Page 103 - U4SSC Collection Methodology for Key Performance Indicators for Smart Sustainable Cities

Collection Methodology for Key Performance Indicators for Smart Sustainable Cities

Dimension Society And Culture
Sub-Dimension Education, Health and Culture
Category Health
KPI Name Maternal Mortality Rate
KPI No. SC: EH: H: 2C Type: Core Type: Structural

Definition / Maternal deaths per 100,000 live births
Description

Rationale / “Maternal death is the death of a woman while pregnant or within 42 days of
Interpretation / termination of pregnancy, irrespective of the duration and site of the pregnancy,
Benchmarking from any cause related to or aggravated by the pregnancy or its management but
not from accidental or incidental causes. To facilitate the identification of maternal
deaths in circumstances in which cause of death attribution is inadequate, the
International Classification of Diseases (ICD) 10 introduced an additional category:
Pregnancy-related death. This is defined as the death of a woman while pregnant or
within 42 days of termination of pregnancy, irrespective of the cause of death.”
(WHO, 2006).
A declining trend and lower values are considered positive.
Source(s) WHO. Statistics. Retrieved from
<http://www.who.int/whosis/whostat2006DefinitionsAndMetadata.pdf >
The WHO Application of ICD-10 to deaths during pregnancy, childbirth and the
puerperium: ICD-MM. Retrieved from
<http://apps.who.int/iris/bitstream/10665/70929/1/9789241548458_eng.pdf>

Methodology Calculate as:
Numerator: Number of maternal deaths in a year.
Denominator: Number of live births in a year.
Divide result by 100,000

Unit Number / 100,000 live births.
Data Sources / Sources may include vital registration, household surveys, census, health service
Relevant records and specific studies on reproductive age mortality (RAMOS).
Databases Measuring maternal mortality accurately is difficult except where comprehensive
registration of deaths and their causes exist. Elsewhere, censuses or surveys can be
used to measure levels of maternal mortality. Data derived from health services
records are problematic where not all births take place in health facilities.
Reproductive-age mortality studies (RAMOS) use triangulation of different sources
of data on deaths of women of reproductive age including record review and/or
verbal autopsy to accurately identify maternal deaths. Based on multiple sources of
information, RAMOS are considered the best way to estimate levels of maternal
mortality. Estimates derived from household surveys are usually based on
information retrospectively collected about the deaths of sisters of the respondents
and could refer back up to an average 12 years and they are subject to wide
confidence intervals. For countries without any reliable data on maternal mortality,
statistical models are applied. Global and regional estimates of maternal mortality
are developed every five years, using a regression model.

SDG Reference(s) SDG Indicator 3.1.1: Maternal mortality ratio.

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