Reduction of preventable maternal mortality
Commitment description:In 2018, the maternal mortality ratio (MMR) was 70.8 per 100,000 live births. As part of the 2030 National Development Plan, the country commits to reducing the MMR to 56 and 24 per 100,000 live births by 2023 and 2030, respectively. Specifically, to do so, efforts will be made to expand supplies of combined oral contraceptive methods; improve technical capacities to respond to obstetric emergencies and provide prenatal care; work in the community to respond to obstetric emergencies; update and implement the Sexual and Reproductive Health Plan; develop plans to reduce unintended adolescent pregnancies; increase comprehensive care clinics for adolescents; strengthen systems for monitoring maternal morbidity and mortality and records of deaths in women of childbearing age (aged 10–54 years); increase investment, targeting the areas with the highest mortality rates; strengthen integrated health service networks; incorporate sexuality education into formal and non-formal education; and promote prevention programmes to reduce the high rate of adolescent pregnancies. The commitment is related to the Programme since it incorporates a series of actions to reach the goal set out in public instruments, it is financial since resources are allocated and investment is expected to increase to achieve the proposed goal, and it is political since it is defined in the 2030 National Development Plan, the Sexual and Reproductive Health Plan and the National Action Plan on Population and Development and thus in the international commitments assumed in the Montevideo Consensus on Population and Development and the 2030 Agenda of the Sustainable Development Goals.
Modes of engagement:
- Budgetary and financialEl compromiso es financiero puesto que se destinan recursos y se prevé aumentar la inversión para el logro de la meta propuesta.
- Policy and guidanceEl compromiso es político ya que se enmarca en el PND 2030, los Planes de Salud Sexual y Reproductiva, y de Acción en Población y Desarrollo, y de ese modo cumplir el Consenso de Montevideo sobre Población y Desarrollo y la Agenda 2030.
- Programmatic actionEl compromiso es programático dado que desarrolla una serie de acciones para llegar a la meta validada en instrumentos públicos.
Achieve universal access to sexual and reproductive health as a part of universal health coverage (UHC)(3) Zero preventable maternal deaths and maternal morbidities, such as obstetric fistulas, by, inter alia, integrating a comprehensive package of sexual and reproductive health interventions, including access to safe abortion to the full extent of the law, measures for preventing and avoiding unsafe abortions, and for the provision of post-abortion care, into national UHC strategies, policies and programmes, and to protect and ensure all individuals’ right to bodily integrity, autonomy and reproductive rights, and to provide access to essential services in support of these rights.
