SynthesisBritish medical bulletin2017
Measuring maternal mortality: a systematic review of methods used to obtain estimates of the maternal mortality ratio (MMR) in low- and middle-income countries.
Synthesis in British medical bulletin, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed.
- Global, regional, and national burden of maternal hemorrhage from 1990 to 2021, with projections to 2050: Insights from the Global Burden of Disease Study 2021.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- The economic burden of maternal mortality: a scoping review.Health economics review · 2026Review
- Introducing and testing the maternal vulnerability segmentation tool (MVST) for essential health services use: demonstrating its use in Oromia, Ethiopia.BMJ global health · 2026Article
- Transforming maternal health in Ethiopia: Leveraging human-centered design to co-create innovative behavioral interventions.PLOS global public health · 2026Article
- Article
- Trends in maternal mortality and stillbirths by county in health facility data, Kenya, 2011-2022.BMC pregnancy and childbirth · 2025Article
- Adolescent health and well-being in sub-Saharan Africa: Strengthening knowledge base and research capacity through a collaborative multi-country school-based study.Maternal & child nutrition · 2025Article
- Maternal mortality ratios in low- and middle-income countries: a comparison of estimation methods and relationships with sociodemographic covariates.AJOG global reports · 2025Article
- Maternal mortality estimation methodologies: a scoping review and evaluation of suitability for use in humanitarian settings.Conflict and health · 2024Article
- A rural ambulance service in Northern Togo improves access to emergency care for women with obstetric complications.Journal of global health · 2024Article
- The quality of routine data for measuring facility-based maternal mortality in public and private health facilities in Kampala City, Uganda.Population health metrics · 2024Article
- Risk factors for maternal near-miss in an undeveloped province in south-central China, 2012-2022.BMC public health · 2024Article
- Causes of maternal deaths in Sierra Leone from 2016 to 2019: analysis of districts' maternal death surveillance and response data.BMJ open · 2024Article
- Mixed-methods approach in evaluating safe abortion care services at public health facilities in North Shewa zone, central Ethiopia: a multicenter institutional cross-sectional study.Frontiers in health services · 2024Article
- The preventable burden of mortality from unsafe abortion among female sex workers: a Community Knowledge Approach survey among peer networks in eight countries.Sexual and reproductive health matters · 2023Article
- Usefulness of the Hospital Information System for maternal mortality surveillance in Brazil.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2023Article
- Causes of mortality among female sex workers: Results of a multi-country study.EClinicalMedicine · 2022Article
- Why mothers die: Analysis of verbal autopsy data from Kersa Health and Demographic Surveillance System, Eastern Ethiopia.Journal of global health · 2022Article
- A comparison of approaches to measuring maternal mortality in Bangladesh, Mozambique, and Bolivia.Population health metrics · 2022Article
- Reducing maternal and neonatal mortality through integrated and sustainability-focused programming in Zambia.PLOS global public health · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The new global target for maternal mortality ratio (MMR) is a ratio below 70 maternal deaths per 100 000 live births by 2030. We undertook a systematic review of methods used to measure MMR in low- and middle-income countries. Sources of data: Systematic review of the literature; 59 studies included. Areas of agreement: Civil registration (5 studies), census (5) and surveys (16), Reproductive Age Mortality Studies (RAMOS) (4) and the sisterhood methods (11) have been used to measure MMR in a variety of settings. Areas of controversy: Middle-income countries have used civil registration data for estimating MMR but it has been a challenge to obtain reliable data from low-income countries with many only using health facility data (18 studies). Growing points and areas for further research: Based on the strengths and feasibility of application, RAMOS may provide reliable and contemporaneous estimates of MMR while civil registration systems are being introduced. It will be important to build capacity for this and ensure implementation research to understand what works where and how.
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