ArticleGlobal health action2026
Cause-specific mortality transition among women of reproductive age with special reference to maternal mortality: the Magu health and demographic surveillance system, Tanzania, 1995-2022.
Article in Global health action, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Measurement of maternal mortality, United Republic of Tanzania.Bulletin of the World Health Organization · 2026Article
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Abstract
backgroundLimited population data exist on mortality and causes of death among women of reproductive age, including maternal mortality.
objectiveTo present trends from 1995 to 2022 in mortality, cause of death, maternal mortality ratio and place of death from the rural Magu health and demographic surveillance site in north-west Tanzania.
methodsData on residency, fertility, and verbal autopsy were analysed to compute trends in all-cause and cause-specific mortality for women 15-49 years, using InSilicoVA, a Bayesian probabilistic model. Maternal mortality was estimated for three periods: 1995-2002, 2005-2011 and 2015-2022. We described place of death and healthcare utilization leading up to death by calendar time and broad cause of death.
resultsAll-cause mortality among women 15-49 declined from a peak of 9.0 deaths per 1000 person-years in the late 1990s to 3.5 in 2020. HIV/TB contributed 61% of this reduction. During 1995-2022, infectious diseases were the leading cause (54%), followed by NCD (29%). Maternal mortality declined but stagnated from approximately 2010 at 281 per 100,000 live births in 2015-2022 and remained a leading cause of death (12%). Comparing 2009-2015 and 2016-2022, more deaths occurred in health facilities (37.3%-45.9%), and more women sought care during terminal illness or maternity (85%-93%).
conclusionDespite a major reduction in all-cause mortality among women 15-49 years, mainly due to decreased HIV/AIDS deaths, infectious diseases remain the leading cause alongside a much-increased share of NCD. While maternal mortality levels have decreased, its share of total deaths has remained unchanged compared to 25 years ago.
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