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Maternal mortality in Pakistan is believed to be quite high, at about 350–500 maternal deaths per 100,000 live births. Reducing maternal mortality is one of the major objectives of the Government of Pakistan. Interventions required to address maternal mortality include safe motherhood, which means a woman’s ability to have a safe and healthy pregnancy and delivery. The Safe Motherhood Applied Research and Training (SMART) project was an operations research project designed to develop and test interventions to reduce maternal and neonatal mortality in a predominantly rural district of Pakistan. The vast majority of maternal deaths are attributed to delays in getting medical care when there are obstetric complications. The results of the SMART project present a useful blueprint for how to address these delays in a poor and vulnerable area of Pakistan. If this can be done in a setting such as DG Khan, with its logistical, cultural, and other challenges, it can be replicated in most places in Pakistan. This report (Project Overview), the first of six, presents the overall structure of the intervention and the research findings of the SMART project.






Safe Motherhood Applied Research and Training (SMART) Project