Investing in Maternal Health : Learning from Malaysia and Sri Lanka

This study provides the most comprehensive and detailed analysis available on factors behind the decline in maternal mortality in Malaysia and Sri Lanka in the past 50 to 60 years and the magnitude of health system expenditures on maternal health....

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Main Authors:	Pathmanathan, Indra, Liljestrand, Jerker, Martins, Jo. M., Rajapaksa, Lalini C., Lissner, Craig, de Silva, Amala, Selvaraju, Swarna, Singh, Prabha Joginder
Format:	Publication
Language:	English en_US
Published:	Washington, DC: World Bank 2013
Subjects:	MATERNAL MORTALITY MATERNAL HEALTH SERVICES POVERTY REDUCTION MIDWIVES PUBLIC EXPENDITURES SYSTEMS ANALYSIS DEVELOPING COUNTRIES HEALTH PROGRAMS INCOME LEVELS POOR WOMEN IN DEVELOPING COUNTRIES CHILDBIRTH CHILD HEALTH SERVICES MATERNAL MORTALITY CHILD HEALTH SERVICESACCESS TO HEALTH CARE ACCESS TO TREATMENT ANTENATAL CARE BASIC HEALTH CARE BIRTHS CHILD HEALTH CHILD HEALTH SERVICES CLINICS COMMUNITY MOBILIZATION COMPLICATIONS OF PREGNANCY CONTRACEPTIVE PREVALENCE CONTRACEPTIVE PREVALENCE RATE CULTURAL BARRIERS DOCTORS DRUGS ECONOMIC DEVELOPMENT ETHNIC GROUPS EXPENDITURES FAMILIES FAMILY HEALTH FAMILY INCOME FAMILY PLANNING FAMILY PLANNING SERVICES FERTILITY FERTILITY DECLINE FERTILITY RATES HEALTH HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH MESSAGES HEALTH POLICIES HEALTH PROFESSIONALS HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEMORRHAGE HOSPITAL CARE HOSPITAL SERVICES HOSPITALS HYPERTENSIVE DISEASE ILLITERACY INFECTION INSTITUTIONALIZATION LIFE EXPECTANCY LIVE BIRTHS MALNUTRITION MANAGERS MATERNAL AND CHILD HEALTH MATERNAL COMPLICATIONS MATERNAL DEATH MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MATERNITY CARE MCH MIDWIFERY MIDWIFERY PRACTICE MORTALITY RATES NEONATAL MORTALITY NURSE-MIDWIVES NURSING NURSING HOMES NUTRITION OBSTETRIC CARE OBSTETRIC EMERGENCIES OLDER WOMEN PEER REVIEW PREGNANCIES PREGNANCY COMPLICATIONS PRIVATE SECTOR PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR QUALITY CONTROL REPRODUCTIVE AGE RURAL HOSPITALS SAFE MOTHERHOOD SANITATION SEPSIS SOCIAL SERVICES TEEN PREGNANCIES TOTAL FERTILITY RATE TRADITIONAL BIRTH ATTENDANTS TRAINED MIDWIVES UNSAFE ABORTION WORKERS
Online Access:	http://documents.worldbank.org/curated/en/2003/12/8188495/investing-maternal-health-learning-malaysia-sri-lanka http://hdl.handle.net/10986/14754

id	okr-10986-14754
recordtype	oai_dc
spelling	okr-10986-147542021-04-23T14:03:13Z Investing in Maternal Health : Learning from Malaysia and Sri Lanka Pathmanathan, Indra Liljestrand, Jerker Martins, Jo. M. Rajapaksa, Lalini C. Lissner, Craig de Silva, Amala Selvaraju, Swarna Singh, Prabha Joginder MATERNAL MORTALITY MATERNAL HEALTH SERVICES POVERTY REDUCTION MIDWIVES PUBLIC EXPENDITURES SYSTEMS ANALYSIS DEVELOPING COUNTRIES HEALTH PROGRAMS INCOME LEVELS POOR WOMEN IN DEVELOPING COUNTRIES CHILDBIRTH CHILD HEALTH SERVICES MATERNAL MORTALITY MATERNAL HEALTH SERVICES POVERTY REDUCTION MIDWIVES PUBLIC EXPENDITURES SYSTEMS ANALYSIS DEVELOPING COUNTRIES HEALTH PROGRAMS INCOME LEVELS POOR WOMEN IN DEVELOPING COUNTRIES CHILDBIRTH CHILD HEALTH SERVICESACCESS TO HEALTH CARE ACCESS TO TREATMENT ANTENATAL CARE BASIC HEALTH CARE BIRTHS CHILD HEALTH CHILD HEALTH SERVICES CHILDBIRTH CLINICS COMMUNITY MOBILIZATION COMPLICATIONS OF PREGNANCY CONTRACEPTIVE PREVALENCE CONTRACEPTIVE PREVALENCE RATE CULTURAL BARRIERS DOCTORS DRUGS ECONOMIC DEVELOPMENT ETHNIC GROUPS EXPENDITURES FAMILIES FAMILY HEALTH FAMILY INCOME FAMILY PLANNING FAMILY PLANNING SERVICES FERTILITY FERTILITY DECLINE FERTILITY RATES HEALTH HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH MESSAGES HEALTH POLICIES HEALTH PROFESSIONALS HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEMORRHAGE HOSPITAL CARE HOSPITAL SERVICES HOSPITALS HYPERTENSIVE DISEASE ILLITERACY INFECTION INSTITUTIONALIZATION LIFE EXPECTANCY LIVE BIRTHS MALNUTRITION MANAGERS MATERNAL AND CHILD HEALTH MATERNAL COMPLICATIONS MATERNAL DEATH MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL HEALTH SERVICES MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MATERNITY CARE MCH MIDWIFERY MIDWIFERY PRACTICE MORTALITY RATES NEONATAL MORTALITY NURSE-MIDWIVES NURSING NURSING HOMES NUTRITION OBSTETRIC CARE OBSTETRIC EMERGENCIES OLDER WOMEN PEER REVIEW PREGNANCIES PREGNANCY COMPLICATIONS PRIVATE SECTOR PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR QUALITY CONTROL REPRODUCTIVE AGE RURAL HOSPITALS SAFE MOTHERHOOD SANITATION SEPSIS SOCIAL SERVICES TEEN PREGNANCIES TOTAL FERTILITY RATE TRADITIONAL BIRTH ATTENDANTS TRAINED MIDWIVES UNSAFE ABORTION WORKERS This study provides the most comprehensive and detailed analysis available on factors behind the decline in maternal mortality in Malaysia and Sri Lanka in the past 50 to 60 years and the magnitude of health system expenditures on maternal health. The main findings are that a modest investment in maternal health services, combined with other poverty reduction measures leads to a fairly rapid decline in the maternal mortality ratio (MMR), defined as the number of maternal deaths per 100,000 live births. The strategies of Malaysia and Sri Lanka changed over time, from an initial emphasis on expanding the provision of services, especially in underserved areas, to increasing utilization and, finally, to emphasizing the improvement of quality. Removing financial barriers to maternal care for clients was an important step in both countries. Professional midwives constitute the backbone of maternal care in Malaysia and Sri Lanka. The MMR reduction in developing countries is feasible with modest public expenditures when appropriate policies are adopted, focused wisely, and adapted incrementally in response to environmental conditions and systems capacity. 2013-08-01T20:20:39Z 2013-08-01T20:20:39Z 2003 http://documents.worldbank.org/curated/en/2003/12/8188495/investing-maternal-health-learning-malaysia-sri-lanka 0-8213-5362-4 http://hdl.handle.net/10986/14754 English en_US Health, Nutrition, and Population; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Washington, DC: World Bank Publications & Research :: Publication Publications & Research :: Publication East Asia and Pacific South Asia
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	MATERNAL MORTALITY MATERNAL HEALTH SERVICES POVERTY REDUCTION MIDWIVES PUBLIC EXPENDITURES SYSTEMS ANALYSIS DEVELOPING COUNTRIES HEALTH PROGRAMS INCOME LEVELS POOR WOMEN IN DEVELOPING COUNTRIES CHILDBIRTH CHILD HEALTH SERVICES MATERNAL MORTALITY MATERNAL HEALTH SERVICES POVERTY REDUCTION MIDWIVES PUBLIC EXPENDITURES SYSTEMS ANALYSIS DEVELOPING COUNTRIES HEALTH PROGRAMS INCOME LEVELS POOR WOMEN IN DEVELOPING COUNTRIES CHILDBIRTH CHILD HEALTH SERVICESACCESS TO HEALTH CARE ACCESS TO TREATMENT ANTENATAL CARE BASIC HEALTH CARE BIRTHS CHILD HEALTH CHILD HEALTH SERVICES CHILDBIRTH CLINICS COMMUNITY MOBILIZATION COMPLICATIONS OF PREGNANCY CONTRACEPTIVE PREVALENCE CONTRACEPTIVE PREVALENCE RATE CULTURAL BARRIERS DOCTORS DRUGS ECONOMIC DEVELOPMENT ETHNIC GROUPS EXPENDITURES FAMILIES FAMILY HEALTH FAMILY INCOME FAMILY PLANNING FAMILY PLANNING SERVICES FERTILITY FERTILITY DECLINE FERTILITY RATES HEALTH HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH MESSAGES HEALTH POLICIES HEALTH PROFESSIONALS HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEMORRHAGE HOSPITAL CARE HOSPITAL SERVICES HOSPITALS HYPERTENSIVE DISEASE ILLITERACY INFECTION INSTITUTIONALIZATION LIFE EXPECTANCY LIVE BIRTHS MALNUTRITION MANAGERS MATERNAL AND CHILD HEALTH MATERNAL COMPLICATIONS MATERNAL DEATH MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL HEALTH SERVICES MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MATERNITY CARE MCH MIDWIFERY MIDWIFERY PRACTICE MORTALITY RATES NEONATAL MORTALITY NURSE-MIDWIVES NURSING NURSING HOMES NUTRITION OBSTETRIC CARE OBSTETRIC EMERGENCIES OLDER WOMEN PEER REVIEW PREGNANCIES PREGNANCY COMPLICATIONS PRIVATE SECTOR PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR QUALITY CONTROL REPRODUCTIVE AGE RURAL HOSPITALS SAFE MOTHERHOOD SANITATION SEPSIS SOCIAL SERVICES TEEN PREGNANCIES TOTAL FERTILITY RATE TRADITIONAL BIRTH ATTENDANTS TRAINED MIDWIVES UNSAFE ABORTION WORKERS
spellingShingle	MATERNAL MORTALITY MATERNAL HEALTH SERVICES POVERTY REDUCTION MIDWIVES PUBLIC EXPENDITURES SYSTEMS ANALYSIS DEVELOPING COUNTRIES HEALTH PROGRAMS INCOME LEVELS POOR WOMEN IN DEVELOPING COUNTRIES CHILDBIRTH CHILD HEALTH SERVICES MATERNAL MORTALITY MATERNAL HEALTH SERVICES POVERTY REDUCTION MIDWIVES PUBLIC EXPENDITURES SYSTEMS ANALYSIS DEVELOPING COUNTRIES HEALTH PROGRAMS INCOME LEVELS POOR WOMEN IN DEVELOPING COUNTRIES CHILDBIRTH CHILD HEALTH SERVICESACCESS TO HEALTH CARE ACCESS TO TREATMENT ANTENATAL CARE BASIC HEALTH CARE BIRTHS CHILD HEALTH CHILD HEALTH SERVICES CHILDBIRTH CLINICS COMMUNITY MOBILIZATION COMPLICATIONS OF PREGNANCY CONTRACEPTIVE PREVALENCE CONTRACEPTIVE PREVALENCE RATE CULTURAL BARRIERS DOCTORS DRUGS ECONOMIC DEVELOPMENT ETHNIC GROUPS EXPENDITURES FAMILIES FAMILY HEALTH FAMILY INCOME FAMILY PLANNING FAMILY PLANNING SERVICES FERTILITY FERTILITY DECLINE FERTILITY RATES HEALTH HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH MESSAGES HEALTH POLICIES HEALTH PROFESSIONALS HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEMORRHAGE HOSPITAL CARE HOSPITAL SERVICES HOSPITALS HYPERTENSIVE DISEASE ILLITERACY INFECTION INSTITUTIONALIZATION LIFE EXPECTANCY LIVE BIRTHS MALNUTRITION MANAGERS MATERNAL AND CHILD HEALTH MATERNAL COMPLICATIONS MATERNAL DEATH MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL HEALTH SERVICES MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MATERNITY CARE MCH MIDWIFERY MIDWIFERY PRACTICE MORTALITY RATES NEONATAL MORTALITY NURSE-MIDWIVES NURSING NURSING HOMES NUTRITION OBSTETRIC CARE OBSTETRIC EMERGENCIES OLDER WOMEN PEER REVIEW PREGNANCIES PREGNANCY COMPLICATIONS PRIVATE SECTOR PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR QUALITY CONTROL REPRODUCTIVE AGE RURAL HOSPITALS SAFE MOTHERHOOD SANITATION SEPSIS SOCIAL SERVICES TEEN PREGNANCIES TOTAL FERTILITY RATE TRADITIONAL BIRTH ATTENDANTS TRAINED MIDWIVES UNSAFE ABORTION WORKERS Pathmanathan, Indra Liljestrand, Jerker Martins, Jo. M. Rajapaksa, Lalini C. Lissner, Craig de Silva, Amala Selvaraju, Swarna Singh, Prabha Joginder Investing in Maternal Health : Learning from Malaysia and Sri Lanka
geographic_facet	East Asia and Pacific South Asia
relation	Health, Nutrition, and Population;
description	This study provides the most comprehensive and detailed analysis available on factors behind the decline in maternal mortality in Malaysia and Sri Lanka in the past 50 to 60 years and the magnitude of health system expenditures on maternal health. The main findings are that a modest investment in maternal health services, combined with other poverty reduction measures leads to a fairly rapid decline in the maternal mortality ratio (MMR), defined as the number of maternal deaths per 100,000 live births. The strategies of Malaysia and Sri Lanka changed over time, from an initial emphasis on expanding the provision of services, especially in underserved areas, to increasing utilization and, finally, to emphasizing the improvement of quality. Removing financial barriers to maternal care for clients was an important step in both countries. Professional midwives constitute the backbone of maternal care in Malaysia and Sri Lanka. The MMR reduction in developing countries is feasible with modest public expenditures when appropriate policies are adopted, focused wisely, and adapted incrementally in response to environmental conditions and systems capacity.
format	Publications & Research :: Publication
author	Pathmanathan, Indra Liljestrand, Jerker Martins, Jo. M. Rajapaksa, Lalini C. Lissner, Craig de Silva, Amala Selvaraju, Swarna Singh, Prabha Joginder
author_facet	Pathmanathan, Indra Liljestrand, Jerker Martins, Jo. M. Rajapaksa, Lalini C. Lissner, Craig de Silva, Amala Selvaraju, Swarna Singh, Prabha Joginder
author_sort	Pathmanathan, Indra
title	Investing in Maternal Health : Learning from Malaysia and Sri Lanka
title_short	Investing in Maternal Health : Learning from Malaysia and Sri Lanka
title_full	Investing in Maternal Health : Learning from Malaysia and Sri Lanka
title_fullStr	Investing in Maternal Health : Learning from Malaysia and Sri Lanka
title_full_unstemmed	Investing in Maternal Health : Learning from Malaysia and Sri Lanka
title_sort	investing in maternal health : learning from malaysia and sri lanka
publisher	Washington, DC: World Bank
publishDate	2013
url	http://documents.worldbank.org/curated/en/2003/12/8188495/investing-maternal-health-learning-malaysia-sri-lanka http://hdl.handle.net/10986/14754
_version_	1764426382601879552

Investing in Maternal Health : Learning from Malaysia and Sri Lanka

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