Guidelines on managing conditions which commonly result in maternal death must be developed, distributed and implemented throughout the country by 2002.
Referral routes and criteria for referral must be established and implemented by 2001.
Establishing staffing and equipment norms per level of care must be performed in every health institution concerned with the care of pregnant women by 2001.
The distribution of the Termination of Pregnancy (TOP) services (especially with respect to second trimester TOP's) must be expanded and the sites must be advertised to the public.
The partogram must be used for monitoring labour in every pregnant woman and problems detected on the partogram must be managed accordingly.
Blood must be available at every institution where caesarean sections are performed.
Medical Obstetric Clinics must be established to ensure the optimal management of women with pre-existing medical conditions, especially women with heart disease and diabetes mellitus.
Regional anaesthesia should be promoted in all sites performing caesarean sections.
Family Planning services must intensively educate women 30 years and older or with 5 or more children about the dangers of pregnancy. Contraceptive use should be actively promoted in this group of women.
A National HIV/AIDS policy geared towards managing these women and dealing with the ethical considerations must be available by 2001.