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dc.contributor.authorBalla, Yaliso Yayaen_US
dc.contributor.authorLindtjørn, Bernten_US
dc.date.accessioned2014-10-16T13:37:20Z
dc.date.available2014-10-16T13:37:20Z
dc.date.issued2012-11-23eng
dc.identifier.issn1471-2393
dc.identifier.urihttps://hdl.handle.net/1956/8640
dc.description.abstractBackground: Estimation of maternal mortality is difficult in developing countries without complete vital registration. The indirect sisterhood method represents an alternative in places where there is high fertility and mortality rates. The objective of the current study was to estimate maternal mortality indices using the sisterhood method in a rural district in south-west Ethiopia. Method: We interviewed 8,870 adults, 15–49 years age, in 15 randomly selected rural villages of Bonke in Gamo Gofa. By constructing a retrospective cohort of women of reproductive age, we obtained sister units of risk exposure to maternal mortality, and calculated the lifetime risk of maternal mortality. Based on the total fertility for the rural Ethiopian population, the maternal mortality ratio was approximated. Results: We analyzed 8503 of 8870 (96%) respondents (5262 [62%] men and 3241 ([38%] women). The 8503 respondents reported 22,473 sisters (average = 2.6 sisters for each respondent) who survived to reproductive age. Of the 2552 (11.4%) sisters who had died, 819 (32%) occurred during pregnancy and childbirth. This provided a lifetime risk of 10.2% from pregnancy and childbirth with a corresponding maternal mortality ratio of 1667 (95% CI: 1564–1769) per 100,000 live births. The time period for this estimate was in 1998. Separate analysis for male and female respondents provided similar estimates. Conclusion: The impoverished rural area of Gamo Gofa had very high maternal mortality in 1998. This highlights the need for strengthening emergency obstetric care for the Bonke population and similar rural populations in Ethiopia.en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/10149" target="blank"> Maternal and neonatal mortality in rural south Ethiopia: Comparing mortality measurements and assessing obstetric care</a>
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/2.0eng
dc.subjectHigh maternal mortalityeng
dc.subjectMaternal mortalityeng
dc.subjectSisterhood methodeng
dc.subjectBonkeeng
dc.subjectGamo Gofaeng
dc.subjectSouthwest Ethiopiaeng
dc.subjectEthiopiaeng
dc.subjectSub-Saharan Africaeng
dc.titleHigh maternal mortality in a rural south-west Ethiopia: estimate by using the sisterhood methoden_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2013-08-23T09:02:23Z
dc.description.versionpublishedVersionen_US
dc.rights.holderYaliso Yaya et al.; licensee BioMed Central Ltd.
dc.rights.holderCopyright 2012 Yaya and Lindtjørn; licensee BioMed Central Ltd.
dc.source.articlenumber136
dc.identifier.doihttps://doi.org/10.1186/1471-2393-12-136
dc.identifier.cristin1001441
dc.source.journalBMC Pregnancy and Childbirth
dc.source.4012


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