Internal Medicine

Download Investing in Maternal Health in Malaysia and Sri Lanka by Indra Padmanathan, Jerker Liljestrand, Jo. M. Martins, PDF

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

The variation among maternal mortality within the industrialized and constructing international is bigger than the other improvement indicator. the obvious 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 lowering maternal mortality to degrees corresponding to many industrialized international locations. This learn presents the 1st accomplished, in-depth research of the standards that contributed to maternal mortality decline in Malaysia and Sri Lanka during the last 50-60 years. It considers coverage concerns, wellbeing and fitness process advancements, future health method expenses in maternal well-being, and the use in either nations, of professionally expert midwives.

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

Example text

Those pressures resulted in rapid and integrated rural development. Thus, both countries made significant investments in expanding health services to rural areas during a relatively short period (10 to 15 years). Preventive health services and inpatient hospital care were financed largely through general taxation and were provided mainly by the public sector, whereas ambulatory medical care in urban areas was gradually provided to a greater extent by the private sector and financed by user fees.

At least two models have been identified in successful attempts at reducing mortality (Sen 1999). The first is thought to achieve declines in mortality by “growth-mediated” processes that promote employment and increase the use of health care and education, financed by economic growth. The second may be described as a “support-led” process that does not use economic growth but provides appropriate social services, such as health care, education, and The Ingredients of Success • 25 other safety-net support.

As in Malaysia, wide variations in maternal mortality rates existed between districts in Sri Lanka during the period 1962–71. By 1980, however, the MMR in all districts converged, and the variation from district to district was minimal. This leveling indicates relative improvement of the health services in less developed areas of the country (Rodrigo 1987). Within a 10-year period of focused efforts in Sri Lanka, the proportion of women in Sri Lankan tea estates who previously did not have skilled attendance during childbirth declined from 40 to 10 percent (Vidyasagara 1983).

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