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Provincial maternal mortality surveillance systems in China
Xiao-Ling Gan1, Chang-Lai Hao2, Xiao-Jing Dong3
1Obstetrics and Gynecology Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China ; School of Public Health, Epidemiology, Biostatistics and Clinical Research Centre, Université Libre de Bruxelles (ULB), Brussels 1070, Belgium.
Provincial maternal mortality surveillance systems (PMMSS) in China vary significantly, with remote regions facing the highest maternal mortality risk. Improving these systems is crucial, especially in high-burden provinces.
Area of Science:
- Public Health
- Epidemiology
- Health Systems Research
Background:
- Provincial maternal mortality surveillance systems (PMMSS) are established across China to monitor maternal deaths and inform interventions.
- Limited international understanding exists regarding the characteristics of these PMMSS.
Purpose of the Study:
- To describe the current situation of PMMSS in China.
- To analyze provincial disparities in maternal mortality ratios (PMMR).
Main Methods:
- A systematic literature review was conducted using PubMed and the China Academic Journal Network Publishing database.
- Poisson regression analysis was employed to examine provincial disparities in PMMR across six provinces.
Main Results:
- 35 studies were included, with 31 published in Chinese.
- PMMSS are adapted by provincial governments based on financial resources and local needs.
- Remote regions exhibited the highest maternal mortality risk, followed by inland and coastal regions.
Conclusions:
- PMMSS represent a reliable data source for provincial maternal mortality measurement.
- Significant provincial disparities in PMMSS and PMMR necessitate targeted improvements.
- Focus should be on enhancing PMMSS and reducing maternal mortality in high-burden provinces.
