Every death counts: measurement of maternal mortality via a census.

Methods for measuring maternal mortality at national and subnational levels in the developing world lag far behind the demand for estimates. We evaluated use of the national population census as a means of measuring maternal mortality by assessing data from five countries (Benin, Islamic Republic of...

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Publicado en:Bulletin of the World Health Organization Vol. 79; no. 7; pp. 657 - 665
Autores principales: Stanton C, Hobcraft J, Hill K, Kodjogbé N, Mapeta WT, Munene F, Naghavi M, Rabeza V, Sisouphanthong B, Campbell O
Formato: tables/charts Journal Article
Publicado: World Health Organization 2001
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Every death counts: measurement of maternal mortality via a census.
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          Stanton C
          Hobcraft J
          Hill K
          Kodjogbé N
          Mapeta WT
          Munene F
          Naghavi M
          Rabeza V
          Sisouphanthong B
          Campbell O
        affil: Director, Monitoring/Evaluation and Research, Maternal and Neonatal Health Project, JHPIEGO, 1615 Thames Street, Suite 100, Baltimore, MD 21231. E-mail: cstanton@jhpiego.org
      sug:
        subj:
          Maternal Mortality Trends
          Developing Countries
          Female
          Census
          Data Collection
          Benin
          Iran
          Laos
          Madagascar
          Zimbabwe
          Childbirth
          Female
      ab: Methods for measuring maternal mortality at national and subnational levels in the developing world lag far behind the demand for estimates. We evaluated use of the national population census as a means of measuring maternal mortality by assessing data from five countries (Benin, Islamic Republic of Iran, Lao People's Democratic Republic, Madagascar, and Zimbabwe) which identified maternal deaths in their censuses. Standard demographic methods were used to evaluate the completeness of reporting of adult female deaths and births in the year prior to the census. The results from these exercises were used to adjust the data. In four countries, the numbers of adult female deaths needed to be increased and three countries required upward adjustment of the numbers of recent births. The number of maternal deaths was increased by the same factor as that used for adult female deaths on the assumption that the proportion of adult female deaths due to maternal causes was correct. Age patterns of the various maternal mortality indicators were plausible and consistent with external sources of data for other populations. Our data suggest that under favourable conditions a national census is a feasible and promising approach for the measurement of maternal mortality. Moreover, use of the census circumvents several of the weaknesses of methods currently in use. However, it should also be noted that careful evaluation of the data and adjustment, if necessary, are essential. The public health community is urged to encourage governments to learn from the experience of these five countries and to place maternal mortality estimation in the hands of statistical agencies.
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    language: English
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