By Indra Padmanathan, Jerker Liljestrand, Jo. M. Martins, Lalini C. Rajapaksa, Craig Lissner, Amala de Silva, Swarna Selvaraju, Prabha Joginder Singh

The adaptation among maternal mortality within the industrialized and constructing global is larger than the other improvement indicator. the plain loss of development during this quarter has generated a feeling of hopelessness. Malaysia and Sri Lanka are of the only a few constructing international locations that experience succeeded in decreasing maternal mortality to degrees such as many industrialized international locations. This research offers the 1st accomplished, in-depth research of the standards that contributed to maternal mortality decline in Malaysia and Sri Lanka over the past 50-60 years. It considers coverage concerns, well-being process advancements, future health procedure expenses in maternal healthiness, and the use in either international locations, of professionally knowledgeable midwives.

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Additional resources for Investing in Maternal Health in Malaysia and Sri Lanka (Health, Nutrition and Population Series)

Sample text

The Ingredients of Success • 33 Analysis of Quantitative and Qualitative Health Data The study is based on the analysis of data from historical records and reports. The analysis is limited to periods of time for which data are available and accessible. Both countries have relatively strong systems of records of births and deaths, health service statistics, and basic economic data. Information on health services expenditures is limited and available mostly in an aggregate form. Sri Lankan statistical data on births and deaths, health, and fertility, as well as descriptive and analytical reports, are available for more than 90 years, but data on health services availability and utilization are limited.

Malaysia and Sri Lanka are two of the few developing countries that have relatively good historical data, reports, and a track record of success in reducing maternal mortality. Case studies of the two countries therefore provide sufficient evidence to derive pointers for other developing countries. The experience of Malaysia and Sri Lanka has been presented in conferences and quoted widely in recent years. However, this study presents the first comprehensive, in-depth description and analysis that includes policy analysis, health systems development, trends in utilization of skilled birth attendance and maternal mortality, and public expenditures on maternal health.

However, operating expenses that mirror the number and salary rates of public servants show a declining trend in the case of Sri Lanka and a later, smaller decline in Malaysia. This decrease was achieved despite the increasing numbers of health professionals employed. The lowering of salary rates of health professionals in relation to GDP per capita allowed the engagement of more public servants without a proportional increase in operating expenditures. 12 • Investing in Maternal Health Figure 7.

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