Current strategies for the reduction of maternal mortality

Colin Bullough, Nicolas Meda, Krystyna Makowiecka, Carine Ronsmans, Endang Laksminingsih, Julia Hussein

Research output: Contribution to journalReview articlepeer-review

101 Citations (Scopus)


The purpose of this article is to review current strategies for the reduction of maternal mortality and the evidence pertinent to these strategies. Historical, contextual and current literature were examined to identify the evidence base upon which recommendations on current strategies to reduce maternal mortality are made. Current safe motherhood strategies are designed based mostly on low grade evidence which is historical and observational, as well as on experience and a process of deductive reasoning. Safe motherhood strategies are complex public health approaches which are different from single clinical interventions. The approach to evidence used for clinical decision making needs to be reconsidered to fit with the practicalities of research on the effectiveness of strategies at the population level. It is unlikely that any single strategy will be optimal for different situations. Strengthening of the knowledge base on the effectiveness of public health strategies to reduce maternal mortality is urgently required but will need concerted action and international commitment.

Original languageEnglish
Pages (from-to)1180-1188
Number of pages9
JournalBJOG: An International Journal of Obstetrics and Gynaecology
Issue number9
Publication statusPublished - Sept 2005


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