Analysis of Maternal Death in Junagadh District Gujarat
Agency : MMR, CBMDR, BHO, PPH, ANC, PNC
Objective : To identify major
causes and delay of maternal deathduring year 2011-2012 in Junagadh
district and suggest measures to reduce MMR in Junagadh District.
Background : The main purpose of the CBMDR is to identify various delays and
leading to maternal deaths and to enable the health system to take corrective
measures at various levels. Identifying maternal deaths would be the first step
in the process. The second step would be the investigation of the
factors/causes which lead to maternal death – whether medical, social,
systemic, and the third step would be to take appropriate and corrective
measures on these, depending on their amenability to the demand side and
Question was to access major risk factors (Socio demographic and clinical) and
causes contributing to maternal meath in rural area of Junagadh District during
the year 2011-2012?
Methodology : A retrospective cross
sectional study was conductedand was based on secondary data. The data
were collected by Block Health Officer in a structured verbal autopsy form.
Total 26 verbal autopsy forms were filled by BHO in 10 blocks of Junagadh
Findings : 67% of women who died
were illiterate and 29% womenwho died got married before the legal age
of marriage (18 years). Overall 42% women died during 3rd or more time of
pregnancy. 67% of women were having full ANC check up (3 or more than 3 times).
75% of women died in Post partum stage and 21% during Ante partum stage. When
WHO three delays were analyzed it was found that 54% delay was delay in
decision making, 29% delay was because of transport and 17% was delay in
treatment. 38% of died because of PPH.
Education of young girls.
Counseling of mothes.
Strengthening of maternal services in District
To reduce level of delay.
Treating maternal mortality as a human right
To identify major causes and delay of maternal death during year 2011-2012 in Junagadh district and suggest measures to reduce MMR in Junagadh District.