Since 1990, the maternal mortality ratio has been cut nearly in half, and most of the reduction occurred since 2000 after the launch of millennium development goals. More than 71 percent of births were assisted by skilled health personnel globally in 2014, an increase from 59 percent in 1990. In the developing regions, only 56 percent of births in rural areas are attended by skilled health personnel, compared with 87 percent in urban areas. These forms the basis for advocacy and promotion of skilled delivery services. Maternal and Child health forms the cornerstone of a family health. Promotion and provision of skilled delivery services among the poor and marginalized communities is significant in promoting health and development. The fourth and fifth millennium development goals aims at reducing child mortality and improving maternal health. This book provides very crucial information on the gaps identified on maternal health on skilled delivery services among nomadic communities.

Margaret Nduta is a holder of doctorate in Community Health and development, with a Masters in the same field. She has a diverse experience in training, education, and quality improvement of services as well as research work with the focus on community empowerment and capacity building, health system strengthening through evidence based research.