The magnitude and factors related to facility-based maternal mortality in Mozambique

Undefined

ABSTRACT
Facility-based maternal mortality remains an important public health problem in Mozambique. A number of factors associated with health system functioning can be described behind the occurrence of these deaths. This paper aimed to evaluate the magnitude of the health facility-based maternal mortality, its geographical distribution and to assess the health facility factors implicated in the occurrence of these deaths. A secondary analysis was done on data from the survey on maternal health needs performed by the Ministry of Health of Mozambique in 2008. During the study period 2.198 maternal deaths occurred out of 312.537 deliveries. According to the applied model the availability of Maternal
and Child Health (MCH) nurses performing Emergency Obstetric Care functions was related to the reduction of facility-based maternal mortality by 40%. No significant effects were observed for the availability of medical doctors, surgical technicians and critical delivery room equipment.

Authors & affiliation: 
Leonardo Chavane a , Martinho Dgedge b , Olivier Degomme c , Osvaldo Loquiha d , Marc Aerts e and Marleen Temmerman c a Jhpiego – Mozambique, Maputo, Mozambique; b Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique; c International Center for Reproductive Health, Ghent University, Ghent, Belgium; d Department of Mathematics and Informatics, Eduardo Mondlane University, Maputo, Mozambique; e Interuniversity Institute for Biostatistics and Statistical Bioinformatics, (I – Bisotat) Hasselt University, Hasselt, Belgium
Ranking: 
Published In: 
JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2017 - VOL. 37, NO. 4, 464 – 470 http://dx.doi.org/10.1080/01443615.2016.1256968
Publication date: 
Tuesday, February 7, 2017