Estimation of maternal and neonatal mortality at the subnational level in Liberia

Abstract Objective To establish representative local-area baseline estimates of maternal and neonatal mortality using a novel adjusted sisterhood method. Methods The status of maternal and neonatal health in Bomi County, Liberia, was investigated in June 2013 using a population-based survey (n = 198...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2014-11, Vol.127 (2), p.194-200
Main Authors: Moseson, Heidi, Massaquoi, Moses, Bawo, Luke, Birch, Linda, Dahn, Bernice, Zolia, Yah, Barreix, Maria, Gerdts, Caitlin
Format: Article
Language:English
Subjects:
Adolescent
Adult
Data Collection
Developing Countries
Female
Health Surveys
Humans
Infant
Infant Mortality
Liberia
Liberia - epidemiology
Live Birth - epidemiology
Low-income countries
Maternal deaths
Maternal Mortality
Maternal mortality ratio
Measurement
Millennium Development Goals
Neonatal deaths
Obstetrics and Gynecology
Pregnancy
Siblings
Stillbirth
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Summary:Abstract Objective To establish representative local-area baseline estimates of maternal and neonatal mortality using a novel adjusted sisterhood method. Methods The status of maternal and neonatal health in Bomi County, Liberia, was investigated in June 2013 using a population-based survey (n = 1985). The standard direct sisterhood method was modified to account for place and time of maternal death to enable calculation of subnational estimates. Results The modified method of measuring maternal mortality successfully enabled the calculation of area-specific estimates. Of 71 reported deaths of sisters, 18 (25.4%) were due to pregnancy-related causes and had occurred in the past 3 years in Bomi County. The estimated maternal mortality ratio was 890 maternal deaths for every 100 000 live births (95% CI, 497–1301]. The neonatal mortality rate was estimated to be 47 deaths for every 1000 live births (95% CI, 42–52). In total, 322 (16.9%) of 1900 women with accurate age data reported having had a stillbirth. Conclusion The modified direct sisterhood method may be useful to other countries seeking a more regionally nuanced understanding of areas in which neonatal and maternal mortality levels still need to be reduced to meet Millennium Development Goals.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2014.05.007