ArticleArchives of public health = Archives belges de sante publique2026
Regional inequalities and temporal trends in maternal disorders across sub-Saharan Africa, 1990-2023: a systematic analysis of the global burden of disease 2023 data.
Article in Archives of public health = Archives belges de sante publique, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal disorders remain a critical public health challenge in sub-Saharan Africa, accounting for disproportionate maternal mortality despite global progress. This study examined regional inequalities and temporal trends in maternal disorders across sub-Saharan Africa from 1990 to 2023 using the Global Burden of Disease 2023 data.
methodsAge-standardized disability-adjusted life years and death rates per 100,000 population were extracted for 11 maternal disorder causes across 46 sub-Saharan African countries classified into four subregions (Western, Eastern, Central, and Southern Africa). Cause of Death Ensemble modeling and DisMod-MR 2.1 were used to generate mortality and morbidity estimates. Temporal trends were assessed using percentage change calculations, and geographic distributions were mapped using choropleth visualizations. Subregional inequalities were quantified by comparative analyses of absolute and relative disparities.
resultsIn 2023, maternal disorders accounted for 1,601.9 disability-adjusted life years and 25.8 deaths per 100,000 population region-wide, with substantial subregional variation. Central Africa exhibited the highest burden (2,592.6 disability-adjusted life years; 42.7 deaths per 100,000), followed by Western Africa (1,889.6; 30.9), Eastern Africa (1,204.4; 18.7), and Southern Africa (586.3; 9.4). Maternal hemorrhage, sepsis, and hypertensive disorders were the leading causes. From 1990 to 2023, the overall burden declined by 60%, driven primarily by Eastern Africa's 76.6% reduction in disability-adjusted life years. Central and Western Africa achieved moderate declines (42.8% and 50.2%, respectively), whereas Southern Africa experienced increases in specific causes, including hypertensive disorders (33.5%) and HIV-aggravated maternal deaths (241.5%).
conclusionDespite remarkable progress, profound regional inequalities persist in the burden of maternal disorders across sub-Saharan Africa. Achieving Sustainable Development Goal 3.1 requires strengthened health systems, universal access to quality obstetric care, expanded reproductive health services, and targeted interventions that address subregion-specific maternal health challenges.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.