Hi Zewdie [Zewdie Mulissa, Ethiopia]
This is so unfortunate that despite so many efforts being put in this way, still we have so many miles to go. This is for your information that Maternal and Newborn Health in India is in a similar situation. Even after so many programmes, NGOs, Government schemes, Maternal Mortality rate (MMR) and Infant Mortality Rate (IMR) remained high. In India I would say, the probable reason for this is- one Quality of Care as you mentioned and second is knowledge and Health Seeking Behaviour of patients [Note 1-4].
I believe that along with focussing on the quality of care provided to pregnant women, health seeking behaviour of women and their families needs to be worked up on. I’d like to share my knowledge with you regarding this topic. If I find anything relevant to your topic, I’ll share it with you.
Hope this will help you.
Good luck!