The Keystone for Averting Maternal Death & Disability
As a result of an ongoing collaboration between FIGO and the Mailman School of Public Health at Columbia University, a special quarterly section on “The Keystone for Averting Maternal Death and Disability” sponsored by the University is featured in the International Journal of Gynecology & Obstetrics. Here, the section’s Editor – Judith Fortney – writes about this vitally important initiative.
The goal of Columbia University’s “Averting Maternal Death and Disability” Program – or “AMDD” for short – is to increase the availability, quality and utilisation of care for women with obstetric complications, especially in developing countries. The new special section of the International Journal of Gynecology & Obstetrics will share this goal.
The section has an editorial board comprised of five distinguished thinkers in this field. It is representative of significant agencies and of geographic areas and includes Allan Rosenfield (USA), Mahmoud Fathalla (Egypt), Angela Kamara (Ghana), Carine Ronsmans (Belgium) and Dileep Mavalankar (India). The role of the editorial board will be to set the policy for the section especially as it relates to the substantive and geographic focus.
Why do we refer to the “keystone”? Well, the arch of safe motherhood consists of many stones – prenatal care, nutrition, education, transport, the “risk approach”, trained attendants, home birth kits and others. But the arch will fall down – and mothers will die – if they do not receive prompt, adequate treatment when they suffer life-threatening complications during pregnancy, delivery or the puerperium. Indeed, several of these approaches explicitly depend on the availability of emergency obstetric care.
Thus, articles will focus on programmes or interventions – primarily those in developing countries – that are intended to improve the availability and quality of care given to women who experience complications during pregnancy, childbirth and the puerperium and on the proportion of women who receive such care. These interventions can address such questions as provision of transport, drug availability, professional skill improvement, logistics management, and blood bank management.
If you have an article that you feel would fit into this section, instructions for authors can be obtained electronically by sending an e-mail to http://www.figo.org/docs/mailto:keystone@columbia.edu or by writing to; The IJGO Editorial Assistant, AMDD Program, Center for Population and Family Health, Joseph Mailman School of Public Health, 60 Haven Avenue B-3, New York NY 10032, USA.
Copies of the AMDD articles contained in the the International Journal of Gynecology & Obstetrics in Adobe Acrobat PDF format may be obtained by clicking on the relevant link below. You may download the free Adobe Acrobat Reader here.
Because of the size of the files, downloading can be slow and may take several minutes so please be patient!
LATEST ARTICLES
April 2008 Issue
- Editor's comment
- Factors associated with acute postpartum hemorrhage in low- risk women delivering in rural India
- An assessment of postabortion care in three regions in Ethiopia, 2000 to 2004
- Emergency obstetric care: How do we stand in Malawi?
Earlier articles are listed chronologically below
EARLIER PAGES
August 2001 Issue
- Editorial: Emergency obstetric care – the keystone in the arch of safe motherhood
- The AMDD Program: history, focus and structure
- Editor’s comment - The AMDD Program: history, focus and structure
- Monitoring obstetric services: putting the UN guidelines into practice in Malawi
- Editor’s comment - Monitoring obstetric services: putting the UN guidelines into practice in Malawi
- Holding up a mirror: changing obstetric practice through criterion-based clinical audit in developing countries
- Editor’s comment - Holding up a mirror: changing obstetric practice through criterion-based clinical audit in developing countries
October 2001 Issue
- Using human rights in maternal mortality programs: from analysis to strategy
- Editor's comment - Using human rights in maternal mortality programs: from analysis to strategy
- Monitoring services: putting the “UN Guidelines” into practice in Malawi: 3 years on
- Editor's comment - Monitoring obstetric services: putting the “UN Guidelines” into practice in Malawi: 3 years on
December 2001 Issue
- Efficient and effective emergency obstetric care in a rural Indian community where most deliveries are at home
- Editors comment: Efficient and effective obstetric care in a rural Indian community where most deliveries are at home
- Recommendations for renovating an operating theater at an emergency obstetric care facility
- Editor’s comment: Recommendations for renovating an operating theater at an emergency obstetric care facility
March 2002 Issue
- Program note: Using UN process indicators to assess needs in emergency obstetric services
- Editor’s comment: Using the UN process indicators to assess needs in emergency obstetric services
June 2002 Issue
- Program note: Using UN process indicators to assess needs in emergency obstetric services: Bhutan, Cameroon and Rajasthan, India
- Preventing postpartum hemorrhage in low-resource settings
September 2002 Issue
- Concepts and techniques for planning and implementing a program for renovation of an emergency obstetric care facility
- Planning and implementing a program of renovations of emergency obstetric care facilities: experiences in Rajasthan, India
- Using UN process indicators to assess needs in emergency obstetric services: Pakistan, Peru and Vietnam
February 2003 Issue
- Saving mothers’ lives: the FIGO Save the Mothers Initiative
- FIGO Save the Mothers Initiative: the Central America and USA collaboration
- FIGO Save the Mothers Initiative: the Uganda-Canada collaboration
- Editor’s comment: The FIGO Save the Mothers Initiative
- Using UN process indicators to assess needs in emergency obstetric services: Morocco, Nicaragua and Sri Lanka
April 2003 Issue
- Editor’s Comment
- The cost of emergency obstetric care concepts and issues
- A cost effective small hospital in Bangladesh: what it can mean for emergency obstetric care
- The FIGO Save The Mothers Initiative: the Ethiopia-Sweden Collaboration
July 2003 Issue
- Editor’s comment
- Good anatomy does not mean good physiology: a commentary
- Human rights, constructive accountability and maternal mortality in the Dominican Republic: a commentary
- Quality of care in institutionalized deliveries: the paradox of the Dominican Republic
- Quality of care in institutional deliveries: the paradox of the Dominican Republic: A commentary on management
- Quality of care in labor and delivery: a paradox in the Dominican Republic; commentary
October 2003 Issue
- Editor’s Comment
- The role of professional associations in reducing maternal mortality worldwide
- Oxytocin in prefilled Umiject™ injection devices for managing third-stage labor in Indonesia
- Program note – Using UN process indicators to assess needs in emergency obstetric services: Niger, Rwanda and Tanzania
- Review of: “Traditional birth attendant training effectiveness: a meta-analysis”
May 2004 Issue
- Editor’s Comment
- Reducing maternal mortality in Mozambique: challenges, failures, successes and lessons learned
- Experience from Bangladesh in implementing emergency obstetric care as part f the reproductive health agenda
July 2004 Issue
- Editor’s Comment
- The evolution of a quality of care approach for improving emergency obstetric care in rural hospitals in Nepal
- Evolution of the postabortion care program in Nepal: the contribution of a national Safe Motherhood Project
- Program note: using UN process indicators to assess needs in emergency obstetric services: Benin and Chad
October 2004 Issue
- Editor’s Comment
- Managing equipment for Emergency Obstetric Care in rural hospitals
- FIGO Save the Mothers Initiative: The UK - Pakistan collaboration
- Complicated deliveries, critical care and quality in Emergency Obstetric Care in northern Tanzania
December 2004 Issue
- Editor’s Comment
- What do doctors think their caseload should be to maintain their skills for delivery care?
- Strategies to prevent eclampsia in a developing country: I. Reorganization of maternity services
- Strategies to prevent eclampsia in a developing country: II. Use of a maternal pictorial card
February 2005 Issue
- Editor’s comment
- The evidence for emergency obstetric care
- Program note: applying the UN Process indicators for emergency obstetric care to the United States
- Availability and use of emergency obstetric services: Kenya, Rwanda, Southern Sudan, and Uganda
- Stimulating policy debate on blood transfusion services through the work of an emergency obstetric care project in Nepal
May 2005 Issue
- Editor’s comment
- Program note: Using UN process indicators to assess needs in emergency obstetric services: Bolivia, El Salvador and Honduras
- A tool for assessing ‘readiness’ in emergency obstetric care: The room-by-room ‘walk-through’
- Skilled birth attendance: What does it mean and how can it be measured? A clinical skills assessment of maternal and child health workers in Nepal
- Monitoring utilization and need for obstetric care in the highlands of Guatemala
- Research note: Estimating maternal deaths averted: A field-based methodology
October 2005 Issue
- Editor’s comment
- The disappearing art of instrumental delivery:Time to reverse the trend
- Describing safe motherhood programs for prioritysetting: The case of Burkina Faso
- Emergency obstetric care in Pakistan: Potential forreduced maternal mortality through improvedbasic EmOC facilities, services, and access
December 2005 Issue
- Editor’s comment
- A sector-wide approach to emergency obstetric care in Uganda
- A criteria-based audit of the management of severe pre-eclampsia in Kampala, Uganda
- Improvement of coverage and utilization of EmOC services in southwestern Banglades
March 2006 Issue
- Editor’s comment
- Improving availability of EmOC services in Rwanda — CARE’s experiences and lessons learned at Kabgayi Referral Hospital
- Strengthening emergency obstetric care in Ayacucho, Peru
- Making EmOC a reality—CARE’s experiences in areas of high maternal mortality in Africa
- The effect of addressing demand for as well as supply of emergency obstetric care in Dinajpur, Bangladesh
June 2006 Issue
- The availability of life-saving obstetric services in developing countries: An in-depth look at the signal functions for emergency obstetric care
- Measuring progress towards the MDG for maternal health: Including a measure of the health system’s capacity to treat obstetric complications
- Global patterns in availability of emergency obstetric care
- Can the process indicators for emergency obstetric care assess the progress of maternal mortality reduction programs? An examination of UNFPA Projects 2000—
- Editors Comment
- The United Nations Process Indicators for emergency obstetric care: Reflections based on a decade of experience
- Counting abortions so that abortion counts: Indicators for monitoring the availability and use of abortion care services
- A risk reduction strategy to prevent maternal deaths associated with unsafe abortion
March 2007 Issue
- Editor's comment
- Emergency obstetric care as the priority intervention to reduce maternal mortality in Uganda
- Epidemiologic transition in maternal mortality and morbility: New challenges for Jamaica
- Program Note: Using UN process indicators to assess needs in emergency obstetric services: Gabon, Guinea- Bissau, and The Gambia
September 2007 Issue
- Editor's comment
- Strengthening emergency obstetric care in Nepal: The Women's Right to Life and Health Project(WRLHP)
- Changing patterns of emergency obstetric care at Nigerian University hospital
- Declining maternal mortality ration in Uganda: Priority interventions to achieve the Millennium Development Goal
November 2007 Issue
- Editor's comment
- Strengthening emergency obstetric care in Thanh Hoa and Quang Tri provinces in Vietnam
- The challenges of improving emergency obstetric care in two rural districts in Mali
- Ensuring financial eccess to emergency obstetric care: Three years of experience with Obstetric Risk Insurance in Nouakchott, Mauritania

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