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Using census data to measure maternal mortality: A review of recent experience
Kenneth Hill1, Peter Johnson2, Kavita Singh3
1Independent researcher, USA.
Demographic Research
|December 12, 2019
Summary
National censuses offer valuable, though imperfect, data for tracking maternal mortality in countries without robust statistics. Careful analysis and adjustments are needed to derive reliable maternal mortality ratio estimates.
Area of Science:
- Demography
- Public Health
- Reproductive Health
Background:
- The Sustainable Development Goals necessitate accurate maternal mortality measurement.
- Countries with limited statistical systems face challenges in data collection.
- National population censuses have been explored as a data source since the 1990s.
Purpose of the Study:
- To evaluate the utility of census data for monitoring maternal mortality.
- To assess maternal mortality data from the 2010 round of censuses in multiple countries.
Main Methods:
- Evaluation of birth, death, and pregnancy-related death data from 10 countries' censuses.
- Application of standard methods and adjustments to reported census figures.
Main Results:
- Censuses generally underreported births and deaths, with pregnancy-related death proportions appearing plausible.
- Adjusted estimates of the pregnancy-related mortality ratio (PRMR) were often higher than those from other sources.
- Census data provides imperfect but valuable insights into maternal mortality.
Conclusions:
- Census data requires careful assessment and adjustment for reliable maternal mortality estimation.
- Despite limitations, census data can be a useful tool in countries lacking civil registration.
- Estimates derived from census data often carry significant uncertainty.
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