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Road, 29 Adarsh Society Ahmedabad 380009 Tel. 26446947 F ax. 26565596 India correspondent for The Washington Post TheKeyToLoweringAmerica'sHighRates OfMaternalMortality By Melissa Reynolds q ÜÉ=`ÉåíÉêë=Ñçê=aáëÉ~ëÉ=`çåíêçä=~åÇ mêÉîÉåíáçå=êÉéçêíë=íÜ~í=ê~íÉë=çÑ=ã~íÉêJ å~ä=ãçêí~äáíó=áå=íÜÉ=råáíÉÇ=pí~íÉë=J=~äJ êÉ~Çó=íÜÉ=ÜáÖÜÉëí=áå=íÜÉ=ÇÉîÉäçéÉÇ=ïçêäÇ=J ~êÉ=çå=íÜÉ=êáëÉK få=OMNVI=^ãÉêáÅ~å=ïçãÉå=~êÉ=ãçêÉ=íÜ~å íïáÅÉ=~ë=äáâÉäó=íç=ÇáÉ=çÑ=éêÉÖå~åÅóJêÉä~íÉÇ Å~ìëÉë=íÜ~å=íÜÉó=ïÉêÉ=áå=NVUTK=qÜÉ=ÉÑÑÉÅíë=çÑ íÜáë=Åêáëáë=~êÉ=Çáëéêçéçêíáçå~íÉäó=ÑÉäí=Äó=Ää~Åâ ïçãÉåI=ïÜç=ÇáÉ=~í=íÜêÉÉ=íç=Ñçìê=íáãÉë=íÜÉ ê~íÉ=çÑ=ïÜáíÉ=ïçãÉåK=mçäáíáÅá~åë=Ü~îÉ=ÄÉÖìå íç=í~âÉ=~ÅíáçåW=aÉãçÅê~íáÅ=pÉåëK=bäáò~ÄÉíÜ t~êêÉå=çÑ=j~ëë~ÅÜìëÉííë=~åÇ=h~ã~ä~=e~êêáë çÑ=`~äáÑçêåá~=Ü~îÉ=É~ÅÜ=áåíêçÇìÅÉÇ=åÉï=éä~åë íç=ÅçãÄ~í=êáëáåÖ=ã~íÉêå~ä=ãçêí~äáíó=ïáíÜ=ÑÉÇJ Éê~ä=áåÅÉåíáîÉë=Ñçê=Üçëéáí~äë=~åÇ=áãéäáÅáí=Äá~ë íê~áåáåÖ=Ñçê=ãÉÇáÅ~ä=ëíìÇÉåíëK qÜÉëÉ=~êÉ=áãéçêí~åí=ëíÉéë=áå=íÜÉ=êáÖÜí=ÇáJ êÉÅíáçåK=vÉí=áí=áë=ëíêáâáåÖ=íÜ~íI=~äíÜçìÖÜ=íÜÉ=ëçJ äìíáçåë=çÑÑÉêÉÇ=Äó=e~êêáë=~åÇ=t~êêÉå=~êÉ=åÉïI íÜÉ=ìåÇÉêäóáåÖ=Å~ìëÉë=çÑ=ã~íÉêå~ä=ÇÉ~íÜ=~êÉ ~åóíÜáåÖ=ÄìíK=qÜÉ=`a`=ÅáíÉë=ÜÉãçêêÜ~ÖÉ ~åÇ=áåÑÉÅíáçå=~ë=íïç=çÑ=íÜÉ=äÉ~ÇáåÖ=Å~ìëÉë=çÑ éêÉÖå~åÅóJêÉä~íÉÇ=ÇÉ~íÜI=íÜÉ=ë~ãÉ=ÅçåÇáJ íáçåë=ÇÉëÅêáÄÉÇ=~ë=?ÉñÅÉëëáîÉ=ÄäÉÉÇáåÖ=~ÑíÉê ÄáêíÜ?=~åÇ=?ÅÜáäÇÄÉÇ=ÑÉîÉê?=áå=ÅÉåíìêáÉëJçäÇ ãÉÇáÅ~ä=íÉñíëK qçÇ~ó=íÜçëÉ=ÅçåÇáíáçåë=~êÉ=ÉåíáêÉäó=íêÉ~íJ ~ÄäÉI=Äìí=íÜÉó=éÉêëáëí=ÄÉÅ~ìëÉ=ãÉÇáÅ~ä=~ííÉåJ íáçå=ÑçÅìëÉë=çîÉêïÜÉäãáåÖäó=çå=íÜÉ=ÅÜáäÇI åçí=íÜÉ=ãçíÜÉêK=mêÉå~í~ä=~ééçáåíãÉåíë=êÉJ îçäîÉ=~êçìåÇ=ÜÉ~êíÄÉ~í=ãçåáíçêë=~åÇ=ìäíê~J ëçìåÇ=ëÅ~åëK=^=ã~àçêáíó=çÑ=ÇçÅíçêë=ëíáää éêÉëÅêáÄÉ=ÄÉÇ=êÉëíI=ÉîÉå=íÜçìÖÜ=áí=ÇçÉë=åçí êÉÇìÅÉ=éêÉíÉêã=ä~Äçê=Äìí=ÇçÉë=éìí=ïçãÉå=~í ÅçåëáÇÉê~ÄäÉ=ãÉÇáÅ~ä=êáëâK=cáå~ääóI=ëÉîÉê~ä ëí~íÉë=ïáíÜ=íÜÉ=ëíêáÅíÉëí=~åíá~Äçêíáçå=ä~ïë Ü~îÉ=ã~íÉêå~ä=ãçêí~äáíó=ê~íÉë=çîÉê=íïáÅÉ=íÜÉ å~íáçå~ä=~îÉê~ÖÉK qÜÉëÉ=äÉÖáëä~íáîÉ=~åÇ=ãÉÇáÅ~ä=ÉÑÑçêíë=~êÉ ëóãéíçãë=çÑ=~=ÅìäíìêÉ=íÜ~í=î~äìÉë=ÑÉí~ä ÜÉ~äíÜ=~åÇ=ÇÉîÉäçéãÉåí=çîÉê=íÜÉ=ÜÉ~äíÜ=~åÇ ë~ÑÉíó=çÑ=ãçíÜÉêëK _ìí=áí=ï~ë=åçí=~äï~óë=íÜáë=ï~óK=_ÉÑçêÉ ãçÇÉêå=ãÉÇáÅáåÉI=ÖóåÉÅçäçÖó=ÅÉåíÉêÉÇ=çå íÜÉ=ïçã~åDë=ÄçÇóK=lÑ=ÅçìêëÉI=ïçãÉå=áå=éêÉJ ãçÇÉêå=ëçÅáÉíáÉë=ÜçéÉÇ=íç=ÖáîÉ=ÄáêíÜ=íç ÜÉ~äíÜó=ÅÜáäÇêÉåI=àìëí=~ë=ïÉ=Çç=íçÇ~óI=Äìí=ÄÉJ ÑçêÉ=ãÉÇáÅ~ä=íÉÅÜåçäçÖó=ã~ÇÉ=ÑÉí~ä=ÇÉîÉäçéJ ãÉåí=ÅçãéêÉÜÉåëáÄäÉ=J=ÉîÉå=îáëáÄäÉ=J éÜóëáÅá~åë=~åÇ=ãáÇïáîÉë=î~äìÉÇ=~=ãçíÜÉêDë ÜÉ~äíÜ=áå=ï~óë=íÜ~í=~êÉ=åçí~Ääó=ãáëëáåÖ=áå ^ãÉêáÅ~å=ÅìäíìêÉ=íçÇ~óK qÜÉ=çêáÖáåë=çÑ=?ïÉëíÉêå?=ÖóåÉÅçäçÖó=Å~å ÄÉ=íê~ÅÉÇ=íç=íÜÉ=~åÅáÉåí=dêÉÉâëI=ïÜç=áã~ÖJ áåÉÇ=~=ïçã~åDë=ÄçÇó=êìäÉÇ=Äó=ÜÉê=êÉéêçÇìÅJ íáîÉ=ëóëíÉãK=_ÉÅ~ìëÉ=íÜÉ=ïçãÄ=ï~ë=íÜçìÖÜí íç=~ÑÑÉÅí=~ää=~ëéÉÅíë=çÑ=~=ïçã~åDë=ÜÉ~äíÜI=~åJ ÅáÉåí=ÖóåÉÅçäçÖó=ï~ë=ÜçäáëíáÅI=ÑçÅìëÉÇ=åçí ëçäÉäó=çå=êÉéêçÇìÅíáçå=Äìí=çå=~=Üçëí=çÑ=ÇáëJ É~ëÉë=ëìééçëÉÇäó=ìåáèìÉ=íç=ïçãÉåK få=éê~ÅíáÅÉI=íÜáë=ãÉ~åí=íÜ~í=~åÅáÉåí=éÜóëáJ Åá~åë=ïÉêÉ=ÉåÅçìê~ÖÉÇ=íç=äáëíÉå=íç=íÜÉáê=ÑÉJ ã~äÉ=é~íáÉåíë=~åÇ=íç=í~âÉ=ÅçãéäáÅ~íáçåë Ñêçã=éêÉÖå~åÅó=~åÇ=ÅÜáäÇÄáêíÜ=~ë=ëÉêáçìë ã~åáÑÉëí~íáçåë=çÑ=íÜÉ=éçïÉê=çÑ=íÜÉ=ïçãÄK qÜÉ=~åÅáÉåí=dêÉÉâ=ãÉÇáÅ~ä=íÉñí=?lå=aáëÉ~ëÉë çÑ=tçãÉå?=ÇÉîçíÉë=NN=ÅÜ~éíÉêë=íç=íÜÉ=?aáëJ É~ëÉë=çÑ=mêÉÖå~åí=tçãÉå?=~åÇ=~åçíÜÉê=OO=íç éçëíé~êíìã=ÅçãéäáÅ~íáçåëK=^åÇ=áí=~ÇãçåJ áëÜÉë=ÇçÅíçêë=ïÜç=?ã~âÉ=ãáëí~âÉë?=Äó=Ñ~áäáåÖ íç=~ëâ=?~ÅÅìê~íÉ=èìÉëíáçåë?=çÑ=íÜÉáê=ÑÉã~äÉ é~íáÉåíëI=~åÇ=áåëíÉ~Ç=?éêçÅÉÉÇ=íç=ÜÉ~ä=~ë íÜçìÖÜ=íÜÉó=ïÉêÉ=ÇÉ~äáåÖ=ïáíÜ=ãÉåDë=ÇáëJ É~ëÉëK?=^åÅáÉåí=dêÉÉÅÉ=ï~ë=åç=ÑÉãáåáëí ìíçéá~I=Äìí=ÉîÉå=áå=íÜ~í=Ü~êëÜäó=é~íêá~êÅÜ~ä ëçÅáÉíóI=éÜóëáÅá~åë=êÉÅçÖåáòÉÇ=íÜÉ=Ç~åÖÉê=çÑ áÖåçêáåÖ=ïçãÉåK cáÑíÉÉåJÜìåÇêÉÇ=óÉ~êë=ä~íÉê=áå=ãÉÇáÉî~ä bìêçéÉI=`Üêáëíá~åáíó=çÑÑÉêÉÇ=åÉï=ãçÇÉäë=Ñçê éêÉÖå~åÅó=~åÇ=ÅÜáäÇÄáêíÜK=tçãÉå=ïÉêÉ=ÉåJ Åçìê~ÖÉÇ=íç=ãÉÇáí~íÉ=çå=ÅÜáäÇÄáêíÜ=~ë éÉå~åÅÉ=Ñçê=bîÉDë=çêáÖáå~ä=ëáå=~åÇ=íç=äáâÉå íÜÉáê=ëìÑÑÉêáåÖ=íç=íÜ~í=çÑ=íÜÉ=sáêÖáå=j~êóK=_ìí ÉîÉå=ïáíÜáå=~=ÇÉÉéäó=êÉäáÖáçìë=ÅìäíìêÉ=ÑçJ ÅìëÉÇ=çå=ëìÑÑÉêáåÖ=~ë=~=ãÉ~åë=íç=êÉÇÉãéJ íáçåI=ãÉÇáÉî~ä=ãÉÇáÅ~ä=íêÉ~íáëÉë=ëíáää ÉãéÜ~ëáòÉÇ=íêÉ~íãÉåí=Ñçê=íÜÉ=é~áå=~åÇ=Ç~åJ ÖÉêë=çÑ=ä~Äçê=~åÇ=ÇÉäáîÉêóK qÜÉ=NOíÜJÅÉåíìêó=i~íáå=ãÉÇáÅ~ä=íêÉ~íáëÉ ?lå=`çåÇáíáçåë=çÑ=tçãÉå?=éêçîáÇÉÇ=~=êÉÖáJ ãÉå=Ñçê=éêÉÖå~åí=ïçãÉå=íÜ~í=áåÅäìÇÉÇ=äçåÖ Ä~íÜë=~åÇ=Ñççí=êìÄëI=~ë=ïÉää=~ë=~=äÉåÖíÜó=ëÉÅJ íáçå=çå=?aáÑÑáÅìäíó=çÑ=_áêíÜI?=ïáíÜ=~ííÉåíáçå=íç î~êáçìë=äáÑÉJíÜêÉ~íÉåáåÖ=ÅçãéäáÅ~íáçåë=áå=ÇÉJ äáîÉêóK=qÜçìÖÜ=íÜÉ=íêÉ~íãÉåíë=~ÇîáëÉÇ=ïÉêÉ åçïÜÉêÉ=åÉ~ê=ÉÑÑÉÅíáîÉ=EëìÖÖÉëíáçåë=áåÅäìÇÉÇ Ü~îáåÖ=íÜÉ=ä~ÄçêáåÖ=ïçã~å=áåÖÉëí=~=ÅÜ~êã ïêáííÉå=çå=ÅÜÉÉëÉ=çê=ïê~é=~=ëå~âÉ=ëâáå ~êçìåÇ=ÜÉê=ÄÉääóFI=íÜÉó=áääìëíê~íÉ=íÜ~í=éêÉëÉêîJ áåÖ=íÜÉ=ÜÉ~äíÜ=çÑ=íÜÉ=ä~ÄçêáåÖ=ïçã~å=Äó ïÜ~íÉîÉê=ãÉ~åë=éçëëáÄäÉ=J=ã~ÖáÅ~ä=çê=ãÉÇJ áÅ~ä=J=ï~ë=íÜÉ=éêáã~êó=ÅçåÅÉêåK `çåÅÉêå=Ñçê=ïçãÉåDë=ÜÉ~äíÜ=ÇáÇ=åçí ãÉ~å=ÅçãéäÉíÉ=ÇáëêÉÖ~êÇ=Ñçê=íÜÉ=ÑÉíìëK=cÉí~ä ÇÉ~íÜë=ïÉêÉ=~ää=íçç=Åçããçå=ÄÉÑçêÉ=ãçÇÉêå ãÉÇáÅáåÉI=~åÇ=éêÉJãçÇÉêå=bìêçéÉ~åë=ïçêJ êáÉÇ=~Äçìí=íÜÉëÉ=ÇÉ~íÜëK=få=êÉëéçåëÉI=íÜÉ ÅÜìêÅÜ=Öê~åíÉÇ=~ìíÜçêáíó=íç=ä~óéÉçéäÉI=ÉîÉå ïçãÉåI=íç=éÉêÑçêã=Ä~éíáëã=áå=Å~ëÉë=çÑ=ÑÉí~ä ÉãÉêÖÉåÅóK=kçåÉíÜÉäÉëëI=ÅçåÅÉêå=Ñçê=íÜÉ ëéáêáíì~ä=ÜÉ~äíÜ=çÑ=íÜÉ=ÑÉíìë=ÇáÇ=åçí=íêìãé ÅçåÅÉêå=Ñçê=íÜÉ=ãçíÜÉêDë=éÜóëáÅ~ä=ÜÉ~äíÜK= Jp mb`f^i q l q eb t ^pefkdqlk m lpq

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