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In the Name of God, the Compassionate, the Merciful

Message from

DR HUSSEIN A. GEZAIRY REGIONAL DIRECTOR

WHO EASTERN MEDITERRANEAN REGION to the

REGIONAL PLANNING MEETING FOR MAKING PREGNANCY SAFER Tunis, Tunisia, 26-30 May 2008

Your Excellency, Dear Colleagues, Ladies and Gentlemen,

It gives me great pleasure to welcome you to this regional planning meeting for making pregnancy safer, starting today in this lively city of Tunis.

At the outset, I would like to express my sincere gratitude to His Excellency Mr Mondher Zenaidi, Minister of Public Health, and the Government of Tunisia for kindly hosting this meeting and providing us with yet another opportunity to come together and learn from the experiences of each other. I would also like to extend my warm welcome to the participants and representatives of sister UN agencies and international organizations joining us in this endeavour. Special thanks go to our colleagues from WHO headquarters for their valuable support and contribution in bringing about this important activity.

This important meeting comes at a time when promotion of maternal and neonatal health is high on the health agenda, at both the international and country levels. 2008 marks a standpoint for contemplation on the extent to which the Millennium Development Goals (MDGs) – especially that pertaining to improving maternal and child health – have been achieved. It marks the fact also that almost a decade now remains to achieve the MDGs, and highlights the challenges in the endeavour to do so.

I regard this meeting with special interest as it highlights priority issues in maternal and neonatal health, with specific focus on strategic directions aiming at tackling the very

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grave problems that some of the countries of our Region are facing. Still today, in several countries of the Region, pregnancy and childbirth are among the leading causes of death for women of childbearing age. Each year 55 000 mothers in the Region die during pregnancy, childbirth, or shortly thereafter. Moreover, 610 000 child die in the first month of their life every year in the Region. Newborn deaths now contribute to about 40% of all deaths in children under 5 years, and more than 60% of infant mortality in the Region.

Unless unprecedented, urgent support is provided and resources are allocated, it is unlikely that, at the current rate of progress, the MDGs will be achieved; especially in countries where the levels of maternal and neonatal deaths are still unacceptably high.

To address this challenge, the Fifty-first and the Fifty-fourth Sessions of the Regional Committee for the Eastern Mediterranean adopted – in October 2004 and 2007, respectively – resolutions EM/RC5I/R.4 Moving towards the Millennium Development Goals: investing in maternal and child health and EM/RC54/R.2 Neonatal mortality in the Eastern Mediterranean Region: determinants and strategies for achieving Millennium Development Goal no.4. Both these resolutions urged Member States to work closely with the Regional Office to take effective measures and scale up effective interventions to improve the health of mothers and their children.

This meeting is an excellent opportunity for full interaction with open and free discussions and exchange of information, experience and advice concerning the knowledge and skills required, and the technology already available for accelerating the reduction of maternal and neonatal mortality in those countries of the Region with low health indicators. The challenge is to transform knowledge and experience into action. This requires the commitment of Member States. Our Members States have a unique opportunity to make pregnancy safer at this time, with support from WHO and other concerned partners.

What remains is for us to amalgamate our efforts and join forces in coordinated action to decrease maternal and neonatal mortality and make the achievement of the MDGs a reality.

I am confident that this meeting will achieve its objectives with admirable success and provide future direction to our activities in the crucial area of maternal and newborn health.

I wish you all the best in your efforts and a successful outcome to this meeting.

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