Mbaruku Godfrey, Vork Fred, Vyagusa Dismas, Mwakipiti Rex, van Roosmalen Jos
Maweni Regional Hospital, Kigoma, Tanzania.
Afr J Reprod Health. 2003 Dec;7(3):84-91.
Maternal mortality in Kigoma Region, western Tanzania, was assessed as part of ongoing efforts to reduce maternal deaths in the area. A sisterhood survey was carried out using a questionnaire in which respondents were asked about their sisters who died during pregnancy, childbirth or within six weeks after childbirth. Three thousand and twenty nine individuals were interviewed. The overall estimated maternal mortality ratio (MMR) in Kigoma Region was 606 per 100,000 live births (95% CI 518-695). In urban areas, the MMR was 447 (95% CI 262-635), compared to 638 (95% CI 539-737) in rural areas. The highest NMR of 757 was found in Kigoma rural district, the most isolated part of the region (95% CI 599-916). Although the differences are not statistically significant, they may indicate poor accessibility as a risk factor. Maternal mortality in Kigoma is high when compared to other regions in Tanzania. The sisterhood method is relatively simple and convenient for estimating maternal mortality in resource-poor countries.
作为坦桑尼亚西部基戈马地区降低孕产妇死亡持续努力的一部分，对该地区的孕产妇死亡率进行了评估。使用一份问卷开展了一项姐妹情况调查，问卷中询问了受访者有关其在孕期、分娩期间或分娩后六周内死亡的姐妹的情况。共采访了3029人。基戈马地区的总体估计孕产妇死亡率（MMR）为每10万例活产606例（95%可信区间518 - 695）。在城市地区，孕产妇死亡率为447（95%可信区间262 - 635），而农村地区为638（95%可信区间539 - 737）。在该地区最偏远的基戈马农村地区发现了最高的孕产妇死亡率，为757（95%可信区间599 - 916）。尽管差异无统计学意义，但可能表明交通不便这一风险因素。与坦桑尼亚其他地区相比，基戈马的孕产妇死亡率较高。姐妹情况调查方法对于在资源匮乏国家估算孕产妇死亡率来说相对简单便捷。
