Reducing stillbirths has remained a global public health challenge. Approximately 55% of stillbirths occur in sub-Saharan Africa and South Africa has a high stillbirth rate that has not declined in over 10 years. Small-for-gestational-age (SGA) babies represent a significant proportion of stillbirths in low-to-middle-income-countries. This thesis used South African national perinatal mortality data to investigate global public health strategies employed to prevent stillbirths. Using quantitative data analyses the impact of these strategies in increasing the detection of pregnancies most at risk of stillbirth (including SGA) and the reduction in stillbirths was explored.