1 / 51

Comparison of 1990 and 2010 maternal mortality ratio (MMR, maternal deaths per 100 000

1World health organization, UNICEF,UNFPA,The World Bank.trends in mortality:1990-2008.Geneva:WHO Press, World health oragnisation 2010 2.Waterston M, Bewley S, Wolfe C. Incidence and predictors of severe obstetric morbidity : case control study, BMJ 2001;322:1089-93.

mossb
Download Presentation

Comparison of 1990 and 2010 maternal mortality ratio (MMR, maternal deaths per 100 000

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 1World health organization, UNICEF,UNFPA,The World Bank.trends in mortality:1990-2008.Geneva:WHO Press, World health oragnisation 2010 2.Waterston M, Bewley S, Wolfe C. Incidence and predictors of severe obstetric morbidity : case control study, BMJ 2001;322:1089-93

  2. Comparison of 1990 and 2010 maternal mortality ratio (MMR, maternal deaths per 100 000 live births) and number of maternal deaths, by United Nations Millennium Development Goal region

  3. Target for MDG 5 • Reducing MMR by ¾ from 1990 to 2015

  4. Where are we? • Punchab- 207/100,000 • NWFP- 275/100,000 • Sindh- 314/100,000 • Balochistan- 785/100,000 PDHS 2006-2007

  5. CAUSES OF MATERNAL MORTALITY

  6. The direct medical causes of maternal death are common throughout the world, and most are preventable. Thus it is the indirect and underlying causes that are important factors in determining maternal mortality and lead to significant differences between developed and developing countries • Hemorrhage • Eclampsia • Sepsis/DIC • Obstructed labour /ruptured uterus • Unsafe Abortion Direct causes Indirect causes Underlying causes

  7. Underlying causes

  8. Direct vs Indirect causes • Direct--------------86% • Indirect ------------14%

  9. Prerequisites of Accurate estimation of MMR • Complete records of all deaths • Good attribution of causes of death • Knowledge of the pregnancy status of women of reproductive age who die

  10. Accurate estimation of maternal mortality is a challenge in low resource countries because they lack complete and accurate civil registration system with good attribution of causes of death

  11. Five approaches of Reviewing Maternal deaths and ill heath • Facility based death review • Community based maternal death review(Verbal Autopsy) • Confidential inquiry in to maternal deaths • Survey of severe morbidity(Near misses) • Clinical audit

  12. Maternal Morbidity • Any illness or injury caused by or aggravated by or associated with pregnancy or child birth.

  13. Maternal Morbidity criteria

  14. Maternal near-miss (MNM)

  15. NEAR MISS AUDITS

  16. well Recovered Near miss survived died

  17. The audit cycle adapted from Crombie et al 1997 NEAR MISS

  18. MATERNAL NEAR MISS INDICATORS

  19. OBJECTIVE:

  20. MATERIAL AND METHODS

  21. METHODOLOGY:

  22. Main outcome measures

  23. DITRIBUTION OF MORBIDITIES

  24. DETERMINANTS OF MORTALITY

  25. SUMMARY

  26. CONCLUSION

  27. WAY FORWARD • Enhance ,empower and upgrade present health system of primary and secondary health care system • Target interventions should be applied on poor people and rural ares • Referral level facilities need to be upgraded to handle critically ill patients including Basic ICU faclities and obstetric interventions • Timely And effective referral • Health education • Refresher courses of health care providers • Family planning

More Related