Maternal Mortality: Paradigm Shift in Nepal

An Appraisal of the Maternal Mortality Decline in Nepal

BACKGROUND A decline in the national maternal mortality ratio in Nepal has been observed from surveys conducted between 1996 and 2008. This paper aims to assess the plausibility of the decline and to identify drivers of change. METHODS National and sub-national trends in mortality data were investigated using existing demographic and health surveys and maternal mortality and morbidity surveys...

How did Nepal reduce the maternal mortality? A result from analysing the determinants of maternal mortality.

Nepal reportedly reduced the maternal mortality ratio by 48% within one decade between 1996-2005 and received the Millennium development goal award for this. However, there is debate regarding the accuracy of this figure. On the basis of framework of determinants of maternal mortality proposed by McCarthy and Maine in 1992 and successive data from Nepal demographic health survey of 1996, 2001 a...

Determinants of Maternal Mortality in Pakistan

Maternal mortality refers to the death of a woman who dies during pregnancy or within six weeks after delivery. A number of factors contribute to the high maternal mortality ratio around the globe, particularly, in underdeveloped countries. Pakistan has the highest mortality ratio (260 per 100,000 live births) in the region and is one of the developing countries which have committed to decrease...

Paradigm Shift

A paradigm shift, suggested by Thomas Kuhn [1], is not just a small change in science, or the modification of a theory. It is a scientific revolution and completely changes the way in which science looks at the world. It often dictates how the public looks at the world. For example, Darwin's theories [2] were intensely debated by scientists and theologians. This debate spilled over into the pub...

Postpartum Hemorrhage Causes Maternal Mortality