Executive summaryA number of initiatives that commenced in recent years are geared towards achievementof the fifth Millennium Development Goal (MDG 5: Improving maternal health), mostnotably the launch of the Global Strategy for Women’s and Children’s Health in 2010 bythe United Nations (UN) Secretary-General. Subsequently, the high-level Commissionon Information and Accountability for Women’s and Children’s Health was establishedto “determine the most effective international institutional arrangements for globalreporting, oversight and accountability on women’s and children’s health.” One of the tenrecommendations of the commission was specific to improving measurement of maternal(and child) deaths. This recommendation requires that “by 2015, all countries have takensignificant steps to establish a system for registration of births, deaths and causes of death,and have well-functioning health information systems that combine data from facilities,administrative sources and surveys”. The first report of the independent Expert Review Group(iERG) established by the commission for overseeing the progress in achievement of thecommission’s 10 recommendations indicated insufficient progress in the implementation ofthe recommendations including the one on ‘vital events’ reporting.Measuring the MDG 5 target of reducing the maternal mortality ratio (MMR) (target 5A)remains a challenge. Less than 40% of countries have a complete civil registration system
with good attribution of cause of death, which is necessary for the accurate measurement of
maternal mortality.
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