José Luis Domínguez Álvarez|Ruth Gil|Valentín Hernández|Ángel Gil
Factors associated with maternal mortality in Sub-Saharan Africa: an ecological study
Universidad Rey Juan Carlos|Universidad Rey Juan Carlos|Universidad Rey Juan Carlos|Universidad Rey Juan Carlos
maternal health one major worldwide health challenges currently unacceptably high levels maternal mortality common subject global health development discussions although countries made remarkable progress half maternal deaths world still take place subsaharan africa little progress made single simple straightforward intervention significantly decrease maternal mortality alone however consensus importance strong health system skilled delivery attendants womens rights maternal health objective describe determine different factors associated maternal mortality ratio subsaharan countries ecological multigroup study compared variables many countries subsaharan africa using data collected 1997 2006 dependent variable maternal mortality ratio health care systemrelated educational economic indicators independent variables information sources included world bank unicef undp maternal mortality ratio values subsaharan africa demonstrated high vary enormously among countries relationship maternal mortality ratio educational sanitary economic factors observed inverse significant correlation maternal mortality ratio prenatal care coverage births assisted skilled health personnel access improved water source adult literacy rate primary female enrolment rate education index gross national income per capita percapita government expenditure health education effective efficient health system especially pregnancy delivery strongly related maternal death also macroeconomic factors related could influencing others