41 an audit by a large hospital in east delhi found

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India (Daniel, 2008, p.41). An audit by a large hospital in east Delhi found that 74% of woman that died after childbirth received little or no prenatal care (Jha, 2017, p.1). Populations Impacted by Maternal Mortality Many of the deaths occurred in women that were rushed from rural communities after 6 hours of bleeding (Jha, 2017, p.1). Most of the deaths were caused by blood pressure induced convulsions and bleeding that could have been prevented with more timely care (Jha, 2017, p.1). Rural health care centers frequently use paramedics to provide most medical care (Holtz, 2017, p.89). The rural communities are not able to adequately treat these individuals in their facilities, and by the time they reach adequate medical care it is often too late. Social and Cultural Factors of Maternal Mortality There are two social groups in India the scheduled castes and scheduled tribes, which are considered socially disadvantaged (Kumar & Singh, 2015, p.771). These two groups account for 50% of all maternal deaths that occur in India (Kumar & Singh, 2015, p.771). These groups often have fewer financial means than other groups and this group does not access the health care system often (Kumar & Singh, 2015, p.771). The lack of access to the health care system makes this group particularly vulnerable to maternal death, as they are not seeking adequate medical care to prevent complications associated with childbirth. Some studies have also shown that there is social discrimination by healthcare providers towards these groups, which makes them even more vulnerable (Kumar & Singh, 2015, p.771). Economic Factors of Maternal Mortality A mother’s death has a great impact on the family, community and economy (Kler, 2018, p.2). A hole in the family is created that will impact all family member as they mourn. There is
INDIA’S COUNRTY PROFILE 13 an increased financial burden on the family, as the child must be provided for. There is a great adverse psychological effect on the child and family that will likely stay with them forever. Unfortunately, this added stresses may, contribute to the child and family not being able to be as productive members of society which may lead to lack of education and future poor access to the health care system. Current Actions for Maternal Mortality One organization Merck Sharp and Dohme (MSD) for Mothers has made a commitment to reduce death of mothers during childbirth in India (Kler, 2018, p.1). MSD for mothers is a 10 year 500-million-dollar global initiative to make sure no woman dies giving birth (Kler, 2018, p.1). MSD for In India, MSD for Mothers is working to improve skills of healthcare workers, provide adequate equipment, educate and empower women and to strengthen the overall health care system (Kler, 2018, p.1). The Indian government has made some progress with the National Rural Health Mission to improve antenatal coverage and institutional delivery (Kumar & Singh, 2015, p.776). More work still needs to be done to ensure that all mothers receive adequate care after birth.

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