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The Bali Indirect Maternal Mortality Study
1Department of Public Health, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia.
Studies in Family Planning
|September 1, 1994
Summary
The Bali Indirect Maternal Mortality Study found the sisterhood method to be a fast, cost-effective, and accurate approach for estimating maternal mortality rates compared to direct surveys.
Area of Science:
- * Epidemiology
- * Public Health
- * Demography
Background:
- * Maternal mortality remains a critical global health challenge, particularly in developing regions.
- * Accurate estimation of maternal mortality ratios (MMR) is essential for targeted interventions.
- * Traditional direct survey methods can be resource-intensive and challenging to implement.
Purpose of the Study:
- * To evaluate the indirect sisterhood method for estimating maternal mortality.
- * To compare the accuracy and efficiency of the sisterhood method against a direct survey.
- * To assess the feasibility of the sisterhood method in a provincial Indonesian setting.
Main Methods:
- * Conducted the Bali Indirect Maternal Mortality Study (BIMMS) in Bali, Indonesia, in 1991.
- * Utilized a prospective, community-based survey (Reproductive Age Mortality Survey, RAMOS) from 1980-1982 as a direct comparison.
- * Applied the indirect sisterhood method to estimate MMR.
Main Results:
- * The BIMMS reported an adjusted maternal mortality ratio of 331 per 100,000 live births (1982).
- * This ratio closely aligned with the unadjusted RAMOS ratio of 359 per 100,000 live births.
- * The sisterhood method demonstrated comparable accuracy to direct methods.
Conclusions:
- * The indirect sisterhood method is a viable and accurate tool for estimating maternal mortality.
- * This method offers advantages in speed and cost-effectiveness over direct surveys.
- * Findings support the broader application of the sisterhood method in similar settings.