Need to go beyond “essential interventions” for reducing maternal mortality

Kazakhstan - A doctor uses a traditional stethoscope to examine a pregnant woman.
UNICEF/G. Pirozzi
Kazakhstan - A doctor uses a traditional stethoscope to examine a pregnant woman.

A large WHO multicountry survey examined data from more than 300 000 women attending 357 health care facilities in 29 countries. This study found a poor correlation between coverage of ‘essential interventions’ (e.g. uterotonics for preventing postpartum haemorrhage; magnesium sulfate for eclampsia) and maternal mortality in health facilities. This study suggests that to achieve a substantial reduction in maternal mortality, a comprehensive approach to emergency care, and overall improvements in the quality of maternal health care will be needed.

Over a million pregnant women infected with syphilis worldwide

Finger stick testing for syphilis in a health center of Mozambique
Finger stick testing for syphilis in Mozambique

Syphilis affects large numbers of pregnant women worldwide, causing serious health problems and even death to their babies. One study estimates the percentage of pregnant women tested for syphilis and adequately treated, ranges from 30% for Africa and the Mediterranean region to 70% for Europe. Another study suggests that, unless testing and treatment of syphilis in pregnancy are universally available, over half of pregnancies in women with syphilis will result in an adverse outcome.

Latest trends in infertility prevalence: the burden remains high

A couple sits at the bank of a lake in Ahmedabad, India.
Bhaskar Dutta/Photoshare

One in every four couples in developing countries is estimated to be affected by involuntary infertility. The inability to have children affects couples worldwide and causes emotional and psychological distress in both men and women. Estimates of prevalence of and trends in infertility are needed for prevention and treatment. By applying a consistent algorithm to demographic and reproductive surveys available from developed and developing countries, a new study estimates global infertility prevalence and trends, 1990 to 2010, by country and region.

H4+ Working together for Women’s and Children’s Health

WHO and partners programmes UNAIDS, UNFPA, UNICEF, UN Women, and the World Bank work together as the H4+ in a joint effort to improve the health of women and children and accelerate progress towards achieving Millennium Development Goals (MDGs) 4 (reducing child mortality) and 5 (improving maternal health). The H4+ serves as the lead technical partners for the United Nations Secretary-General's Global Strategy for Women’s and Children’s Health.

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Reproductive Health Library

RHL takes the best available evidence on sexual and reproductive health from Cochrane systematic reviews and presents it as practical actions for clinicians (and policy-makers) to improve health outcomes, especially in developing countries.