In the province of East Java in 2017, 97% and 78% of women had a minimum of one and 4 ANC visits to expert attendants . Despite this access, many women suffered from problems; and the reported MMR in East Java was 91 per one hundred,000 live births in 2017, with 534 maternal deaths. Over the last few years, the East Java MMR has stagnated with little discount . Yet internationally there’s a steadily lowering MMR everywhere except in sub Saharan Africa . However, this general decline has been slow, doubtless as a end result of delays in access to care and to poor high quality of care—and for many across the globe, this care remains to be ‘too little too late’ and for some ‘too much too soon’ .
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This has helped us to revise the paper, which now focuses on the root-cause analysis, highlighting causes of poor quality of care leading to maternal deaths. The changes are described intimately in the ‘response to reviewers’ doc. The changes with reference to journal’s requirement are described in the cowl letter. For only three out of 30 girls did inadequate workers numbers appear to contribute to delays and/or inadequate administration.