کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3949514 1600372 2011 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Improving maternal mortality reporting at the community level with a 4-question modified reproductive age mortality survey (RAMOS)
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Improving maternal mortality reporting at the community level with a 4-question modified reproductive age mortality survey (RAMOS)
چکیده انگلیسی

ObjectiveTo investigate the identification of maternal deaths at the community level using the reproductive age mortality survey (RAMOS) in all households in which a women of reproductive age (WRA) died and to determine the most concise subset of questions for identifying a pregnancy-related death for further investigation.MethodsA full RAMOS survey was conducted with the families of 46 deceased WRA who died between 2005 and July 2009 and was compared with the cause of death confirmed by the maternal mortality review committee to establish the number of maternal mortalities. The positive predictive value (PPV) of each RAMOS question for identifying a maternal death was determined.ResultsCompared with years of voluntary reporting, active surveillance for maternal deaths doubled their identification. In addition, 4 questions from the full RAMOS have the highest PPV for a maternal death including the question: "Was she pregnant within the last 6 weeks?" which had a 100% PPV and a 100% negative predictive value.ConclusionActive identification of maternal mortality at the community level by using a 4-question modified RAMOS that is systematically administered in the local language by health workers can increase understanding of the extent of maternal mortality in rural Ghana.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Gynecology & Obstetrics - Volume 114, Issue 1, July 2011, Pages 29–32
نویسندگان
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