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

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Abstract

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.

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Authors and Affiliations

  1. Chief of Party HMHC, John Snow Inc., Cairo, Egypt

    Reginald Gipson (USAID Contractor)

  2. Departments of Prevention & Community Health and Global Health, School of Public Health and Health Services, George Washington University, Washington, District of Columbia

    Ayman El Mohandes (USAID Contractor)

  3. Maternal and Child Health Care, London School of Hygiene and Tropical Medicine, London, United Kingdom

    Oona Campbell

  4. National Maternal Mortality Study, John Snow Inc., Cairo, Egypt

    Adel Hakim Issa

  5. Healthy Mother Healthy Child Project, USAID, Cairo, Egypt

    Nahed Matta

  6. Integrated Health Care, Ministry of Health and Population, Cairo, Egypt

    Esmat Mansour

  7. Technical Advisor to John Snow Inc., Cairo, Egypt

    Ayman El Mohandes (USAID Contractor)

Authors
  1. Reginald Gipson
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  2. Ayman El Mohandes
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  3. Oona Campbell
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  4. Adel Hakim Issa
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  5. Nahed Matta
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  6. Esmat Mansour
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Corresponding author

Correspondence to Ayman El Mohandes.

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Gipson, R., Mohandes, A.E., Campbell, O. et al. The Trend of Maternal Mortality in Egypt from 1992–2000: An Emphasis on Regional Differences. Matern Child Health J 9, 71–82 (2005). https://doi.org/10.1007/s10995-005-3348-1

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  • DOI: https://doi.org/10.1007/s10995-005-3348-1

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