dc.contributor.author |
Musarandega, Reuben
|
|
dc.contributor.author |
Cresswell, Jenny
|
|
dc.contributor.author |
Magwali, Thulani
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|
dc.contributor.author |
Makosa, Davidzoyashe
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|
dc.contributor.author |
Machekano, Rhoderick
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|
dc.contributor.author |
Ngwenya, Solwayo
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|
dc.contributor.author |
Nystrom, Lennarth
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|
dc.contributor.author |
Pattinson, Robert Clive
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|
dc.contributor.author |
Munjanja, Stephen
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|
dc.date.accessioned |
2023-04-26T05:12:37Z |
|
dc.date.available |
2023-04-26T05:12:37Z |
|
dc.date.issued |
2022-08 |
|
dc.description.abstract |
BACKGROUND : Sustainable Development Goal (SDG) 3.1 target is to reduce the global maternal mortality ratio (MMR) to less than 70 maternal deaths per 100 000 live births by 2030. In the Ending Preventable Maternal Mortality strategy, a supplementary target was added, that no country has an MMR above 140 by 2030. We conducted two cross-sectional reproductive age mortality surveys to analyse changes in Zimbabwe’s MMR between 2007–2008 and 2018–2019 towards the SDG target.
METHODS : We collected data from civil registration, vital statistics and medical records on deaths of women of reproductive ages (WRAs), including maternal deaths from 11 districts, randomly selected from each province (n=10) using cluster sampling. We calculated weighted mortality rates and MMRs using negative binomial models, with 95% CIs, performed a one-way analysis of variance of the MMRs and calculated the annual average reduction rate (ARR) for the MMR.
RESULTS : In 2007–2008 we identified 6188 deaths of WRAs, 325 pregnancy-related deaths and 296 maternal deaths, and in 2018–2019, 1856, 137 and 130, respectively. The reproductive age mortality rate, weighted by district, declined from 11 to 3 deaths per 1000 women. The MMR (95% CI) declined from 657 (485 to 829) to 217 (164 to 269) deaths per 100 000 live births at an annual ARR of 10.1%.
CONCLUSIONS : Zimbabwe’s MMR declined by an annual ARR of 10.1%, against a target of 10.2%, alongside declining reproductive age mortality. Zimbabwe should continue scaling up interventions against direct maternal mortality causes to achieve the SDG 3.1 target by 2030. |
en_US |
dc.description.department |
School of Health Systems and Public Health (SHSPH) |
en_US |
dc.description.librarian |
hj2023 |
en_US |
dc.description.sponsorship |
The UK’s Foreign, Commonwealth and Development Office, then
the Department for International Development, funded the 2007–2008 study.
The UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research,
Development and Research Training in Human Reproduction, and WHO-Geneva
funded in part the validation of 2007–2008 data and 2018–2019 data collection,
through a subgrant from the Improving Maternal Health Measurement Project at
the Women & Health Initiative of the Harvard T.H. Chan School of Public Health
funded by the Bill & Melinda Gates Foundation.
UNFPA and WHO Zimbabwe offices, the University of Zimbabwe and the MoHCC
co-funded the 2018–2019 data collection. |
en_US |
dc.description.uri |
https://gh.bmj.com |
en_US |
dc.identifier.citation |
Musarandega, R., Cresswell, J., Magwali, T. et al. Maternal mortality decline in Zimbabwe, 2007/2008 to 2018/2019: findings from mortality surveys using civil registration, vital statistics and health system data. BMJ Global Health 2022; 7: e009465, doi : 10.1136/bmjgh-2022-009465. |
en_US |
dc.identifier.issn |
2059-7908 (online) |
|
dc.identifier.other |
10.1136/bmjgh-2022-009465 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/90489 |
|
dc.language.iso |
en |
en_US |
dc.publisher |
BMJ Publishing Group |
en_US |
dc.rights |
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license. |
en_US |
dc.subject |
Sustainable development goals (SDGs) |
en_US |
dc.subject |
SDG-03: Good health and well-being |
en_US |
dc.subject |
Maternal mortality ratio (MMR) |
en_US |
dc.subject |
Women of reproductive ages (WRAs) |
en_US |
dc.title |
Maternal mortality decline in Zimbabwe, 2007/2008 to 2018/2019 : findings from mortality surveys using civil registration, vital statistics and health system data |
en_US |
dc.type |
Article |
en_US |