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.

While the world's major killer disease, smallpox, that used to claim millions of lives has been eliminated, the planet has been struck with a more dreaded disease, AIDS or Acquired Immuno Deficiency Syndrome.