Author

  • P. Lalthapersad-Pillay

    • University of South Africa, South Africa
    • South Africa

  • EO Udjo

    • University of South Africa, South Africa
    • South Africa

Abstract

The medical expertise to treat to complications arising from pregnancy and childbirth has not spared girls and women in developing countries from dying of such conditions. Developing countries account for the bulk of the global share of maternal deaths with complications of pregnancy and childbirth being the leading cause of death in young women aged between 15 and 49. Sub-Saharan Africa is responsible for nearly three-fifths of all global maternal deaths which have saddled it with notoriously high levels of maternal mortality ratios, a concern that has been red-flagged internationally and regionally. Most studies on maternal mortality in Africa have been confined to an examination of factors impinging on maternal mortality from both medical and socioeconomic standpoints for individual country’s based on survey data. Our study differs from others as it employs logistic regression to look at the association between non-medical factors and maternal mortality nationally for all African countries. Whilst the results from the logistic regression suggests that there is no statistically significant relationship between any of the variables and maternal mortality, the odds ratio for Human Development Index (HDI) and Gross National Income per capita (GNI) imply that African countries with low HDI are about three time more likely to have high maternal mortality compared to high HDI countries. Similarly, African countries with low GNI are about five times more likely to have high maternal mortality compared to high GNI countries.

Keywords

References

  • Bailey, R. (2012). How do you measure development? Available at: http://www.blog.inasp.info/how_do_you_measure_development
  • Dersarkissian, M., Thompson, C. A. & Arah, O. A. (2013). Time series analysis of maternal mortality in Africa from 1990 to 2005. Journal of Epidemiology and Community Health , 67(12), 992-998.
  • Cleland, J. & Shah, I. H. (2013). The contraceptive revolution: focussed efforts are needed. The Lancet, 381[9878], 1604-1606.
  • Department of Health. (2012). South Africa’s National Strategic Plan for a Campaign on Accelerated Reduction of Maternal and Child Mortality (CARMMA). Pretoria: Department of Health.
  • Filippi, V., Ronsmans, C., Campbell, O. M., Graham, W. J., Mills, A. & Borghi, J. (2006). Maternal health in poor countries: broader context and call for action. The Lancet , 386, 1542-1545.
  • Fortney, J. (1985). Maternal mortality in Indonesia and Egypt. Paper presented at the WHO Interregional Meeting on the Prevention of Maternal Mortality. Geneva, 11-15 November.
  • Germain, A. (1987). Reproductive health and dignity: choices by Third World women. Paper presented at the International Conference on Better Heath for Women and Children through Family Planning, Nairobi, 5-9 October.
  • Graham, W. J. (1991). Maternal Mortality: levels, trends and data deficiencies. Disease and Mortality in Sub-Saharan Africa, R.G. Feachem, R.G. & D.T. Jamison (Eds). Oxford University Press. Washington, 101-115.
  • Graham, W. J., Foster, L. B., Davidson, L., Hauke, E. & Campbell, O. M. R. (2008). Measuring Progress in Reducing Maternal Mortality. Best Practice and Clinical Obstetrics and Gynaecology , 22(3), 425445.
  • Hogan, M. C., Foreman, K. J., Naghavi, M., Ahn, S. Y., Wang, M., Makela, S. M., Lopez, A. D., Lozano, R. & Murray, J. L. (2010). Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. The Lancet, 375(9726), 1609-1623.
  • Horton, R. (2013). Offline: Ensuring healthy lives after 2015. The Lancet. Available at: http://www.thelancet.com.
  • Hosmer, D. & Lemesho, S. (2000) . Applied logistic regression. New York: John Wiley and Sons.
  • The International Center for Research on Women (ICRW). (2013). Child marriage facts and figures. Available at: http://www.ICRW.org
  • International Planned Parenthood Federation (IPPF). (2006). Ending child marriage. A guide for global policy action. Available at: htttp: //www.ippf.org
  • Jain, A. K. (2011). Measuring the effect of fertility decline on the maternal mortality ratio. Studies in Family Planning , 42(4), 247-260.
  • Jaleel, A. C. P. & Goli, S. (2013). What is the cause of the decline in maternal mortality in India? Evidence from time series and cross-sectional analyses. Paper presented at the XXXVII International Population Conference, Busan, Korea, 26-31 August.
  • Koblinsky, M., Matthews, Z., Hussein, J., Mavalankar, D., Mridha, M. K. & Anwar, I. (2006). Going to scale with professional skilled care. Lancet , 368, 1377-1386.
  • Kwast, B. E. & Stevens, J. A. (1987). Viral hepatitis as a major cause of maternal mortality. International Journal of Gynaecology and Obstetrics , 25, 99-106.
  • Kwast, B. E. & Liff, J. M. (1988). Factors associated with maternal mortality in Addis Ababa, Ethiopia, International Journal of Epidemiology , 17(1), 115-121.
  • Machel, G., Pires, E. & Carlsson, G. (2013). The world we want: an end to child marriage. The Lancet , 382(9897), 1005-1006. 21 September 2013. Doi: 10.1016/50140 – 6736(13) 61944-3.
  • Mahler, H. (1987). The Safe Motherhood Initiative: a call to action. The Lancet, 987, 268-270.
  • Maine, D. (1987). Prevention of maternal deaths in developing countries: Program options and practical considerations. Paper prepared for the International Safe Motherhood Conference. Nairobi, 1013 February.
  • McCarthy, J. & Maine, D. [1992].A framework for analysing the determinants of Maternal Mortality. Studies in Family Planning , 23(1), 23-33. Population Reference Bureau. Available at: http://www.prb.org
  • Radkar, A. & Parasuraman, S. (2007). Maternal deaths in India: an exploration. Economic and Political Weekly, 31.
  • Rahman, M., DaVanzo, J., Razzaque, A., Ahmed, K. & Hale, L. (2009). Demographic, Programmatic and Socioeconomic correlates of Maternal Mortality in Metlab, Bangladesh. Paper presented at the annual meeting of the Population Association of America (PAA), Detroit, Michigan. April 30 – May 2, 2009. Pathfinder International. Available at: http://www://pathfinder.org
  • Raj, A. (2010). When the mother is a child: The impact of child marriage on health and human rights of girls. Archives of Diseases in Childhood , 95, 931-935.
  • Raj, A. & Boehmer, U. (2013). Girl child marriage and its association with national rates of HIV, maternal health, and infant mortality across 97 Countries. Violence against Women, 19, 536-551. DOI: 10.1177/1077801213487747. 22 May 2013.
  • Rosenfield, A. & Maine, D. (1985). Maternal mortality – a neglected tragedy: where is the M in MCH? The Lancet , 2(8), 446, 83-85.
  • Ronsman C. & Graham, W. J. (2006). Maternal mortality: who, when, where and why? The Lancet , 368(9542), 1189-1200.
  • Royston, E. & Armstrong, S, (1989). Preventing Maternal Deaths. Geneva: WHO.
  • Singh, S. & Darroch, J. (2012). Adding it up: Costs and benefits of contraceptive services. Estimates for 2012.Guttmacher Institute.
  • United Nations (UN). (2000). Indicators for Monitoring the Millennium Development Goals, United Nations: New York.
  • UN. (2013a). Post-2015 Development Agenda. Report of the High Level Panel of Eminent Persons on the Post-2015 Development Agenda. New York: UN.
  • UN. (2013b). The life of dignity for all: accelerating progress towards the Millennium Development Goals and advancing the United Nations development agenda beyond 2015. Report of the SecretaryGeneral. 68th session. New York: UN.
  • United Nations Children’s Fund (UNICEF). (2001). Early marriage: Child spouses. New York: UNICEF. UNICEF. (2005). Early marriage: A harmful traditional practice. A statistical exploration. New York: UNICEF.
  • UNICEF. (2013). The state of the world’s children 2013: Children with disabilities. New York: UNICEF.
  • UNDP. (2013). Human Development Report 2013: The rise of the South – Human progress in a diverse World. Available at: http://www./hdr.undp.org United Nations Population Fund (UNFPA). [2003]. State of the World Population 2003: Making 1 billion count: Investing in adolescent’s health and rights. New York: UNFPA.
  • UNFPA. (2009). The Maternal Health Thematic Fund Annual Report. New York: UNFPA.
  • UNFPA. (2012). Marrying too young. End Child Marriage. New York: UNFPA.
  • UNFPA. (2012). State of the World Population: By Choice, Not By Chance. New York: UNFPA.
  • Walker, G. J. A., Mccaw, A., Ashley, D. C. & Bernard, G. W. (1985). Maternal Mortality in Jamaica: A confidential inquiry into all maternal deaths in Jamaica 1981-1983. Paper presented at WHO Interregional Meeting on the Prevention of Maternal Mortality, Geneva, 11-15 November.
  • Winikoff, B., I Sivin, I. & Coyaji, K. T. (1987). Safety, Efficacy and Acceptability of Medical Abortion in China, Cuba and India: A Comparative Trial of Mifepristone- Misoprostol versus Surgical Abortion. AMJ Obstet Gynecol, 176, 431-437.
  • World Health Organization (WHO). (1977). Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death. Geneva: WHO.
  • WHO. (2009). Today’s evidence Tomorrow’s agenda. Geneva: WHO.
  • WHO. (2013). Available at: http
  • WHO, UNICEF, UNFPA, World Bank. (2010). Trends in Maternal Mortality: 1990 to 2008. Estimates developed by WHO, UNICEF, UNFPA and the World Bank. Geneva: WHO. World Bank Data. Available at: http://data.worldbank.org/topic .

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How to Cite

Lalthapersad-Pillay, P., & Udjo, E. (2014). The Association between Maternal Mortality and Non-Medical factors in African Countries. Journal of Economics and Behavioral Studies, 6(5), 351-362. https://doi.org/10.22610/jebs.v6i5.498

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Research Paper

Published in

Vol. 6 No. 5 (2014) Cooperatives, Emerging Markets & Institutional Behaviour View issue contents

Published

2014-05-30

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