maternal mortality plunged from around deaths per live births in to around deaths in while infant mortality declined from deaths per live births to deaths over the same period however as with other indicators national level data on infant and maternal mortality belie marked regional disparities in some regions of the country maternal mortality has actually been increasing over the past ten years by nearly since in the akmola and karaganda regions and in kyzylorda region by more than between and however after several waves of reforms most regulatory and financing functions have again been centralised