by Yanqiu Gao, Hong Zhou, Neha S Singh et al.
The Lancet Global Health, Volume 5, No. 5, e523–e536, May 2017
China is one of the few Countdown countries to have achieved Millennium Development Goal 5 (75% reduction in maternal mortality ratio between 1990 and 2015). The authors aimed to examine the health systems and contextual factors that might have contributed to the substantial decline in maternal mortality between 1997 and 2014. They chose to focus on western China because poverty, ethnic diversity, and geographical access represent particular challenges to ensuring universal access to maternal care in the region.