BMJ  2005;331 (12 November), doi:10.1136/bmj.331.7525.0-a

Maternal and neonatal health: universal access is imperative

Preventive interventions to improve maternal and neonatal health in sub-Saharan Africa and South East Asia are cost effective, but current coverage is insufficient and universal access to these interventions is a must if millennium development goals are to be achieved. In a cost effectiveness analysis of different strategies, Adam and colleagues (p 1107) found that the most effective strategies were the community based newborn care package, an antenatal care package, the presence of skilled attendants at birth, and availability of emergency obstetric and neonatal care around and after birth. Scaling up the assessed interventions to 95% coverage would halve neonatal and maternal deaths in the studied regions.

Credit: PEP BONET/PANOS

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