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[Comment] Implementation and aspiration gaps: whose view counts?

The Lancet’s Maternal Health Series1–6 paints a sobering picture of the state of maternal health today. The Series focuses on the “mismatch between burden and coverage”, which “exposes a crucial gap in quality of care”6 and spotlights the millions of pregnant women and adolescents who never get access to services at all. But 30 years after the start of the safe motherhood initiative, this mismatch exposes something else as well: a dangerous disconnect between the way the global health community has framed problems, proposed strategies, and pushed solutions, and the lived experience of people and providers.