Page 123 - U4SSC KPIs Verification Manual - A guide for verifiers

Dimension Society and Culture
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.
Verification Check to see if calculation is based on 100 000 live births.
Guidance
Check data sources.
NOTE:
Ensure data are reported by live births and not population.

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