Image: Members of the Tigray Women’s Health Development Army (Photo courtesy of Ethiopian Ministry of Health).
The thesis, Hagos Godefay, MSc, of Umea University (Sweden) studied present efforts to scale back maternal mortality in northern Ethiopia. The research investigated the extent and determinants of maternal mortality in six randomly chosen rural districts of Tigray Region. A census of all households within the six districts was carried out to determine all stay births and all deaths of women of reproductive age between May 2012 and September 2013. Pregnancy-related deaths have been screened by means of verbal post-mortem to estimate Maternal Mortality Ratio (MMR).
To determine unbiased determinants of maternal mortality, all being pregnant-associated deaths have been matched geographically. Use of ambulance providers was decided retrospectively from logbooks, and tendencies in being pregnant-associated demise have been analyzed towards ambulance utilization, distance from nearest health middle, and cellular community protection at native space degree. Lastly, implementation of the Family Folder paper health register, and its potential for precisely capturing demographic and health occasions, have been evaluated utilizing a seize-recapture evaluation.
In all, 181 deaths and 19,179 reside births have been documented in the course of the research interval; 51 of the deaths have been being pregnant-associated. The MMR for Tigray area was calculated at 266 deaths per 100,000 stay births. District–degree MMRs confirmed robust inverse correlation with inhabitants density. Direct obstetric causes accounted for 61% of all being pregnant–associated deaths, with hemorrhage accounting for 34%. Other elements related to elevated danger included low husband or companion involvement throughout being pregnant, pre-present historical past of different sickness, and by no means having used contraceptives.
Importantly, utilization of free ambulance transportation service was strongly related to decreased MMR on the district degree. Districts with above-common ambulance utilization had an MMR of 149 per 100,000, in contrast with 350 per 100,000 in districts with under common utilization. The Family Folder implementation evaluation revealed some inconsistencies in the best way health staff make the most of the Family Folders to report demographic and health occasions. The thesis was introduced in December 2016 at Umea University.
“We see encouraging results of improved reproductive health and reduced pregnancy-related deaths in the Tigray region. A key reason for this has been the creation of small local women’s groups of volunteers who act as ambassadors for the benefits of utilizing the existing health services,” stated thesis writer epidemiologist Hagos Godefay. “Creating a conducive environment, where women living in the rural areas can meet and discuss together based on their own agenda, can make a big difference in reducing maternal mortality.”