Table 7.

Changes in district-wide Maternal Mortality Ratio (per 100,000 Live Births) by cause, timing of death, and the Three Delays: Uganda SMGL Districts

	Maternal Mortality Ratio (MMR)
	Baseline	Year 1	% Change	Significancea
Totalb	452	316	−30	***
Causes of Death
Obstetric Hemorrhage	128	73	−43	***
Pre-eclampsia/Eclampsia	58	45	−22	NS
Obstructed Labor (Including Uterine Rupture)	71	33	−53	***
Puerperal infection/Sepsis	33	17	−48	**
Abortion-related	42	36	−14	NS
Other Direct Obstetric Causes	49	31	−37	NS
Indirect Causes	70	82	17	NS
Timing of Death
Antepartum	62	60	−3	NS
Intrapartum and Immediate Postpartum (up to 24 h)	168	121	−28	**
> 24 h-42 days Postpartum	222	134	−40	***
The Three Delays
Delays in seeking care	124	66	−47	***
Delays in reaching care	40	16	−60	***
Delays in receiving care (one hour or more)	92	54	−41	***

^aAsterisks indicate significance level of the difference between baseline and Year 1 MMRs, using a z-statistic to calculate the p-value of the difference, as follows: *** p < 0.01, ** p < 0.05, NS not significant

^bBaseline MMR = 342 maternal deaths/75,675 live births*100,000; Year 1 MMR = 247 maternal deaths/78,261 live births *100,000