Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study

Ibrahim Khalil; Michael Collison; Charbel El Bcheraoui; Raghid Charara; Maziar Moradi-Lakeh; Ashkan Afshin; Adrienne Chew; Farah Daoud; Kristopher J. Krohn; Danny Colombara; Rebecca Ehrenkranz; Michael Kutz; Haidong Wang; Amanuel Alemu Abajobir; Foad Abd-Allah; Haftom Niguse Abraha; Laith J. Abu-Raddad; Aliasghar Ahmad Kiadaliri; Alireza Ahmadi; Kedir Yimam Ahmed; Muktar Beshir Ahmed; Faris Hasan Al Lami; Khurshid Alam; Deena Alasfoor; Reza Alizadeh-Navaei; Juma M. Alkaabi; Fatma Al-Maskari; Rajaa Al-Raddadi; Khalid A. Altirkawi; Nahla Anber; Hossein Ansari; Hamid Asayesh; Rana Jawad Asghar; Tesfay Mehari Atey; Tadesse Awoke Ayele; Till Bärnighausen; Umar Bacha; Aleksandra Barac; Suzanne L. Barker-Collo; Bernhard T. Baune; Shahrzad Bazargan-Hejazi; Neeraj Bedi; Isabela M. Bensenor; Adugnaw Berhane; Addisu Shunu Beyene; Zulfiqar A. Bhutta; Dube Jara Boneya; Rohan Borschmann; Nicholas J.K. Breitborde; Zahid A. Butt; Ferrán Catalá-López; Liliana G. Ciobanu; Hadi Danawi; Amare Deribew; Samath D. Dharmaratne; Kerrie E. Doyle; Aman Yesuf Endries; Emerito Jose Aquino Faraon; André Faro; Maryam S. Farvid; Wubalem Fekadu; Seyed Mohammad Fereshtehnejad; Florian Fischer; Tsegaye Tewelde Gebrehiwot; Ababi Zergaw Giref; Melkamu Dedefo Gishu; Alessandra Carvalho Goulart; Tesfa Dejenie Habtewold; Randah Ribhi Hamadeh; Mitiku Teshome Hambisa; Samer Hamidi; Josep Maria Haro; Mohammad Sadegh Hassanvand; Nobuyuki Horita; Mohamed Hsairi; Hsiang Huang; Abdullatif Husseini; Mihajlo B. Jakovljevic; Spencer Lewis James; Jost B. Jonas; Amir Kasaeian; Yousef Saleh Khader; Ejaz Ahmad Khan; Abdullah Tawfih Abdullah Khoja; Ardeshir Khosravi; Jagdish Khubchandani; Daniel Kim; Yun Jin Kim; Yoshihiro Kokubo; Ai Koyanagi; Barthelemy Kuate Defo; Heidi J. Larson; Asma Abdul Latif; Hong Lee; Cheru Tesema Leshargie; Ricky Leung; Loon Tzian Lo; Raimundas Lunevicius; Hassan Magdy Abd El Razek; Mohammed Magdy Abd El Razek

doi:10.1007/s00038-017-1004-3

Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study

Ibrahim Khalil, Michael Collison, Charbel El Bcheraoui, Raghid Charara, Maziar Moradi-Lakeh, Ashkan Afshin, Adrienne Chew, Farah Daoud, Kristopher J. Krohn, Danny Colombara, Rebecca Ehrenkranz, Michael Kutz, Haidong Wang, Amanuel Alemu Abajobir, Foad Abd-Allah, Haftom Niguse Abraha, Laith J. Abu-Raddad, Aliasghar Ahmad Kiadaliri, Alireza Ahmadi, Kedir Yimam AhmedMuktar Beshir Ahmed, Faris Hasan Al Lami, Khurshid Alam, Deena Alasfoor, Reza Alizadeh-Navaei, Juma M. Alkaabi, Fatma Al-Maskari, Rajaa Al-Raddadi, Khalid A. Altirkawi, Nahla Anber, Hossein Ansari, Hamid Asayesh, Rana Jawad Asghar, Tesfay Mehari Atey, Tadesse Awoke Ayele, Till Bärnighausen, Umar Bacha, Aleksandra Barac, Suzanne L. Barker-Collo, Bernhard T. Baune, Shahrzad Bazargan-Hejazi, Neeraj Bedi, Isabela M. Bensenor, Adugnaw Berhane, Addisu Shunu Beyene, Zulfiqar A. Bhutta, Dube Jara Boneya, Rohan Borschmann, Nicholas J.K. Breitborde, Zahid A. Butt, Ferrán Catalá-López, Liliana G. Ciobanu, Hadi Danawi, Amare Deribew, Samath D. Dharmaratne, Kerrie E. Doyle, Aman Yesuf Endries, Emerito Jose Aquino Faraon, André Faro, Maryam S. Farvid, Wubalem Fekadu, Seyed Mohammad Fereshtehnejad, Florian Fischer, Tsegaye Tewelde Gebrehiwot, Ababi Zergaw Giref, Melkamu Dedefo Gishu, Alessandra Carvalho Goulart, Tesfa Dejenie Habtewold, Randah Ribhi Hamadeh, Mitiku Teshome Hambisa, Samer Hamidi, Josep Maria Haro, Mohammad Sadegh Hassanvand, Nobuyuki Horita, Mohamed Hsairi, Hsiang Huang, Abdullatif Husseini, Mihajlo B. Jakovljevic, Spencer Lewis James, Jost B. Jonas, Amir Kasaeian, Yousef Saleh Khader, Ejaz Ahmad Khan, Abdullah Tawfih Abdullah Khoja, Ardeshir Khosravi, Jagdish Khubchandani, Daniel Kim, Yun Jin Kim, Yoshihiro Kokubo, Ai Koyanagi, Barthelemy Kuate Defo, Heidi J. Larson, Asma Abdul Latif, Hong Lee, Cheru Tesema Leshargie, Ricky Leung, Loon Tzian Lo, Raimundas Lunevicius, Hassan Magdy Abd El Razek, Mohammed Magdy Abd El Razek

Research output: Journal article publication › Journal article › Academic research › peer-review

7 Citations (Scopus)

Abstract

Objectives: Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015. Methods: We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries. Results: The maternal mortality ratio in the EMR decreased 16.3% from 283 (241–328) maternal deaths per 100,000 live births in 1990 to 237 (188–293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region. Conclusion: Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life.

Original language	English
Pages (from-to)	47-61
Number of pages	15
Journal	International Journal of Public Health
Volume	63
DOIs	https://doi.org/10.1007/s00038-017-1004-3
Publication status	Published - 1 May 2018

Keywords

Burden of disease
Eastern Mediterranean Region
Maternal health
Maternal mortality

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

More information

10.1007/s00038-017-1004-3

Cite this

Khalil, I., Collison, M., El Bcheraoui, C., Charara, R., Moradi-Lakeh, M., Afshin, A., Chew, A., Daoud, F., Krohn, K. J., Colombara, D., Ehrenkranz, R., Kutz, M., Wang, H., Abajobir, A. A., Abd-Allah, F., Abraha, H. N., Abu-Raddad, L. J., Ahmad Kiadaliri, A., Ahmadi, A., ... Magdy Abd El Razek, M. (2018). Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study. International Journal of Public Health, 63, 47-61. https://doi.org/10.1007/s00038-017-1004-3

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title = "Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study",

abstract = "Objectives: Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015. Methods: We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries. Results: The maternal mortality ratio in the EMR decreased 16.3% from 283 (241–328) maternal deaths per 100,000 live births in 1990 to 237 (188–293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region. Conclusion: Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life.",

keywords = "Burden of disease, Eastern Mediterranean Region, Maternal health, Maternal mortality",

author = "Ibrahim Khalil and Michael Collison and {El Bcheraoui}, Charbel and Raghid Charara and Maziar Moradi-Lakeh and Ashkan Afshin and Adrienne Chew and Farah Daoud and Krohn, {Kristopher J.} and Danny Colombara and Rebecca Ehrenkranz and Michael Kutz and Haidong Wang and Abajobir, {Amanuel Alemu} and Foad Abd-Allah and Abraha, {Haftom Niguse} and Abu-Raddad, {Laith J.} and {Ahmad Kiadaliri}, Aliasghar and Alireza Ahmadi and Ahmed, {Kedir Yimam} and Ahmed, {Muktar Beshir} and {Al Lami}, {Faris Hasan} and Khurshid Alam and Deena Alasfoor and Reza Alizadeh-Navaei and Alkaabi, {Juma M.} and Fatma Al-Maskari and Rajaa Al-Raddadi and Altirkawi, {Khalid A.} and Nahla Anber and Hossein Ansari and Hamid Asayesh and Asghar, {Rana Jawad} and Atey, {Tesfay Mehari} and {Awoke Ayele}, Tadesse and Till B{\"a}rnighausen and Umar Bacha and Aleksandra Barac and Barker-Collo, {Suzanne L.} and Baune, {Bernhard T.} and Shahrzad Bazargan-Hejazi and Neeraj Bedi and Bensenor, {Isabela M.} and Adugnaw Berhane and Beyene, {Addisu Shunu} and Bhutta, {Zulfiqar A.} and Boneya, {Dube Jara} and Rohan Borschmann and Breitborde, {Nicholas J.K.} and Butt, {Zahid A.} and Ferr{\'a}n Catal{\'a}-L{\'o}pez and Ciobanu, {Liliana G.} and Hadi Danawi and Amare Deribew and Dharmaratne, {Samath D.} and Doyle, {Kerrie E.} and Endries, {Aman Yesuf} and Faraon, {Emerito Jose Aquino} and Andr{\'e} Faro and Farvid, {Maryam S.} and Wubalem Fekadu and Fereshtehnejad, {Seyed Mohammad} and Florian Fischer and Gebrehiwot, {Tsegaye Tewelde} and Giref, {Ababi Zergaw} and Gishu, {Melkamu Dedefo} and Goulart, {Alessandra Carvalho} and Habtewold, {Tesfa Dejenie} and Hamadeh, {Randah Ribhi} and Hambisa, {Mitiku Teshome} and Samer Hamidi and Haro, {Josep Maria} and Hassanvand, {Mohammad Sadegh} and Nobuyuki Horita and Mohamed Hsairi and Hsiang Huang and Abdullatif Husseini and Jakovljevic, {Mihajlo B.} and James, {Spencer Lewis} and Jonas, {Jost B.} and Amir Kasaeian and Khader, {Yousef Saleh} and Khan, {Ejaz Ahmad} and Khoja, {Abdullah Tawfih Abdullah} and Ardeshir Khosravi and Jagdish Khubchandani and Daniel Kim and Kim, {Yun Jin} and Yoshihiro Kokubo and Ai Koyanagi and {Kuate Defo}, Barthelemy and Larson, {Heidi J.} and Latif, {Asma Abdul} and Hong Lee and Leshargie, {Cheru Tesema} and Ricky Leung and Lo, {Loon Tzian} and Raimundas Lunevicius and {Magdy Abd El Razek}, Hassan and {Magdy Abd El Razek}, Mohammed",

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doi = "10.1007/s00038-017-1004-3",

language = "English",

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journal = "International Journal of Public Health",

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Khalil, I, Collison, M, El Bcheraoui, C, Charara, R, Moradi-Lakeh, M, Afshin, A, Chew, A, Daoud, F, Krohn, KJ, Colombara, D, Ehrenkranz, R, Kutz, M, Wang, H, Abajobir, AA, Abd-Allah, F, Abraha, HN, Abu-Raddad, LJ, Ahmad Kiadaliri, A, Ahmadi, A, Ahmed, KY, Ahmed, MB, Al Lami, FH, Alam, K, Alasfoor, D, Alizadeh-Navaei, R, Alkaabi, JM, Al-Maskari, F, Al-Raddadi, R, Altirkawi, KA, Anber, N, Ansari, H, Asayesh, H, Asghar, RJ, Atey, TM, Awoke Ayele, T, Bärnighausen, T, Bacha, U, Barac, A, Barker-Collo, SL, Baune, BT, Bazargan-Hejazi, S, Bedi, N, Bensenor, IM, Berhane, A, Beyene, AS, Bhutta, ZA, Boneya, DJ, Borschmann, R, Breitborde, NJK, Butt, ZA, Catalá-López, F, Ciobanu, LG, Danawi, H, Deribew, A, Dharmaratne, SD, Doyle, KE, Endries, AY, Faraon, EJA, Faro, A, Farvid, MS, Fekadu, W, Fereshtehnejad, SM, Fischer, F, Gebrehiwot, TT, Giref, AZ, Gishu, MD, Goulart, AC, Habtewold, TD, Hamadeh, RR, Hambisa, MT, Hamidi, S, Haro, JM, Hassanvand, MS, Horita, N, Hsairi, M, Huang, H, Husseini, A, Jakovljevic, MB, James, SL, Jonas, JB, Kasaeian, A, Khader, YS, Khan, EA, Khoja, ATA, Khosravi, A, Khubchandani, J, Kim, D, Kim, YJ, Kokubo, Y, Koyanagi, A, Kuate Defo, B, Larson, HJ, Latif, AA, Lee, H, Leshargie, CT, Leung, R, Lo, LT, Lunevicius, R, Magdy Abd El Razek, H & Magdy Abd El Razek, M 2018, 'Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study', International Journal of Public Health, vol. 63, pp. 47-61. https://doi.org/10.1007/s00038-017-1004-3

Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study. / Khalil, Ibrahim; Collison, Michael; El Bcheraoui, Charbel et al.

In: International Journal of Public Health, Vol. 63, 01.05.2018, p. 47-61.

Research output: Journal article publication › Journal article › Academic research › peer-review

TY - JOUR

T1 - Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study

AU - Khalil, Ibrahim

AU - Collison, Michael

AU - El Bcheraoui, Charbel

AU - Charara, Raghid

AU - Moradi-Lakeh, Maziar

AU - Afshin, Ashkan

AU - Chew, Adrienne

AU - Daoud, Farah

AU - Krohn, Kristopher J.

AU - Colombara, Danny

AU - Ehrenkranz, Rebecca

AU - Kutz, Michael

AU - Wang, Haidong

AU - Abajobir, Amanuel Alemu

AU - Abd-Allah, Foad

AU - Abraha, Haftom Niguse

AU - Abu-Raddad, Laith J.

AU - Ahmad Kiadaliri, Aliasghar

AU - Ahmadi, Alireza

AU - Ahmed, Kedir Yimam

AU - Ahmed, Muktar Beshir

AU - Al Lami, Faris Hasan

AU - Alam, Khurshid

AU - Alasfoor, Deena

AU - Alizadeh-Navaei, Reza

AU - Alkaabi, Juma M.

AU - Al-Maskari, Fatma

AU - Al-Raddadi, Rajaa

AU - Altirkawi, Khalid A.

AU - Anber, Nahla

AU - Ansari, Hossein

AU - Asayesh, Hamid

AU - Asghar, Rana Jawad

AU - Atey, Tesfay Mehari

AU - Awoke Ayele, Tadesse

AU - Bärnighausen, Till

AU - Bacha, Umar

AU - Barac, Aleksandra

AU - Barker-Collo, Suzanne L.

AU - Baune, Bernhard T.

AU - Bazargan-Hejazi, Shahrzad

AU - Bedi, Neeraj

AU - Bensenor, Isabela M.

AU - Berhane, Adugnaw

AU - Beyene, Addisu Shunu

AU - Bhutta, Zulfiqar A.

AU - Boneya, Dube Jara

AU - Borschmann, Rohan

AU - Breitborde, Nicholas J.K.

AU - Butt, Zahid A.

AU - Catalá-López, Ferrán

AU - Ciobanu, Liliana G.

AU - Danawi, Hadi

AU - Deribew, Amare

AU - Dharmaratne, Samath D.

AU - Doyle, Kerrie E.

AU - Endries, Aman Yesuf

AU - Faraon, Emerito Jose Aquino

AU - Faro, André

AU - Farvid, Maryam S.

AU - Fekadu, Wubalem

AU - Fereshtehnejad, Seyed Mohammad

AU - Fischer, Florian

AU - Gebrehiwot, Tsegaye Tewelde

AU - Giref, Ababi Zergaw

AU - Gishu, Melkamu Dedefo

AU - Goulart, Alessandra Carvalho

AU - Habtewold, Tesfa Dejenie

AU - Hamadeh, Randah Ribhi

AU - Hambisa, Mitiku Teshome

AU - Hamidi, Samer

AU - Haro, Josep Maria

AU - Hassanvand, Mohammad Sadegh

AU - Horita, Nobuyuki

AU - Hsairi, Mohamed

AU - Huang, Hsiang

AU - Husseini, Abdullatif

AU - Jakovljevic, Mihajlo B.

AU - James, Spencer Lewis

AU - Jonas, Jost B.

AU - Kasaeian, Amir

AU - Khader, Yousef Saleh

AU - Khan, Ejaz Ahmad

AU - Khoja, Abdullah Tawfih Abdullah

AU - Khosravi, Ardeshir

AU - Khubchandani, Jagdish

AU - Kim, Daniel

AU - Kim, Yun Jin

AU - Kokubo, Yoshihiro

AU - Koyanagi, Ai

AU - Kuate Defo, Barthelemy

AU - Larson, Heidi J.

AU - Latif, Asma Abdul

AU - Lee, Hong

AU - Leshargie, Cheru Tesema

AU - Leung, Ricky

AU - Lo, Loon Tzian

AU - Lunevicius, Raimundas

AU - Magdy Abd El Razek, Hassan

AU - Magdy Abd El Razek, Mohammed

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Objectives: Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015. Methods: We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries. Results: The maternal mortality ratio in the EMR decreased 16.3% from 283 (241–328) maternal deaths per 100,000 live births in 1990 to 237 (188–293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region. Conclusion: Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life.

AB - Objectives: Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015. Methods: We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries. Results: The maternal mortality ratio in the EMR decreased 16.3% from 283 (241–328) maternal deaths per 100,000 live births in 1990 to 237 (188–293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region. Conclusion: Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life.

KW - Burden of disease

KW - Eastern Mediterranean Region

KW - Maternal health

KW - Maternal mortality

UR - http://www.scopus.com/inward/record.url?scp=85026823011&partnerID=8YFLogxK

U2 - 10.1007/s00038-017-1004-3

DO - 10.1007/s00038-017-1004-3

M3 - Journal article

VL - 63

SP - 47

EP - 61

JO - International Journal of Public Health

JF - International Journal of Public Health

SN - 1661-8556

ER -

Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study

Abstract

Keywords

ASJC Scopus subject areas

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