOPING COUGH WOMAN WOMEN OF CHILDBEARING AGE WORKERS WORKING-AGE POPULATION WORLD HEALTH ORGANIZATION Cortez, Rafael Saadat, Seemeen Chowdhury, Sadia Sarker, Intissar Maternal and Child Survival : Findings from Five Countries Experience in Addressing Maternal and Child Health Challenges
relation	Health, Nutrition and Population (HNP) discussion paper;
description	Considerable progress has been made towards the achievement of the Millennium Development Goals (MDGs) since 1990. Although advances in improving MDG 4 and MDG 5a (reducing child and maternal mortality, respectively) have been made, progress is some countries have been insufficient. While some countries have made substantial gains, others have not. This paper is part of a larger study that aims to address this gap in knowledge. The paper discusses the findings from qualitative case studies of five countries that are either on track to meet MDGs 4 and 5a by 2015 or have made significant progress to this end (Bolivia, China, Egypt, Malawi and Nepal). Although they have different socio-economic characteristics, all have made significant advancements due to a strong commitment to improving maternal and child health. To do this, strong political commitment, through policies backed by financial and programmatic support, was critical. In addition, focusing on the most vulnerable populations helped increase access to and use of services. Empowering women and families through education, employment, and poverty reduction programs have led to better health outcomes. These countries still face challenges, however, in terms of the evolving health system, and changes at the economic, social and political levels. Future qualitative and quantitative analyses on the returns of health investments, the political context and institutional arrangements at the country level could help deepen the understanding of the ways in which various countries, with their unique conditions, can improve MCH.
format	Publications & Research :: Working Paper
author	Cortez, Rafael Saadat, Seemeen Chowdhury, Sadia Sarker, Intissar
author_facet	Cortez, Rafael Saadat, Seemeen Chowdhury, Sadia Sarker, Intissar
author_sort	Cortez, Rafael
title	Maternal and Child Survival : Findings from Five Countries Experience in Addressing Maternal and Child Health Challenges
title_short	Maternal and Child Survival : Findings from Five Countries Experience in Addressing Maternal and Child Health Challenges
title_full	Maternal and Child Survival : Findings from Five Countries Experience in Addressing Maternal and Child Health Challenges
title_fullStr	Maternal and Child Survival : Findings from Five Countries Experience in Addressing Maternal and Child Health Challenges
title_full_unstemmed	Maternal and Child Survival : Findings from Five Countries Experience in Addressing Maternal and Child Health Challenges
title_sort	maternal and child survival : findings from five countries experience in addressing maternal and child health challenges
publisher	World Bank, Washington, DC
publishDate	2014
url	http://documents.worldbank.org/curated/en/2014/05/20275501/maternal-child-survival-findings-five-countries-experience-addressing-maternal-child-health-challenges http://hdl.handle.net/10986/20757
_version_	1764445943650844672
spelling	okr-10986-207572021-04-23T14:03:57Z Maternal and Child Survival : Findings from Five Countries Experience in Addressing Maternal and Child Health Challenges Cortez, Rafael Saadat, Seemeen Chowdhury, Sadia Sarker, Intissar ABORTION ACCESS TO EDUCATION ACCESS TO REPRODUCTIVE HEALTH SERVICES ADOLESCENT REPRODUCTIVE HEALTH ADOLESCENTS AGED BASIC EDUCATION BEHAVIOR CHANGE BEHAVIOUR CHANGE BIRTH ATTENDANTS BIRTH RATES CARE FOR CHILDREN CENSUSES CHILD HEALTH CHILD HEALTH SERVICES CHILD MORTALITY CHILD SURVIVAL CHILDBEARING CHILDBIRTH CHILDHOOD DISEASES CLINICS COMMUNICABLE DISEASES COMMUNITY DEVELOPMENT COMMUNITY HEALTH CONTRACEPTION CONTRACEPTIVE CHOICES CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE DECISION MAKING DELIVERY CARE DELIVERY OF FAMILY PLANNING DEMAND FOR SERVICES DEPENDENCY RATIO DIPHTHERIA ECONOMIC GROWTH EDUCATED WOMEN EDUCATION FOR GIRLS EDUCATIONAL ATTAINMENT EMPOWERING WOMEN EQUAL OPPORTUNITIES EQUAL OPPORTUNITY ESSENTIAL HEALTH SERVICES ETHNIC GROUPS FAMILIES FAMILY PLANNING FAMILY PLANNING PROGRAM FAMILY PLANNING SERVICES FEMALE CIRCUMCISION FEMALE EDUCATION FEMALE LITERACY GENDER INEQUALITY GENDER PARITY GENDER PARITY INDEX GLOBAL HEALTH GROSS NATIONAL INCOME HEALTH CARE HEALTH CARE SERVICES HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH FOR ALL HEALTH INFRASTRUCTURE HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH OUTCOMES HEALTH POLICY HEALTH SECTOR HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTHY MOTHER HEPATITIS B HIV HOME VISITS HOSPITALS HUMAN DEVELOPMENT HUMAN RIGHTS HYGIENE ILLNESS ILLNESSES IMMUNIZATION IMMUNIZATIONS INDIGENOUS POPULATIONS INEQUITIES INFANT INFANT HEALTH INFANT MORTALITY INFERTILITY INFLUENZA INFORMATION SYSTEM INFORMATION SYSTEMS INTERNATIONAL CONFERENCE ON POPULATION INVESTMENTS IN EDUCATION IRON LABOR FORCE LABOR MARKET LAWS LEADING CAUSES LIVE BIRTHS LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MALARIA MANDATES MATERNAL DEATH MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY DATA MATERNAL MORTALITY RATIO MEASLES MEASLES IMMUNIZATION MEDICAL STAFF MIDWIVES MIGRATION MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MINISTRY OF HEALTH MOBILE CLINICS MORBIDITY MORTALITY MORTALITY RATE MOTHER MOTHER TO CHILD MOTHER TO CHILD TRANSMISSION MULTILATERAL ORGANIZATIONS NATIONAL HEALTH POLICY NATIONAL PLAN NATIONAL POPULATION NATIONAL POPULATION POLICY NEO-NATAL MORTALITY NEONATAL MORTALITY NEWBORN NEWBORN CARE NEWBORN HEALTH NUTRITION NUTRITIONAL STATUS NUTRITIONAL STATUS OF WOMEN PLAN OF ACTION POLIO POLIOMYELITIS POLITICAL CLIMATE POPULATION AND DEVELOPMENT POPULATION CONCERNS POPULATION DENSITY POPULATION GROWTH POPULATION ISSUES POST-ABORTION POST-ABORTION CARE POSTNATAL CARE PREGNANCY PREGNANT WOMEN PRENATAL CARE PRIMARY HEALTH CARE PRIMARY SCHOOLING PROGRESS PROMOTING GENDER EQUALITY PUBLIC HEALTH PUBLIC HEALTH SERVICES QUALITY OF CARE REDUCING MATERNAL MORTALITY REGIONAL STRATEGIES REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE REPRODUCTIVE HEALTH POLICY REPRODUCTIVE HEALTH PROGRAM RESEARCH INSTITUTIONS RIGHT TO HEALTH CARE RURAL AREAS RURAL POPULATIONS RURAL WOMEN SAFE MOTHERHOOD SCHOOL CHILDREN SCHOOL HEALTH SCREENING SECONDARY ENROLMENT SERVICE DELIVERY SERVICE PROVIDERS SERVICE PROVISION SERVICES FOR ADOLESCENTS SERVICES TO WOMEN SEX SEXUALLY TRANSMITTED INFECTIONS SKILLED BIRTH ATTENDANCE SKILLED BIRTH ATTENDANTS SMALLER FAMILIES SOCIAL CHANGE SOCIAL DEVELOPMENT SOCIAL NORMS SOCIAL SECTOR SOCIAL SERVICES SOCIOECONOMIC FACTORS TERTIARY LEVEL TETANUS TRADITIONAL PRACTICES TRANSPORTATION UNEMPLOYMENT UNFPA UNITED NATIONS POPULATION FUND UNIVERSAL PRIMARY EDUCATION UNPLANNED PREGNANCIES URBAN POPULATIONS USER FEES VACCINATION VIOLENCE VULNERABLE POPULATIONS WHOOPING COUGH WOMAN WOMEN OF CHILDBEARING AGE WORKERS WORKING-AGE POPULATION WORLD HEALTH ORGANIZATION Considerable progress has been made towards the achievement of the Millennium Development Goals (MDGs) since 1990. Although advances in improving MDG 4 and MDG 5a (reducing child and maternal mortality, respectively) have been made, progress is some countries have been insufficient. While some countries have made substantial gains, others have not. This paper is part of a larger study that aims to address this gap in knowledge. The paper discusses the findings from qualitative case studies of five countries that are either on track to meet MDGs 4 and 5a by 2015 or have made significant progress to this end (Bolivia, China, Egypt, Malawi and Nepal). Although they have different socio-economic characteristics, all have made significant advancements due to a strong commitment to improving maternal and child health. To do this, strong political commitment, through policies backed by financial and programmatic support, was critical. In addition, focusing on the most vulnerable populations helped increase access to and use of services. Empowering women and families through education, employment, and poverty reduction programs have led to better health outcomes. These countries still face challenges, however, in terms of the evolving health system, and changes at the economic, social and political levels. Future qualitative and quantitative analyses on the returns of health investments, the political context and institutional arrangements at the country level could help deepen the understanding of the ways in which various countries, with their unique conditions, can improve MCH. 2014-12-17T17:07:37Z 2014-12-17T17:07:37Z 2014-05 http://documents.worldbank.org/curated/en/2014/05/20275501/maternal-child-survival-findings-five-countries-experience-addressing-maternal-child-health-challenges http://hdl.handle.net/10986/20757 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, Washington, DC Publications & Research :: Working Paper Publications & Research

Maternal and Child Survival : Findings from Five Countries Experience in Addressing Maternal and Child Health Challenges

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