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Professional care at birth can help reduce maternal mor tality. The proportion of women who deliver with the assistance of a skilled health-care provider - doctor , nurse, midwife - is highly correlated with materna mortality ratios. Trends in this indicator during the 1990s suggest that significant progress has been made in developing countries, with an overall increase from 41% to 57% between 1990 and 2003. However , there are important differences across regions, as shown in Figure 6. In sub- Saharan Africa, there was no significant change over the period, with coverage of skilled attendants remaining at around 40% throughout the decade. Similarly, in western Asia, there was also little improvement, with coverage increasing by only. | 2000 2005 2015 keep the promise lealth Health and the Millennium velopment Acknowledgements This report is a joint production of the Department of MDGs Health and Development Policy HDP and the Department of Measurement and Health Information Systems MHI . Rebecca Dodd served as managing editor and contributions were provided by Michel Thieren and Michel Beusenberg Chapter 1 Andrew Cassels Chapter 2 Rebecca Dodd Chapters 3 5 and 6 Kenji Shibuya and Colin Mathers Chapter 4 and Carla Abou-Zahr and Michel Thieren Chapter 7 . Overall guidance was provided by Carla Abou-Zahr Michel Beusenberg Ties Boerma and Andrew Cassels and additional advice and comments were gratefully received from Denis Daumerie Cecil Haverkamp Amine Kébé Brenda Killen Dermot Maher Paolo Piva Heide Richter-Airijoki Jacqueline Toupin Phyllida Travis Eugenio Villar and Diana Weil. Thanks are also due to the many WHO regional offices and departments who contributed text comments and ideas and to Catherine Browne and Marie-Claude van Holten who provided administrative support. WHO Library Cataloguing-in-Publication Data World Health Organization. Health and the Millennium Development Goals. 1.World health 2.Health priorities 3.Delivery of health care 4.Cost of illness 5.Development 6.Goals 7.Social justice I.Title ISBN 92 4 156298 6 NLM classification WA 530.1 World Health Organization 2005 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland tel 41 22 791 2476 fax 41 22 791 4857 email bookorders@who.int . Requests for permission to reproduce or translate WHO publications - whether for sale or for noncommercial distribution - should be addressed to WHO Press at the above address fax 41 22 791 4806 email permissions@who.int . The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World .
