Les progrès du 5e objectif du millénaire pour le développement, globalement et les exemples d'application au Maghreb: Quoi de neuf?

The first part of this article examines the global progress towards target A of the fifth Millennium Development Goal (MDG5). The target is to reduce by three quarters the maternal mortality ratio between 1990 and 2015. This implies that most maternal deaths could be avoided. Recent sources are examined and the MMEIG data set is used for the comparison as being the one in use by the United Nations. Giving birth remains a risk process, particularly in Souhern Asia and sub-Saharan. In the second part data from Algeria, Lybia, Mauritania, Morocco and Tunisia, the five countries composing the Maghreb are examined. Four of these countries are in good progress and possibly on track. In Morocco a full process has been developed including emproved governance, accessibility and quality. This has included a full procedure of confidential enquiry into maternal health, including the five recommended steps of the process: enhanced identification, documentation, determination of causes, assessment of substandard care and recommendations based on the results of the four first steps. Maternal haemorrhage is the leading cause of death in that region. © 2012 Springer-Verlag France.SCOPUS: ar.j