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<DIV><B>From:</B> <A title=ruglucia@PAHO.ORG
href="mailto:ruglucia@PAHO.ORG">Ruggiero, Mrs. Ana Lucia (WDC)</A> </DIV>
<DIV style="FONT: 10pt arial">
<DIV> <A title=EQUIDAD@LISTSERV.PAHO.ORG
href="mailto:EQUIDAD@LISTSERV.PAHO.ORG">EQUIDAD@LISTSERV.PAHO.ORG</A> </DIV>
<DIV> </DIV>
<DIV>Do I read another silver-bullet approach in the below?? Some more selective
PHC? </DIV>
<DIV> Claudio</DIV></DIV>
<DIV><FONT face=Arial size=2></FONT><FONT face=Arial size=2></FONT><BR></DIV>
<DIV class=Section1>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><B><FONT face=Arial color=#993300
size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #993300; FONT-FAMILY: Arial">Strategies
for reducing maternal mortality: getting on with what
works<o:p></o:p></SPAN></FONT></B></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=1><SPAN style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial">Oona MR
Campbell, Department of Epidemiology and Population Health, <st1:PlaceName
w:st="on">London</st1:PlaceName> <st1:PlaceType w:st="on">School</st1:PlaceType>
of Hygiene & Tropical Medicine, <st1:City w:st="on"><st1:place
w:st="on">London</st1:place></st1:City><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=1><SPAN style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial">Wendy J
Graham, Department of Obstetrics and Gynecology, <st1:PlaceType
w:st="on">University</st1:PlaceType> of <st1:PlaceName
w:st="on">Aberdeen</st1:PlaceName>, <st1:place w:st="on"><st1:City
w:st="on">Aberdeen</st1:City>, <st1:country-region
w:st="on">UK</st1:country-region></st1:place><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><B><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">The
Lancet Maternal Survival Series steering group<o:p></o:p></SPAN></FONT></B></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><B><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">The
Lancet, Volume 368, Number 9543, 7 October
2006<o:p></o:p></SPAN></FONT></B></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><B><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT></B></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">Available online at:
<A
href="http://www.thelancet.com/journals/lancet/article/PIIS0140673606693811/fulltext"><FONT
color=#333399><SPAN
style="COLOR: #333399">http://www.thelancet.com/journals/lancet/article/PIIS0140673606693811/fulltext</SPAN></FONT></A>
<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=1><SPAN style="FONT-SIZE: 8pt; COLOR: #333399; FONT-FAMILY: Arial">Free
subscription required<o:p></o:p></SPAN></FONT></P>
<P class=ja50-ce-simple-para25 style="MARGIN-LEFT: 0.5in"><FONT face=Arial
color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">“…..The concept of
knowing what works in terms of reducing maternal mortality is complicated by a
huge diversity of country contexts and of determinants of maternal health. Here
we aim to show that, despite this complexity, only a few strategic choices need
to be made to reduce maternal mortality. We begin by presenting the logic that
informs our strategic choices. <o:p></o:p></SPAN></FONT></P>
<P class=ja50-ce-simple-para25 style="MARGIN-LEFT: 0.5in"><FONT face=Arial
color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">This logic suggests
that implementation of an effective intrapartum-care strategy is an overwhelming
priority. We also discuss the alternative configurations of such a strategy and,
using the best available evidence, prioritise one strategy based on delivery in
primary-level institutions (health centres), backed up by access to
referral-level facilities. We then go on to discuss strategies that complement
intrapartum care. <o:p></o:p></SPAN></FONT></P>
<P class=ja50-ce-simple-para25 style="MARGIN-LEFT: 0.5in"><FONT face=Arial
color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">We conclude by
discussing the inexplicable hesitation in decision-making after nearly 20 years
of safe motherhood programming: if the fifth Millennium Development Goal is to
be achieved, then what needs to be prioritised is obvious. Further delays in
getting on with what works begs questions about the commitment of
decision-makers to this goal…..”<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal
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face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT><SPAN
lang=EN-GB style="FONT-SIZE: 7.5pt; COLOR: #333399; FONT-FAMILY: Arial"><SPAN
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