Maternal mortality continues to be one of the scourges in global health. The fact that women die as part of bringing life is an indictment against the overall status of women around the world, and underscores the failure to prioritize women, mothers, and children. Efforts to draw attention to the causes of maternal death and the solutions to maternal mortality abound, but they fail to get enough attention from the decisionmakers who establish health priorities and allocate resources that could actually make a difference.

In 2018, the Lancet Commission on High Quality Health Systems ignited a global shift in focus and investment for maternal, newborn, and child health (MNCH).

Increasing access to care had been a primary focus during previous decades, but the Commission found that as service use increased, “poor-quality care” had become a more significant obstacle to reducing mortality than insufficient access. The Commission also argued that increasing access alone would not achieve Sustainable Development Goal (SDG) 3—ensuring healthy lives and promoting well-being. What the world needed now was an intensified focus on improving quality of care.