Abstract：
BACKGROUND: Maternal mortality ratio is one of the significant indicators of a country\'s healthcare quality and development. In recent years, Türkiye has made significant advancements in maternal and child health services. However, it has been discussed that stagnation has been observed in recent years, and the migration from Syria and the COVID-19 pandemic have significantly overshadowed this success. The purpose of this study is to evaluate the current situation of the maternal mortality level in the country based on the experiences and views of experts working in this area.
METHODS: Key informant interviews were conducted with a purposive sample of academics, representatives of public institutions, and NGOs to understand the mechanisms of success in maternal mortality in the 1990s. Thematic analysis was used to understand the reasons for the stagnation of the decline in maternal mortality and to develop recommendations for reducing maternal mortality.
RESULTS: Twenty-five key informant interviews were conducted. Positive developments contributing to the success of maternal mortality, problems and obstacles hindering further progress and suggestions/recommendations are the themes of this research. The key informants highlighted the health transformation policies, the lack of data on the impact of COVID-19, recent migration on maternal mortality, inadequate education and training on sexual and reproductive health (SRH), the absence of rights-based policies, and gender equality as critical issues in current policies.
CONCLUSIONS: The outcomes of this study underline the importance of the availability, accessibility, and quality of SRH services and empowering women, girls, families, and communities to eliminate preventable maternal mortality levels.
METHODS: Key informant interviews were conducted with a purposive sample of academics, representatives of public institutions, and NGOs to understand the mechanisms of success in maternal mortality in the 1990s. Thematic analysis was used to understand the reasons for the stagnation of the decline in maternal mortality and to develop recommendations for reducing maternal mortality.
RESULTS: Twenty-five key informant interviews were conducted. Positive developments contributing to the success of maternal mortality, problems and obstacles hindering further progress and suggestions/recommendations are the themes of this research. The key informants highlighted the health transformation policies, the lack of data on the impact of COVID-19, recent migration on maternal mortality, inadequate education and training on sexual and reproductive health (SRH), the absence of rights-based policies, and gender equality as critical issues in current policies.
CONCLUSIONS: The outcomes of this study underline the importance of the availability, accessibility, and quality of SRH services and empowering women, girls, families, and communities to eliminate preventable maternal mortality levels.
摘要：
背景：孕产妇死亡率是一个国家医疗质量和发展的重要指标之一。近年来,Türkiye在妇幼保健服务方面取得了重大进展。然而,有人讨论过，近年来观察到停滞，来自叙利亚的移民和COVID-19大流行大大掩盖了这一成功。这项研究的目的是根据这方面工作的专家的经验和观点，评估该国的孕产妇死亡率水平的现状。
方法：主要的线人访谈是对有目的的学者样本进行的，公共机构的代表，和非政府组织了解1990年代孕产妇死亡率成功的机制。使用专题分析来了解孕产妇死亡率下降停滞的原因，并提出降低孕产妇死亡率的建议。
结果：进行了25次关键线人访谈。积极的事态发展有助于孕产妇死亡率的成功，阻碍进一步进展的问题和障碍以及建议/建议是本研究的主题。主要线人强调了卫生转型政策，缺乏关于COVID-19、最近的移民对孕产妇死亡率的影响的数据，性健康和生殖健康（SRH）教育和培训不足，缺乏基于权利的政策，和性别平等是当前政策中的关键问题。
结论：这项研究的结果强调了可用性的重要性，可访问性,以及SRH服务的质量和赋予妇女权力，女孩们,家庭,消除可预防的孕产妇死亡率水平。
方法：主要的线人访谈是对有目的的学者样本进行的，公共机构的代表，和非政府组织了解1990年代孕产妇死亡率成功的机制。使用专题分析来了解孕产妇死亡率下降停滞的原因，并提出降低孕产妇死亡率的建议。
结果：进行了25次关键线人访谈。积极的事态发展有助于孕产妇死亡率的成功，阻碍进一步进展的问题和障碍以及建议/建议是本研究的主题。主要线人强调了卫生转型政策，缺乏关于COVID-19、最近的移民对孕产妇死亡率的影响的数据，性健康和生殖健康（SRH）教育和培训不足，缺乏基于权利的政策，和性别平等是当前政策中的关键问题。
结论：这项研究的结果强调了可用性的重要性，可访问性,以及SRH服务的质量和赋予妇女权力，女孩们,家庭,消除可预防的孕产妇死亡率水平。
