Global, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015

 

Authors
Kassebaum, Nicholas J; Barber, Ryan M; Bhutta, Zulfiqar A; Dandona, Lalit; Gething, Peter W; Hay, Simon I; Kinfu, Yohannes; Larson, Heidi J; Liang, Xiaofeng; Lim, Stephen S; Lopez, Alan D; Lozano, Rafael; Mensah, George A; Mokdad, Ali H; Naghavi, Mohsen; Pinho, Christine; Salomon, Joshua A; Steiner, Caitlyn; Vos, Theo; Wang, Haidong; Abajobir, Amanuel Alemu; Abate, Kalkidan Hassen; Abbas, Kaja M; Abd-Allah, Foad; Abdallat, Mahmud A; Abdulle, Abdishakur M; Abera, Semaw Ferede; Aboyans, Victor; Abubakar, Ibrahim; Abu-Rmeileh, Niveen ME; Achoki, Tom; Adebiyi, Akindele Olupelumi; Adedeji, Isaac Akinkunmi; Adelekan, Ademola Lukman; Adou, Arsène Kouablan; Afanvi, Kossivi Agbelenko; Agarwal, Arnav; Kiadaliri, Aliasghar Ahmad; Ajala, Oluremi N; Akinyemiju, Tomi F; Akseer, Nadia; Al-Aly, Ziyad; Alam, Khurshid; Alam, Noore KM; Alasfoor, Deena; Aldhahri, Saleh Fahed; Aldridge, Robert William; Alhabib, Samia; Ali, Raghib; Alkerwi, Ala'a; Alla, François; Al-Raddadi, Rajaa; Alsharif, Ubai; Alvarez Martin, Elena; Alvis-Guzman, Nelson; Amare, Azmeraw T; Amberbir, Alemayehu; Amegah, Adeladza Kofi; Ammar, Walid; Amrock, Stephen Marc; Andersen, Hjalte H; Anderson, Gregory M; Antoine, Rose Mayerline; T Antonio, Carl Abelardo; Aregay, Atsede Fantahun; Ärnlöv, Johan; Arora, Megha; Arsic Arsenijevic, Valentina S; Artaman, Al; Asayesh, Hamid; Atique, Suleman; Arthur Avokpaho, Euripide Frinel G; Awasthi, Ashish; Ayala Quintanilla, Beatriz Paulina; Azzopardi, Peter; Bacha, Umar; Badawi, Alaa; Bahit, Maria C; Balakrishnan, Kalpana; Banerjee, Amitava; Barac, Aleksandra; Barker-Collo, Suzanne L; Bärnighausen, Till; Basu, Sanjay; Bayou, Tigist Assefa; Bayou, Yibeltal Tebekaw; Bazargan-Hejazi, Shahrzad; Beardsley, Justin; Haidong Wang, Neeraj; Bekele, Tolesa; Bell, Michelle L; Bennett, Derrick A; Bensenor, Isabela M; Berhane, Adugnaw; Bernabé, Eduardo; Betsu, Balem Demtsu; Beyene, Addisu Shunu; Biadgilign, Sibhatu; Bikbov, Boris; Abdulhak, Aref A Bin; Biroscak, Brian J; Biryukov, Stan; Bisanzio, Donal; Bjertness, Espen; Blore, Jed D; Brainin, Michael; Brazinova, Alexandra; Breitborde, Nicholas JK; Brugha, Traolach S; Butt, Zahid A; Campos-Nonato, Ismael Ricardo; Campuzano, Julio Cesar; Cárdenas, Rosario; Carrero, Juan Jesus; Carter, Austin; Casey, Daniel C; Castañeda-Orjuela, Carlos A; Castro, Ruben Estanislao; Catalá-López, Ferrán; Cavalleri, Fiorella; Chang, Hsing-Yi; Chang, Jung-Chen; Chavan, Laxmikant; Chibueze, Chioma Ezinne; Chisumpa, Vesper Hichilombwe; Jasmine Choi, Jee-Young; Chowdhury, Rajiv; Christopher, Devasahayam Jesudas; Ciobanu, Liliana G; Cirillo, Massimo; Coates, Matthew M; Coggeshall, Megan; Colistro, Valentina; Colquhoun, Samantha M; Cooper, Cyrus; Cooper, Leslie Trumbull; Cortinovis, Monica; Dahiru, Tukur; Damasceno, Albertino; Danawi, Hadi; Dandona, Rakhi; Neves, Jose Das; De Leo, Diego; Dellavalle, Robert P; Deribe, Kebede; Deribew, Amare; Jarlais, Don C Des; Dharmaratne, Samath D; Dicker, Daniel J; Ding, Eric L
Format
Article
Status
publishedVersion
Description

Background In transitioning from the Millennium Development Goal to the Sustainable Development Goal era, it is imperative to comprehensively assess progress toward reducing maternal mortality to identify areas of success, remaining challenges, and frame policy discussions. We aimed to quantify maternal mortality throughout the world by underlying cause and age from 1990 to 2015. Methods We estimated maternal mortality at the global, regional, and national levels from 1990 to 2015 for ages 10–54 years by systematically compiling and processing all available data sources from 186 of 195 countries and territories, 11 of which were analysed at the subnational level. We quantifi ed eight underlying causes of maternal death and four timing categories, improving estimation methods since GBD 2013 for adult all-cause mortality, HIV-related maternal mortality, and late maternal death. Secondary analyses then allowed systematic examination of drivers of trends, including the relation between maternal mortality and coverage of specifi c reproductive health-care services as well as assessment of observed versus expected maternal mortality as a function of Socio-demographic Index (SDI), a summary indicator derived from measures of income per capita, educational attainment, and fertility.
Background In transitioning from the Millennium Development Goal to the Sustainable Development Goal era, it is imperative to comprehensively assess progress toward reducing maternal mortality to identify areas of success, remaining challenges, and frame policy discussions. We aimed to quantify maternal mortality throughout the world by underlying cause and age from 1990 to 2015. Methods We estimated maternal mortality at the global, regional, and national levels from 1990 to 2015 for ages 10–54 years by systematically compiling and processing all available data sources from 186 of 195 countries and territories, 11 of which were analysed at the subnational level. We quantifi ed eight underlying causes of maternal death and four timing categories, improving estimation methods since GBD 2013 for adult all-cause mortality, HIV-related maternal mortality, and late maternal death. Secondary analyses then allowed systematic examination of drivers of trends, including the relation between maternal mortality and coverage of specifi c reproductive health-care services as well as assessment of observed versus expected maternal mortality as a function of Socio-demographic Index (SDI), a summary indicator derived from measures of income per capita, educational attainment, and fertility.

Publication Year
2016
Language
eng
Topic
Millennium
HIV-related maternal mortality
Index (SDI)
Repository
RI INDICASAT
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https://doi.org/10.1016/S0140-6736(16)31470-2
http://repositorio-indicasat.org.pa/handle/123456789/209
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