Determinan Kematian Maternal di Kabupaten Tangerang Tahun 2018-2019

Based on data from the SDKI, the Maternal Mortality Rate (MMR) in Indonesia is still quite high, namely 359 per 100,000 live births1, and the results of the Inter-Census Population Survey show a decrease to 305 per 100,0002, this result is still quite far considering the Sustainable Development Goals (SDGs) target, namely reduce maternal mortality to below 70 per 100,000 target by 20303. The diversity of causes of maternal mortality and differences in regional characteristics make it necessary to make policies and plans to reduce MMR. AKI is an indicator of maternal health status. McCharty and Maine suggest 3 factors that influence maternal mortality, namely the near determinant, the intermediate determinant and the distant determinant.This research uses analytical research method, using secondary data, this method was chosen because in the first stage research will be conducted on the determinants of maternal mortality, then in the second stage an analysis will be carried out (analytic) to determine the determinants that have the most influence on maternal mortality in Tangerang Regency.There is a relationship between parity and maternal mortality with a p value of 0.025; OR = 5.667, which means that parity has 5.6 times the maternal mortality. There is a relationship between Ante Natal Care (ANC) examination and maternal mortality with a p value of 0.004; OR = 8,889 which means that ANC examination has 8.8 times of maternal mortality. There is a relationship between complications and maternal death with a p value of 0.019; OR = 7.5, which means that complications have 7.5 times the death rate and husband's work with maternal mortality p value 0.035; OR = 0.117. Thus parity, ANC examination, complications and husband's occupation have an effect on the determinants of maternal mortality.

Socio-Economic and Cultural Determinants of Maternal and Neonatal Mortality in Pakistan

The current study analyzed socio-economic and cultural determinants of maternal and neonatal mortality in Pakistan. This research was conducted at PIMS, Islamabad, Pakistan. In the first phase of research, we used a survey method to collect data from 56 respondents (36 female doctors and 20 female nurses) and their perceptions were enumerated about the socioeconomic and cultural determinants of maternal mortality. In the second phase of the research, 200 mothers (who had a baby under 1-year) currently admitted at PIMS were sampled for in-depth interviews and they were asked about the multiple determinants of neonatal mortality. In both phases, we employed a purposive sampling technique with a special inclusion criterion. The study highlighted multiple reasons influencing mortality of mothers and neonates such as lack of awareness, lack of transportation facilities, illiteracy, poverty, lack of antenatal care services and deliveries handled by unskilled birth attendants at homes.

Levels and determinants of maternal mortality in northern and southern Nigeria

Background Maternal mortality is still a major risk for women of childbearing age in Nigeria. In 2008, Nigeria bore 14% of the global burden of maternal mortality. The national maternal mortality ratio has remained elevated despite efforts to reduce maternal deaths. Though health disparities exist between the North and South of Nigeria, there is a dearth of evidence on the estimates and determinants of maternal mortality for these regions. Methods This study aimed to assess differences in the levels and determinants of maternal mortality in women of childbearing age (15–49 years) in the North and South of Nigeria. The Nigeria Demographic and Health Surveys (2008 and 2013) were used. The association between maternal mortality (outcome) and relevant sociocultural, economic and health factors was tested using multivariable logistic regression in a sample of 51,492 living or deceased women who had given birth. Results There were variations in the levels of maternal mortality between the two regions. Maternal mortality was more pronounced in the North and increased in 2013 compared to 2008. For the South, the levels slightly decreased. Media exposure and education were associated with maternal mortality in the North while contraceptive method, residence type and wealth index were associated with maternal death in the South. In both regions, age and community wealth were significantly associated with maternal mortality. Conclusions Differences in the levels and determinants of maternal mortality between the North and South of Nigeria stress the need for efforts to cut maternal deaths through new strategies that are relevant for each region. These should improve education of girls in the North and access to health information and services in the South. Overall, new policies to improve women’s socioeconomic status should be adopted.