The article ‘The cultural environment behind successful maternal death and morbidity reviews’ by G. Lewis in BJOG: An International Journal of Obstetrics and Gynaecology identifies common cultural factors for successful maternal mortality and near-miss reviews on the basis of experiences from health facilities around the world. The article identified three interrelated factors:
- Individual responsibility and ownership: health professionals who are supportive of the review process are essential
- A healthy institutional culture
- A supportive policy environment
Developing these cultural factors will require a change in mind-set by policymakers, administrators and health professionals. Experience from within and outside maternity care has demonstrated that, once developed, the cultural environment developed will result in improved access to and quality of healthcare.