ArticlePloS one2023
Variation in maternal mortality in Sidama National Regional State, southern Ethiopia: A population based cross sectional household survey.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Maternal mortality in Ethiopia (2015-2025): a systematic review of recent evidence and determinants.BMC public health · 2025Pooled it
- Prevalence of maternal mortality causes based on ICD-MM: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2023Pooled it
- Trial
- Maternal death surveillance in Addis Ababa, Ethiopia, 2017-2021: Causes and contributing factors.Global epidemiology · 2025Article
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- The effect of midwifery-led continuum of care to improve maternal and newborn outcomes in the Sidama region, Ethiopia: A non-randomized control trial study.SAGE open medicine · 2025Article
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- Pregnancy-Induced Hypertensive Disorders predictors among pregnant and delivery mothers receiving care in public health institutions in Sidama, Ethiopia: a multicenter case control study.BMC pregnancy and childbirth · 2024Article
- Maternal mortality in Eastern Democratic Republic of Congo: a 10-year multi-zonal institutional death review.BMC public health · 2024Article
- Community-Based Health Education Led by Women's Groups Significantly Improved Maternal Health Service Utilization in Southern Ethiopia: A Cluster Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Southern Ethiopian skilled birth attendant variations and maternal mortality: A multilevel study of a population-based cross-sectional household survey.PLOS global public health · 2023Article
- Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
introductionMaternal mortality studies conducted at national level do not provide information needed for planning and monitoring health programs at lower administrative levels. The aim of this study was to measure maternal mortality, identify risk factors and district level variations in Sidama National Regional State, southern Ethiopia.
methodsA cross sectional population-based survey was carried in households where women reported pregnancy and birth outcomes in the past five years. The study was conducted in the Sidama National Regional State, southern Ethiopia, from July 2019 to May 2020. Multi-stage cluster sampling technique was employed. The outcome variable of the study was maternal mortality. Complex sample logistic regression analysis was applied to assess variables independently associated with maternal mortality.
resultsWe registered 10602 live births (LB) and 48 maternal deaths yielding the overall maternal mortality ratio (MMR) of 419; 95% CI: 260-577 per 100,000 LB. Aroresa district had the highest MMR with 1142 (95% CI: 693-1591) per 100,000 LB. Leading causes of death were haemorrhage 21 (41%) and eclampsia 10 (27%). Thirty (59%) mothers died during labour or within 24 hours after delivery, 25 (47%) died at home and 17 (38%) at health facility. Mothers who did not have formal education had higher risk of maternal death (AOR: 4.4; 95% CI: 1.7-11.0). The risk of maternal death was higher in districts with low midwife to population ratio (AOR: 2.9; 95% CI: 1.0-8.9).
conclusionThe high maternal mortality with district level variations in Sidama Region highlights the importance of improving obstetric care and employing targeted interventions in areas with high mortality rates. Due attention should be given to improving access to female education. Additional midwives have to be trained and deployed to improve maternal health services and consequently save the life of mothers.
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