Reproductive age mortality survey (RAMOS) in Accra, Ghana
Identifieur interne : 000A20 ( Main/Exploration ); précédent : 000A19; suivant : 000A21Reproductive age mortality survey (RAMOS) in Accra, Ghana
Auteurs : Afisah Yakubu Zakariah [Ghana, Belgique] ; Sophie Alexander [Belgique] ; Jos Van Roosmalen [Pays-Bas] ; Pierre Buekens [Belgique, États-Unis] ; Enyonam Yao Kwawukume [Ghana] ; Patrick Frimpong [Ghana]Source :
- Reproductive Health [ 1742-4755 ] ; 2009.
Abstract
Maternal mortality remains a severe problem in many parts of the world, despite efforts to reach MDG 5. In addition, underreporting is an issue especially in low income countries. Our objective has been to identify the magnitude of maternal deaths and the degree of underreporting of these deaths in Accra Metropolis in Ghana during a one year period.
A Reproductive Age Mortality survey (RAMOS) was carried out in the Accra Metropolis for the period 1st January 2002-31st December 2002. We reviewed records of female deaths aged 10–50 years in the Metropolis for the whole year 2002 using multiple sources. Maternal deaths identified through the review were compared with the officially reported maternal deaths for the same period.
At the end of the study, a total of 179 maternal deaths out of 9,248 female deaths between the ages of 10–50 years were identified. One hundred and one (N = 101) of these were reported, giving an underreporting rate of 44%. The 179 cases consisted of 146 (81.6%) direct maternal deaths and 32 (17.9%) indirect maternal deaths and 1 (0.6%) non maternal death. The most frequent causes of direct maternal deaths were obstetric haemorrhage (57; 32%), pregnancies with abortive outcome (37; 20.8%), (pre) eclampsia (26; 14.6%) and puerperal sepsis (13; 7.3%). The most frequent indirect cause was sickle cell crisis in pregnancy (13; 7.3%).
A Reproductive Age Mortality Survey is an effective method that could be used to update data on maternal mortality in Ghana while efforts are made to improve on maternal death audits in the health facilities. Strengthening the existing community based volunteers to report deaths that take place at home and the civil registration systems of births and deaths is also highly recommended.
Url:
DOI: 10.1186/1742-4755-6-7
PubMed: 19497092
PubMed Central: 2694771
Affiliations:
- Belgique, Ghana, Pays-Bas, États-Unis
- Hollande-Méridionale, Hollande-Septentrionale, Région de Bruxelles-Capitale, Région du Grand Accra
- Accra, Amsterdam, Bruxelles, Leyde
- Université libre de Bruxelles
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nuts="2">Région du Grand Accra</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="I2">Unité Santé Reproductive et Epidémiologie Périnatale, Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Unité Santé Reproductive et Epidémiologie Périnatale, Ecole de Santé Publique, Université Libre de Bruxelles, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName><orgName type="university">Université libre de Bruxelles</orgName></affiliation></author><author><name sortKey="Alexander, Sophie" sort="Alexander, Sophie" uniqKey="Alexander S" first="Sophie" last="Alexander">Sophie Alexander</name><affiliation wicri:level="4"><nlm:aff id="I2">Unité Santé Reproductive et Epidémiologie Périnatale, Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Unité Santé Reproductive et Epidémiologie Périnatale, Ecole de Santé Publique, Université Libre de Bruxelles, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName><orgName type="university">Université libre de Bruxelles</orgName></affiliation></author><author><name sortKey="Van Roosmalen, Jos" sort="Van Roosmalen, Jos" uniqKey="Van Roosmalen J" first="Jos" last="Van Roosmalen">Jos Van Roosmalen</name><affiliation wicri:level="3"><nlm:aff id="I3">Leiden University Medical Centre, Leiden, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Leiden University Medical Centre, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I4">VU University Medical Centre, Amsterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>VU University Medical Centre, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Buekens, Pierre" sort="Buekens, Pierre" uniqKey="Buekens P" first="Pierre" last="Buekens">Pierre Buekens</name><affiliation wicri:level="4"><nlm:aff id="I2">Unité Santé Reproductive et Epidémiologie Périnatale, Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Unité Santé Reproductive et Epidémiologie Périnatale, Ecole de Santé Publique, Université Libre de Bruxelles, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName><orgName type="university">Université libre de Bruxelles</orgName></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">School of Public Health and Tropical Medicine, Tulane University, New Orleans, Lousiana, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Public Health and Tropical Medicine, Tulane University, New Orleans, Lousiana</wicri:regionArea><wicri:noRegion>Lousiana</wicri:noRegion></affiliation></author><author><name sortKey="Kwawukume, Enyonam Yao" sort="Kwawukume, Enyonam Yao" uniqKey="Kwawukume E" first="Enyonam Yao" last="Kwawukume">Enyonam Yao Kwawukume</name><affiliation wicri:level="3"><nlm:aff id="I6">Korle-Bu Teaching Hospital, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Korle-Bu Teaching Hospital, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Frimpong, Patrick" sort="Frimpong, Patrick" uniqKey="Frimpong P" first="Patrick" last="Frimpong">Patrick Frimpong</name><affiliation wicri:level="3"><nlm:aff id="I7">La General Hospital, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>La General Hospital, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author></analytic><series><title level="j">Reproductive Health</title><idno type="eISSN">1742-4755</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Maternal mortality remains a severe problem in many parts of the world, despite efforts to reach MDG 5. In addition, underreporting is an issue especially in low income countries. Our objective has been to identify the magnitude of maternal deaths and the degree of underreporting of these deaths in Accra Metropolis in Ghana during a one year period.</p></sec><sec sec-type="methods"><title>Methods</title><p>A Reproductive Age Mortality survey (RAMOS) was carried out in the Accra Metropolis for the period 1st January 2002-31st December 2002. We reviewed records of female deaths aged 10–50 years in the Metropolis for the whole year 2002 using multiple sources. Maternal deaths identified through the review were compared with the officially reported maternal deaths for the same period.</p></sec><sec><title>Results</title><p>At the end of the study, a total of 179 maternal deaths out of 9,248 female deaths between the ages of 10–50 years were identified. One hundred and one (N = 101) of these were reported, giving an underreporting rate of 44%. The 179 cases consisted of 146 (81.6%) direct maternal deaths and 32 (17.9%) indirect maternal deaths and 1 (0.6%) non maternal death. The most frequent causes of direct maternal deaths were obstetric haemorrhage (57; 32%), pregnancies with abortive outcome (37; 20.8%), (pre) eclampsia (26; 14.6%) and puerperal sepsis (13; 7.3%). The most frequent indirect cause was sickle cell crisis in pregnancy (13; 7.3%).</p></sec><sec><title>Conclusion</title><p>A Reproductive Age Mortality Survey is an effective method that could be used to update data on maternal mortality in Ghana while efforts are made to improve on maternal death audits in the health facilities. Strengthening the existing community based volunteers to report deaths that take place at home and the civil registration systems of births and deaths is also highly recommended.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Ghana</li><li>Pays-Bas</li><li>États-Unis</li></country><region><li>Hollande-Méridionale</li><li>Hollande-Septentrionale</li><li>Région de Bruxelles-Capitale</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Amsterdam</li><li>Bruxelles</li><li>Leyde</li></settlement><orgName><li>Université libre de Bruxelles</li></orgName></list><tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Zakariah, Afisah Yakubu" sort="Zakariah, Afisah Yakubu" uniqKey="Zakariah A" first="Afisah Yakubu" last="Zakariah">Afisah Yakubu Zakariah</name></region><name sortKey="Frimpong, Patrick" sort="Frimpong, Patrick" uniqKey="Frimpong P" first="Patrick" last="Frimpong">Patrick Frimpong</name><name sortKey="Kwawukume, Enyonam Yao" sort="Kwawukume, Enyonam Yao" uniqKey="Kwawukume E" first="Enyonam Yao" last="Kwawukume">Enyonam Yao Kwawukume</name></country><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Zakariah, Afisah Yakubu" sort="Zakariah, Afisah Yakubu" uniqKey="Zakariah A" first="Afisah Yakubu" last="Zakariah">Afisah Yakubu Zakariah</name></region><name sortKey="Alexander, Sophie" sort="Alexander, Sophie" uniqKey="Alexander S" first="Sophie" last="Alexander">Sophie Alexander</name><name sortKey="Buekens, Pierre" sort="Buekens, Pierre" uniqKey="Buekens P" first="Pierre" last="Buekens">Pierre Buekens</name></country><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Van Roosmalen, Jos" sort="Van Roosmalen, Jos" uniqKey="Van Roosmalen J" first="Jos" last="Van Roosmalen">Jos Van Roosmalen</name></region><name sortKey="Van Roosmalen, Jos" sort="Van Roosmalen, Jos" uniqKey="Van Roosmalen J" first="Jos" last="Van Roosmalen">Jos Van Roosmalen</name></country><country name="États-Unis"><noRegion><name sortKey="Buekens, Pierre" sort="Buekens, Pierre" uniqKey="Buekens P" first="Pierre" last="Buekens">Pierre Buekens</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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