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Answer:
An estimated 500,000 maternal deaths occur in the world every year. The majority of these deaths
occur in less developed settings; many are preventable. While new methods have been developed and used
to obtain population-based estimates of maternal mortality, less attention has been given, until recently, to
measurement of maternal morbidity.
The Safe Motherhood Survey (SMS) Project began in December 1992 with the goal of developing
a survey instrument to gather badly needed information on the health status of women focusing on repro-
ductive issues. Much earlier discussions, between those involved with the Demographic and Health Surveys
(DHS) program 1 and the World Health Organization (WHO), about the potential advantages of the DHS
infrastructure for implementing such a project, planted the seed resulting in this work.
The process of developing the SMS questionnaire used in the Philippines involved many individuals,
institutions, organizations, and activities, all of which contributed to the survey conducted in late 1993. The
SMS in the Philippines was the first instance of a follow-on survey being conducted in conjunction with a
DHS survey. The DHS survey in the Philippines--the National Demographic Survey (NDS)--was carded
out in early 1993 (NSO and MI, 1994). The Philippines was a prime choice as the first country to implement
a Safe Motherhood Survey as a follow-on to a DHS survey because of the high level of national interest in
maternal morbidity and mortality issues and the likelihood that findings would be well utilized in
decisionmaking and program planning. This report describes the setting in which the SMS was implemented,
the survey design, the process of developing the questionnaire, and the major survey results. It is hoped that
this overview of study findings will spur further in-depth analysis of this rich data source.
Explanation:
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