Maternal mortality during war time in Tigray, Ethiopia: A community-based study.
Tigray war
WHO verbal autopsy
causes
community
interVA
maternal mortality ratio
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
26 Sep 2023
26 Sep 2023
Historique:
revised:
07
09
2023
received:
17
04
2023
accepted:
09
09
2023
medline:
27
9
2023
pubmed:
27
9
2023
entrez:
27
9
2023
Statut:
aheadofprint
Résumé
This study seeks to examine the impact of war on maternal mortality following an exacerbation in the dynamics of inequality in maternal health caused by the continuing conflict. Community-based cross-sectional study. Tigray region of Northern Ethiopia, between November 2020 and May 2022. This study surveyed a total of 189 087 households from six of the seven zones of Tigray in 121 tabiyas from 31 districts selected. A multistage cluster sampling technique was used to select the districts and tabiyas. The study was conducted in two phases. In the first phase, reproductive-age deaths that occurred during the study period were screened. In the second phase, verbal autopsies were conducted at the screened households. Maternal mortality ratio level and cause-specific mortality. The results of the study showed that the maternal mortality ratio was 840 (95% CI 739-914) per 100 000 live births. Haemorrhage, 107 (42.8%), pregnancy-induced hypertension, 21 (8.4%), and accidents, 14 (5.6%), were the main causes of mortality. Additionally, 203 (81.2%) of the mothers died outside of a health facility. This study has shown a higher maternal mortality ratio following the dynamics of the Tigray war, as compared with the pre-war level of 186/100 000. Furthermore, potentially many of the pregnancy-related deaths could have been prevented with access to preventive and emergency services. Given the destruction and looting of many facilities, the restoration and improvement of the Tigray health system must take precedence.
Identifiants
pubmed: 37752662
doi: 10.1111/1471-0528.17677
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : UNICEF
ID : DK A62/ZZT07
Organisme : United Nations Fund for Population Activities
Informations de copyright
© 2023 John Wiley & Sons Ltd.
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