Maternal mortality among Afghan refugees in Pakistan, 1999-2000

Linda Bartlett, Denise J. Jamieson, Tila Kahn, Munawar Sultana, Hoyt G. Wilson, Ann Duerr

Research output: Contribution to journalArticle

Abstract

Background: Estimated at 3.6 million, Afghans are the largest population of refugees in the world. Information on the magnitude, causes, and preventable factors of maternal deaths among Afghan refugees may yield valuable information for prevention. Methods: Deaths were recorded between Jan 20, 1999, and Aug 31, 2000, during a census carried out in 12 Afghan refugee settlements in Pakistan. Deaths among women of reproductive age (15-49 years) were further investigated by verbal autopsy interviews to determine their cause, risk factors, and preventability, and to ascertain the barriers faced to obtaining health care. Findings: The census identified 13 4406 Afghan refugees and 1197 deaths; a crude mortality rate of 5.5 (95% CI 5.2-5.8) per thousand population. Among the 66 deaths among women of reproductive age, deaths due to maternal causes (n=27) exceeded any other cause (41% [95% CI 29-53]). 16 liveborn and nine stillborn infants were born to women who died of maternal causes; six of the liveborn infants died after birth. Therefore, 60% (15 of 24) of infants born to these women were either born dead or died after birth. Compared with women who died of non-maternal causes, women who died of maternal causes had a greater number of barriers to health care (p=0.001), and their deaths were more likely to be preventable (p

Original languageEnglish (US)
Pages (from-to)643-649
Number of pages7
JournalThe Lancet
Volume359
Issue number9307
DOIs
StatePublished - Feb 23 2002
Externally publishedYes

Fingerprint

Refugees
Maternal Mortality
Pakistan
Mothers
Censuses
Parturition
Delivery of Health Care
Maternal Death
Population
Autopsy
Interviews
Mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Bartlett, L., Jamieson, D. J., Kahn, T., Sultana, M., Wilson, H. G., & Duerr, A. (2002). Maternal mortality among Afghan refugees in Pakistan, 1999-2000. The Lancet, 359(9307), 643-649. https://doi.org/10.1016/S0140-6736(02)07808-X

Maternal mortality among Afghan refugees in Pakistan, 1999-2000. / Bartlett, Linda; Jamieson, Denise J.; Kahn, Tila; Sultana, Munawar; Wilson, Hoyt G.; Duerr, Ann.

In: The Lancet, Vol. 359, No. 9307, 23.02.2002, p. 643-649.

Research output: Contribution to journalArticle

Bartlett, L, Jamieson, DJ, Kahn, T, Sultana, M, Wilson, HG & Duerr, A 2002, 'Maternal mortality among Afghan refugees in Pakistan, 1999-2000', The Lancet, vol. 359, no. 9307, pp. 643-649. https://doi.org/10.1016/S0140-6736(02)07808-X
Bartlett L, Jamieson DJ, Kahn T, Sultana M, Wilson HG, Duerr A. Maternal mortality among Afghan refugees in Pakistan, 1999-2000. The Lancet. 2002 Feb 23;359(9307):643-649. https://doi.org/10.1016/S0140-6736(02)07808-X
Bartlett, Linda ; Jamieson, Denise J. ; Kahn, Tila ; Sultana, Munawar ; Wilson, Hoyt G. ; Duerr, Ann. / Maternal mortality among Afghan refugees in Pakistan, 1999-2000. In: The Lancet. 2002 ; Vol. 359, No. 9307. pp. 643-649.
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