摘要: Health professionals negative attitudes toward clients often exacerbate the problems women face in terms of health status and access to care. Thus can themselves be obstacles seeking care they need. A key challenge midwives addition providing technically competent services is gaining insight into people for whom are responsible so that childbirth traditions treated with respect offered dignity. Safe motherhood requires intersectoral collaboration. Many innovative approaches safe based on communitys participation planning meet needs women. Other decentralization services. For example a large university teaching hospital Lusaka Zambia set up birthing centers around city take pressure off hospital. Midwives head these which close womens homes. Decentralization delivery has improved physical emotional outcomes mothers newborns. must prepared articulate concerns about inequalities deficiencies system order persuade government change. Women including need form multidisciplinary alliances work together effect The front-line workers maternity midwives. They should adopt following strategies become even more effective their efforts make safer. listen what say needs. scale manageable human scale. learn skills politically active advocates. other leaders professional groups. Motherhood when have control over own decision making education liberate decisions skilled