Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Maternal Mortality in Africa, Regional Trends (2000-2017)

Version 1 : Received: 3 October 2022 / Approved: 7 October 2022 / Online: 7 October 2022 (10:30:10 CEST)

A peer-reviewed article of this Preprint also exists.

Onambele, L.; Ortega-Leon, W.; Guillen-Aguinaga, S.; Forjaz, M.J.; Yoseph, A.; Guillen-Aguinaga, L.; Alas-Brun, R.; Arnedo-Pena, A.; Aguinaga-Ontoso, I.; Guillen-Grima, F. Maternal Mortality in Africa: Regional Trends (2000–2017). Int. J. Environ. Res. Public Health 2022, 19, 13146. Onambele, L.; Ortega-Leon, W.; Guillen-Aguinaga, S.; Forjaz, M.J.; Yoseph, A.; Guillen-Aguinaga, L.; Alas-Brun, R.; Arnedo-Pena, A.; Aguinaga-Ontoso, I.; Guillen-Grima, F. Maternal Mortality in Africa: Regional Trends (2000–2017). Int. J. Environ. Res. Public Health 2022, 19, 13146.

Abstract

Background: United Nations Sustainable Development Goals state that by 2030, the Global maternal mortality rate (MMR) should be lower than 70 per 100,000 live births. MMR is still one of Africa's leading causes of death among women. This research aims to study regional trends in maternal mortality in Africa. Methods: We extracted data for Maternal mortality rates per 100,000 births from the UNICE data bank from 2000 to 2017, being 2017 the last date available. Joinpoint regression was used to study the trends and estimate the annual percent change (APC). Results: Maternal mortality has decreased in Africa over the study period by an average APC of -3.0% (95% CI -2.9;-3,2%). All regions showed significant downward trends, with the sharpest decreases in the South. Only the North African region is close to the United Nations' sustainable development goals for Maternal mortality. The remaining sub-Saharan African regions are still far from achieving the goals. Conclusions: maternal mortality has decreased in Africa, especially in the South Africa region. The only region closed to the United Nations target is North Africa. The remaining sub-Saharan African regions are still far from achieving the goals. These results could be used for the development of Regional Policies.

Keywords

Africa; Maternal mortality rate; Joinpoint regression analysis; mortality; trends.

Subject

Medicine and Pharmacology, Obstetrics and Gynaecology

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