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