maternal mortality 3rd global forum on gender statistics manila, philippines
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DESCRIPTIONMaternal mortality 3rd Global Forum on Gender Statistics Manila, Philippines. October 2010 ESA/STAT/AC.219/19. Marcela Eternod Armburu. Maternal mortality. The maternal mortality ratio reflects the magnitude of a health problem since most of maternal deaths are preventable. - PowerPoint PPT Presentation
October 2010ESA/STAT/AC.219/19Maternal mortality
3rd Global Forum on Gender Statistics Manila, PhilippinesMarcela Eternod Armburu
The maternal mortality ratio reflects the magnitude of a health problem since most of maternal deaths are preventable. Reducing maternal mortality is one of the main objectives of Mexicos National Program of Health 2006-2012 and is an international commitment to meet the Millennium Development Goals.
Maternal mortalityThe prevention of deaths from these causes depends on the coverage and quality of health services, detection and adequate treatment of complications as well as the timely pipeline of women to a hospital with trained staff trained and the resources needed to execute obstetric emergencies. SSA officials say that maternal mortality in Mexico currently does not reflect a problem of access to health services, but poor quality of services, with more than 82% of maternal deaths occurring in the hospital (2009).
Maternal mortalityIt is widely known that maternal mortality measurement is facing a set of technical problems affecting the indicators. The data quality is questionable:Not all maternal deaths are indentified.There are problems of birth registration.
Maternal mortalityIn this situation, in Mexico took place in 2002 and 2003 a pilot study that revealed the misclassification of maternal deaths which showed the errors in coding causes of death having consequences on underreporting maternal mortality. Based on this study, we designed a set of measures, mandatory for all health sector, which aims to find all misclassified maternal deaths in the country and correct them.
Maternal mortalityThese actions not only substantially improved the quality of data and consequently of the indicators, but also have given credibility to the maternal mortality data gathered in our country.
Deliberate search of maternal deaths Maternal deaths were confirmed.Suspected cases of maternal death masked.Maternal deaths are not registered.
Maternal mortalityThe deliberate search and reclassification of suspected maternal deaths supports the RAMOS methodology "modified" (Reproductive Age Mortality Survey).11 Direccin General de Informacin en Salud.
Sources of information Death certificate.Confidential questionnaire of maternal death.Complete clinical record.Verbal autopsies.Committee reports of maternal death.Group Immediate Care of Maternal Deaths (Aideman).Unique Information System for Epidemiological Monitoring (SUIVE).
Sources of information Health Information System (SIS).Automated System for Hospital Discharge (SAEH).The Epidemiological and Statistical Mortality System (SEED).Database reporting notification system immediately.Reports of the method "Ramos.
Maternal mortalityFuente: SSA. Bsqueda intencionada de muertes maternas en Mxico. Informe 2008. SSA. Mxico 2010.* Estimacin por subregistro hasta el ao 2001 (DGIS/ SSA).
Year of registrationObserved maternal deathsCorrected maternal deaths*Percentage increase19901 4772 1560.4619911 4142 1080.4919921 3992 0900.4919931 2682 0580.6219941 4092 0210.4319951 4541 9670.3519961 2911 9370.5019971 2661 8740.4819981 4171 8740.3219991 3991 9040.3620001 3101 6970.3020011 2531 6160.29
Modified RAMOS methodologyFuente: SSA. Bsqueda intencionada de muertes maternas en Mxico. Informe 2008. SSA. Mxico 2008..* Incluye muertes tardas, por secuelas y extemporneas.** Preliminar.
Year of registrationTotal maternal deaths*Epidemiological and statistical system Deliberate search of maternal deaths %20021 3301 15517513.220031 3391 12221716.220041 2731 13114411.320051 2781 12415412.120061 2021 01818415.320071 15796918816.220081 1671 082857.32009**1 2811 14313810.82002-200910 0278 7441 28512.8
Maternal deaths with deliberate searchFuente: SSA. Bsqueda intencionada de muertes maternas en Mxico. Informe 2008. SSA. Mxico 2008..
Year of registrationTotal maternal deathsDeliberate search of maternal deathsLate deaths by sequels and extemporaneousMaternal mortality ratio20021 3301 3092159.920031 3391 3132662.620041 2731 2393460.920051 2781 2423661.820061 2021 1663658.620071 1571 0976055.620081 1671 1194857.220091 281 1 281nd62.2
Maternal mortality ratio (MMR)Fuente: SSA. Bsqueda intencionada de muertes maternas en Mxico. Informe 2008. SSA. Mxico 2008..
Maternal mortality8578288042282721132233217TMD 1 157TMD 1 167TMD 1 281Fuente: SSA. Bsqueda intencionada de muertes maternas en Mxico. Informe 2008. SSA. Mxico 2008.. Direct obstetric causes Indirect obstetric causes Influenza and pneumonia
it has been made great efforts to improve the recording of maternal mortality.
has been implemented a complete protocol to review all maternal deaths, confirmed and suspected.
already is working a procedure to identify late maternal deaths by sequels.
there is a procedure to reclassify maternal deaths out of time and correct the annual data.
Why it does not consider WHO?In 2005, Mexico ranked as a country with good estimates of maternal mortality (group A). But in 2010, WHO made a correction to the data from Mexico without considering all the work has been done to ensure data quality of maternal deaths at the local, state and national levels.
Maternal mortality ratio in MexicoCorrection by sub registration WHO estimates2010Deliberate search of maternal deathsFuente: Aurora del Ro Estadsticas sobre Mortalidad Materna en Mxico.
National Center for Gender Equity and Reproductive Health
Action Program 2007-2012:Sexual and reproductive health for teens.Family planning and contraception.Breast cancer.Prevention and care of family violence and gender violence.Cervical cancer.An equal start in life.Gender equality in health.
Work programs of specialized technical committees (SNIEG)Specialized Technical Committee on Health Sector.
Specialized Technical Committee on the Information System of the Millennium Development Goals.
Specialized Technical Committee on Gender-Sensitive Information.
BibliographyAurora del Ro Estadsticas sobre Mortalidad Materna en Mxico.Bsqueda intencionada de muertes maternas en Mxico. Informe 2008. SSA, 2010.Prioridades del Centro Nacional de Equidad de Gnero y Salud Reproductiva.