Maternal mortality and morbidity burden in the Eastern Mediterranean region : findings from the Global Burden of Disease 2015 study

Ibrahim Khalil, Michael Collison, Charbel El Bcheraoui, Raghid Charara, Maziar Moradi-Lakeh, Ashkan Afshin, Adrienne Chew, Farah Daoud, Kristopher J. Krohn, Danny Colombara, Rebecca Ehrenkranz, Michael Kutz, Haidong Wang, Amanuel Alemu Abajobir, Foad Abd-Allah, Haftom Niguse Abraha, Laith J. Abu-Raddad, Aliasghar Ahmad Kiadaliri, Alireza Ahmadi, Kedir Yimam AhmedMuktar Beshir Ahmed, Faris Hasan Al Lami, Khurshid Alam, Deena Alasfoor, Reza Alizadeh-Navaei, Juma M. Alkaabi, Fatma Al-Maskari, Rajaa Al-Raddadi, Khalid A. Altirkawi, Nahla Anber, Hossein Ansari, Hamid Asayesh, Rana Jawad Asghar, Tesfay Mehari Atey, Tadesse Awoke Ayele, Till Barnighausen, Umar Bacha, Aleksandra Barac, Suzanne L. Barker-Collo, Bernhard T. Baune, Shahrzad Bazargan-Hejazi, Neeraj Bedi, Isabela M. Bensenor, Adugnaw Berhane, Addisu Shunu Beyene, Zulfiqar A. Bhutta, Dube Jara Boneya, Rohan Borschmann, Nicholas J. K. Breitborde, Zahid A. Butt, Ferran Catala-Lopez, Liliana G. Ciobanu, Hadi Danawi, Amare Deribew, Samath D. Dharmaratne, Kerrie E. Doyle, Aman Yesuf Endries, Emerito Jose Aquino Faraon, Andre Faro, Maryam S. Farvid, Wubalem Fekadu, Seyed-Mohammad Fereshtehnejad, Florian Fischer, Tsegaye Tewelde Gebrehiwot, Ababi Zergaw Giref, Melkamu Dedefo Gishu, Alessandra Carvalho Goulart, Tesfa Dejenie Habtewold, Randah Ribhi Hamadeh, Mitiku Teshome Hambisa, Samer Hamidi, Josep Maria Haro, Mohammad Sadegh Hassanvand, Nobuyuki Horita, Mohamed Hsairi, Hsiang Huang, Abdullatif Husseini, Mihajlo B. Jakovljevic, Spencer Lewis James, Jost B. Jonas, Amir Kasaeian, Yousef Saleh Khader, Ejaz Ahmad Khan, Abdullah Tawfih Abdullah Khoja, Ardeshir Khosravi, Jagdish Khubchandani, Daniel Kim, Yun Jin Kim, Yoshihiro Kokubo, Ai Koyanagi, Barthelemy Kuate Defo, Heidi J. Larson, Asma Abdul Latif, Paul H. Lee, Cheru Tesema Leshargie, Ricky Leung, Loon-Tzian Lo, Raimundas Lunevicius, Hassan Magdy Abd El Razek, Mohammed Magdy Abd El Razek, Reza Majdzadeh, Azeem Majeed, Reza Malekzadeh, Jose Martinez-Raga, Habibolah Masoudi Farid, Mohsen Mazidi, John J. McGrath, Ziad A. Memish, Walter Mendoza, Melkamu Merid Mengesha, Mubarek Abera Mengistie, George A. Mensah, Haftay Berhane Mezgebe, Ted R. Miller, Philip B. Mitchell, Alireza Mohammadi, Shafiu Mohammed, Carla Makhlouf Obermeyer, Felix Akpojene Ogbo, et al.

Research output: Contribution to journalArticlepeer-review

Abstract

Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015. We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries. The maternal mortality ratio in the EMR decreased 16.3% from 283 (241-328) maternal deaths per 100,000 live births in 1990 to 237 (188-293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region. Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life.
Original languageEnglish
Pages (from-to)47-61
Number of pages15
JournalInternational Journal of Public Health
Volume63
DOIs
Publication statusPublished - 2018

Open Access - Access Right Statement

© The Author(s) 2017. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://crea tivecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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