{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:27:53Z","timestamp":1787495273823,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2012,8,9]],"date-time":"2012-08-09T00:00:00Z","timestamp":1344470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Sri Lanka, a non\u2010industrialized country with limited resources, has been able to achieve a maternal mortality ratio that is markedly lower than the ratios of similar countries. Many factors have contributed to Sri Lanka's success story. A political commitment to the cause and implementation of clear policies through well\u2010structured and organized community\u2010based and institutional healthcare services\u2014expanded to cover the whole country and provided free of charge\u2014have been the foundation of maternal and child health (MCH) services in the country. The healthcare programs have been well accepted and utilized by the people as the literacy rate is more than 90% for both men and women. Public health midwives form the backbone of MCH services and provide frontline reproductive health care. More than 98% of deliveries occur in hospitals and are attended by midwives. Furthermore, 85% of women in Sri Lanka deliver in facilities served by specialist obstetricians\/gynecologists. The Sri Lanka College of Obstetricians and Gynecologists plays a leading role by assisting the Family Health Bureau in making policies and guidelines, training staff, and acting as team leaders for maternity care services. This was evident after the tsunami in December 2004. National maternal mortality reviews, monitoring and evaluation of MCH activities, and relatively high contraceptive prevalence rates have also contributed to the success in Sri Lanka, which could serve as a model for other countries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijgo.2012.03.016","type":"journal-article","created":{"date-parts":[[2012,8,9]],"date-time":"2012-08-09T01:02:15Z","timestamp":1344474135000},"source":"Crossref","is-referenced-by-count":19,"title":["Models of care that have reduced maternal mortality and morbidity in Sri Lanka"],"prefix":"10.1002","volume":"119","author":[{"given":"Rohana","family":"Haththotuwa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakshmen","family":"Senanayake","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Upul","family":"Senarath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepika","family":"Attygalle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,8,9]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69380-X"},{"key":"e_1_2_8_3_2","volume-title":"Documentation for Data on Maternal Mortality Historical information compiled for 14 countries (up to 200 years)","author":"Hanson C.","year":"2010"},{"key":"e_1_2_8_4_2","volume-title":"Annual Report on Family Health, Sri Lanka 2006\u20132007","author":"Family Health Bureau","year":"2009"},{"key":"e_1_2_8_5_2","unstructured":"United Nations Development Programme.International Human Development Indicators Available at:http:\/\/hdrstats.undp.org\/en\/tables\/default.html"},{"key":"e_1_2_8_6_2","unstructured":"United Nations Development Programme.Millennium Development Goals in Sri Lanka Available at:http:\/\/www.undp.lk\/development_goals\/Pages\/MDGs_In_Sri_Lanka.aspx"},{"key":"e_1_2_8_7_2","volume-title":"Maternal Deaths in Sri Lanka: A Review of Estimates and Causes 1996","author":"Rodrigo J.N.","year":"2000"},{"key":"e_1_2_8_8_2","volume-title":"Report of the external review of maternal and newborn health","author":"Ministry of Health Care and Nutrition, World Health Organization","year":"2007"},{"issue":"3","key":"e_1_2_8_9_2","first-page":"110","article-title":"Historical references to malaria in Sri Lanka and some notable episodes up to present times","volume":"33","author":"Edirisinghe J.S.","year":"1988","journal-title":"Ceylon Med J"},{"key":"e_1_2_8_10_2","volume-title":"Maternal mortality reduction in Sri Lanka","author":"Vidyasagara N.W.","year":"2003"},{"key":"e_1_2_8_11_2","volume-title":"Millions Saved: Proven Success in Global Health","author":"Levine R.","year":"2004"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldg008"},{"key":"e_1_2_8_13_2","doi-asserted-by":"crossref","first-page":"12","DOI":"10.4038\/jccpsl.v5i1.8509","article-title":"Maternal and child health and family planning services in Sri Lanka","volume":"6","author":"De Silva J.","year":"2001","journal-title":"J Coll Community Physicians Sri Lanka (Millenn Suppl)"},{"key":"e_1_2_8_14_2","unstructured":"World Health Organization.Reproductive Health Services in Sri Lanka. 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