David P, Kawar S, Graham W
Centre for Population Studies, London School of Hygiene and Tropical Medicine, University of London, UK.
Int J Epidemiol. 1991 Jun;20(2):551-7. doi: 10.1093/ije/20.2.551.
In many developing countries even crude estimates of the level of maternal mortality are lacking and the prospects of fulfilling this need using conventional sources of vital registration and health service statistics are not encouraging. The constraint this imposes on the effective planning, management and evaluation of the programmes now being launched to reduce these neglected deaths is self-evident. It is less obvious how the majority of developing countries can be expected to meet the call for reliable estimates of maternal mortality by 1995. The sisterhood method provides a means of obtaining population-based estimates using household surveys for data collection. This paper describes the application of the method in Djibouti in the context of a rapid multi-purpose household survey in difficult field circumstances. In recent years the reduction of the level of maternal mortality in developing countries has become a priority for both national governments and international agencies. Attention has been drawn to the wide range of levels within and between countries and to the huge discrepancies in the lifetime risk of maternal death for women in the developed compared with the developing world. This risk has been estimated to range from 1 in 19 in West Africa to almost 1 in 10,000 in Northern Europe.
在许多发展中国家，甚至缺乏对孕产妇死亡率的粗略估计，而且利用传统的人口动态登记和卫生服务统计数据来满足这一需求的前景并不乐观。这对目前为减少这些被忽视的死亡而开展的项目的有效规划、管理和评估所造成的限制是不言而喻的。而大多数发展中国家如何能够在1995年前满足对可靠的孕产妇死亡率估计的要求，这一点就不那么明显了。姐妹法提供了一种利用家庭调查收集数据来获得基于人群估计数的方法。本文描述了在困难的实地情况下进行快速多用途家庭调查的背景下，该方法在吉布提的应用。近年来，降低发展中国家的孕产妇死亡率已成为各国政府和国际机构的优先事项。人们已经注意到各国国内和国家之间孕产妇死亡率水平的广泛差异，以及发达国家与发展中国家妇女一生中孕产妇死亡风险的巨大差异。据估计，这种风险范围从西非的1/19到北欧的近1/10000。
