Poor quality care is now a bigger barrier to reducing mortality than insufficient access to healthcare, said Dr. Margaret Kruk, Chair of The Lancet Global Health Commission on High Quality Health Systems in the Sustainable Development Goal Era. She spoke at a recent Wilson Center event on strategies to improve and sustain high-quality reproductive, maternal, and newborn care at scale. “We estimate that 8.6 million lives are lost every year due to lack of access to high quality care, and of that 8.6 million, five million lives are lost by people who have already reached out to the health system.”

Since 1987, the number of women dying during pregnancy and delivery has dropped by 43 percent, saving hundreds of thousands of women’s lives—and changing the lives of their families—around the world. “Our achievement in making maternal mortality an injustice that needs to be recognized by health ministers, by heads of state, by heads of agencies, has been, I think, the single greatest achievement of the Safe Motherhood Initiative” since it began 30 years ago, said Ann Starrs, President and CEO of Guttmacher Institute, at a Wilson Center event marking the anniversary of this important effort.

Over the last 30 years, the world has seen a 44 percent decrease in maternal mortality. At the same time, safe motherhood has evolved from an often neglected component of maternal and child health programs to a fundamental element of the global health agenda, leading to improved women’s health and rights. These advancements are, in large part, due to the 1987 establishment of the Safe Motherhood Initiative. To help celebrate the 30^th anniversary of the Safe Motherhood Initiative, Dot Mom asked leaders in the field to reflect on the most impactful intervention of last 30 years. Join us at the Wilson Center on Friday, December 8, 1-5 p.m., to discuss these interventions—and those to come in the next 30 years.

“Disrespect and abuse during facility-based childbirth is a very widespread phenomena with different manifestations,” said Rima Jolivet from the Maternal Health Task Force (MHTF) during a recent webinar hosted by MHTF and Ariadne Labs on the need for respectful maternity care (RMC). Jolivet was joined by Katherine Semrau from Ariadne Labs, Rose Molina from Beth Israel Deaconess Medical Center and Ariadne Labs, Saraswathi Vedam from Birth Place Lab, and David Sando from the Harvard T.H. Chan School of Public Health.

For years, the primary approach to improving global maternal health was additive – to increase capacity to address shortfalls in clinics, doctors, supplies, information, and skilled care. Today, however, some women are experiencing issues related to the opposite problem: too much.

Achieving the next generation of maternal health goals in India, which accounts for almost 15 percent of maternal deaths around the world each year, will require innovative new approaches to stubborn problems.