An outline is given of progress made in understanding the causes of maternal mortality since the Safe Motherhood Initiative was launched a decade ago. It remains vital to analyze. why women are dying from pregnancy-related conditions and to identify the weak links in the chain of care.

The existing structural nature of women's work (domestic as well as non-domestic) has severe built-in hazards for women (reproductive and otherwise) which no amount of first rate quality of care, total coverage and/or access to health services alone can deal with.

In these words, Ayurved, the ancient Indian medical science, describes "safe motherhood" Thus, "Motherhood is the basis of family life which, in turn, is the backbone of all the orders of society. Hence, family life remains protected if the woman is safe and protected."

The health of the general population as well as specific groups (infants, women, etc) has for long been an important concern for development studies.

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.

In many developing countries, women's activities, traditionally confined to the household, have changed over time.

India has an extensive network of hospitals and health centres with a large field staff in the government sector, which has been providing primary health care. Of late this infrastructure has been effective in delivering immunization services to the community.

The knowledge road to health has many pitfalls -and women in less developed countries and particularly those who are poor, illiterate and unemployed, face crucial tradeoffs when they attempt to fulfil their biological, social and other needs.

Every society has its own traditional beliefs and practices related to health care. Beliefs in supernatural powers, i.e.