Maternal Mortality in Cordoba City, Argentina: Causes, Determinants and Trends
Mary Eugenia Peisino,
Rudolph Gomez Ponce de León,
Marie Jo Demaría,
Alice Díaz,
Gabriel Acevedo
Issue:
Volume 8, Issue 1, January 2020
Pages:
1-7
Received:
24 July 2019
Accepted:
6 September 2019
Published:
16 January 2020
Abstract: Background: The improvement of maternal health and reduction of maternal mortality have been a priority on the global community’s agenda. In this sense, the “plan of action to accelerate the reduction of maternal mortality and severe maternal morbidity” has focused on improving women’s health and attempted to contribute to the efforts of different countries to meet the fifth Millennium Development Goal (MDG 5). As the member states committed to achieving the MDGs, a considerable decline in maternal mortality was noted across the Region. The aim of the present work was to investigate maternal mortality rates in the city of Cordoba between 2008 and 2017. In addition, the study aimed analyzing the causes associated with maternal mortality and determining the sociodemographic profile of maternal deaths from direct and indirect causes in the 2015-2017. Methods: A descriptive, retrospective study was performed. Secondary data sources obtained from official publications were searched, especially those produced by the Mother-Child Bureau, the Department of Provincial Statistics, and the Municipal Epidemiology Center. Results: During the period from 2008 to 2017, a declining MMR trend was observed in the city of Cordoba, with a 26.8% decline from 31.2‰ in 2008 to 22.9‰ in 2017. Analysis of the causes of maternal death showed that in 2015-2017 most corresponded to direct causes (56%), followed by indirect causes (38%) and abortion (6%). These data agree with the latest report by the Ministry of Health in Argentina (57% of direct causes). Cordoba city has experienced a substantial decline in MMR, and that maternal deaths account for only a small percentage of overall deaths in the city. Conclusions: Nevertheless, maternal deaths occurred in a population that is usually healthy and are mostly avoidable with well-known interventions. Therefore, it is essential to adequately characterize this public health problem, to strengthen public policies targeting the reduction of maternal mortality and severe maternal morbidity, as well as the optimal care of women during pregnancy and childbirth.
Abstract: Background: The improvement of maternal health and reduction of maternal mortality have been a priority on the global community’s agenda. In this sense, the “plan of action to accelerate the reduction of maternal mortality and severe maternal morbidity” has focused on improving women’s health and attempted to contribute to the efforts of different ...
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Cholera Outbreak in the Kasaï Oriental Province, Democratic Republic of Congo (DRC), 2018: The Case Fatality Rate in Mbuji-Mayi City and in the Rural Area
Norbert Tanke Dongmo,
Barry Mutombo,
Jerome Ateudjieu,
Gervais Folefack Tengomo,
Mavard Kwengani,
Paulin Gabo,
Marie Claire Georgette Diwampovesa,
Laurent Akilimali,
Berthe Miwanda,
Armand Nkwesheu,
Mamie Bangonda,
Michel Noubom,
François-Xavier Mbopi-Keou
Issue:
Volume 8, Issue 1, January 2020
Pages:
8-18
Received:
7 February 2020
Accepted:
20 February 2020
Published:
2 March 2020
Abstract: Cholera remains the major public health problem in the world. Cholera is endemic in DRC especially in its east part. In the Kasai Oriental province, cholera is epidemic area which registered major epidemic cyclically with high case fatality rate. The last one in 2018 started in Mbuji-Mayi city but later affected the whole province during 45 weeks with 5854 total suspected cases registered including 277 deaths (CFR: 4.7%). Our main objective was to describe this outbreak focusing on its higher CFR. We conducted quantitative descriptive study using data from the provincial line listing. Cholera was defined according to national and WHO case definition. Analyses were performed using Microsoft Excel 2010 and Epi-info7. Men were more affected (contracting or dying of) by cholera in the province. The proportion of men affected in rural area as well as the proportion of death was higher than in Mbuji-Mayi city. The outbreak started in Mbuji-Mayi with around CFR: 27.3% as well as in the rural area with CFR: 23.5% after three weeks. CFR was also high among men in Rural area as well as among persons aged 15years and above. The remote health zone situated in rural area registered the highest CFR. These were Cilundu and Kabeya-Kamwanga.
Abstract: Cholera remains the major public health problem in the world. Cholera is endemic in DRC especially in its east part. In the Kasai Oriental province, cholera is epidemic area which registered major epidemic cyclically with high case fatality rate. The last one in 2018 started in Mbuji-Mayi city but later affected the whole province during 45 weeks w...
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