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Related Experiment Videos

Institutional maternal mortality in Mali

D Mallé1, D A Ross, O M Campbell

  • 1Save the Children Fund (UK), Bamako, Mali.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|July 1, 1994
PubMed
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Maternal mortality remains a critical issue in Mali, with a high institutional ratio of 201 deaths per 100,000 live births. Preventable causes like hemorrhage, toxemia, and infections highlight urgent needs for improved healthcare services.

Area of Science:

  • Public Health
  • Obstetrics and Gynecology
  • Health Services Research

Background:

  • Maternal mortality remains a significant public health challenge globally and in low-income countries.
  • Despite efforts, a substantial number of maternal deaths occur even within healthcare facilities.

Purpose of the Study:

  • To determine the institutional maternal mortality ratio (MMR) in Mali.
  • To identify key factors contributing to maternal deaths.
  • To propose strategies for MMR reduction.

Main Methods:

  • Retrospective review of routinely collected data.
  • Analysis of records from 24 health institutions across three regions in Mali.
  • Data collected over a five-year period (1988-1992).

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Main Results:

  • The institutional MMR was recorded as 201 maternal deaths per 100,000 live births.
  • Hemorrhage, toxemia, and infections were responsible for 80% of the 360 documented maternal deaths.
  • Preventable factors included poor quality and distribution of health services, inadequate transportation, and delayed medical care.

Conclusions:

  • Maternal mortality is a major public health problem in Mali, affecting women even when they access healthcare.
  • Urgent implementation of new initiatives is crucial to decrease preventable adult female mortality.
  • Addressing systemic issues in healthcare delivery is essential for reducing maternal deaths.