PHM-Exch> Trends in maternal mortality: 1990 to 2008 - Estimates developed by WHO, UNICEF, UNFPA and The World Bank

[Claudio Schuftan]

From: Ruggiero, Mrs. Ana Lucia (WDC) <ruglucia at paho.org>
crossposted from: EQUIDAD at listserv.paho.org


 *Trends in maternal mortality: 1990 to 2008

* *Estimates developed by WHO, UNICEF, UNFPA and The World Bank
*World Health Organization, UNICEF, UNFPA and The World Bank – September
2010
*ISBN*: 978 92 4 150026 5

 *Available online PDF [55p.] at: *http://bit.ly/9BOg95

 “…..Millennium development goal (MDG) 5 Target 5A calls for the reduction
of maternal mortality ratio (MMR) by three quarters between 1990 and 2015.
It has been a challenge to assess the extent of progress due to the lack of
reliable and accurate maternal mortality data – particularly in
developing-country settings where maternal mortality is high. As part on
going efforts, the WHO, UNICEF, UNFPA and the World Bank revised and
improved earlier methods to estimate maternal mortality in 1990, 1995, 2000,
2005, and 2008; and developed methodology to present trends in maternal
mortality from 1990 to 2008 at country, regional, and global levels.

 This report highlights the following.

·         Ten out of 87 countries with maternal mortality ratios over 100 in
1990, are on track with an annual decline of 5.5% between 1990 and 2008. At
the other extreme, 30 made insufficient or no progress since 1990.

·         The study shows progress in sub-Saharan Africa where maternal
mortality decreased by 26%.

·         In Asia, the number of maternal deaths is estimated to have
dropped from 315 000 to 139 000 between 1990 and 2008, a 52% decrease.
*
*Methods

Technical report [pdf
2.31Mb]<http://www.who.int/entity/reproductivehealth/publications/monitoring/MMR_technical_report.pdf>

Files and programmes [zip
2.19Mb]<http://www.who.int/entity/reproductivehealth/publications/monitoring/MMR_data_files_pgrms.zip>Data
and programmes (R and STATA) used for computing the maternal mortality
estimates

 *Content:
1. INTRODUCTION *

*2. MEASURING MATERNAL MORTALITY *

2.1 Concepts and definitions

2.2 Measures of maternal mortality

2.3 Approaches for measuring maternal mortality

*3. THE DEVELOPMENT OF 2008 ESTIMATES OF MATERNAL MORTALITY *

3.1 Sources of country data used for the 2008 estimates

3.2 Methods used to estimate MMR in 2008 according to data source

3.3 Calculation of adult lifetime risk of maternal mortality

3.4 Global and regional estimates

3.5 Differences in the 2008 methodology compared with

3.6 Differences from other recent estimates 1

*4. ANALYSIS AND INTERPRETATION OF 2008 ESTIMATES *

*5. IS THE FIFTH MDG ACHIEVABLE? *

*
ANNEXES *

Annex 1. Estimates of maternal mortality ratio (MMR, deaths per 100 000 live
births), number of maternal deaths and lifetime risk (2008) 23

Annex 2. Map with countries by category according to their maternal
mortality ratio (MMR, deaths per 100 000 live births), 2008 27

Annex 3. Comparison of 1990, 1995, 2000, 2005, and 2008 estimates of
maternal mortality ratio (MMR, deaths per 100 000 live births) by country 28

Annex 4. Countries with 40% or more decrease in maternal mortality ratio
(MMR, deaths per 100 000 live births) between 1990 and 2008 33
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