Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study
Khalil, Ibrahim; Collison, Michael; El Bcheraoui, Charbel; Charara, Raghid; Moradi-Lakeh, Maziar; Afshin, Ashkan; Chew, Adrienne; Daoud, Farah; Krohn, Kristopher J.; Colombara, Danny; Ehrenkranz, Rebecca; Kutz, Michael; Wang, Haidong; Abajobir, Amanuel Alemu; Abd-Allah, Foad; Abraha, Haftom Niguse; Abu-Raddad, Laith J.; Ahmad Kiadaliri, Aliasghar; Ahmadi, Alireza; Ahmed, Kedir Yimam; Ahmed, Muktar Beshir; Al Lami, Faris Hasan; Alam, Khurshid; Alasfoor, Deena; Alizadeh-Navaei, Reza; Alkaabi, Juma M.; Al-Maskari, Fatma; Al-Raddadi, Rajaa; Altirkawi, Khalid A.; Anber, Nahla; Ansari, Hossein; Asayesh, Hamid; Asghar, Rana Jawad; Atey, Tesfay Mehari; Awoke Ayele, Tadesse; Bärnighausen, Till; Bacha, Umar; Barac, Aleksandra; Barker-Collo, Suzanne L.; Baune, Bernhard T.; Bazargan-Hejazi, Shahrzad; Bedi, Neeraj; Bensenor, Isabela M.; Berhane, Adugnaw; Beyene, Addisu Shunu; Bhutta, Zulfiqar A.; Boneya, Dube Jara; Borschmann, Rohan; Breitborde, Nicholas J.K.; Butt, Zahid A.; Catalá-López, Ferrán; Ciobanu, Liliana G.; Danawi, Hadi; Deribew, Amare; Dharmaratne, Samath D.; Doyle, Kerrie E.; Endries, Aman Yesuf; Faraon, Emerito Jose Aquino; Faro, André; Farvid, Maryam S.; Fekadu, Wubalem; Fereshtehnejad, Seyed Mohammad; Fischer, Florian; Gebrehiwot, Tsegaye Tewelde; Giref, Ababi Zergaw; Gishu, Melkamu Dedefo; Goulart, Alessandra Carvalho; Habtewold, Tesfa Dejenie; Hamadeh, Randah Ribhi; Hambisa, Mitiku Teshome; Hamidi, Samer; Haro, Josep Maria; Hassanvand, Mohammad Sadegh; Horita, Nobuyuki; Hsairi, Mohamed; Huang, Hsiang; Husseini, Abdullatif; Jakovljevic, Mihajlo B.; James, Spencer Lewis; Jonas, Jost B.; Kasaeian, Amir; Khader, Yousef Saleh; Khan, Ejaz Ahmad; Khoja, Abdullah Tawfih Abdullah; Khosravi, Ardeshir; Khubchandani, Jagdish; Kim, Daniel; Kim, Yun Jin; Kokubo, Yoshihiro; Koyanagi, Ai; Kuate Defo, Barthelemy; Larson, Heidi J.; Latif, Asma Abdul; Lee, Paul H.; Leshargie, Cheru Tesema; Leung, Ricky; Lo, Loon Tzian; Lunevicius, Raimundas; Magdy Abd El Razek, Hassan; Magdy Abd El Razek, Mohammed; Abdallah Samy; Abdallah Samy;
Abstract
Objectives: Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015. Methods: We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries. Results: The maternal mortality ratio in the EMR decreased 16.3% from 283 (241–328) maternal deaths per 100,000 live births in 1990 to 237 (188–293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region. Conclusion: Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life.
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