Evidence map›Paper›PMID 36293727›Full record

ArticleInternational journal of environmental research and public health2022

Maternal Mortality in Africa: Regional Trends (2000-2017).

Luc Onambele, Wilfrido Ortega-Leon, Sara Guillen-Aguinaga, Maria João Forjaz, Amanuel Yoseph, Laura Guillen-Aguinaga, Rosa Alas-Brun, Alberto Arnedo-Pena, Ines Aguinaga-Ontoso, Francisco Guillen-Grima

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  5. The Effects of Pregnancy: A Systematic Review of Adolescent Pregnancy in Ghana, Liberia, and Nigeria.International journal of environmental research and public health · 2022
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  12. Induced abortion in the world: 2. Present views on pregnancy termination.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Luc OnambeleSchool of Health Sciences, Catholic University of Central Africa, Yaoundé 1110, Cameroon.ORCID 0000-0003-1792-4990
Wilfrido Ortega-LeonEpidemiology and Public Health Program, Department of Surgery, Medical and Social Sciences, University of Alcala de Henares, 28801 Madrid, Spain.ORCID 0000-0001-5150-8937
Sara Guillen-AguinagaDepartment of Health Sciences, Public University of Navarra, 31008 Pamplona, Spain.ORCID 0000-0003-4748-9520
Maria João ForjazNational Epidemiology Centre, Carlos III Health Institute, 28029 Madrid, Spain.ORCID 0000-0003-3935-962X
Amanuel YosephDepartment of Health Sciences, Public University of Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-7708-6370
Laura Guillen-AguinagaDepartment of Nursing, Clínica Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0001-7594-6755
Rosa Alas-BrunDepartment of Health Sciences, Public University of Navarra, 31008 Pamplona, Spain.ORCID 0000-0003-3450-9342
Alberto Arnedo-PenaDepartment of Health Sciences, Public University of Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-1071-0984
Ines Aguinaga-OntosoDepartment of Health Sciences, Public University of Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-2882-930X
Francisco Guillen-GrimaDepartment of Health Sciences, Public University of Navarra, 31008 Pamplona, Spain.ORCID 0000-0001-9749-8076

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnited Nations Sustainable Development Goals state that by 2030, the global maternal mortality rate (MMR) should be lower than 70 per 100,000 live births. MMR is still one of Africa's leading causes of death among women. The leading causes of maternal mortality in Africa are hemorrhage and eclampsia. This research aims to study regional trends in maternal mortality (MM) in Africa.

methodsWe extracted data for maternal mortality rates per 100,000 births from the United Nations Children's Fund (UNICEF) databank from 2000 to 2017, 2017 being the last date available. Joinpoint regression was used to study the trends and estimate the annual percent change (APC).

resultsMaternal mortality has decreased in Africa over the study period by an average APC of -3.0% (95% CI -2.9; -3,2%). All regions showed significant downward trends, with the greatest decreases in the South. Only the North African region is close to the United Nations' sustainable development goals for Maternal mortality. The remaining Sub-Saharan African regions are still far from achieving the goals.

conclusionsMaternal mortality has decreased in Africa, especially in the South African region. The only region close to the United Nations' target is the North African region. The remaining Sub-Saharan African regions are still far from achieving the goals. The West African region needs more extraordinary efforts to achieve the goals of the United Nations. Policies should ensure that all pregnant women have antenatal visits and give birth in a health facility staffed by specialized personnel.

Indexed as

Maternal MortalityUnited NationsAfricaChildFemaleHealth FacilitiesHumansPregnancySustainable DevelopmentAfricajoinpoint regression analysismaternal mortality ratemortalitytrends

Identifiers

PMID36293727
PMCPMC9602585

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.