TY - JOUR
T1 - Levels and Trends of Maternal Mortality and Morbidity by Cause in North Africa and Middle East, 1990 to 2019
T2 - An Analysis for the Global Burden of Disease Study 2019
AU - GBD Maternal Middle East Collaborators
AU - Sepanlou, Sadaf G.
AU - Rezaei Aliabadi, Hossein
AU - Malekzadeh, Reza
AU - Naghavi, Mohsen
AU - Sepanlou, Sadaf G.
AU - Aliabadi, Hossein Rezaei
AU - Abbasi-Kangevari, Mohsen
AU - Abbasi-Kangevari, Zeinab
AU - Abidi, Hassan
AU - Abolhassani, Hassan
AU - Abu-Gharbieh, Eman
AU - Abu-Rmeileh, Niveen M.E.
AU - Ahmadi, Ali
AU - Ahmed, Jivan Qasim
AU - Rashid, Tarik Ahmed
AU - Naji Alhalaiqa, Fadwa Alhalaiqa
AU - Alshehri, Mohammed Mansour
AU - Alvand, Saba
AU - Amini, Saeed
AU - Arulappan, Judie
AU - Athari, Seyyed Shamsadin
AU - Azadnajafabad, Sina
AU - Jafari, Amirhossein Azari
AU - Baghcheghi, Nayereh
AU - Bagherieh, Sara
AU - Bedi, Neeraj
AU - Bijani, Ali
AU - Campos, Luciana Aparecida
AU - Cheraghi, Maria
AU - Dangel, William James
AU - Darwesh, Aso Mohammad
AU - Elbarazi, Iffat
AU - Elhadi, Muhammed
AU - Foroutan, Masoud
AU - Galehdar, Nasrin
AU - Ghamari, Seyyed Hadi
AU - Nour, Mohammad Ghasemi
AU - Ghashghaee, Ahmad
AU - Halwani, Rabih
AU - Hamidi, Samer
AU - Haque, Shafiul
AU - Hasaballah, Ahmed I.
AU - Hassankhani, Hadi
AU - Hosseinzadeh, Mehdi
AU - Kabir, Ali
AU - Kalankesh, Laleh R.
AU - Keikavoosi-Arani, Leila
AU - Keskin, Cumali
AU - Keykhaei, Mohammad
AU - Khader, Yousef Saleh
N1 - Publisher Copyright:
© 2022 Academy of Medical Sciences of I.R. Iran. All rights reserved.
PY - 2022/10
Y1 - 2022/10
N2 - Background: Since 1990, the maternal mortality significantly decreased at global scale as well as the North Africa and Middle East. However, estimates for mortality and morbidity by cause and age at national scale in this region are not available. Methods: This study is part of the Global Burden of Diseases, Injuries, and Risk Factors study (GBD) 2019. Here we report maternal mortality and morbidity by age and cause across 21 countries in the region from 1990 to 2019. Results: Between 1990 and 2019, maternal mortality ratio (MMR) dropped from 148.8 (129.6-171.2) to 94.3 (73.4-121.1) per 100 000 live births in North Africa and Middle East. In 1990, MMR ranged from 6.0 (5.3-6.8) in Kuwait to 502.9 (375.2-655.3) per 100 000 live births in Afghanistan. Respective figures for 2019 were 5.1 (4.0-6.4) in Kuwait to 269.9 (195.8-368.6) in Afghanistan. Percentages of deaths under 25 years was 26.0% in 1990 and 23.8% in 2019. Maternal hemorrhage, indirect maternal deaths, and other maternal disorders rank 1st to 3rd in the entire region. Ultimately, there was an evident decrease in MMR along with increase in socio-demographic index from 1990 to 2019 in all countries in the region and an evident convergence across nations. Conclusion: MMR has significantly declined in the region since 1990 and only five countries (Afghanistan, Sudan, Yemen, Morocco, and Algeria) out of 21 nations didn't achieve the Sustainable Development Goal (SDG) target of 70 deaths per 100 000 live births in 2019. Despite the convergence in trends, there are still disparities across countries.
AB - Background: Since 1990, the maternal mortality significantly decreased at global scale as well as the North Africa and Middle East. However, estimates for mortality and morbidity by cause and age at national scale in this region are not available. Methods: This study is part of the Global Burden of Diseases, Injuries, and Risk Factors study (GBD) 2019. Here we report maternal mortality and morbidity by age and cause across 21 countries in the region from 1990 to 2019. Results: Between 1990 and 2019, maternal mortality ratio (MMR) dropped from 148.8 (129.6-171.2) to 94.3 (73.4-121.1) per 100 000 live births in North Africa and Middle East. In 1990, MMR ranged from 6.0 (5.3-6.8) in Kuwait to 502.9 (375.2-655.3) per 100 000 live births in Afghanistan. Respective figures for 2019 were 5.1 (4.0-6.4) in Kuwait to 269.9 (195.8-368.6) in Afghanistan. Percentages of deaths under 25 years was 26.0% in 1990 and 23.8% in 2019. Maternal hemorrhage, indirect maternal deaths, and other maternal disorders rank 1st to 3rd in the entire region. Ultimately, there was an evident decrease in MMR along with increase in socio-demographic index from 1990 to 2019 in all countries in the region and an evident convergence across nations. Conclusion: MMR has significantly declined in the region since 1990 and only five countries (Afghanistan, Sudan, Yemen, Morocco, and Algeria) out of 21 nations didn't achieve the Sustainable Development Goal (SDG) target of 70 deaths per 100 000 live births in 2019. Despite the convergence in trends, there are still disparities across countries.
KW - Global Burden of Disease
KW - Maternal disorder
KW - Maternal health services
KW - Maternal mortality
KW - North Africa and Middle East
UR - http://www.scopus.com/inward/record.url?scp=85146912276&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85146912276&partnerID=8YFLogxK
U2 - 10.34172/aim.2022.105
DO - 10.34172/aim.2022.105
M3 - Article
C2 - 37542398
AN - SCOPUS:85146912276
SN - 1029-2977
VL - 25
SP - 666
EP - 675
JO - Archives of Iranian Medicine
JF - Archives of Iranian Medicine
IS - 10
ER -