BMJ  2004;329 (13 November), doi:10.1136/bmj.329.7475.0-b

Community initiatives reduce maternal mortality

Strategies based on interventions which involve supporting and empowering women in poor communities are neglected and undervalued in the drive to reduce maternal and neonatal mortality, argue Costello and colleagues (p 1166). Current policies that emphasise skilled and institution based care don't reach the poorest households. In communities where maternal mortality is above 150/100 000 and neonatal mortality above 35/1000, large scale community effectiveness trials are both feasible and necessary.

Credit: MARK EDWARDS/STILL PICTURES

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Reducing maternal and neonatal mortality in the poorest communities

Anthony Costello, David Osrin, and Dharma Manandhar
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