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Making Motherhood Safe
Marjorie A Koblinski Anne Tinker
Price: $ 22

World Bank Discussion Paper No. 202. With Patricia Daley, Cleone Rooney, Charlotte Leighton, Marcia Griffiths, A.A. Zahidul Huque, and Barbara Kwast.

Most women in the developing world lack access to modern methods of contraception and to adequate prenatal care. Even in countries with relatively well-developed health systems, preventable maternal illness and death persist because of inappropriate management of the complications of pregnancy.

This paper draws on experience and research in both developing and industrial countries. That evidence shows that community-based approaches such as local family planning and the training and deployment of midwives help to reduce maternal mortality in high- mortality settings. Prenatal care and more childbirth services are identified as among the most cost-effective of government interventions for improving child health.

The authors recommend improving the quality and availability of such services and educating the public about them. Programs succeed best, the authors say, when they are presented as a package of services that includes help with family planning, health, and nutrition. This discussion paper will be of interest to policymakers and program managers designing and implementing programs to improve maternal care.

Also available: French (ISBN 0-8213-2736-4) Stock No. 12736; Spanish (ISBN 0-8213-2973-1) Stock No. 12973.

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