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Skip to 0 minutes and 12 secondsPROF RICHARD HORTON: Welcome to week one. My name is Richard Horton, and I'm Editor of The Lancet. This week starts by introducing the epidemiology of global maternal health, how it's changed, and current configurations of how women access services. First, we're going to look at the improvements in mortality and the changing burden of morbidity, including an increase in non-communicable diseases among pregnant women, leading to a much more diverse picture of maternal health. We'll discuss drivers of these changes influencing maternal health, and we'll consider the impacts of demographic, epidemiological, socioeconomic, and environmental drivers. For example, the impact of increased mothers age at first birth.

Skip to 0 minutes and 57 secondsSecond, we'll focus on the elements of the health system, including facility capability and coverage of care and how women are able to access the care they need. This includes where and with whom women give birth and linkage to routine and emergency care. We'll also look at the facilities in terms of capability and staffing. Facilities are often unable to deliver quality care as a result of inadequate equipment, infrastructural resources, staffing levels, and training. And finally, we'll explore whether the perception of maternal health provision is different to the reality and what the implications of this are. We're really looking forward to your engagement in this week's course. So now, let's get started.

Welcome to Week 1

Welcome to Week 1, where we will start by introducing the epidemiology of global maternal health, how it’s changed and current configurations of how women access services.

Firstly, we will look at the shift in improvements in mortality and the changing burden of morbidity, including the increase in non-communicable diseases among pregnant women leading to a more diverse picture of maternal health. We’ll be discussing drivers of these changes influencing maternal health. We’ll consider the impacts of demographic, epidemiological, socioeconomic and environmental drivers, for example the impact of increased mothers’ age at first birth.

Secondly, we will focus on elements of the health system including facility capability and coverage of care, and whether women are able to access the care they need. This includes where and with whom women give birth, linkage to routine and emergency care and the capability and staffing at facilities. These are significant issues as often facilities are unable to deliver quality care as a result of inadequate equipment, infrastructure/resources, staffing levels and training.

Finally, we will explore whether the perception of maternal health provision is different to the reality and what the implications of this are. We’re looking forward to your engagement in this week’s course, so now let’s get started.

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This video is from the free online course:

The Lancet Maternal Health Series: Global Research and Evidence

London School of Hygiene & Tropical Medicine