252917 Overview of Global MCH Challenges - Why can't we get it right?

Monday, October 31, 2011: 10:30 AM

Richard Derman, MD MPH , Dept. of Obstetrics & Gynecology, Chair & Professor, Newark, DE
100 years ago, the maternal and infant mortality in the United States mimicked that of today's rates in the developing world. During the past century, we were able to reduce maternal mortality by 99% and infant mortality by more than 90%.

As with many health issues, we know almost all the factors that can effect major changes in outcomes -- the challenge is in implementation. Much of the focus of today's panel will center around addressing such barriers to implementation while highlighting major breakthroughs in research that can hasten the pace of change.

Complacency is our worst enemy. Even in the United States, rates of maternal mortality have recently doubled. We should note that the underlying conditions that lead to maternal death in India, Bangladesh and Malawi (and for that matter globally) i.e. postpartum hemorrhage, eclampsia and infection, are in fact the same leading causes of mortality in the U.S.

Given limited resources, it is imperative that governments, NGOs and aid agencies maximize their efforts of collaboration if we hope to achieve major change in maternal and infant outcomes in the near term.

Learning Areas:
Implementation of health education strategies, interventions and programs
Provision of health care to the public

Learning Objectives:
Describe barriers to implementation while highlighting major breakthroughs in research that can hasten the pace of change.

Keywords: Maternal Health, Infant Mortality

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Experience in this area
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.