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Implementing a maternal mortality surveillance system in Morocco - challenges and opportunities
S Abouchadi1, A Belghiti Alaoui, F Z Meski
1Ministry of Health, Direction des Hôpitaux et des Soins Ambulatoires, Rabat, Morocco. s.abouchadi@yahoo.fr
Tropical Medicine & International Health : TM & IH
|January 8, 2013
Summary
Morocco
Area of Science:
- Public Health
- Maternal Health Surveillance
- Obstetrics
Background:
- Maternal mortality remains a critical global health issue.
- Effective surveillance systems are essential for understanding and reducing maternal deaths.
Purpose of the Study:
- To detail the establishment of Morocco's Maternal Death Surveillance System (MDSS).
- To present preliminary findings from the initial year of the MDSS implementation.
Main Methods:
- The nationwide MDSS was established in 2009.
- It involves death notification, pregnancy-related death identification, and confidential death enquiries.
- Data collected includes socio-demographic, obstetric, and medical details, and cause of death.
Main Results:
- In 2009, 3814 deaths of women aged 15-49 were recorded, with 436 identified as pregnancy-related.
- 73.4% of these deaths occurred within healthcare facilities.
- Hemorrhage was the leading direct cause (33%), and heart disease the leading indirect cause (39%) of maternal death.
Conclusions:
- The Moroccan MDSS is a valuable instrument for analyzing maternal death patterns.
- System coverage, decentralized data management, and complete medical records present ongoing challenges.
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