Maternal mortality in South Africa in 2001: From demographic census to epidemiological investigation
2008

Maternal Mortality in South Africa: 2001 Census Analysis

Sample size: 36267 publication 15 minutes Evidence: high

Author Information

Author(s): Garenne Michel, McCaa Robert, Nacro Kourtoum

Primary Institution: French Institute for Research and Development (IRD) and Institut Pasteur, Paris, France

Hypothesis

What are the levels and differentials of maternal mortality in South Africa as assessed through the 2001 census?

Conclusion

Maternal mortality in South Africa increased dramatically by 2001, primarily due to HIV/AIDS and indirect causes.

Supporting Evidence

  • The Maternal Mortality Ratio (MMR) was estimated at 542 per 100,000 live births.
  • Indirect causes of maternal deaths were found to be more significant than direct obstetric causes.
  • High levels of adult mortality were linked to the HIV/AIDS epidemic.
  • Maternal deaths accounted for only 6.4% of total deaths among women aged 15-49.

Takeaway

This study looked at how many mothers died during childbirth in South Africa in 2001, finding that many deaths were linked to HIV/AIDS.

Methodology

The study used a microdata sample from the 2001 South African census to estimate maternal mortality levels and differentials.

Potential Biases

Potential biases include overestimation of deaths due to the recall period and imputation methods.

Limitations

The estimates may be off by 10% or more due to biases in data collection and imputation.

Participant Demographics

The study focused on women aged 15-49 years in South Africa.

Statistical Information

P-Value

0.0005

Confidence Interval

497-591

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1478-7954-6-4

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