Maternal mortality in South Africa in 2001: From demographic census to epidemiological investigation.

Population Health Metrics
Michel GarenneKourtoum Nacro

Abstract

Maternal mortality remains poorly researched in Africa, and is likely to worsen dramatically as a consequence of HIV/AIDS. The 2001 census of South Africa included a question on deaths in the previous 12 months, and two questions on external causes and maternal mortality, defined as "pregnancy-related deaths". A microdata sample from the census permits researchers to assess levels and differentials in maternal mortality, in a country severely affected by high death rates from HIV/AIDS and from external causes. After correcting for several minor biases, our estimate of the Maternal Mortality Ratio (MMR) in 2001 was 542 per 100,000 live births. This level is much higher than previous estimates dating from pre-HIV/AIDS times. This high level occurred despite a relatively low proportion of maternal deaths (6.4%) among deaths of women aged 15-49 years, and was due to the astonishingly high level of adult mortality, some 4.7 times higher than expected from mortality below age 15 or above age 50. The main reasons for these excessive levels were HIV/AIDS and external causes of deaths. Our regional estimates of MMR were found to be consistent with other findings in the Cape Town area, and with the Agincourt DSS. The differentials in MMR...Continue Reading

References

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Citations

Jul 3, 2013·Midwifery·Eric O Udjo, Pinky Lalthapersad-Pillay
Mar 1, 2011·Journal of Population Research·Michel GarenneKourtoum Nacro
Dec 3, 2015·Population Health Metrics·Richard BandaIngvild Fossgard Sandøy
Dec 17, 2010·BJOG : an International Journal of Obstetrics and Gynaecology·J MoodleyQ Abdool Karim
Dec 3, 2014·Applied Nursing Research : ANR·Haeok LeeJoyce J Fitzpatrick
Mar 29, 2019·Systematic Reviews·Damian J DamianAndrew Boulle

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