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      Next generation maternal health: external shocks and health-system innovations

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          Abstract

          In this Series we document the substantial progress in the reduction of maternal mortality and discuss the current state of science in reducing maternal mortality. However, maternal health is also powerfully influenced by the structures and resources of societies, communities, and health systems. We discuss the shocks from outside of the field of maternal health that will influence maternal survival including economic growth in low-income and middle-income countries, urbanisation, and health crises due to disease outbreaks, extreme weather, and conflict. Policy and technological innovations, such as universal health coverage, behavioural economics, mobile health, and the data revolution, are changing health systems and ushering in new approaches to affect the health of mothers. Research and policy will need to reflect the changing maternal health landscape.

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          Author and article information

          Journal
          2985213R
          5470
          Lancet
          Lancet
          Lancet (London, England)
          0140-6736
          1474-547X
          1 December 2016
          16 September 2016
          05 November 2016
          05 November 2017
          : 388
          : 10057
          : 2296-2306
          Affiliations
          Department of Global Health and Population, School of Public Health, Harvard T H Chan, Boston, Boston, MA, USA (M E Kruk MD, J Cohen PhD); Department of Epidemiology, Mailman School of Public Health, Columbia University, NY, USA (S Kujawski MPH); Department of Learning Health Sciences and Department of Obstetrics and Gynaecology, Medical School, University of Michigan, Ann Arbor, MI, USA (C A Moyer PhD); School of Public Health, University of Ghana, Accra, Ghana (Prof R M Adanu MD); James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh (K Afsana MD); Center for Global Development, Washington, DC, USA (A Glassman MSc); Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA (A Labrique PhD); Public Health Foundation of India, Gurgaon, India (Prof K S Reddy MD); and Duke Global Health Institute, Durham, NC, USA (G Yamey MD)
          Author notes
          Correspondence to: Dr Margaret E Kruk, Department of Global Health and Population, School of Public Health, Harvard T H Chan, Boston, MA 02115, USA mkruk@ 123456hsph.harvard.edu
          Article
          PMC5167371 PMC5167371 5167371 nihpa831536
          10.1016/S0140-6736(16)31395-2
          5167371
          27642020
          b53340c5-f0f4-453f-83ee-07d11a73ad08
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