Maternal mortality has declined considerably over the last two decades, from 233 per 100,000 live births in 1990 to 69 per 100,000 live births in 2009, with approximately two-thirds of this decrease related to safer pregnancy. Good progress has also been made in expanding access to quality reproductive health, including maternal and neonatal health; family planning; increased use of modern contraception; and establishment of stronger programmes, policies and laws for reproductive health and rights, as well as measures to provide quality services to the poor and other vulnerable groups.