Target 3.1 - Reduce Maternal Mortality



Mandates and strategies

  • Regional Strategy and Plan of Action for Neonatal Health within the Continuum of Maternal, Newborn, and Child Care: Final Report In 2008, the 48th Directing Council of the Pan American Health Organization (PAHO) approved the Regional Strategy and Plan of Action for Neonatal Health within the Continuum of Maternal, Newborn, and Child Care (1). In 2015, when the implementation period of the strategy and plan of action came to a close, an evaluation of the specific activities, outcomes, and successful experiences was launched, based on the indicators established in the design. The final analysis was conducted at the regional and country level, with particular importance assigned to the countries named as priorities in the strategy.
  • CD51.R12 Plan of Action to Accelerate the Reduction in Maternal Mortality and Severe Maternal Morbidity Taking into account the proposed international mandates in the Regional Plan of Action to Reduce Maternal Mortality in the Americas (Document CSP23/10 [1990]); the resolution Population and Reproductive Health (CSP25.R13 [1998]); the Regional Strategy for Maternal Mortality and Morbidity Reduction (Document CSP26/14 [2002]); the Strategy and Plan of Action for the Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis (Document CD50/15 (2010)); Resolutions WHA55.19 (2002), WHA57.13 (2004), and EB113.R11 (2004) on reproductive health, adopted by the World Health Assembly and the WHO Executive Board, respectively; the forums of Nairobi, Kenya (1987), Cairo, Egypt (1994), and Beijing, China (1995); the Millennium Declaration (2000); and the Health Agenda for the Americas 2008-2017.
  • CD50/15 Strategy and Plan of Action for the Elimination of Mother-to-child Transmission of HIV and Congenital Syphilis Considering that a review of the current situation indicates that the two basic conditions for eliminating the two diseases are within the reach of the countries of the Americas: the availability of effective means for interrupting mother-to-child transmission of HIV and congenital syphilis (biological viability) and the availability of practical treatment measures and simple, accessible, and sustainable diagnostic tools (programmatic and financial viability).

Scientific articles

  • Changes over time in early complementary feeding of breastfed infants on the island of Hispaniola Objective. To describe and contrast early complementary feeding (ECF) over time in breastfed infants in the Dominican Republic (DR) and Haiti, the two countries that share the island of Hispaniola. Methods. Secondary data analysis was conducted on cross-sectional data from Demographic and Health Surveys administered at four different time-points in both countries between 1994 and 2013. Extracted samples were composed of breastfed infants < 6 months of age whose caregivers had responded to dietary questions on food consumption in the previous 24 hours.

Technical documents

  • Evaluating the quality of care for severe pregnancy complications The WHO near-miss approach for maternal health (WHO) This guide is intended for health-care workers, programme managers and policy-makers who are responsible for the quality of maternal health care within a health-care facility or of the entire health system. It presents a standard approach for monitoring the implementation of critical interventions in maternal health care and proposes a systematic process for assessing the quality of care.
  • Reducción de la mortalidad materna y neonatal con enfoque intercultural de derechos y de género (Spanish only) En el marco de asistencia de las Naciones Unidas para el Desarrollo UNDAF con el Gobierno de Colombia (2016 – 2019), cuatro agencias del sistema: la OPS/OMS, el Fondo de Población de las Naciones Unidas (UNFPA), el Fondo de las Naciones Unidas para la Infancia (UNICEF), y el Programa Mundial de Alimentos (PMA) se unen para desarrollar esta iniciativa interagencial y contribuir con el país en la reducción de la mortalidad materna y neonatal en pueblos indígenas, mediante la mejora de respuestas institucionales y comunitarias en los departamentos de la Guajira y el Cesar, poblaciones indígenas que tienen indicadores de mortalidad materna y neonatal por encima del promedio nacional.
  •  With the declaration of Millennium Development Goals (MDGs) in the year 2000, the international community and governments of Latin America and the Caribbean renewed their commitment to reducing avoidable maternal mortality. Given the recognition that healthy motherhood requires access to reproductive health care, and in the context of the MDG target of reducing maternal mortality by threequarters between 1990 and 2015, a second target for the same year is universal access to reproductive health care.
  •  La mortalidad materna representa un grave problema de salud pública en los países en desarrollo, sus causas, en su mayoría, son evitables y se ha considerado como la máxima expresión de injusticia social, dado que en los países de menor desarrollo económico existen las cifras más altas de muertes maternas; son las mujeres pobres las que tienen mayor riesgo de morir por el embarazo, parto y puerperio. En el mundo, cada día mueren 800 mujeres por causas prevenibles relacionadas con el embarazo y el parto, el 99% de esos casos ocurren en países en desarrollo.