Review of maternal mortality in Ethiopia: a story of the past 30 years.
Review of maternal mortality in Ethiopia: a story of the past 30 years.
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DOI：
10.4314/ejhs.v24i0.2s
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发表时间：
2014-09
影响因子：
1.2
通讯作者：
Berhan A
中科院分区：
文献类型：
--
作者：
Berhan Y;Berhan A
埃塞俄比亚是占全球孕产妇死亡总数50%以上的六个国家之一。该国通过了千年发展目标(MDG)，包括将孕产妇死亡率降低四分之三，并将改善孕产妇健康作为卫生部门发展计划(HSDP)的绩效指标之一。本研究的目的是利用现有文献回顾埃塞俄比亚过去30年的孕产妇死亡率(MMR)。计算机检索MEDLINE、PubMed、HINARI、EBASE、MEASure DHS、Cochrane图书馆、Google搜索和Google Scholar数据库。此外，还对没有全文电子版的本地文章进行了人工检索。18个数据来源(3个全国性代表性调查、2个二级数据分析、5个基于社区的小规模研究和8个基于医院的研究)纳入综述。本综述的结果以直线图和股票图的形式呈现。埃塞俄比亚中央统计机构、卫生指标和评估研究所、世卫组织和其他联合国机构估计的全国孕产妇死亡率趋势显示出不一致的结果。同样，尽管个体研究之间95%的可信区间有显著差异，但基于社区和医院的小规模研究表明，在过去30年中，孕产妇死亡率没有显著变化。来自阿塔特医院的一项长达22年的队列分析是唯一的证据，表明在分娩开始前被留在产妇等待区的母亲的产妇死亡率显著下降。虽然《千年发展目标》和《千年发展目标》设想到此时产妇保健会有很大改善，但这项审查表明，业绩仍远未达到目标。埃塞俄比亚政府的多部门巨额投资是在2015年后不久将孕产妇死亡率降低四分之三的巨大希望。
Ethiopia is one of the six countries which have contributed to more than 50% of all maternal deaths across the world. This country has adopted the millennium development goals (MDGs) including reducing the maternal mortality by three-quarter, and put improvement in maternal health as one of the health sector development program (HSDP) performance indicators. The purpose of this study was to review the maternal mortality ratio (MMR) in Ethiopia in the past 30 years using available literature. A computer based literature search in the databases of MEDLINE, PubMed, HINARI, EBASE, MEASURE DHS, The Cochrane Library, Google Search and Google Scholar was carried out. Manual search for local articles that are not available electronically in full document were also conducted. Eighteen data sources (3 nationally representative surveys, 2 secondary data analyses, 5 small scale community based studies, and 8 hospital based studies) were included in the review. The results of this review are presented in the form of line and stock graphs. The national maternal mortality trend estimated by the central statistics agency of Ethiopia, The Institute for Health Metrics and Evaluation, WHO and other UN agencies showed inconsistent results. Similarly, although there were marked variations in the 95% confidence intervals among individual studies, the small scale community based and hospital based studies have shown that there has been no significant change in maternal mortality over the last three decades. A 22-year cohort analysis from Atat Hospital is the only evidence that demonstrated a very significant drop in maternal mortality among mothers who were kept in the maternity waiting area before the onset of labor. Although the MDG and HSDP envisaged significant improvement in maternal health by this time, this review has shown that the performances are still far from the target. The multisectoral huge investment by the Ethiopian Government is a big hope to reduce the maternal mortality by three-quarters in the near future beyond 2015.