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Maternal mortality in Asia
November 2, 2010
Christopher J.L. Murray, Institute Director
Rafael Lozano, Professor of Global Health
Katie Leach-Kemon, Data Development Manager
Outline
• Regional results
• Country-specific results
• Data visualization
2
GBD Epidemiological Regions
3
4
5
Regional trends in the MMR
6
Regional trends in the MMR
7
8
-6-4
-20
Ann
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8
Asia, Central Asia, East Asia Pacific, High Income
Asia, South Asia, Southeast
Annualized rate of change in maternal mortality, 1990 to 2008
9
-4-2
02
46
Ann
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8
Sub-Saharan Africa, Central Sub-Saharan Africa, East
Sub-Saharan Africa, Southern Sub-Saharan Africa, West
Annualized rate of change in maternal mortality, 1990 to 2008
10
-8-6
-4-2
0A
nn
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8
Europe, Eastern Latin America, Central
Latin America, Southern Latin America, Tropical
Annualized rate of change in maternal mortality, 1990 to 2008
11
-8-6
-4-2
0A
nn
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8
Eastern Europe Latin America, Central
Latin America, Southern Latin America, Tropical
Annualized rate of change in maternal mortality, 1990 to 2008
12
-6-4
-20
24
Ann
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8
Australasia Europe, Central
Europe, Western North America, High Income
Annualized rate of change in maternal mortality, 1990 to 2008
Outline
• Regional results
• Country-specific results
• Data visualization
13
14
15
-8-6
-4-2
0A
nn
ua
lized
rate
of cha
ng
e (
%),
199
0 t
o 2
00
8Bangladesh: Annualized rate of change in mortality, 1990 to 2008
Neonatal PostneonatalChild Under-5Maternal Adult (female)
16
17
-10
-8-6
-4-2
0A
nn
ua
lized
rate
of cha
ng
e (
%),
199
0 t
o 2
00
8Bhutan: Annualized rate of change in mortality, 1990 to 2008
Neonatal PostneonatalChild Under-5Maternal Adult (female)
18
19
-6-4
-20
Ann
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8Cambodia: Annualized rate of change in mortality, 1990 to 2008
Neonatal PostneonatalChild Under-5Maternal Adult (female)
20
21
-5-4
-3-2
-10
Ann
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8India: Annualized rate of change in mortality, 1990 to 2008
Neonatal PostneonatalChild Under-5Maternal Adult (female)
22
23
-5-4
-3-2
-10
Ann
ualiz
ed r
ate
of c
hang
e (%
), 1
990
to 2
008
Indonesia: Annualized rate of change in mortality, 1990 to 2008
Neonatal PostneonatalChild Under-5Maternal Adult (female)
24
25
-8-6
-4-2
0A
nn
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8Annualized rate of change in mortality, 1990 to 2008
Lao, People's Democratic Republic of:
Neonatal PostneonatalChild Under-5Maternal Adult (female)
26
27
-8-6
-4-2
0A
nn
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8Nepal: Annualized rate of change in mortality, 1990 to 2008
Neonatal PostneonatalChild Under-5Maternal Adult (female)
28
29
-3-2
-10
Ann
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8Pakistan: Annualized rate of change in mortality, 1990 to 2008
Neonatal PostneonatalChild Under-5Maternal Adult (female)
30
31
-5-4
-3-2
-10
Ann
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8The Philippines: Annualized rate of change in mortality, 1990 to 2008
Neonatal PostneonatalChild Under-5Maternal Adult (female)
32
33
-10
-8-6
-4-2
0A
nn
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8Sri Lanka: Annualized rate of change in mortality, 1990 to 2008
Neonatal PostneonatalChild Under-5Maternal Adult (female)
34
35
-8-6
-4-2
0A
nn
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8Thailand: Annualized rate of change in mortality, 1990 to 2008
Neonatal PostneonatalChild Under-5Maternal Adult (female)
36
-15
-10
-50
51
0A
nn
ua
lized
rate
of ch
ang
e (
%),
199
0 t
o 2
00
8
BGD BTN IDN INDKHM LAO LKA NPLPAK PHL THA
Annualized rate of change in maternal mortality, 1990 to 2008
37
BGDBTN
KHM
INDIDN
LAO
NPL
PAK
PHL
LKA
THA
-10
-8-6
-4-2
02
Ann
ua
lized
rate
of ch
ang
e in
U-5
mo
rta
lity
(%)
-10 -8 -6 -4 -2 0 2Annualized rate of change in maternal mortality (%)
1990 to 2008Annualized rate of change in U-5 mortality vs. maternal mortality
38
BGDBTN
KHM
IND
IDN
LAO
NPL
PAKPHL
LKA
THA
-10
-8-6
-4-2
02
Ann
ua
lized
rate
of ch
ang
e in
adu
lt fe
male
mort
alit
y (%
)
-10 -8 -6 -4 -2 0 2Annualized rate of change in maternal mortality (%)
1990 to 2008Annualized rate of change in adult female mortality vs. maternal mortality
Outline
• Regional results
• Country-specific results
• Data visualization
39
Data visualization introduction
• http://www.healthmetricsandevaluation.org/resources/datasets/2010/mortality/results/maternal/maternal.html
40
Track changes in maternal deaths across regions using the web-based tools
41
3 major Asian contributors to global maternal deaths
42
Declining total fertility rate may contribute to lower maternal mortality
43
44
45
46
Growth in GDP may also contribute to declining MMR
47
48
49
50
51
Coverage of skilled birth attendance may also contribute to observed declines
52
53
54
55
56
Maternal education is a fourth factor contributing to declines in the MMR
57
58
59
60
61
IHME’s interactive map tool permits users to view changes in multiple indicators over time
62
63
Global number of deaths, also by region
64
65
66
67