maternal mortality sri lanka the importance of maternal mortality measurement_murray_110110_ihme

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Institute for Health Metrics and Evaluation - University of Washington

The Importance of Maternal Mortality Measurement 1-2 November 2010 Colombo, Sri Lanka Christopher J.L. Murray Institute Director ,[object Object]

Outline ,[object Object],[object Object],[object Object],[object Object],[object Object]

Specific Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object]

Global maternal mortality measurement ,[object Object],[object Object],[object Object],[object Object]

Broader Context ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recent Monitoring Efforts ,[object Object],[object Object],[object Object],[object Object]

Opportunities for a Robust Reassessment of Maternal Mortality ,[object Object],[object Object],[object Object],[object Object],[object Object]

Maternal deaths evolution ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Maternal deaths Maternal mortality ratio, USA, 1915-2003

Definitions ,[object Object],[object Object], Direct Indirect HIV Incidental Early maternal (<42 days) A B C D Late maternal (> 42 days & < 1 year) E F

Maternal Deaths O00-O99 ,[object Object],[object Object],[object Object]

Maternal Deaths O00-O99 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Other maternal deaths ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Incidental deaths ,[object Object],[object Object],[object Object],[object Object]

Distribution of maternal deaths by group of causes by GBD region % Direct Obst. Deaths 82.6 Indirect Obst. Deaths 15.2 Late Maternal Deaths 2.2 ICD 10 th Direct (O00-O95); Indirect (O98-O99); Late (O96-O97)

Distribution of maternal deaths by group of causes, 1995-2008 ICD 10 th Direct (O00-O95); Indirect (O98-O99); Late (O96-O97)

Measuring Maternal Deaths using different sources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Metrics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Maternal Mortality Ratio (MMR) ,[object Object],Maternal Mortality Rate ,[object Object],Proportion of maternal deaths (PMDF) ,[object Object]

In spite of standard definitions ,[object Object],[object Object],[object Object]

Potential reasons for misclassification ,[object Object],[object Object],[object Object],[object Object]

Awareness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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