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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.

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.

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.

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

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

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.