Practical lessons from global safe motherhood initiatives: time for a new focus on implementation
Prof Lynn P Freedman a , Prof Wendy J Graham l b, Ellen Brazier c, Jeffrey M Smith d, Tim Ensor b, Vincent Fauveau e, Ellen Themmen c,
Sheena Currie d and Koki Agarwal f
a. Averting Maternal Death and Disability Program,
c. Family Care International,
f. ACCESS Program, JHPIEGO,
The Lancet, Volume 370, Number 9595, 13 October 2007
Available online: http://www.thelancet.com/journals/lancet/article/PIIS0140673607615815/fulltext [Free subscription required]
“…..The time is right to shift the focus of the global maternal health community to the challenges of effective implementation of services within districts. 20 years after the launch of the Safe Motherhood Initiative, the community has reached a broad consensus about priority interventions, incorporated these interventions into national policy documents, and organised globally in coalition with the newborn and child health communities.
With changes in policy processes to emphasise country ownership, funding harmonisation, and results-based financing, the capacity of countries to implement services urgently needs to be strengthened. In this article, four global maternal health initiatives draw on their complementary experiences to identify a set of the central lessons on which to build a new, collaborative effort to implement equitable, sustainable maternal health services at scale.
This implementation effort should focus on specific steps for strengthening the capacity of the district health system to convert inputs into functioning services that are accessible to and used by all segments of the population…..”
Also this week in The Lancet:
Estimates of maternal mortality worldwide between 1990 and 2005: an assessment of available data
Determinants of reduction in maternal mortality in
Health of women after severe obstetric complications in
Continuum of care for maternal, newborn, and child health: from slogan to service delivery
Detours and shortcuts on the road to maternal mortality reduction
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