Women's Health Issues
Volume 19, Issue 1 , Pages 14-20 , January 2009

Facility-Based Maternal Death Review In Three Districts In The Central Region of Malawi: An Analysis of Causes and Characteristics of Maternal Deaths

  • Eugene J. Kongnyuy, MD, MPH

      Affiliations

    • Child and Reproductive Health Group, Liverpool School of Tropical Medicine, United Kingdom
    • Corresponding Author InformationCorrespondence to: Eugene J. Kongnyuy, MD, MPH, Clinical Lecturer, Child and Reproductive Health Group, Liverpool School of Tropical Medicine, UK; Phone: +44 151 705 3705; Fax: +44 151 705 3329.
  • ,
  • Grace Mlava, MPH

      Affiliations

    • The Health Foundation Consortium, Malawi
  • ,
  • Nynke van den Broek, PhD, FROCG

      Affiliations

    • Child and Reproductive Health Group, Liverpool School of Tropical Medicine, United Kingdom

Received 16 May 2008 ,Revised 27 September 2008 ,Accepted 28 September 2008.

References 

  1. Bullough C, Meda N, Makowiecka K, Ronsmans C, Achadi EL, Hussein J. Current strategies for the reduction of maternal mortality. British Journal of Obstetrics and Gynecology. 2005;112:1180–1188
  2. Hofman JJ, Sibande NM. Review of community based maternal deaths in Mangochi. Malawi Medical Journal. 2005;17:81–84
  3. Kongnyuy EJ, Hofman J, Mlava G, Mhango C, van den Broek N. Availability, utilisation and quality of basic and comprehensive emergency obstetric care services in Malawi. Maternal and Child Health Journal. 2008;Jun 26. [Epub ahead of print]
  4. Leigh B, Mwale TG, Lazaro D, Lunguzi J. Emergency obstetric care: how do we stand in Malawi?. International Journal of Gynaecology and Obstetrics. 2008;101:107–111
  5. Lema MV, Changole J, Kanyighe C, Malunga EV. Maternal mortality at the Queen Elizabeth Central Teaching Hospital, Blantyre, Malawi. East African Medical Journal. 2005;82:1–2
  6. Maher D. Clinical audit in a developing country. Tropical Medicine & International Health. 1996;1:409–413
  7. Malaysia Ministry of Health . Evaluation of implementation of the confidential enquiries into maternal deaths in the improvement of maternal health services. Kuala Lumpur: Ministry of Health; 1988;
  8. National Statistics Office (NSO) [Malawi], ORC Macro . Malawi demographic and Health Survey 2004. Calverton, Md: NSO and ORC Macro; 2005;
  9. Papworth S, Cartridge P. Learning from adverse events—The role of confidential enquiries. Seminars in Fetal and Neonatal Medicine. 2005;10:39–43
  10. Ratsma YE. Why more mothers die: The confidential enquiries into institutional maternal deaths in the Southern region of Malawi 2001. Lilongwe: Malawi Ministry of Health; 2002;
  11. Ronsmans C. What is the evidence for the role of audits to improve the quality of obstetric care?. Studies in Health Services Organisation and Policy. 2001;17:207–227
  12. Seljeskog L, Sundby J, Chimango J. Factors influencing women's choice of place of delivery in rural Malawi—An explorative study. African Journal of Reproductive Health. 2006;10:66–75
  13. Supratikto G, Wirth ME, Achadi E, Cohen S, Ronsman C. A district based audit of the causes and circumstances of maternal deaths in South Kalimantan, Indonesia. Bulletin of the World Health Organization. 2002;80:228–235
  14. Weeks AD, Alia G, Ononge S, Otolorin EO, Mirembe FM. A criteria-based audit of the management of severe pre-eclampsia in Kampala, Uganda. International Journal of Gynaecology & Obstetrics. 2005;91:292–297
  15. World Health Organization (WHO) . Beyond the numbers: reviewing maternal deaths and complications to make pregnancy safer. Geneva: Department of Reproductive Health and Research, WHO; 2004;
  16. World Health Organization (WHO) . Reducing maternal deaths: a challenge for the new millennium in the African region. Brazzaville: Congo: WHO Regional Office for Africa; 2005;
  17. World Health Organization (WHO) . Maternal mortality in 2005: Estimates developed by WHO, UNICEF, UNFPA and the World Bank. Geneva: WHO; 2007;

 Supported by funding from the Health Foundation Consortium, UK.

PII: S1049-3867(08)00142-4

doi: 10.1016/j.whi.2008.09.008

Women's Health Issues
Volume 19, Issue 1 , Pages 14-20 , January 2009