Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study

GBD 2015 Eastern Mediterranean Region Maternal Mortality Collaborators

doi:10.1007/s00038-017-1004-3

Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study

GBD 2015 Eastern Mediterranean Region Maternal Mortality Collaborators

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Abstract

OBJECTIVES: Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015.

METHODS: We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries.

RESULTS: The maternal mortality ratio in the EMR decreased 16.3% from 283 (241-328) maternal deaths per 100,000 live births in 1990 to 237 (188-293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region.

CONCLUSION: Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life.

Original language	English
Pages (from-to)	47-61
Number of pages	15
Journal	International Journal of Public Health
Volume	63
Issue number	Suppl 1
Early online date	03 Aug 2017
DOIs	https://doi.org/10.1007/s00038-017-1004-3
Publication status	Published - May 2018

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s00038-017-1004-3Licence: CC BY

239583690 Published articleFinal published version, 701 KBLicence: CC BY

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@article{fde6b6d99c7043b3ab26496ad2debac8,

title = "Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study",

abstract = "OBJECTIVES: Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015.METHODS: We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries.RESULTS: The maternal mortality ratio in the EMR decreased 16.3% from 283 (241-328) maternal deaths per 100,000 live births in 1990 to 237 (188-293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region.CONCLUSION: Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life.",

keywords = "Burden of disease, Eastern Mediterranean Region, Maternal health, Maternal mortality",

author = "{GBD 2015 Eastern Mediterranean Region Maternal Mortality Collaborators} and Mokdad, {Ali H.} and Ibrahim Khalil and Michael Collison and {El Bcheraoui}, Charbel and Raghid Charara and Maziar Moradi-Lakeh and Ashkan Afshin and Adrienne Chew and Farah Daoud and Krohn, {Kristopher J.} and Danny Colombara and Rebecca Ehrenkranz and Michael Kutz and Haidong Wang and Abajobir, {Amanuel Alemu} and Foad Abd-Allah and Abraha, {Haftom Niguse} and Abu-Raddad, {Laith J.} and Kiadaliri, {Aliasghar Ahmad} and Alireza Ahmadi and Ahmed, {Kedir Yimam} and Ahmed, {Muktar Beshir} and {Al Lami}, {Faris Hasan} and Khurshid Alam and Deena Alasfoor and Reza Alizadeh-Navaei and Alkaabi, {Juma M.} and Fatma Al-Maskari and Rajaa Al-Raddadi and Altirkawi, {Khalid A.} and Nahla Anber and Hossein Ansari and Hamid Asayesh and Asghar, {Rana Jawad} and Atey, {Tesfay Mehari} and Ayele, {Tadesse Awoke} and Till B{\"a}rnighausen and Umar Bacha and Aleksandra Barac and Barker-Collo, {Suzanne L.} and Baune, {Bernhard T.} and Shahrzad Bazargan-Hejazi and Neeraj Bedi and Bensenor, {Isabela M.} and Adugnaw Berhane and Beyene, {Addisu Shunu} and Bhutta, {Zulfiqar A.} and Boneya, {Dube Jara} and Rohan Borschmann and Breitborde, {Nicholas J.K.} and Butt, {Zahid A.} and Ferr{\'a}n Catal{\'a}-L{\'o}pez and Ciobanu, {Liliana G.} and Hadi Danawi and Amare Deribew and Dharmaratne, {Samath D.} and Doyle, {Kerrie E.} and Endries, {Aman Yesuf} and Faraon, {Emerito Jose Aquino} and Andr{\'e} Faro and Farvid, {Maryam S.} and Wubalem Fekadu and Fereshtehnejad, {Seyed Mohammad} and Florian Fischer and Gebrehiwot, {Tsegaye Tewelde} and Giref, {Ababi Zergaw} and Gishu, {Melkamu Dedefo} and Goulart, {Alessandra Carvalho} and Habtewold, {Tesfa Dejenie} and Hamadeh, {Randah Ribhi} and Hambisa, {Mitiku Teshome} and Samer Hamidi and Haro, {Josep Maria} and Hassanvand, {Mohammad Sadegh} and Nobuyuki Horita and Mohamed Hsairi and Hsiang Huang and Abdullatif Husseini and Jakovljevic, {Mihajlo B.} and James, {Spencer Lewis} and Jonas, {Jost B.} and Amir Kasaeian and Khader, {Yousef Saleh} and Khan, {Ejaz Ahmad} and Khoja, {Abdullah Tawfih Abdullah} and Ardeshir Khosravi and Jagdish Khubchandani and Daniel Kim and Kim, {Yun Jin} and Yoshihiro Kokubo and Ai Koyanagi and Defo, {Barthelemy Kuate} and Larson, {Heidi J.} and Latif, {Asma Abdul} and Lee, {Paul H.} and Leshargie, {Cheru Tesema} and Ricky Leung and Lo, {Loon Tzian} and Raimundas Lunevicius and {Abd El Razek}, {Hassan Magdy} and {Abd El Razek}, {Mohammed Magdy} and Reza Majdzadeh and Azeem Majeed and Reza Malekzadeh and Jose Martinez-Raga and Farid, {Habibolah Masoudi} and Mohsen Mazidi and McGrath, {John J.} and Memish, {Ziad A.} and Walter Mendoza and Mengesha, {Melkamu Merid} and Mengistie, {Mubarek Abera} and Mensah, {George A.} and Mezgebe, {Haftay Berhane} and Miller, {Ted R.} and Mitchell, {Philip B.} and Alireza Mohammadi and Shafiu Mohammed and Obermeyer, {Carla Makhlouf} and Ogbo, {Felix Akpojene} and Castillo, {Elizabeth Palomares} and Christina Papachristou and Patten, {Scott B.} and Patton, {George C.} and Pereira, {David M.} and Aslam Pervaiz and Phillips, {Michael Robert} and Farshad Pourmalek and Mostafa Qorbani and Amir Radfar and Vafa Rahimi-Movaghar and Vafa Rahimi-Movaghar and Rai, {Rajesh Kumar} and Rawaf, {David Laith} and Salman Rawaf and Refaat, {Amany H.} and Satar Rezaei and Rezai, {Mohammad Sadegh} and Gholamreza Roshandel and Mahdi Safdarian and Mahdi Safiabadi and Saeid Safiri and Rajesh Sagar and Sahraian, {Mohammad Ali} and Payman Salamati and Samy, {Abdallah M.} and Benn Sartorius and Saylan, {Mete I.} and Soraya Seedat and Sepanlou, {Sadaf G.} and {Ali Shaikh}, Masood and Morteza Shamsizadeh and Silva, {Diego Augusto Santos} and Singh, {Jasvinder A.} and Sobaih, {Badr H.A.} and Sreeramareddy, {Chandrashekhar T.} and Stein, {Dan J.} and Abdulkader, {Rizwan Suliankatchi} and Sykes, {Bryan L.} and Rafael Tabar{\'e}s-Seisdedos and Muawiyyah Sufiyan and Tabb, {Karen M.} and Arash Tehrani-Banihashemi and Temsah, {Mohamad Hani} and Terkawi, {Abdullah Sulieman} and Roman Topor-Madry and Ukwaja, {Kingsley Nnanna} and Uthman, {Olalekan A.} and Vollset, {Stein Emil} and Tolassa Wakayo and Wang, {Yuan Pang} and Andrea Werdecker and Ronny Westerman and Abdulhalik Workicho and Mohsen Yaghoubi and Yimam, {Hassen Hamid} and Naohiro Yonemoto and Younis, {Mustafa Z.} and Chuanhua Yu and {El Sayed Zaki}, Maysaa and Jumaan, {Aisha O.} and Theo Vos and Hay, {Simon I.} and Mohsen Naghavi and Kassebaum, {Nicholas J.} and Murray, {Christopher J.L.}",

note = "Publisher Copyright: {\textcopyright} 2017, The Author(s).",

year = "2018",

month = may,

doi = "10.1007/s00038-017-1004-3",

language = "English",

volume = "63",

pages = "47--61",

journal = "International Journal of Public Health",

issn = "1661-8564",

publisher = "Birkhauser Verlag Basel",

number = "Suppl 1",

}

TY - JOUR

T1 - Maternal mortality and morbidity burden in the Eastern Mediterranean Region

T2 - findings from the Global Burden of Disease 2015 study

AU - GBD 2015 Eastern Mediterranean Region Maternal Mortality Collaborators

AU - Mokdad, Ali H.

AU - Khalil, Ibrahim

AU - Collison, Michael

AU - El Bcheraoui, Charbel

AU - Charara, Raghid

AU - Moradi-Lakeh, Maziar

AU - Afshin, Ashkan

AU - Chew, Adrienne

AU - Daoud, Farah

AU - Krohn, Kristopher J.

AU - Colombara, Danny

AU - Ehrenkranz, Rebecca

AU - Kutz, Michael

AU - Wang, Haidong

AU - Abajobir, Amanuel Alemu

AU - Abd-Allah, Foad

AU - Abraha, Haftom Niguse

AU - Abu-Raddad, Laith J.

AU - Kiadaliri, Aliasghar Ahmad

AU - Ahmadi, Alireza

AU - Ahmed, Kedir Yimam

AU - Ahmed, Muktar Beshir

AU - Al Lami, Faris Hasan

AU - Alam, Khurshid

AU - Alasfoor, Deena

AU - Alizadeh-Navaei, Reza

AU - Alkaabi, Juma M.

AU - Al-Maskari, Fatma

AU - Al-Raddadi, Rajaa

AU - Altirkawi, Khalid A.

AU - Anber, Nahla

AU - Ansari, Hossein

AU - Asayesh, Hamid

AU - Asghar, Rana Jawad

AU - Atey, Tesfay Mehari

AU - Ayele, Tadesse Awoke

AU - Bärnighausen, Till

AU - Bacha, Umar

AU - Barac, Aleksandra

AU - Barker-Collo, Suzanne L.

AU - Baune, Bernhard T.

AU - Bazargan-Hejazi, Shahrzad

AU - Bedi, Neeraj

AU - Bensenor, Isabela M.

AU - Berhane, Adugnaw

AU - Beyene, Addisu Shunu

AU - Bhutta, Zulfiqar A.

AU - Boneya, Dube Jara

AU - Borschmann, Rohan

AU - Breitborde, Nicholas J.K.

AU - Butt, Zahid A.

AU - Catalá-López, Ferrán

AU - Ciobanu, Liliana G.

AU - Danawi, Hadi

AU - Deribew, Amare

AU - Dharmaratne, Samath D.

AU - Doyle, Kerrie E.

AU - Endries, Aman Yesuf

AU - Faraon, Emerito Jose Aquino

AU - Faro, André

AU - Farvid, Maryam S.

AU - Fekadu, Wubalem

AU - Fereshtehnejad, Seyed Mohammad

AU - Fischer, Florian

AU - Gebrehiwot, Tsegaye Tewelde

AU - Giref, Ababi Zergaw

AU - Gishu, Melkamu Dedefo

AU - Goulart, Alessandra Carvalho

AU - Habtewold, Tesfa Dejenie

AU - Hamadeh, Randah Ribhi

AU - Hambisa, Mitiku Teshome

AU - Hamidi, Samer

AU - Haro, Josep Maria

AU - Hassanvand, Mohammad Sadegh

AU - Horita, Nobuyuki

AU - Hsairi, Mohamed

AU - Huang, Hsiang

AU - Husseini, Abdullatif

AU - Jakovljevic, Mihajlo B.

AU - James, Spencer Lewis

AU - Jonas, Jost B.

AU - Kasaeian, Amir

AU - Khader, Yousef Saleh

AU - Khan, Ejaz Ahmad

AU - Khoja, Abdullah Tawfih Abdullah

AU - Khosravi, Ardeshir

AU - Khubchandani, Jagdish

AU - Kim, Daniel

AU - Kim, Yun Jin

AU - Kokubo, Yoshihiro

AU - Koyanagi, Ai

AU - Defo, Barthelemy Kuate

AU - Larson, Heidi J.

AU - Latif, Asma Abdul

AU - Lee, Paul H.

AU - Leshargie, Cheru Tesema

AU - Leung, Ricky

AU - Lo, Loon Tzian

AU - Lunevicius, Raimundas

AU - Abd El Razek, Hassan Magdy

AU - Abd El Razek, Mohammed Magdy

AU - Majdzadeh, Reza

AU - Majeed, Azeem

AU - Malekzadeh, Reza

AU - Martinez-Raga, Jose

AU - Farid, Habibolah Masoudi

AU - Mazidi, Mohsen

AU - McGrath, John J.

AU - Memish, Ziad A.

AU - Mendoza, Walter

AU - Mengesha, Melkamu Merid

AU - Mengistie, Mubarek Abera

AU - Mensah, George A.

AU - Mezgebe, Haftay Berhane

AU - Miller, Ted R.

AU - Mitchell, Philip B.

AU - Mohammadi, Alireza

AU - Mohammed, Shafiu

AU - Obermeyer, Carla Makhlouf

AU - Ogbo, Felix Akpojene

AU - Castillo, Elizabeth Palomares

AU - Papachristou, Christina

AU - Patten, Scott B.

AU - Patton, George C.

AU - Pereira, David M.

AU - Pervaiz, Aslam

AU - Phillips, Michael Robert

AU - Pourmalek, Farshad

AU - Qorbani, Mostafa

AU - Radfar, Amir

AU - Rahimi-Movaghar, Vafa

AU - Rai, Rajesh Kumar

AU - Rawaf, David Laith

AU - Rawaf, Salman

AU - Refaat, Amany H.

AU - Rezaei, Satar

AU - Rezai, Mohammad Sadegh

AU - Roshandel, Gholamreza

AU - Safdarian, Mahdi

AU - Safiabadi, Mahdi

AU - Safiri, Saeid

AU - Sagar, Rajesh

AU - Sahraian, Mohammad Ali

AU - Salamati, Payman

AU - Samy, Abdallah M.

AU - Sartorius, Benn

AU - Saylan, Mete I.

AU - Seedat, Soraya

AU - Sepanlou, Sadaf G.

AU - Ali Shaikh, Masood

AU - Shamsizadeh, Morteza

AU - Silva, Diego Augusto Santos

AU - Singh, Jasvinder A.

AU - Sobaih, Badr H.A.

AU - Sreeramareddy, Chandrashekhar T.

AU - Stein, Dan J.

AU - Abdulkader, Rizwan Suliankatchi

AU - Sykes, Bryan L.

AU - Tabarés-Seisdedos, Rafael

AU - Sufiyan, Muawiyyah

AU - Tabb, Karen M.

AU - Tehrani-Banihashemi, Arash

AU - Temsah, Mohamad Hani

AU - Terkawi, Abdullah Sulieman

AU - Topor-Madry, Roman

AU - Ukwaja, Kingsley Nnanna

AU - Uthman, Olalekan A.

AU - Vollset, Stein Emil

AU - Wakayo, Tolassa

AU - Wang, Yuan Pang

AU - Werdecker, Andrea

AU - Westerman, Ronny

AU - Workicho, Abdulhalik

AU - Yaghoubi, Mohsen

AU - Yimam, Hassen Hamid

AU - Yonemoto, Naohiro

AU - Younis, Mustafa Z.

AU - Yu, Chuanhua

AU - El Sayed Zaki, Maysaa

AU - Jumaan, Aisha O.

AU - Vos, Theo

AU - Hay, Simon I.

AU - Naghavi, Mohsen

AU - Kassebaum, Nicholas J.

AU - Murray, Christopher J.L.

PY - 2018/5

Y1 - 2018/5

N2 - OBJECTIVES: Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015.METHODS: We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries.RESULTS: The maternal mortality ratio in the EMR decreased 16.3% from 283 (241-328) maternal deaths per 100,000 live births in 1990 to 237 (188-293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region.CONCLUSION: Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life.

AB - OBJECTIVES: Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015.METHODS: We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries.RESULTS: The maternal mortality ratio in the EMR decreased 16.3% from 283 (241-328) maternal deaths per 100,000 live births in 1990 to 237 (188-293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region.CONCLUSION: Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life.

KW - Burden of disease

KW - Eastern Mediterranean Region

KW - Maternal health

KW - Maternal mortality

UR - http://www.scopus.com/inward/record.url?scp=85026823011&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85026823011&partnerID=8YFLogxK

U2 - 10.1007/s00038-017-1004-3

DO - 10.1007/s00038-017-1004-3

M3 - Article

C2 - 28776252

SN - 1661-8564

VL - 63

SP - 47

EP - 61

JO - International Journal of Public Health

JF - International Journal of Public Health

IS - Suppl 1

ER -

Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study

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