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Estimating maternal mortality: the sisterhood method.

W Graham1, W Brass, R W Snow

  • 1Maternal and Child Epidemiology Unit, London School of Hygiene and Tropical Medicine, United Kingdom.

Studies in Family Planning
|May 1, 1989
PubMed
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The novel sisterhood method estimates maternal mortality in developing nations using sibling death data. This approach provides crucial maternal mortality indicators where traditional data is insufficient.

Area of Science:

  • Demography
  • Public Health
  • Epidemiology

Background:

  • Maternal mortality estimation in developing countries faces data limitations.
  • Existing methods for tracking maternal deaths are often inadequate or inappropriate for resource-limited settings.

Purpose of the Study:

  • To introduce and evaluate a new indirect technique, the sisterhood method, for estimating population-based maternal mortality.
  • To assess the applicability and reliability of the sisterhood method in developing countries.

Main Methods:

  • The sisterhood method utilizes retrospective data on deaths of adult sisters reported by respondents during censuses or surveys.
  • It calculates maternal mortality indicators based on the proportion of sisters who died during pregnancy, childbirth, or the puerperium.

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Main Results:

  • The first field trial in The Gambia, West Africa, yielded a lifetime risk of maternal mortality of 0.0584 (1 in 17).
  • This translated to an estimated maternal mortality ratio of 1,005 deaths per 100,000 live births.
  • The findings were consistent with prior regional estimates, validating the method's potential.

Conclusions:

  • The sisterhood method offers a viable indirect approach for estimating maternal mortality in settings with inadequate vital registration systems.
  • This technique can provide essential data for public health interventions and policy-making to reduce maternal deaths.
  • Further validation and application of the sisterhood method are recommended in diverse developing country contexts.