ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2023
Review of maternal death audits in refugee camps in UNHCR East and Horn of Africa and Great Lakes Region, 2017-2019.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 12 citations in OpenAlex.
- Integration of contraception provision in emergency obstetric and neonatal care: A scoping review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- The complexity of inequity: rethinking global health through lived experience, power, and structural vulnerability.International journal for equity in health · 2026Article
- Evolution of the humanitarian roster system for sexual and reproductive health.Sexual and reproductive health matters · 2025Article
- Community-based maternal and perinatal death surveillance and response: a comparative case study of implementation realities from humanitarian contexts.BMC public health · 2025Article
- Exploration of Nakivale Refugees' and Stakeholders' Perceptions and Priorities of Male Engagement in Pregnancy, Childbirth, Postpartum, and Family Planning: A Qualitative Study.Journal of pregnancy · 2025Article
- Article
- Maternal mortality estimation methodologies: a scoping review and evaluation of suitability for use in humanitarian settings.Conflict and health · 2024Article
- Implementation of maternal and perinatal death surveillance and response and related death review interventions in humanitarian settings: A scoping review.Journal of global health · 2024Article
- Review of maternal death audits in refugee camps in UNHCR East and Horn of Africa and Great Lakes Region, 2017-2019.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Article
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Authors and funding
6 authors at 3 institutions in 3 countries.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesTo review the quality of maternal death audits and identify factors contributing to refugee maternal deaths in the East and Horn of Africa.
methodsMaternal death audits submitted to The UN Refugee Agency (UNHCR) from 2017 to 2019 in 43 refugee camps in eight countries were analyzed for completeness, obstetric history, cause of death, and contributing factors.
resultsA total of 191 refugee maternal death audits were retrieved. The mean age of the deceased was 28 years (range, 15-45 years), and 13% were adolescents and 17% were of advanced maternal age. Most patients (55%) were grand multigravida (≥5 pregnancies). The majority (86%) attended antenatal care visits, with 51% attending four or more visits. Among women who delivered (n = 140), 91% were facility-based deliveries. Most (68%) deaths occurred postpartum. Obstetric hemorrhage (49%) was the leading direct cause of death (with 77 cases of postpartum hemorrhage), followed by hypertensive disorder (19%) and infection (15%). Delays in care were identified in 185 (97%) cases. Delays in receiving care were more prevalent (81%) than in seeking (61%) and reaching (26%) care.
conclusionFactors contributing to delays in receiving care highlight the capacity gaps in provision of emergency obstetric care, including management of postpartum hemorrhage, requiring urgent additional investments. Audit findings also show the need for attention and action towards family planning, contraception, and adolescent sexual and reproductive health services.
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