While mo

A confidential system of enquiry into maternal mortality, based on that used in England and Wales, was introduced in Malaysia in 1991 with a view to identifying deficiencies in care and recommending remedial measures.

Despite its many advantages, the employment of women in economic activity in India has been associated with increased mortality for infants and young children. Simultaneously, narrower gender differentials in child mortality among employed women have been noted.

Maternal death has been recognized as an area of maternity care that requires urgent attention. The most striking feature about maternal health today is the extraordinary difference in maternal death rates between developed and developing countries.

Every minute of every day a woman dies as a result of pregnancy or childbirth. The loss per annum of 500,000 women is mind boggling. A maternal death is the outcome of a chain of events and disadvantages throughout a woman's life.

Persons testing positive for infection by HIV or showing evidence of AIDS provoke revulsion and fear in medical doctors. These reactions stem from the general knowledge that the diagnosis of AIDS is akin to a death sentence and the belief that a positive HIV test is, inevitably.

In 1991, an article on the Maternity Care Program in Matlab, Bangladesh, reported a substantial decline in direct obstetric deaths in the intervention area, but not in the control area. The decline was attributed primarily to the posting of midwives at the village level.

The Times of India dated 13 January 1994 featured on its front-page news of a tragic event. ‘A sixty-year old advocate... leaped to his death from the eighth floor of the Bombay Hospital and died of multiple injuries... (This followed) the revelation that he was HIV positive ...

India has made appreciable progress in improving its overall health status since the beginning of the century. The crude death rate has declined, but there is no sign of a decline in the maternal mortality rate. Also, most of the evidence relating to high maternal mortality rates is fragmentary.