Measuring Maternal Mortality with the Motherhood Method in Nepal
Author Information
Author(s): Mahesh K. Maskey, Kedar P. Baral, Rajani Shah, Bhagawan D. Shrestha, Janet Lang, Kenneth J. Rothman
Primary Institution: Nepal Public Health Foundation
Hypothesis
Can the motherhood method effectively measure maternal and child mortality in a developing country setting?
Conclusion
The motherhood method is efficient and validated for measuring maternal and child mortality rates in Nepal.
Supporting Evidence
- The motherhood method estimated a maternal mortality ratio of 329 per 100,000 live births.
- Infant mortality rate was found to be 48 per 1,000 live births.
- The method was validated against census data with 100% agreement in detecting maternal and child deaths.
- Data collection was completed in a cost-effective manner, costing $4.4 per unit compared to $50.5 for a census.
Takeaway
This study shows a new way to count how many mothers and babies die during childbirth, which helps improve health care.
Methodology
The motherhood method was field tested by collecting data on births and deaths through group discussions with mothers and local health workers.
Potential Biases
Potential under-reporting of births and deaths due to reliance on memory and group discussions.
Limitations
The method may miss some maternal deaths, especially those related to early pregnancy or abortion.
Participant Demographics
Participants included women of reproductive age in Bara district, Nepal.
Statistical Information
Confidence Interval
95% CI: 243-434
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