Applying the sisterhood method for estimating maternal mortality to a health facility-based sample: a comparison with results from a household-based sample.
Int J Epidemiol
; 25(5): 1017-22, 1996 Oct.
Article
em En
| MEDLINE
| ID: mdl-8921489
ABSTRACT
PIP: Researchers compared maternal mortality estimates using the sisterhood method in a household survey conducted in November 1991 and in an outpatient health facility survey conducted in July 1992. Both surveys were conducted in Region I, a predominantly rural, mountainous area in northern Nicaragua. They analyzed data from 9232 interviews with adults younger than 49. The estimated lifetime risk of maternal death and the corresponding maternal mortality ratio were essentially identical for both the household and health facility surveys (0.145 and 0.144 [i.e., 1 in 69 of reproductive age died due to pregnancy-related events] and 243 and 241/100,000 live births, respectively). The estimates were similar for both surveys, even when the results were standardized for age, residence, and socioeconomic characteristics. An important limitation to the sisterhood method of estimating maternal mortality is that it estimates maternal mortality for a period about 10-12 years before the study and therefore cannot be used to assess the immediate effect of interventions to reduce maternal mortality. Nevertheless, in areas with poor maternal mortality surveillance or where no alternative exists to collecting population-based data, the sisterhood method can reliably estimate maternal mortality. These findings suggest that health facilities-based studies using the sisterhood method is a feasible, low-cost, and efficient method to estimate maternal mortality in certain settings at subnational levels.
Palavras-chave
Americas; Central America; Comparative Studies; Demographic Factors; Developing Countries; Estimation Technics; Family And Household; Family Characteristics; Family Relationships; Indirect Estimation Technics; Latin America; Maternal Mortality; Measurement; Methodological Studies; Mortality; Nicaragua; North America; Population; Population Dynamics; Reliability; Research Methodology; Siblings; Studies
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Mortalidade Materna
/
Métodos Epidemiológicos
/
Inquéritos Epidemiológicos
/
Causas de Morte
/
Instituições de Assistência Ambulatorial
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Equity_inequality
/
Patient_preference
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Middle aged
País/Região como assunto:
America central
/
Nicaragua
Idioma:
En
Revista:
Int J Epidemiol
Ano de publicação:
1996
Tipo de documento:
Article
País de afiliação:
Estados Unidos
País de publicação:
Reino Unido