Comparison between National and International Data on Maternal Mortality - Mongolia Workshop on MDG Monitoring: 2015 and Beyond Bangkok July 9 -13, 2012 Mr. A. Amarbal, NSO Ms. S. Enhkjin, MOH Dr. B. Shinetugs, UNFPA
Trends in Maternal Mortality: 1990 -2010 1995 2000 2005 2010 120 110 96 84 63 Mongolia is considered as “Making Progress” and as country C – “…with no data on maternal mortality”
Data sources Routine data sources: Death certificates + Vital statistics + Hospital records + Other data sources: Census/surveys: RHS/MICS every 5 years 2010 census +- Specific maternal health surveys: by place / organisation: Confidential enquiries into maternal deaths Other sources Clinical audits by the State Inspection Agency, Verbal autopsies in case of death at home
Reporting of maternal deaths Governmant implementing ageng for Civil Registration Autopsy 94, 1% Clinical pathological conference Dept. of Health Stats 21 days Provincial CR department 48 hours Maternal death review committee MOH National statistical office Every 6 months NCMCH 28 days Officer of civil registration Province, city HD 1 m MD 24 hours
Death Certificate Form to be completed by a medical doctor
Part that goes to the Do. H
Part that goes to the Vital Statistics, Civil registration Office
MMR per 100, 000 live births according to the NSO National MDG target approved by the Parliament in 2004 Change in the calculation method: <28 weeks included
Causes of maternal deaths 1990 Post partum hemorhage PE/Eclampsia Abortion Ruptured uterus Postpartun infection Other direct causes Indirect causes
Causes of maternal deaths 2000 Post partum hemorhage PE/Eclampsia Abortion Ruptured uterus Postpartun infection Other direct causes Indirect causes
Causes of maternal deaths 2010 Post partum hemorhage PE/Eclampsia Abortion Ruptured uterus Postpartun infection Other direct causes Indirect causes
Maternal deaths, 2011 • 19 cases or 55. 9% in rural, • 15 cases or 44. 1% in urban
Incidental deaths 1. Apr 01, 35 -36 weeks – car accident 2. July 11, domestic violence 3. July 20, 8 -9 weeks – Suicide 4. September, 27 weeks – car accident
Why not health facility data? • Deliveries in facilities: 99, 6% – More than 70, 000 in public – 300 -350 deliveries in private facilities • Deliveries at the home: 0. 4% • Post-mortems 94, 1%
Trends in Maternal Mortality: 1990 -2010 1995 2000 2005 2010 120 110 96 84 63 Mongolia is considered as “Making Progress” and as country C – “…with no data on maternal mortality”
MMR per 100, 000 live births according to the NSO National MDG target approved by the Parliament in 2004 Change in the calculation method: <28 weeks included
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