ArticlePloS one2018
Underlying determinants of maternal mortality in a rural South African population with high HIV prevalence (2000-2014): A population-based cohort analysis.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- A systematic review of individual and ecological determinants of maternal mortality in the world based on the income level of countries.BMC public health · 2022Pooled it
- Maternal mortality in the covid-19 pandemic: findings from a rapid systematic review.Global health action · 2021Pooled it
- Article
- Factors That Affect Maternal Mortality in Rwanda: A Comparative Study with India and Bangladesh.Computational and mathematical methods in medicine · 2022Review
- Traditional Chinese medicine to improve rural health in South Africa: A case study for Gauteng.Health SA = SA Gesondheid · 2022Article
- Individual, health facility and wider health system factors contributing to maternal deaths in Africa: A scoping review.PLOS global public health · 2022Article
- Engaging community health workers in maternal and infant death identification in Khayelitsha, South Africa: a pilot study.BMC pregnancy and childbirth · 2020Article
- Establishing a community advisory group (CAG) for partnership defined quality (PDQ) towards improving primary health care in a peri-urban setting in KwaZulu-Natal, South Africa.BMC health services research · 2020Article
- Maternal mortality by socio-demographic characteristics and cause of death in South Africa: 2007-2015.BMC public health · 2020Article
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Funding
Abstract
introductionMaternal mortality is one of the significant health indicators of any country and it's a frequent subject in many global heath discussions. Even though the global trends have shown a decrease on maternal mortality, many countries in sub-Saharan Africa failed to achieve the MDG 5 target in 2015.There is no specific single solution for reducing maternal mortality but there is unanimity that a reliable health system with skilled personal is vital for addressing maternal mortality. This study therefore seeks to identify the risk factors for maternal mortality in typical rural sub-Saharan African countries.
methodA longitudinal population based cohort study was conducted using data from 2000-2014 in Africa Health Research Institute (AHRI).The Cox regression method was used to assess the influence of selected risk factors using the Mosley-Chen model on maternal mortality. A total of 20701 women aged 15-49 years were included in the study.
resultsThe study found 212 maternal deaths from 32,620 live births with a maternal mortality ratio (MMR) of 650 per 100,000 live births. The main causes of death were Communicable diseases (38.2%), Aids and TB (31%) and Unknown causes (11.8%). An increased risk of death was identified on, poor wealth index (HR 3.92[1.01, 15.3]), period of death 2000-2006(HR32.1 [3.79, 71.5]) and number of deliveries (6.76[2.70, 16.9]) were associated with a high risk of maternal mortality after adjusting for other independent variables included in the study.
conclusionSocio-economic status, number of deliveries and period of death were found to be associated with maternal death in rural South Africa.
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