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Comparison between National and International Data on Maternal Mortality - Mongolia Workshop on MDG Monitoring: 2015 and Beyond Bangkok July 9-13, 2012. Mr. A.Amarbal, NSO Ms. S.Enhkjin, MOH Dr.B.Shinetugs, UNFPA. Trends in Maternal Mortality: 1990-2010. - PowerPoint PPT Presentation
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Comparison between National and International Data on
Maternal Mortality - MongoliaWorkshop on MDG Monitoring: 2015 and Beyond
BangkokJuly 9-13, 2012
Mr. A.Amarbal, NSO
Ms. S.Enhkjin, MOH
Dr.B.Shinetugs, UNFPA
Trends in Maternal Mortality:1990-2010
1990 1995 2000 2005 2010120 110 96 84 63
Mongolia is considered as “Making Progress”
and as country C – “…with no data on maternal mortality”
Data sourcesRoutine data sources:
Death certificates +
Vital statistics +
Hospital records +
Other data sources:
Census/surveys: RHS/MICS every 5 years2010 census
-+ -
Specific maternal health surveys: by place / organisation:
Confidential enquiries into maternal deaths
Other sources Clinical audits by the State Inspection Agency, Verbal autopsies in case of
death at home
Reporting of maternal deaths
MDProvince, city HD
24 hours
Maternal death review
committee
Clinical pathological conference
Autopsy94,1%
48 hours
NCMCH
MOH
Officer of civil registration
Provincial CR department
Governmant implementing ageng for Civil Registration
National statistical
officeEvery 6 months
Dept. of HealthStats
Death Certificate Form to be completed by a medical doctor
Part that goes to the DoH
Part that goes to the Vital Statistics, Civil registration Office
MMR per 100,000 live birthsaccording to the NSO
Change in the calculation method: <28 weeks included
National MDG target approved by the Parliament in 2004
Causes of maternal deaths
Causes of maternal deaths
Causes of maternal deaths
Maternal deaths, 2011
0,0 5,0 10,0 15,0 20,0 25,0 30,0 35,0 40,0
Provincial general hospitals
UB tertary and district hospitals
sub-provancial and soum hospitals
at home
in the ambulacy car
38,2
32,4
14,7
11,8
2,9
• 19 cases or 55.9% in rural,
• 15 cases or 44.1% in urban
Incidental deaths
1. Apr 01, 35-36 weeks – car accident
2. July 11, domestic violence
3. July 20, 8-9 weeks – Suicide
4. September, 27 weeks – car accident
Why not health facility data?
• Deliveries in facilities: 99,6%– More than 70,000 in public– 300-350 deliveries in private facilities
• Deliveries at the home: 0.4%• Post-mortems 94,1%
Trends in Maternal Mortality:1990-2010
1990 1995 2000 2005 2010120 110 96 84 63
Mongolia is considered as “Making Progress”
and as country C – “…with no data on maternal mortality”
MMR per 100,000 live birthsaccording to the NSO
Change in the calculation method: <28 weeks included
National MDG target approved by the Parliament in 2004