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In 1955, less than a decade after Sri Lanka celebrated its independence, some 405 women died for every 100,000 live births. Compare this with the island's closest neighbours: in India, 189 women died for every 100,000 live births in 2013, in Nepal, it was 291 that same year, while in Bangladesh it was 201."Sri Lanka represents a unique and inspiring success story in terms of the country's achievements in maternal health," says Ana Langer, the d She attributes the steady decline of maternal mortality over the past 60 years to factors such as consistent political will, universal health coverage, skilled birth attendance at 97 percent of deliveries and "the quality of care offered by the trained midwives, who are distributed across the country ensuring women's access to it".It was here that the first training school for Sri Lankan midwives began operating in 1881.Between 19, the number of trained midwives in the country multiplied from 347 to 8,741.Registers for life Painstaking, accurate data-gathering has proved critical to Sri Lanka's healthcare successes, and Ari and the other midwives devote much of their time to record keeping. Young couples are entered into the Eligible Family Register.In theory at least, cohabiting couples, and women between the ages of 15 and 49 are also included in this list.Chatting all the while, they find a way to ease her discomfort, feed the child, and teach the first-time parents how to prevent the problem from recurring.

In 2013, according to data collected by Sri Lanka's Family Health Bureau, 92.2 percent of new mothers who were identified and registered were visited at least once by a midwife in that critical postpartum period.As the midwives finish up and prepare to leave, Kumari Manel serves them a glass of cold, sweet, neon orange soda. "No one else will come to help us, only the midwives come," she says.A mother cradles her child at a clinic dedicated to babies just over a month old.Each visit involves a thorough check-up of mother and child.As the boy grows, he and his parents will also visit the nearby clinic.




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