Female Reproductive Age Mortality in in Kassala (Role of Malaria)

  • Abdalla Ali Mohammed Assistant Professor of Obstetrics & Gynaecology, Faculty of Medicine and Health Sciences, University of Kassal
  • Ahmed Ibrahiem Abdelfattah Assistant Professor of Obstetrics & Gynaecology, Faculty of Medicine and Health Sciences, University of Kassal
  • Mahgoub Hassan Elnour Medical Officer, Director General, state Ministry of Health, Kassala State

Abstract

Objectives :


To determine the mortality rates ,causes and contributing factors in women in reproductive age in Kassala Province.


Setting:


A refuge ,acute internally displaced people (IDP) camps, a town slums and an urban area, of total population of 214.100 in Kassala Province, East Sudan.


Method:


Community –based retrospective study ,using reproductive age mortality Survey (RAMOS) and verbal autopsy . Data was processed using SPSS for Windows Version11.


Results:


121 deaths of female aged15-45 years, in four population sectors (refugees, IDP, slum dwellers & urban population) were identified. Slum dwellers show the highest reproductive age mortality rate 314/100,000women in reproductive age, while urban sector shows the lowest rate 199per 100,000WRA.


Malaria is the major cause of death in three sectors with exception of IDP sector where pregnancy related causes contribute to 70% of death .


Maternal mortality rate is highest in IDP population and slum dwellers(168&126 per100,000WRA)and lowest in urban population(47per 100,000WRA). Maternal mortality ratio is very high in slum dwellers, IDP and refugee population (1207,1192&914 per 100,000 live birth respectively),and 376 per100,000 live births in urban population.


Malaria was found to be the major cause of indirect maternal deaths in all sectors.


 

References

1. UNFPA\CBS population Data Sheet for Sudan by the States, 2002.
2. Kassala State ANA Report 2002.
3. WFP\UNHCR\COR JFAM- Assistance to Eritrean Refugees in central\eastern Sudan (draft) , June 2003.
4. Federal MoH, annual Health Statistical Report 2001.
5. Safe Motherhood Survey 2001.
6. UNICEF Multiple Indicator Cluster Survey (MICS) 2000.
7. Mohammed AA, Abdelrahiem SI & Elnour MH 2002 “ Maternal Deaths at Kassala New Hospital (Eastern Sudan)” Journal of the Arab Board of Medical Specializations. Vol. 4 No. 2.
8. World Health Organization. Studying Maternal Mortality in Developing Countries: Rates and Causes. WHO/FHE/87.7. Wessel H., Reitmaier P., Dupret A., Cnattungius S., Bergstrom S. Deaths among women of reproductive age in Cape Verde: causes and avoidability. Acta Obstetrica Gynecologica Scandinavica. 1999;78:225-232.
9. Grubb G., Fortney J., Saleh S., Gadalla S., El-Baz A., Feldblum P., Rogers S. A comparison of two cause-of-death classification systems for deaths among women of reproductive age in Menoufia, Egypt. International Journal of Epidemiology, 17 (2):385-391.
10. Fortney J., Susanti I., Gadalla S., Saleh S., Rogers S., Potts M. Reproductive mortality in two developing countries. American Journal of Public Health; 1986; 76(2): 134-138.
11. Bartlett L., Khan T., Sultana M., Jamieson M., Wilson H. Results of a reproductive age mortality survey (RAMOS) among Afghan refugee women in Pakistan, 1999-2000. Journal of Pediatric and Perinatal Epidemiology, in press.
12. Bartlett L., Khan T., Sultana M., Jamieson M., Wilson H. The burden of mortality due to reproductive health-related causes among Afghan refugees in Pakistan, 1999-2000 (abstract). In Conference 2000: Findings on Reproductive Health of Refugees and Displaced Persons: proceedings. Washington, D.C., December 5-6, 2000. Reproductive Health for Refugees Consortium, 2001, pg.18.).
13. Bouvier­Colle en al. Reasons for the underreporting of maternal mortality in France, as indicated by a survey of all deaths of women of childbearing age. International Journal of Epidemiology 1991, 20:717­721.
14. Mohammed AA, Abdelrahiem SI, & Abdelfattah AI 2001 “Reproductive Age Mortality in a Refugee and Internally Displaced People’s Camps in Kassala- Eastern Sudan” The 4th Congress of the Arab Associations & the Annual Congress of the Lebanese Society of Obstetrics & Gynaecology.20-22 Sept 2001. Beirut Lebanan.
15. Mohammed AA, Abdelrahiem SI & Elnour MH 2000 “Audit of Maternal Deaths” Sudanese Obstetrical & Gynaecological Society, Police Hospital, Khartoum Nov. 2000.

16. Walker, GJ et al Maternal mortality in Jamaica Lancet 1986, 1(8479):486-488
17. Campbell OMR, Ronsmans C. Verbal autopsies for maternal deaths. Geneva, WHO, 1995 (Report on a world Health Organization Workshop, London 10-13 January 1994.
18. WHO\UNICEF. Revised 1990 Estimates of Maternal Mortality: A New Approach by WHO and UNICEF. WHO, Geneva 1996.
19. UNICEF. The Progress of the Nations. New York, 1996.
Graham W, Murray S. “A Question of Survival? Review of Safe Motherhood”. Ministry of Health, Kenya , 1997
Published
2018-01-01
How to Cite
MOHAMMED, Abdalla Ali; ABDELFATTAH, Ahmed Ibrahiem; ELNOUR, Mahgoub Hassan. Female Reproductive Age Mortality in in Kassala (Role of Malaria). Gezira Journal of Health Sciences, [S.l.], v. 1, n. 1, jan. 2018. ISSN 1810-5386. Available at: <http://37.60.236.48/index.php/gjhs/article/view/152>. Date accessed: 03 june 2026.
Section
Articles