A case from Tanzania
Globally, women, children and adolescents (WCA) continue to be the most vulnerable groups and their
health and well-being can be quickly eroded, if strategic investment is not in place. According to World Health Organization (WHO) about 295,000 women died during and following childbirth in 2017 and 5.1 million of babies are stillborn or die during their first month of life. Globally, there has been a significant progress in reducing maternal and infant mortality, according to WHO maternal mortality significantly declined by 44% between the years 1990 and 2015 and infant mortality rates declined by 49% between the years 1990 and 2017. The vast majority of maternal deaths (94%) occurred in low- resource settings, and most could have been averted. Out of the 295,000 maternal deaths, sub–Saharan Africa and Southern Asia accounted for approximately 86% (254,000) of the global estimated deaths in 2017. Sub-Saharan Africa alone accounted for nearly 196,000 of all maternal deaths, while the remaining 58,000 deaths were accounted for in Southern Asia. In most cases, the leading causes of maternal direct obstetric deaths are hemorrhage, hypertensive diseases of pregnancy, and sepsis. Indirect non-obstetric causes such as anemia and HIV are a growing proportion of deaths.
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