ArticleBMC pregnancy and childbirth2011
High maternal mortality estimated by the sisterhood method in a rural area of Mali.
Article in BMC pregnancy and childbirth, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Measuring maternal mortality: a systematic review of methods used to obtain estimates of the maternal mortality ratio (MMR) in low- and middle-income countries.British medical bulletin · 2017Pooled it
- Trial
- A woman's lifetime risk disparities in maternal mortality in Ethiopia.Public health challenges · 2023Article
- Article
- Geographic Access and Maternal Health Services Utilization in Sélingué Health District, Mali.Maternal and child health journal · 2022Article
- Article
- Integrating Mental Health into Maternal Health Care in Rural Mali: A Qualitative Study.Journal of midwifery & women's health · 2021Article
- Maternal health care service utilization in post-war Liberia: analysis of nationally representative cross-sectional household surveys.BMC public health · 2019Article
- High maternal mortality in Jigawa State, Northern Nigeria estimated using the sisterhood method.BMC pregnancy and childbirth · 2017Article
- Magnitude and trends of inequalities in antenatal care and delivery under skilled care among different socio-demographic groups in Ghana from 1988 - 2008.BMC pregnancy and childbirth · 2014Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal mortality is high in Mali. Nevertheless, there are few studies on this topic from rural areas, and current estimates are mostly based on studies from urban settings. Our objective was to estimate the maternal mortality ratio in Kita, rural Mali.
methodsUsing the "sisterhood method", we interviewed participants aged 15-50 years from 20 villages in Kita, Mali, and thereby created a retrospective cohort of their sisters in reproductive age. Based on population and fertility estimates, we calculated the lifetime risk of maternal death, and from that the estimated approximate maternal mortality ratio.
resultsThe 2,039 respondents reported 4,628 sisters who had reached reproductive age. Of these 4,628 sisters, almost a third (1,233; 27%) had died, and 429 (9%) had died during pregnancy or childbirth. This corresponded to a lifetime risk of maternal death of 20% and a maternal mortality ratio of 3,131 per 100,000 live births (95% confidence interval 2,967-3,296), with a time reference around 1999.
conclusionsWe found a very high maternal mortality in rural Mali and this highlights the urgent need for obstetric services in the remote rural areas.
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