better access to, and use of, Р good maternal and reproductive health services. The proportion of pregnant women in the developing Р world who had at least one antenatal care visit increased from slightly more than half at the beginning Р of the 1990s to almost three quarters a decade later. Over the period 2000–2008, 65% of births Р globally were attended by skilled health personnel, 4% more than in 1990–1999.Р Globally, the contraceptive prevalence rate increased from 59% in 1990–1995 to 63% in 2000–Р 2006. heless, in some regions it remains very difficult to reduce the considerable unmet need Р for family planning and the high rates of adolescent fertility. Globally, there were 48 births for every Р 1000 women aged 15–19 years in 2006, only a small decline from 51 per 1000 in 2000. Р 10