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Debrah Lewis Vice-President International Confederation of Midwives


Antenatal Care

86 – 100%

Birth

90 – 100%

MMR

100.9/112


PIH  Hemorrhage  Unsafe abortion  Obstructed labour  Sepsis  Other direct 

26% 21% 13% 12% 8% 15%


Low national priority  Money invested in health  Inequalities in access to care  Evidence based protocols & implementation  Primary health care model  Pre-conception care  Post Partum care 


Strengthen health systems  Promote community based interventions • Develop & strengthen monitoring & evaluation systems • Judicious use of interventions 


2002 – Regional Strategy for Maternal Mortality & Morbidity Reduction  2011 – Plan of Action to Accelerate The Reduction of Maternal Mortality & Severe Maternal Morbidity  2013 – Regional Strategy & Plan of Action 


Most countries Well established Good cover

WHY??


Invisible

Not recognized

Not autonomous

Increased interventions


Strengthen *Education *Regulation *Association Recruit Retain


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 

PAHO/WHO Report. Health in the Americas. 2012 Maternal Mortality & Morbidity Background Paper. Inaugural Conference on Global Health, Gender & Human Rights. American University Washington College of Law/PAHO. March 2012. PAHO/WHO. Plan of Action to Accelerate The Reduction of Maternal Mortality & Severe Maternal Morbidity. September 2011. PAHO. Regional Strategy for Maternal Mortality and Reduction. 26 th Pan American Sanitary Conference. Washington, DC 2002. Trinidad Express. Too Many Babies Dying. Interview with Khim Sandi Lwim, UNICEF. October 2012. World Bank Indicators. 2008 – 2012. CIA World Factbook. 2010.

Analysis challenges of current maternal mortality in the region of the americas  
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