Maternal mortality decline in Zimbabwe, 2007/2008 to 2018/2019

Findings from mortality surveys using civil registration, vital statistics and health system data

Dados Bibliográficos

ID21881737
AutoresReuben Musarandega (0000-0002-0622-2195, University of Zimbabwe, autor correspondente), Jenny A Cresswell (0000-0002-9553-1132, World Health Organization), Jenny Cresswell (World Health Organization), Thulani Magwali (University of Zimbabwe), Davidzoyashe Makosa (Ministry of Health and Child Welfare), Rhoderick Machekano (0000-0002-3433-2551, Stellenbosch University), Solwayo Ngwenya (0000-0003-1190-389X, National University of Science and Technology), Lennarth Nyström (0000-0002-5095-3454, Umeå University), Robert Pattinson (0000-0001-6710-7636, University of Pretoria), Stephen Munjanja (University of Zimbabwe)
Ano2022
Volume7
Fascículo8
Páginase009465
Data de publicação2022-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2022-009465
PMID35926916
OpenAlexW4289783435
IdiomaEN
Citações recebidas1
Referências citadas22

BACKGROUND: Sustainable Development Goal (SDG) 3.1 target is to reduce the global maternal mortality ratio (MMR) to less than 70 maternal deaths per 100 000 live births by 2030. In the Ending Preventable Maternal Mortality strategy, a supplementary target was added, that no country has an MMR above 140 by 2030. We conducted two cross-sectional reproductive age mortality surveys to analyse changes in Zimbabwe's MMR between 2007-2008 and 2018-2019 towards the SDG target. METHODS: We collected data from civil registration, vital statistics and medical records on deaths of women of reproductive ages (WRAs), including maternal deaths from 11 districts, randomly selected from each province (n=10) using cluster sampling. We calculated weighted mortality rates and MMRs using negative binomial models, with 95% CIs, performed a one-way analysis of variance of the MMRs and calculated the annual average reduction rate (ARR) for the MMR. RESULTS: In 2007-2008 we identified 6188 deaths of WRAs, 325 pregnancy-related deaths and 296 maternal deaths, and in 2018-2019, 1856, 137 and 130, respectively. The reproductive age mortality rate, weighted by district, declined from 11 to 3 deaths per 1000 women. The MMR (95% CI) declined from 657 (485 to 829) to 217 (164 to 269) deaths per 100 000 live births at an annual ARR of 10.1%. CONCLUSIONS: Zimbabwe's MMR declined by an annual ARR of 10.1%, against a target of 10.2%, alongside declining reproductive age mortality. Zimbabwe should continue scaling up interventions against direct maternal mortality causes to achieve the SDG 3.1 target by 2030

Live birth · Mortality rate · Pregnancy · Psychological intervention · Public health · Standardized mortality ratio · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Maternal and fetal healthcare · Medicine