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Pregnancy-related mortality in Africa and Asia : evidence from INDEPTH health and demographic surveillance system sites

Streatfield, P. Kim and Alam, Nurul and Compaoré, Yacouba and Rossier, Clementine and Soura, Abdramane B. and Bonfoh, Bassirou and Jaeger, Fabienne and Ngoran, Eliezer K. and Utzinger, Juerg and Gomez, Pierre and Jasseh, Momodou and Ansah, Akosua and Debpuur, Cornelius and Oduro, Abraham and Williams, John and Addei, Sheila and Gyapong, Margaret and Kukula, Vida A. and Bauni, Evasius and Mochamah, George and Ndila, Carolyne and Williams, Thomas N. and Desai, Meghna and Moige, Hellen and Odhiambo, Frank O. and Ogwang, Sheila and Beguy, Donatien and Ezeh, Alex and Oti, Samuel and Chihana, Menard and Crampin, Amelia and Price, Alison and Delaunay, Valérie and Diallo, Aldiouma and Douillot, Laetitia and Sokhna, Cheikh and Collinson, Mark A. and Kahn, Kathleen and Tollman, Stephen M. and Herbst, Kobus and Mossong, Joël and Emina, Jacques B. O. and Sankoh, Osman A. and Byass, Peter. (2014) Pregnancy-related mortality in Africa and Asia : evidence from INDEPTH health and demographic surveillance system sites. Global health action, Vol. 7 , 25368.

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Official URL: http://edoc.unibas.ch/dok/A6319287

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Abstract

Women continue to die in unacceptably large numbers around the world as a result of pregnancy, particularly in sub-Saharan Africa and Asia. Part of the problem is a lack of accurate, population-based information characterising the issues and informing solutions. Population surveillance sites, such as those operated within the INDEPTH Network, have the potential to contribute to bridging the information gaps.; To describe patterns of pregnancy-related mortality at INDEPTH Network Health and Demographic Surveillance System sites in sub-Saharan Africa and southeast Asia in terms of maternal mortality ratio (MMR) and cause-specific mortality rates.; Data on individual deaths among women of reproductive age (WRA) (15-49) resident in INDEPTH sites were collated into a standardised database using the INDEPTH 2013 population standard, the WHO 2012 verbal autopsy (VA) standard, and the InterVA model for assigning cause of death.; These analyses are based on reports from 14 INDEPTH sites, covering 14,198 deaths among WRA over 2,595,605 person-years observed. MMRs varied between 128 and 461 per 100,000 live births, while maternal mortality rates ranged from 0.11 to 0.74 per 1,000 person-years. Detailed rates per cause are tabulated, including analyses of direct maternal, indirect maternal, and incidental pregnancy-related deaths across the 14 sites.; As expected, these findings confirmed unacceptably high continuing levels of maternal mortality. However, they also demonstrate the effectiveness of INDEPTH sites and of the VA methods applied to arrive at measurements of maternal mortality that are essential for planning effective solutions and monitoring programmatic impacts.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Eco System Health Sciences > Health Impact Assessment (Utzinger)
UniBasel Contributors:Utzinger, Jürg and Jäger, Fabienne
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Co-Action Publishing]
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:04 Sep 2015 14:32
Deposited On:09 Jan 2015 09:24

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