Investing in Maternal Health : Learning from Malaysia and Sri Lanka

The difference between maternal mortality in the industrialized and developing world is greater than any other development indicator. The apparent lack of progress in this area has generated a sense of hopelessness. Malaysia and Sri Lanka are two of the very few developing countries that have succeeded in reducing maternal mortality to levels comparable to many industrialized countries. This study provides the first comprehensive, in-depth analysis of the factors that contributed to maternal mortality decline in Malaysia and Sri Lanka over the last 50-60 years. It considers policy issues, health system developments, health system expenditures in maternal health, and the use in both countries, of professionally trained midwives.