Maternal Mortality - The Three Delays
(photo credit: Dr. S. Ali Wasif)
One of the key concepts in understanding the causes of maternal mortality is the three delays. These are the three points at which access to care is delayed or denied, and that lack of care leads to maternal death. The three delays are 1) delay in seeking care, 2) delay in reaching care and 3) the time it takes the hospital to provide appropriate care. They're sometimes referred to as "seek, reach, receive."
Why do women delay seeking care? They may not have the money to pay for care. They may not realize how serious their condition is; some people don't even realize women can die in childbirth. They may not have the social status required to access health care. They may not have a way to get to a health care provider.
Why does it take time to access care? In many countries, health care facilities are located far apart and require extensive travel to get to. Women may Lack a vehicle to travel in, and lack of money to pay for a taxi. Roads are often bad, or nonexistent.
Why does the provider delay providing care? The facility may lack providers with experience in maternal care, or lack providers altogether. It may not have the equipment or drugs to provide adequate care. The facility may refuse to provide care until reimbursement is guaranteed.
More Information
International Womens Health Program photo essay on the three delays
Introduction to Maternal Mortality
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