Improve maternal health
Where we are
The target under this objective is to reduce maternal health by three quarters since 1990 and to make reproductive health services universal by 2015. The 2010 MDG report indicate that the maternal mortality rate has reduced gradually from 1000 deaths per 100,000 live births in the beginning of the 90s to 500.1 deaths per 100,000 LB in 2007
About 43% of the maternal obits occur during delivery and before 24 hours after delivery, while in the primary level health units death occurs with greater frequency in the first two hours of the woman’s admission, showing the precarious conditions and the late arrival of the women at the health unit. Regarding the causes of maternal death, 76% of the obits were due to direct causes and 24% to indirect causes. The main causes are uterine rupture (17%), post-delivery haemorrhage (14%), pre-eclampsia/eclampsia (13%), AIDS (12%) and puerperal sepsis (11%). AIDS appears as the first indirect cause of maternal death and the fourth of all causes.
Constraints on the achievement of the targets for 2015
Insufficient number and quality of human resources to respond to the need of improvement of the management of the programmes and services at all levels; a more equitable distribution of the existing qualified human resources and the provision of quality service. Poor management capacity of the Sexual and Reproductive Health Programme, including Family Planning.
Deficiencies in the availability and restocking of goods and products for reproductive health and in a referral system at the various levels for obstetric complications and other emergency situations: poor community involvement, particularly of the men, in problems related to reproductive health, and especially family planning.
Recommendations for the achievement of the targets for 2015
Invest strongly in the initial training of specialised maternal health professionals, and their availability at district level (maternal and infant health nurses, surgery technicians and doctors) continuous training and expansion of emergency obstetric care and essential obstetric care; implement the Family Planning Strategy; strengthen the logistical system to guarantee that the goods and products for sexual and reproductive health are at the right place and the right time as fundamental pillar for the provision of quality care; give priority to guaranteeing service quality through formative supervision at all levels; ensure the implementation of interventions for strengthening community involvement, especially focussed on the youth and on the involvement of men in the reproductive health services; and strengthen information, monitoring and evaluation system and inter and intra-sector coordination.