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A recent review reported that around 20-30% of neonatal mortality could be reduced by implementing skilled birth care services [ 8].
Departments of obstetric and gynaecology with more than 1500 births per year, providing all birth care services with obstetricians, paediatricians and anaesthesiologists on duty at all times, and with a neonatal intensive care unit.
It has been also estimated that the presence of skilled attendants at delivery could reduce maternal deaths by 16 to 33%% [ 7] and it was also reported that around 20 30 % of neonatal mortality could be reduced by implementing skilled birth care services [ 8].
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For women with 'low-risk' pregnancies, primary care clinics provide antenatal and postnatal care, and community health centres provide both antenatal/postnatal care and a 24-hour birth care service; women with 'high-risk' pregnancies receive doctor-led antenatal and birth care at secondary or tertiary care hospitals [ 3, 4].
Reduced length of hospital stay following childbirth has placed increasing demands on community-based post-birth care services in Australia.
The hospital offers antenatal care (ANC), labour, birth, and postnatal care services.
We did not consider including traditional birth attendants because antenatal care services are mainly provided by healthcare providers and only 2.4% of rural women received ANC services from traditional birth attendants in Pakistan [ 21].
On the other hand, the lowest increments among the health service coverage indicators were on skilled birth attendant and postnatal care services coverage.
Another giant step Providing free birth delivery and child care services is the government's first step in its 'Road Map for the Reduction of Neonatal and Maternal Mortality', a policy launched in February.
In case of attending mothers and newborns after delivery, services for neonatal sepsis and birth asphyxia, detecting low birth weight (LBW) and postnatal care services an ad-hoc CHW without basic training performed much lower than that of a trained regular CHW.
With many health facilities and birthing clinics destroyed, health care services will be stretched and there will be particular threats from maternal and neonatal mortality.
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