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Maternal and Child Health Journal

, Volume 12, Issue 5, pp 577–585 | Cite as

Maternal Mortality Decline in the Kassena-Nankana District of Northern Ghana

  • Samuel MillsEmail author
  • John E. Williams
  • George Wak
  • Abraham Hodgson
Article

Abstract

Objective In the absence of an adequate vital registration system in Ghana, the Navrongo demographic surveillance system (NDSS) established in 1993 presents a viable alternative to monitor, in a poor rural district, the UN Millennium Development Goal on maternal health (MDG) of reducing maternal mortality by 75% between 1990 and 2015. Methods Of the 518 women aged 12–49 years identified in the NDSS database to have died in the Kassena-Nankana district in the period January 2002–December 2004, spouses or family members completed verbal autopsy interviews for 516 female deaths. Results Of the 516 female deaths, 45 were identified as maternal deaths. 71% of the maternal deaths were attributed to direct maternal causes while 29% were due to indirect maternal causes. Abortion-related deaths were the most frequent cause of maternal deaths. The maternal mortality ratio for the period 2002–2004 was 373 maternal deaths per 100,000 live births indicating a 40% reduction of maternal mortality from the 1995–1996 level of 637 maternal deaths per 100,000 live births. However, the health-facility based maternal mortality ratio in the district (which excludes maternal deaths outside health facilities) was 141 maternal deaths per 100,000 live births for the period 2002–2004. Conclusion This district may be on track to achieve the MDG on maternal health. Ultimately, strengthening vital registration systems to provide timely information to policymakers should supersede the other methods of measuring maternal mortality.

Keywords

Maternal mortality Millennium development goal Abortion Verbal autopsy Ghana Kassena-Nankana district 

Notes

Acknowledgement

We wish to thank all Navrongo Health Research Centre staff who contributed to the data collection and entry. We acknowledge Peter Wontuo for the supervision of the data entry process and Martin Adjuik for the person-years estimates. We are grateful to Eduard Bos and Elizabeth Lule of the World Bank for their guidance. We are appreciative of the financial support of the World Bank-Netherlands Partnership Program. The views expressed in this paper are solely those of the authors and do not represent the official positions of the affiliated institutions.

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Samuel Mills
    • 1
    Email author
  • John E. Williams
    • 2
  • George Wak
    • 2
  • Abraham Hodgson
    • 2
  1. 1.The World Bank, MSN G7-701WashingtonUSA
  2. 2.Navrongo Health Research Centre, Ghana Health ServiceNavrongoGhana

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