High maternal mortality levels and additional risk from poor accessibility in two districts of Northern Province, Zambia
Maternal mortality ratios in Kasama and Kaputa Districts, two remote rural areas of Northern Province, Zambia, were suspected to be very high. In order to evaluate the impact of a referral system baseline maternal mortality levels and additional maternal mortality risk arising from poor accessibilit...
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| Veröffentlicht in: | International journal of epidemiology 1997-04, Vol.26 (2), p.357-363 |
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| creator | LE BACQ, F RIETSEMA, A |
| description | Maternal mortality ratios in Kasama and Kaputa Districts, two remote rural areas of Northern Province, Zambia, were suspected to be very high. In order to evaluate the impact of a referral system baseline maternal mortality levels and additional maternal mortality risk arising from poor accessibility were estimated.
The sisterhood method was applied to a random population sample of 3123 respondents in Kasama District and to 2953 in Kaputa District during May and June 1995. For Kasama also hospital-based maternal mortality was calculated from record analysis from 1 January 1991 up to 31 December 1995. Population attributable risk and population etiological fraction were calculated for Kasama District.
Maternal mortality ratio for Kasama District was 764 per 100,000 live births and 1549 for Kaputa District. Kasama hospital-based maternal mortality was 543 per 100,000 live births. In Kasama District population attributable risk of maternal mortality from poor accessibility was 220 maternal deaths per 100,000 live births, and the population etiological fraction was 29%. In Kaputa District population attributable risk was 1006 maternal deaths per 100,000 live births, and the population etiological fraction was 65%.
This study suggests that solving the accessibility problem would decrease the mortality burden from maternal causes with at least 29% in Kasama District and 65% in Kaputa District. |
| doi_str_mv | 10.1093/ije/26.2.357 |
| format | Article |
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The sisterhood method was applied to a random population sample of 3123 respondents in Kasama District and to 2953 in Kaputa District during May and June 1995. For Kasama also hospital-based maternal mortality was calculated from record analysis from 1 January 1991 up to 31 December 1995. Population attributable risk and population etiological fraction were calculated for Kasama District.
Maternal mortality ratio for Kasama District was 764 per 100,000 live births and 1549 for Kaputa District. Kasama hospital-based maternal mortality was 543 per 100,000 live births. In Kasama District population attributable risk of maternal mortality from poor accessibility was 220 maternal deaths per 100,000 live births, and the population etiological fraction was 29%. In Kaputa District population attributable risk was 1006 maternal deaths per 100,000 live births, and the population etiological fraction was 65%.
This study suggests that solving the accessibility problem would decrease the mortality burden from maternal causes with at least 29% in Kasama District and 65% in Kaputa District.</description><identifier>ISSN: 0300-5771</identifier><identifier>EISSN: 1464-3685</identifier><identifier>DOI: 10.1093/ije/26.2.357</identifier><identifier>PMID: 9169171</identifier><identifier>CODEN: IJEPBF</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Analysis. Health state ; Biological and medical sciences ; Developing Countries ; Epidemiology ; Female ; General aspects ; Health Services Accessibility - statistics & numerical data ; Humans ; Maternal Mortality ; Medical sciences ; Medically Underserved Area ; Population ; Pregnancy ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Retrospective Studies ; Risk Factors ; Sampling Studies ; Zambia - epidemiology</subject><ispartof>International journal of epidemiology, 1997-04, Vol.26 (2), p.357-363</ispartof><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-a17c0240646e5276e1e1e3cdf56f3aa7a4f311f2278648a88e3b474f7a425bc13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2651473$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9169171$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LE BACQ, F</creatorcontrib><creatorcontrib>RIETSEMA, A</creatorcontrib><title>High maternal mortality levels and additional risk from poor accessibility in two districts of Northern Province, Zambia</title><title>International journal of epidemiology</title><addtitle>Int J Epidemiol</addtitle><description>Maternal mortality ratios in Kasama and Kaputa Districts, two remote rural areas of Northern Province, Zambia, were suspected to be very high. In order to evaluate the impact of a referral system baseline maternal mortality levels and additional maternal mortality risk arising from poor accessibility were estimated.
The sisterhood method was applied to a random population sample of 3123 respondents in Kasama District and to 2953 in Kaputa District during May and June 1995. For Kasama also hospital-based maternal mortality was calculated from record analysis from 1 January 1991 up to 31 December 1995. Population attributable risk and population etiological fraction were calculated for Kasama District.
Maternal mortality ratio for Kasama District was 764 per 100,000 live births and 1549 for Kaputa District. Kasama hospital-based maternal mortality was 543 per 100,000 live births. In Kasama District population attributable risk of maternal mortality from poor accessibility was 220 maternal deaths per 100,000 live births, and the population etiological fraction was 29%. In Kaputa District population attributable risk was 1006 maternal deaths per 100,000 live births, and the population etiological fraction was 65%.
This study suggests that solving the accessibility problem would decrease the mortality burden from maternal causes with at least 29% in Kasama District and 65% in Kaputa District.</description><subject>Analysis. Health state</subject><subject>Biological and medical sciences</subject><subject>Developing Countries</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Humans</subject><subject>Maternal Mortality</subject><subject>Medical sciences</subject><subject>Medically Underserved Area</subject><subject>Population</subject><subject>Pregnancy</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sampling Studies</subject><subject>Zambia - epidemiology</subject><issn>0300-5771</issn><issn>1464-3685</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kDtP5DAURi20CIZHR4vkYkVFBr9iJ-VqxEtCQAENjXXj2GBI4lnbw-PfY2CEXLg4557iQ-iAkjklLT_xz_aEyTmb81ptoBkVUlRcNvUfNCOckKpWim6jnZSeCaFCiHYLbbVUtlTRGXq_8I9PeIRs4wQDHkPMMPj8gQf7aoeEYeox9L3PPnzx6NMLdjGMeBlCxGCMTcl3_vvETzi_Bdz7lKM3OeHg8HUJPpU2vo3h1U_GHuMHGDsPe2jTwZDs_vrfRfdnp3eLi-rq5vxy8e-qMoK2uQKqDGGCSCFtzZS0tDxueldLxwEUCMcpdYypRooGmsbyTijhCmB1ZyjfRUc_3WUM_1c2ZT36ZOwwwGTDKmnVEtEyIYt4_COaGFKK1ull9CPED02J_hpal6E1k5rpMnTRD9fdVTfa_ldeL1v43zWHZGBwESbj06_GZE2F4vwTr82HmA</recordid><startdate>19970401</startdate><enddate>19970401</enddate><creator>LE BACQ, F</creator><creator>RIETSEMA, A</creator><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970401</creationdate><title>High maternal mortality levels and additional risk from poor accessibility in two districts of Northern Province, Zambia</title><author>LE BACQ, F ; RIETSEMA, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-a17c0240646e5276e1e1e3cdf56f3aa7a4f311f2278648a88e3b474f7a425bc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Analysis. Health state</topic><topic>Biological and medical sciences</topic><topic>Developing Countries</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Humans</topic><topic>Maternal Mortality</topic><topic>Medical sciences</topic><topic>Medically Underserved Area</topic><topic>Population</topic><topic>Pregnancy</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sampling Studies</topic><topic>Zambia - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LE BACQ, F</creatorcontrib><creatorcontrib>RIETSEMA, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LE BACQ, F</au><au>RIETSEMA, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High maternal mortality levels and additional risk from poor accessibility in two districts of Northern Province, Zambia</atitle><jtitle>International journal of epidemiology</jtitle><addtitle>Int J Epidemiol</addtitle><date>1997-04-01</date><risdate>1997</risdate><volume>26</volume><issue>2</issue><spage>357</spage><epage>363</epage><pages>357-363</pages><issn>0300-5771</issn><eissn>1464-3685</eissn><coden>IJEPBF</coden><abstract>Maternal mortality ratios in Kasama and Kaputa Districts, two remote rural areas of Northern Province, Zambia, were suspected to be very high. In order to evaluate the impact of a referral system baseline maternal mortality levels and additional maternal mortality risk arising from poor accessibility were estimated.
The sisterhood method was applied to a random population sample of 3123 respondents in Kasama District and to 2953 in Kaputa District during May and June 1995. For Kasama also hospital-based maternal mortality was calculated from record analysis from 1 January 1991 up to 31 December 1995. Population attributable risk and population etiological fraction were calculated for Kasama District.
Maternal mortality ratio for Kasama District was 764 per 100,000 live births and 1549 for Kaputa District. Kasama hospital-based maternal mortality was 543 per 100,000 live births. In Kasama District population attributable risk of maternal mortality from poor accessibility was 220 maternal deaths per 100,000 live births, and the population etiological fraction was 29%. In Kaputa District population attributable risk was 1006 maternal deaths per 100,000 live births, and the population etiological fraction was 65%.
This study suggests that solving the accessibility problem would decrease the mortality burden from maternal causes with at least 29% in Kasama District and 65% in Kaputa District.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>9169171</pmid><doi>10.1093/ije/26.2.357</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0300-5771 |
| ispartof | International journal of epidemiology, 1997-04, Vol.26 (2), p.357-363 |
| issn | 0300-5771 1464-3685 |
| language | eng |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Analysis. Health state Biological and medical sciences Developing Countries Epidemiology Female General aspects Health Services Accessibility - statistics & numerical data Humans Maternal Mortality Medical sciences Medically Underserved Area Population Pregnancy Public health. Hygiene Public health. Hygiene-occupational medicine Retrospective Studies Risk Factors Sampling Studies Zambia - epidemiology |
| title | High maternal mortality levels and additional risk from poor accessibility in two districts of Northern Province, Zambia |
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