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Maternal mortality estimates: global progress on levels and trends

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Institute for Health Metrics and Evaluation - University of Washington
Institute for Health Metrics and Evaluation - University of Washington

IHME's Dr. Lozano presents the results of IHME's research on maternal mortality, which shows that global maternal deaths are declining. For more information visit www.healthmetricsandevaluation.org

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Maternal Mortality Estimates: Global Progress on Levels and Trends August 30, 2010 Rafael Lozano, MD MSc Professor of Global Health
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Broader context ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outline ,[object Object],[object Object],[object Object],[object Object]
Definitions ,[object Object],[object Object],[object Object],  Direct Indirect HIV Incidental Early maternal (<42 days) A B C D Late maternal (> 42 days & < 1 year) E F    
Density of site-years of observation, 1980-2008
Systematic identification of data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],* Naghavi M, et al. Algorithms for enhancing public health utility of cause s of death data, Population Health Metrics, 2010. No data for 21 countries, representing 2.2% of births Source of Data Site-Years of Observation Vital registration 2,186 Sibling Histories 204 Surveillance Systems 20 Census/Survey Deaths in Household 26 National VA 35 Subnational VA 180 Total 2,651
Analytical approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Criteria for better and consistent estimates ,[object Object],[object Object],[object Object],[object Object]
Outline ,[object Object],[object Object],[object Object],[object Object]
Maternal deaths by region, 1980-2008
Regional trends in the MMR
MMR with and without HIV
India: Predicted MMR per 100,000 live births with uncertainty
MMR per 100,000 live births, 2008
Annualized rate of decline in MMR, 1990 to 2008
Outline ,[object Object],[object Object],[object Object],[object Object]
Lessons learned ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lessons learned ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Next steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
KNOWING IS NOT ENOUGH; WE MUST APPLY. WILLING IS NOT ENOUGH; WE MUST DO. JOHANN W. VON GOETHE ( 1749-1832)

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Maternal mortality estimates: global progress on levels and trends

Editor's Notes

  1. This graph shows maternal deaths by 21 Global Burden of Disease regions. The global total was 526,300 in 1980, dropping to 342,900 in 2008, a yearly rate of decline of about 1.5% in the number of deaths. You can see here the enormous but shrinking contribution of South Asia, which includes India, Pakistan, Afghanistan and Bangladesh. You can also see that the relative contribution of maternal deaths in Sub-Saharan Africa has been increasing, from about 23% in 1980 to more than half (52%) in 2008.
  2. Y!