Trends and causes of maternal mortality in Ethiopia during 1990-2013: findings from the Global Burden of Diseases study 2013.

摘要: Maternal mortality is noticeably high in sub-Saharan African countries including Ethiopia. Continuous nationwide systematic evaluation and assessment of the problem helps to design appropriate policy strategy This study aimed investigate trends causes maternal Ethiopia between 1990 2013. We used Global Burden Diseases Risk factors (GBD) Study 2013 data that was collected from multiple sources at national subnational levels. Spatio-temporal Gaussian Process Regression (ST-GPR) applied generate best estimates with 95% Uncertainty Intervals (UI). Causes death were measured using Cause Death Ensemble modelling (CODEm). The modified UNAIDS EPP/SPECTRUM suite model estimate HIV related deaths. In Ethiopia, a total 16,740 (95% UI: 14,197, 19,271) deaths occurred whereas there 15,234 11,378, 19,871) finding shows Mortality Ratio (MMR) still period. There minimal but insignificant change MMR over last 23 years. results revealed below target Millennium Development Goals (MGDs) MMR. top five other direct such as complications anaesthesia, embolism (air, amniotic fluid, blood clot), condition peripartum cardiomyopathy (25.7%), abortions (19.6%), haemorrhage (12.2%), hypertensive disorders (10.3%), sepsis infections influenza, malaria, tuberculosis, hepatitis (9.6%). Most happened during postpartum period majority age group 20–29 Overall trend showed decline 708 per 100,000 live births 497 annual rate these years -1.6 -2.8 -0.3). findings highlight need for comprehensive efforts multisectoral collaborations stakeholders reducing It worthwhile policies focus on