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Maternal mortality in Asia November 2, 2010 Christopher J.L. Murray, Institute Director Rafael Lozano, Professor of Global Health

maternal mortality sri lanka maternal mortality in asia_lozano_110210_ihme

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Page 1: maternal mortality sri lanka maternal mortality in asia_lozano_110210_ihme

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

Page 2: maternal mortality sri lanka maternal mortality in asia_lozano_110210_ihme

Outline

• Regional results

• Country-specific results

• Data visualization

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GBD Epidemiological Regions

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Regional trends in the MMR

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Regional trends in the MMR

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-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

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-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

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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

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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

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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

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Outline

• Regional results

• Country-specific results

• Data visualization

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-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)

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-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)

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-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)

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-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)

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-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)

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-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)

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-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)

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-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)

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-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)

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-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)

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-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)

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-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

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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

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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

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Outline

• Regional results

• Country-specific results

• Data visualization

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Data visualization introduction

• http://www.healthmetricsandevaluation.org/resources/datasets/2010/mortality/results/maternal/maternal.html

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Track changes in maternal deaths across regions using the web-based tools

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3 major Asian contributors to global maternal deaths

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Declining total fertility rate may contribute to lower maternal mortality

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Growth in GDP may also contribute to declining MMR

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Coverage of skilled birth attendance may also contribute to observed declines

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Maternal education is a fourth factor contributing to declines in the MMR

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IHME’s interactive map tool permits users to view changes in multiple indicators over time

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Global number of deaths, also by region

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