Pdf causes of maternal death in ethiopia between 1990 and. Maternal mortality ratio of ethiopia fell gradually from 959 deaths per 100,000 live births in 1998 to 401 deaths per. Although the common direct obstetric causes of maternal mortality are known from the literature, the contribution of each cause and the change in trend over decades is unknown in ethiopia. Maternal mortality to improve maternal health, barriers that limit access to quality maternal health services must be identified and addressed at all levels of the health system. Ethiopia 2016 demographic and health survey key findings. Factors associated with maternal mortality in malawi. Abortion and infection related maternal deaths have declined significantly in the last decade. Evidences regarding maternal health condition in ethiopia are available starting from 1990.
Reducing the huge burden of maternal mortality remains the single most serious challenge in ethiopia. All five of the major direct causes of maternal death haemorrhage, sepsis, unsafe abortion, hypertensive. Federal democratic republic of ethiopia ministry of health. Health data used is who, world bank and the united nations for population. Even though ethiopia has achieved the millennium development goal targets for child health set for 2015 by the international community, it has failed to do so with regard to maternal. Magnitude, trends and causes of maternal mortality among. This finding shows that maternal mortality ratio mmr in ethiopia was still high in. According to the target set for tracking of annual reduction of maternal mortality ethiopia is categorized under. This analysis is intended to estimate neonatal mortality rates and identify the leading causes of death based on the surveillance data over 6 years period in kersa health and demographic. Ethiopia, one of the countries with the highest mmr in the.
Ethiopia is not an exception and has one of the worlds highest rates of maternal deaths. The causes of maternal death and individual, environmental and health systems related gaps contributing to maternal death in ethiopia remain unclear. Federal democratic republic of ethiopia ministry of health maternal death surveillance and response mdsr. While motherhood is often a positive and fulfilling, for too many women it is. Obstructed labor continues to be the major cause of maternal deaths. A significant decline in abortion related death although the common direct obstetric causes of. Ethiopias health sector development plan target was to reduce mmr to 267 per 100,000 live births by the year 2015 but the country was unable. Nevertheless, individual determinants of maternal mortality are often unclear and subject to local variation. Maternal deaths are still high, with an estimated maternal mortality ratio of 412 maternal deaths per 100,000 live births in 2016. Indirect causes, which include deaths due to conditions such as malaria, hivaids and cardiac diseases, account for about one fifth of maternal deaths.
Maternal mortality ratio is one of the indicators in the mdg that is raising concern in achieving the set target of reducing the rate by twothird by 2015. Ethiopia 3 ethiopia maternal and newborn health disparities in 2015, 3,200,000 babies were born in ethiopia, or approximately 8,700 every day. Maternal health unfpa united nations population fund. Data for the causes of maternal deaths are needed to inform policies to improve maternal health. Hence, in order to track future targets and assess the impact of government initiatives, understanding the past and present trends and causes of maternal mortality in ethiopia is vital. Full text trends and causes of maternal mortality in.
Background although the common direct obstetric causes of maternal mortality are known from the literature, the contribution of each cause and the change in trend over decades is unknown in ethiopia. Continuous nationwide systematic evaluation and assessment of the problem helps to design. Women have a onein52 chance of dying from childbirthrelated causes each year. While a large variety of factors contribute to maternal mortality, there are some factors that are extremely common and contribute to the largest number of maternal deaths, such as the 10. Risk factors for maternal mortality in rural tigray. Trends and causes of maternal mortality in ethiopia during.
Obstetric hemorrhage, hypertension, abortion, sepsis, hiv, preexisting medical disorders, and other indirect causes like anemia are the main causes of maternal mortality both globally and in. The major causes of maternal morbidity and mortality include haemorrhage. Identifying and targeting the major causes of maternal deaths would contribute to the realization of the sdgs target of reducing maternal mortality. Pdf on jan 9, 2019, alem gebremariam and others published causes of maternal death in ethiopia between 1990 and 2016. The three delays model proposes that maternal mortality is associated with delays in. Maternal mortality studies in ethiopiamagnitude, causes. Ethiopia has one of the worlds highest rates of maternal deaths and disabilities in the world. Health facility based studies that addressed causes of maternal mortality as proportion or case fatality rate.
Maternal mortality is noticeably high in subsaharan african countries including ethiopia. The leading cause of maternal death that contributed more than three quarter of deaths in ethiopia in 20 was other direct maternal causes such as complications of anaesthesia, embolism air, amniotic fluid, and blood clot, and the condition of peripartum cardiomyopathy 25. Background in a large population in southwest ethiopia population 700,000, we carried out a complex set of interventions with the aim of reducing maternal mortality. Trends and causes of maternal mortality in jimma university specialized hospital, southwest ethiopia. The objective of the survey is to provide reliable estimates of fertility levels, marriage, sexual activity, fertility preferences, family planning methods, breastfeeding practices. By using maternal residence provided on the birth certificate to examine infant causes of death by urbanization level, it is possible to capture differences in mortality.
We developed and analysed global, regional, and subregional estimates of the causes of maternal death. Background although the common direct obstetric causes of maternal mortality are known from the literature, the contribution of each cause and the change. Maternal mortality studies in ethiopiamagnitude, causes and trends article pdf available in ethiopian medical journal 472. Differences between rural and urban areas in mortality. Curbing maternal death in ethiopia the borgen project. Other developed countries have similar and even lower maternal mortality rates when.
Maternal health infectious diseases overview briefer. In 2017, maternal mortality ratio for ethiopia was 401 deaths per 100,000 live births. Causes of maternal death in ethiopia between 1990 and 2016. The major complications that account for nearly 75% of all maternal deaths are 4. Trends and causes of maternal mortality in ethiopia during 1990 20. Trends and causes of maternal mortality in ethiopia during 1990. Emergency obstetric care is critical to reducing maternal mortality.
The causes of maternal death and individual, environmental and. Pdf trends and causes of maternal mortality in ethiopia. Health facility based studies that addressed causes of maternal mortality as proportion or case fatality rate and published in either electronically accessible or local journals between 1980 and 2012 in ethiopia were included. Curbing maternal death in ethiopia while ethiopias health system has improved, women are still dying from common birthing complications which can occur before, during and after childbirth. As we conclude in our 106page paper entitled research and evaluation agenda for maternal health and hiv in subsaharan africa, improving maternal health in the context of the sub. The centers for disease control and prevention cdc office in ethiopia was established in 2001 and works closely with the ministry of health and other partners to maintain strong programs. Maternal health refers to the health of women during pregnancy, childbirth and the postpartum period. This study aims to characterise individual risk factors for maternal mortality in tigray. Millennium development goal 4 calls for reducing underfive mortality rate by twothirds between 1990 and 2015. New estimates show that the leading causes of maternal deaths are haemorrhage and hypertension, which together account for more than half of maternal deaths figure 4. We developed and analysed global, regional, and subregional estimates of the causes of. Maternal mortality ratio, adjusted per 100,000 live births maternal mortality ratio, reported per. This is in contrast to developed countries, where other direct causesfor.
View selected causes of death and population dynamics for ethiopia. Request pdf causes of maternal mortality in ethiopia. In the last decade, however, the top four causes of maternal mortality were obstructed laboruterine rupture 36%, hemorrhage 22 %, hypertensive disorders of pregnancy 19% and sepsisinfection %. The top five causes of maternal mortality in 20 were other direct.
Incidence of maternal near miss among women in labour. Measuring maternal mortality is difficult in lowincome countries because of limited registration of births and deaths 35. Findings from the global burden of diseases study 20. Ethiopia introduction of solid, semisolid or soft foods 69 months, %. Maternal mortality trend in ethiopia abdella ethiopian.
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