[Estimate of maternal mortality in a rural area of Niger: use of the indirect sisterhood method].

D De Groof, A Seyni Bagnou, H Sekou
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Abstract

Maternal mortality remains one of the major public health problems nowadays. Each year, all over the world, half a million women die of pregnancy-related complications most of which could be avoided. In spite of enormous efforts at handling this problem, the results have been small. In many countries, the extent of the problem is virtually unknown for lack of reliable birth and mortality data. Where vital statistics are incomplete or non-existent, one should have recourse to other sources of information. In reaction to the classic, yet inadequate methods of collecting information, indirect techniques for estimating maternal mortality have been developed. One of these procedures is the sisterhood method: using this technique, researchers are able to deduce indicators of maternal mortality based on the proportion of sisters, who, once reached childbearing age, survived or died during pregnancy, childbirth or postpartum. The authors tested this method in Niger in a rural area with difficult access to primary health care. They noted a maternal mortality rate of 1,050 every 100,000 live births. This practical and simple method of estimating maternal mortality in a given area, at a relatively low cost, could readily be incorporated into routine medical activities.

[尼日尔农村地区孕产妇死亡率估计:使用间接姐妹法]。
产妇死亡率仍然是当今主要的公共卫生问题之一。每年,全世界有50万妇女死于与妊娠有关的并发症,其中大多数是可以避免的。尽管为解决这个问题作出了巨大的努力,但收效甚微。在许多国家,由于缺乏可靠的出生和死亡率数据,这个问题的严重程度实际上是未知的。在生命统计数据不完整或不存在的情况下,应求助于其他信息来源。针对传统但不充分的信息收集方法,开发了估算产妇死亡率的间接技术。其中一种方法是姐妹法:利用这种技术,研究人员能够根据姐妹的比例推断产妇死亡率指标,这些姐妹一旦达到育龄,在怀孕、分娩或产后幸存或死亡。作者在尼日尔一个难以获得初级卫生保健的农村地区试验了这种方法。他们注意到产妇死亡率为每10万活产1 050人。这种估算某一地区产妇死亡率的实用而简单的方法,成本相对较低,可以很容易地纳入日常医疗活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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