Maternal and Child Health Journal

, Volume 9, Issue 1, pp 71–82 | Cite as

The Trend of Maternal Mortality in Egypt from 1992–2000: An Emphasis on Regional Differences

  • Reginald Gipson
  • Ayman El MohandesEmail author
  • Oona Campbell
  • Adel Hakim Issa
  • Nahed Matta
  • Esmat Mansour


Objective: To review factors contributing to a 52% drop in Egypt’s maternal mortality ratio (MMR) per 100,000 live births from 174 in 1992–93 to 84 in 2000. Methods: Data on maternal mortality were collected from all 27 governorates in Egypt between 1 January and 31 December 2000. This round of maternal mortality data is compared with the earlier nation wide maternal mortality study in 1992. Health care interventions that may account for the decrease were reviewed. Results: MMR decreased by 51.7% nation wide. This decrease was greater in the less-developed parts of Upper Egypt (59%), than in Lower Egypt (30%). A multifaceted set of interventions were concentrated in Upper Egypt. The greatest decrease in maternal mortality was associated with the area of highest intervention, greatest need, and during the time period of the implementation of this program. There were increases in use of health services; use of modern contraceptives; hospital deliveries; and use of trained birth attendants. For most indicators, the changes were greater in Upper than Lower Egypt. Conclusion: Since 1992–93, efforts by the Government of Egypt and donors to improve access to and the quality and utilization of services can be linked to a greatly reduced MMR.


Maternal mortality Egypt national statistics Upper Egypt 


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Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Reginald Gipson
    • 1
  • Ayman El Mohandes
    • 2
    • 7
    Email author
  • Oona Campbell
    • 3
  • Adel Hakim Issa
    • 4
  • Nahed Matta
    • 5
  • Esmat Mansour
    • 6
  1. 1.Chief of Party HMHCJohn Snow Inc.CairoEgypt
  2. 2.Departments of Prevention & Community Health and Global Health, School of Public Health and Health ServicesGeorge Washington University
  3. 3.Maternal and Child Health CareLondon School of Hygiene and Tropical MedicineLondonUnited Kingdom
  4. 4.National Maternal Mortality StudyJohn Snow Inc.CairoEgypt
  5. 5.Healthy Mother Healthy Child Project, USAIDCairoEgypt
  6. 6.Integrated Health CareMinistry of Health and PopulationCairoEgypt
  7. 7.Technical Advisor to John Snow Inc.CairoEgypt

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