A comparison of vital registration and reproductive‐age mortality survey in Bukidnon, Philippines, 2008

Garces, Roston G.; Sobel, Howard; Pabellon, J; López, Juan Mora; Castro, Maricel de Quiroz; Nyunt-U, Soe

doi:10.1016/j.ijgo.2012.05.035

Cited by 8 publications

(8 citation statements)

References 8 publications

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“…This misclassification has been estimated, and a correction factor from 0.85 to 5.0 with a median value of 1.5, is routinely added to maternal deaths identified [ 1 , 23 ]. The proportion of underreporting of PRDs in our study was quite similar to that in the study conducted in Jamaica (76%) and the Philippines (75%) [ 24 , 25 ]. Late maternal deaths represented 11.4% of all deaths occurring during pregnancy within one year of pregnancy, while the MDSS identified none.…”

Section: Discussionsupporting

confidence: 87%

Underreporting of deaths in the maternal deaths surveillance system in one region of Morocco

Abouchadi

Zhang

2018

PLoS ONE

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ObjectiveTo assess the reliability of maternal deaths surveillance system (MDSS) and to determine the factors that influence its completeness in one region of Morocco.MethodsWe conducted a retrospective survey in “Gharb Chrarda Bni Hssen” region (GCBH) between January the 1st, 2013 and September the 30th, 2014 using multiple sources approach. All deaths of women of reproductive age (WRA) were investigated using certificates with medical cause, medical records and interviews with household members and relatives to ascertain a pregnancy-related or maternal death. An External Expert Committee reviewed the information collected to assign a cause for each death. Our results were compared to those reported in the same period by the MDSS.FindingsOur study identified 690 deaths of WRA and 69 maternal deaths of which 34.8% occurred outside health facilities. The MDSS recorded during the study period 538 deaths of WRA and 29 maternal deaths (including only one outside health facility) representing respectively an underreporting of 22.0% and 58.0%. Late maternal deaths represented 11.4% of all deaths of women with a registered pregnancy within 12 months prior to the death, while the MDSS identified none. The maternal mortality ratio (MMR) was estimated at 103, approximately 2.5 times higher than that reported in the MDSS.ConclusionOur study has shown weaknesses in the current notification system for maternal deaths in the region of GCBH. Therefore, more attention must be given to the regional committees in charge of auditing the cases and defining actions to be implemented to prevent further maternal deaths.

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Section: Discussionsupporting

confidence: 87%

Underreporting of deaths in the maternal deaths surveillance system in one region of Morocco

Abouchadi

Zhang

2018

PLoS ONE

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“…Six studies used reproductive-age mortality surveys (RAMOS) 26,27,38,45,53,59 and eleven studies used routine data from multiple sources such as local registries, hospital-based records, data of management information systems and/or by conducting interviews with health attendants. 29,30,44,46,49,51,52,54,55,58,60 Eight confidential enquiries into maternal deaths enumerated deaths from facility-based records.…”

Section: Resultsmentioning

confidence: 99%

“…28–30,39–43,45,47–50,53,54,59,60 Nine of these used a consensus panel consisting of medical staff or health researchers to agree on the cause of death 28–30,39,42,45,48,49,60 , while six did not specify whether a consensus panel was used or not. 41,47,50,53,54,59 Two VA studies interpreted data using Inter VA-models.…”

Section: Resultsmentioning

confidence: 99%

Contribution of suicide and injuries to pregnancy-related mortality in low-income and middle-income countries: a systematic review and meta-analysis

Fuhr

Calvert

Ronsmans

et al. 2014

The Lancet Psychiatry

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Summary Background Although suicide is one of the leading causes of deaths among young women in low and middle-income countries (LMIC), the contribution of suicide and injuries to pregnancy-related mortality remains unknown. Methods We conducted a systematic review to identify studies reporting the proportion of pregnancy-related deaths attributable to suicide and/or injuries in LMIC. Random-effects meta-analysis was used to calculate the pooled prevalence of pregnancy-related deaths attributable to suicide, stratified by WHO region. To account for the possible misclassification of suicide deaths as injuries, we calculated the pooled prevalence of deaths attributable to injuries, and undertook a sensitivity analysis reclassifying the leading methods of suicides among women in LMIC (burns, poisoning, falling or drowning) as suicide. Findings 36 studies from 21 countries were identified. The pooled total prevalence across the regions was 1·00% for suicide (95% confidence interval (CI): 0·54–1·57) and 5·06% for injuries (95% CI: 3·72–6·58). Reclassifying the leading suicide methods from injuries to suicide increased the pooled prevalence of pregnancy-related deaths attributed to suicide to 1·68% (95% CI: 1·09–2·37). Americas (3·03%, 95% CI: 1·20–5·49),the Eastern-Mediterranean region (3·55%, 95% CI: 0·37–9·37), and the South-East Asia region (2·19%, 95% CI: 1·04–3·68) had the highest prevalence for suicide, with the Western-Pacific region (1·16%, 95% CI: 0·00–4·67) and the Africa region (0·65%, 95% CI: 0·45–0·88) having the lowest. Interpretation The available data suggest a modest contribution of injuries and suicide to pregnancy-related mortality in LMIC with wide regional variations. However, this study may have underestimated suicide deaths due to lack of recognition and inclusion of these causes in eligible studies. We recommend that injury-related and other co-incidental causes of death are included in the WHO definition of maternal mortality to promote measurement and effective intervention for reduction of maternal mortality in LMIC.

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“…In view of the importance of health indicators based on mortality measures in the context of public health, the evaluation of mortality information systems has been the subject of studies worldwide [2][3][4] , especially with regard to the coverage of the systems and data quality. Information on the underlying cause of death is particularly relevant.…”

Section: Introductionmentioning

confidence: 99%

Fatores associados à mortalidade por causas inespecíficas e mal definidas no estado do Amazonas, Brasil, de 2006 a 2012

Balieiro

Silva

Sampaio

et al. 2020

Ciênc. saúde coletiva

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Resumo Objetivou-se investigar fatores associados à mortalidade por causas inespecíficas e mal definidas no estado do Amazonas (AM). Desenvolveu-se um estudo seccional incluindo 90.439 registros de óbitos não fetais, com residência e ocorrência no AM entre 2006 e 2012. Foram estimadas razões de chances de causas inespecíficas e mal definidas por meio de regressão logística multinomial hierárquica. A proporção de causas mal definidas e inespecíficas foi, respectivamente, 16,6% e 9,1%. A ocorrência de causas mal definidas diminuiu ao longo dos anos e a de causas inespecíficas somente no último biênio. As causas inespecíficas associaram-se com residência e ocorrência do óbito fora da capital, via pública, sexo feminino, dos 10 aos 49 anos, cor parda e quando atestadas por legistas. As causas mal definidas associaram-se com residência e ocorrência fora da capital, em domicílios, a partir de 40 anos, cor não branca, não ser solteiro, baixa escolaridade, assistência médica e falta de informação sobre o atestante. A mortalidade por causas mal definidas e inespecíficas no AM declinou entre 2006 e 2012, associando-se às dimensões espacial e temporal, fatores demográficos, socioeconômicos e à assistência médica na ocasião do óbito.

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A comparison of vital registration and reproductive‐age mortality survey in Bukidnon, Philippines, 2008

Cited by 8 publications

References 8 publications

Underreporting of deaths in the maternal deaths surveillance system in one region of Morocco

Underreporting of deaths in the maternal deaths surveillance system in one region of Morocco

Contribution of suicide and injuries to pregnancy-related mortality in low-income and middle-income countries: a systematic review and meta-analysis

Fatores associados à mortalidade por causas inespecíficas e mal definidas no estado do Amazonas, Brasil, de 2006 a 2012

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