Table 2.
District population (1000) | Number of institutional* deliveries | Maternal deaths (all facilities) direct† | Maternal death rate (per 1000 deliveries) | Stillbirth all facilities | Early neonatal deaths‡ | Perinatal mortality rate (per 1000 deliveries)§ | |
---|---|---|---|---|---|---|---|
Northern region districts | |||||||
Chitipa | 179 | 7177 | 14 | 1.95 | 133 | 43 | 24.62 |
Karonga | 270 | 7422 | 14 | 1.89 | 257 | 77 | 44.92 |
Mzimba | 862 | 27 697 | 20 | 0.72 | 430 | 140 | 20.56 |
Nkhata Bay | 216 | 5298 | 14 | 2.64 | 198 | 115 | 59.06 |
Rumphi | 172 | 8014 | 5 | 0.62 | 116 | 68 | 23.00 |
Central region districts | |||||||
Dedza | 624 | 17 751 | 3 | 0.17 | 327 | 113 | 24.77 |
Dowa | 558 | 14 394 | 20 | 1.39 | 287 | 92 | 26.29 |
Kasungu | 627 | 16 824 | 26 | 1.55 | 395 | 99 | 29.34 |
Mchinji | 456 | 16 800 | 34 | 2.02 | 261 | 100 | 21.49 |
Nkhotakota | 304 | 8444 | 14 | 1.66 | 156 | 102 | 30.55 |
Ntcheu | 472 | 16 065 | 18 | 1.12 | 153 | 4 | 9.77 |
Ntchisi | 225 | 6934 | 9 | 1.30 | 127 | 24 | 21.87 |
Salima | 338 | 11 536 | 13 | 1.13 | 208 | 107 | 27.29 |
Lilongwe | 1905 | 53 426 | 48 | 0.90 | 988 | 293 | 23.97 |
Table adapted from Republic of Malawi Ministry of Health report; Malawi 2010 EmONC needs assessment final report.21
*Institutional deliveries—deliveries which take place in a health facility (not home births).
†Direct complications and direct causes of maternal death include: antepartum haemorrhage (APH), postpartum haemorrhage, obstructed/prolonged labour, ectopic pregnancy, severe abortion complications, retained placenta, ruptured uterus, postpartum sepsis, severe pre-eclampsia/eclampsia. Excludes ‘other’ direct complications or causes of death including non-severe abortion complications weighted for total number of health centres.
‡Early neonatal death was defined as a death occurring within 24 h after delivery.
§Perinatal mortality rate=(stillbirths+v. early neonatal deaths)/(number of deliveries).
ETATMBA, enhancing human resources and the use of appropriate technologies for maternal and perinatal survival in sub-Saharan Africa.