MALARIA AND DEATH OF WOMEN OF CHILD- BEARING AGE IN KASSALA
Abstract
A retrospective, community-based survey of reproductive age mortality in refugees, acute internally displaced people, slum dwellers and urban population in Kassala Province Eastern Sudan. Slum dweller sector shows the highest reproductive age mortality rate 314/100,000 WRA, while urban sector shows the lowest rate 199/100,000 WRA. Maternal mortality rate is highest in IDP population and slum dwellers (168 & 126/100,000 WRA respectively) and lowest in urban population 47/100,000 WRA). Maternal mortality ratio is very high in slum dweller, IDP & refugee population (1,207, 1,192 and 914/100,000 live births respectively), and 367 per 100,000 live births in urban population. Malaria is the major cause of death in three sectors with exception of IDP where pregnancy related causes contribute to 70% of the deaths. This study shows the big toll of malaria on the health of females in child bearing age, the high discrepancy in reproductive age mortality and maternal mortality between different population sectors in the same location. It also discusses the causes of these deaths.
References
2. Kassala State ANA Report 2002.
3. WFP/UNHCR/COR JFAM Report Assistance to Eritrean Refugees in Central/Eastern Sudan (draft), June 2003.
4. FMOH, Annual Health Statistical Report 2001.
5. FMOH, CBS, UNFPA. Safe Motherhood Survey National Report 1999. Septemper 2001.
6. UNICEF Multiple Indicator Survey (MICS) 2000.
7. Mohammed AA, Abdelrahiem SI & Elnour MH. Maternal Deaths at Kassala New Hospital (Eastern Sudan). Journal of the Arab Board Medical Specialization. 2002; 4: (2), 579-582.
8. World Health Organization. Studying Maternal Mortality in Developing Countries: Rates and Causes. WHO/FHE/87.7. Geneva 1987.
9. Wessel H. et al. Deaths among women in reproductive age in Cape Verde: Causes and Avoidability. Acta Obstet Gyne Scandi. 1999; 78: 225-232.
10. Grubb G., Forteny J., Saleh S., Gadalla S., El-Baz A,. Feldblum P., Rogers S. A comparison of two cause-of-death classification system for deaths among women of reproductive age in Menoufia, Eygpt. International Journal of Epidemiology. 1988; 17 (2):385-391.
11. Forteny J., Susanti I., Gadalla S., Saleh S., Rogers S. Potts M. Reproductive mortality in two developing countries. American Journal of Public Health. 76(2): 134-138.
12. Bartlett LA, Jamieson DJ, Kahn T, Sultana M, Wilson HG, Duerr A.
Maternal mortality among Afghan refugees in Pakistan, 19992000. Lancet 2002; 359: 643-49.
13. Bartlett LA., Kahn T., , Sultana M, Jamieson DJ, Wilson HG. The burden of mortality due to reproductive health related causes among Afgan refugees in Pakistan 1999-2000. In Conference 2000: Findings of reproductive health of refugees and displaced persons. Proceedings. Washington D.C. December 5-6 2000. Reproductive Health for Refugees Consortium, 2001. p.18.
14. Bouvier-Colle et al. Reasons for under reporting of maternal mortality in France, as indicated by survey of all deaths of women of child bearing age. International Journal of Epidemiology.1991; 20:717-721.
15. Mohammed AA, Abdelrahiem SI & Abdelfattah AI. 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.
16. Mohammed AA, Abdelrahiem SI & Elnour MH. Audit of Maternal Deaths. Sudanese Obstetrical & Gynaecological Society. Police Club. Khartoum Nov. 2000.
17. Walker GJ. et al. Maternal mortality in Jamaica. The Lancet. 1986. 1(8479):486-488.
18. .Cambell OMR., Ronsmans C. Verbal autopsy for maternal deaths. Geneva, WHO, 1995 (Report on A WHO Workshop, London 10-13 January 1994.
19. WHO/UNICEF. Revised 1990 Estimates of Maternal Mortality: A new approach by WHO and UNICEF. WHO, Genrva 1996.
20. Graham WJ, Murray FS, Taylor C. A Question of Survival: I. A Review of Safe Motherhood in Kenya: II. Two Years after the Review:
102-116
