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Maternal Mortality and Morbidity Burden in the Eastern Mediterranean Region: Findings From the Global Burden of Disease 2015 Study Publisher Pubmed



Mokdad AH199 ; Khalil I1 ; Collison M199 ; El Bcheraoui C1 ; Charara R2 ; Moradilakeh M3 ; Afshin A199 ; Chew A1 ; Daoud F1 ; Krohn KJ199 ; Colombara D199 ; Ehrenkranz R199 ; Kutz M199 ; Wang H199 Show All Authors
Authors
  1. Mokdad AH199
  2. Khalil I1
  3. Collison M199
  4. El Bcheraoui C1
  5. Charara R2
  6. Moradilakeh M3
  7. Afshin A199
  8. Chew A1
  9. Daoud F1
  10. Krohn KJ199
  11. Colombara D199
  12. Ehrenkranz R199
  13. Kutz M199
  14. Wang H199
  15. Abajobir AA4
  16. Abdallah F5
  17. Abraha HN6
  18. Aburaddad LJ7
  19. Kiadaliri AA8
  20. Ahmadi A9
  21. Ahmed KY10
  22. Ahmed MB11
  23. Al Lami FH12
  24. Alam K13, 14, 15
  25. Alasfoor D16
  26. Alizadehnavaei R17
  27. Alkaabi JM18
  28. Almaskari F18
  29. Alraddadi R19
  30. Altirkawi KA20
  31. Anber N21
  32. Ansari H22
  33. Asayesh H23
  34. Asghar RJ24
  35. Atey TM6
  36. Ayele TA25
  37. Barnighausen T26, 27, 28
  38. Bacha U29
  39. Barac A30
  40. Barkercollo SL31
  41. Baune BT32
  42. Bazarganhejazi S33, 34
  43. Bedi N35
  44. Bensenor IM36
  45. Berhane A37
  46. Beyene AS38
  47. Bhutta ZA39, 40
  48. Boneya DJ41
  49. Borschmann R14, 42
  50. Breitborde NJK43
  51. Butt ZA44
  52. Catalalopez F45, 46
  53. Ciobanu LG32
  54. Danawi H47
  55. Deribew A48, 49
  56. Dharmaratne SD50
  57. Doyle KE51, 52
  58. Endries AY53
  59. Faraon EJA54, 55
  60. Faro A56
  61. Farvid MS57, 58
  62. Fekadu W59
  63. Fereshtehnejad SM60
  64. Fischer F61
  65. Gebrehiwot TT62
  66. Giref AZ63
  67. Gishu MD64, 65
  68. Goulart AC66, 67
  69. Habtewold TD68, 69
  70. Hamadeh RR70
  71. Hambisa MT71
  72. Hamidi S72
  73. Haro JM73
  74. Hassanvand MS74
  75. Horita N75
  76. Hsairi M76
  77. Huang H77
  78. Husseini A78
  79. Jakovljevic MB79, 80
  80. James SL81
  81. Jonas JB82
  82. Kasaeian A83, 84
  83. Khader YS85
  84. Khan EA86
  85. Khoja ATA87
  86. Khosravi A88, 89
  87. Khubchandani J90
  88. Kim D91
  89. Kim YJ92
  90. Kokubo Y93
  91. Koyanagi A94
  92. Defo BK95, 96
  93. Larson HJ97, 199
  94. Latif AA98
  95. Lee PH99
  96. Leshargie CT10
  97. Leung R100
  98. Lo LT101, 102
  99. Lunevicius R103, 104
  100. El Razek HMA105
  101. El Razek MMA106
  102. Majdzadeh R107
  103. Majeed A108
  104. Malekzadeh R109
  105. Martinezraga J110, 111
  106. Farid HM112
  107. Mazidi M113
  108. Mcgrath JJ114, 115, 116
  109. Memish ZA117, 118
  110. Mendoza W119
  111. Mengesha MM71
  112. Mengistie MA62
  113. Mensah GA120
  114. Mezgebe HB6
  115. Miller TR121, 122
  116. Mitchell PB123
  117. Mohammadi A124
  118. Mohammed S28, 125
  119. Obermeyer CM126
  120. Ogbo FA127
  121. Castillo EP128, 129
  122. Papachristou C130
  123. Patten SB131
  124. Patton GC132
  125. Pereira DM133
  126. Pervaiz A134
  127. Phillips MR135, 136
  128. Pourmalek F137
  129. Qorbani M138
  130. Radfar A139
  131. Rafay A140, 141
  132. Rahimimovaghar V142
  133. Rai RK143
  134. Rawaf DL144, 145, 146
  135. Rawaf S147
  136. Refaat AH47, 148
  137. Rezaei S149
  138. Rezai MS150
  139. Roshandel G109, 151
  140. Safdarian M152
  141. Safiabadi M153
  142. Safiri S154
  143. Sagar R155
  144. Sahraian MA156
  145. Salamati P142
  146. Samy AM157, 158
  147. Sartorius B159, 160
  148. Saylan MI161
  149. Seedat S162
  150. Sepanlou SG109
  151. Shaikh MA163
  152. Shamsizadeh M164
  153. Silva DAS165
  154. Singh JA166
  155. Sobaih BHA20
  156. Sreeramareddy CT167
  157. Stein DJ168, 169
  158. Abdulkader RS170
  159. Sykes BL171
  160. Tabaresseisdedos R45
  161. Sufiyan M172
  162. Tabb KM173
  163. Tehranibanihashemi A174
  164. Temsah MH20
  165. Terkawi AS175, 176, 177
  166. Topormadry R178, 179
  167. Ukwaja KN180
  168. Uthman OA181
  169. Vollset SE182, 183, 199
  170. Wakayo T62
  171. Wang YP184
  172. Werdecker A185
  173. Westerman R186, 187
  174. Workicho A62, 188
  175. Yaghoubi M189
  176. Yimam HH190
  177. Yonemoto N191
  178. Younis MZ192
  179. Yu C193, 194
  180. Zaki MES195
  181. Jumaan AO196
  182. Vos T199
  183. Hay SI197, 199
  184. Naghavi M199
  185. Kassebaum NJ198, 199
  186. Murray CJL199
Show Affiliations
Authors Affiliations
  1. 1. Institute for Health Metrics and Evaluation, University of Washington, United States
  2. 2. American University of Beirut, Beirut, Lebanon
  3. 3. Department of Community Medicine, Preventative Medicine and Public Health Research Center, Gastrointestinal and Liver Disease Research Center (GILDRC), University of Medical Sciences, Tehran, Iran
  4. 4. School of Public Health, University of Queensland, Brisbane, QLD, Australia
  5. 5. Department of Neurology, Cairo University, Cairo, Egypt
  6. 6. Mekelle University, Mekelle, Ethiopia
  7. 7. Infectious Disease Epidemiology Group, Weill Cornell Medical College in Qatar, Doha, Qatar
  8. 8. Department of Clinical Sciences Lund, Orthopedics, Clinical Epidemiology Unit, Lund University, Lund, Sweden
  9. 9. Kermanshah University of Medical Sciences, Kermanshah, Iran
  10. 10. Debre Markos University, Debre Markos, Ethiopia
  11. 11. College of Health Sciences, Department of Epidemiology, ICT, Jimma University, Jimma, Ethiopia
  12. 12. Baghdad College of Medicine, Baghdad, Iraq
  13. 13. Murdoch Childrens Research Institute, The University of Melbourne, Parkville, VIC, Australia
  14. 14. The University of Melbourne, Melbourne, VIC, Australia
  15. 15. The University of Sydney, Sydney, NSW, Australia
  16. 16. Ministry of Health, Al Khuwair, Oman
  17. 17. Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  18. 18. College of Medicine and Health Sciences United Arab Emirates University, Al-Ain City, United Arab Emirates
  19. 19. Joint Program of Family and Community Medicine, Jeddah, Saudi Arabia
  20. 20. King Saud University, Riyadh, Saudi Arabia
  21. 21. Mansoura University, Mansoura, Egypt
  22. 22. Health Promotion Research Center, Department of Epidemiology and Biostatistics, Zahedan University of Medical Sciences, Zahedan, Iran
  23. 23. Department of Medical Emergency, School of Paramedic, Qom University of Medical Sciences, Qom, Iran
  24. 24. South Asian Public Health Forum, Islamabad, Pakistan
  25. 25. University of Gondar, Gondar, Ethiopia
  26. 26. Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, United States
  27. 27. Africa Health Research Institute, KwaZulu-Natal, Mtubatuba, South Africa
  28. 28. Institute of Public Health, Heidelberg University, Heidelberg, Germany
  29. 29. School of Health Sciences, University of Management and Technology, Lahore, Pakistan
  30. 30. Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  31. 31. School of Psychology, University of Auckland, Auckland, New Zealand
  32. 32. School of Medicine, University of Adelaide, Adelaide, SA, Australia
  33. 33. College of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States
  34. 34. David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, United States
  35. 35. College of Public Health and Tropical Medicine, Jazan, Saudi Arabia
  36. 36. University of Sao Paulo, Sao Paulo, Brazil
  37. 37. College of Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia
  38. 38. College of Health and Medical Science, Haramaya University, Harar, Ethiopia
  39. 39. Centre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan
  40. 40. Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON, Canada
  41. 41. Department of Public Health, Debre Markos University, Debre Markos, Ethiopia
  42. 42. Murdoch Childrens Research Institute, Melbourne, VIC, Australia
  43. 43. The Ohio State University, Columbus, OH, United States
  44. 44. Al Shifa Trust Eye Hospital, Punjab, Rawalpindi, Pakistan
  45. 45. Department of Medicine, University of Valencia/INCLIVA Health Research Institute and CIBERSAM, Valencia, Spain
  46. 46. Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada
  47. 47. Walden University, Minneapolis, MN, United States
  48. 48. Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom
  49. 49. KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya
  50. 50. Department of Community Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka
  51. 51. RMIT University, Bundoora, VIC, Australia
  52. 52. Australian National University, Canberra, ACT, Australia
  53. 53. Arba Minch University, Arba Minch, Ethiopia
  54. 54. College of Public Health, University of the Philippines Manila, Manila, Philippines
  55. 55. Department of Health, Manila, Philippines
  56. 56. Federal University of Sergipe, Aracaju, Brazil
  57. 57. Department of Nutrition, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, United States
  58. 58. Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, United States
  59. 59. Bahir Dar University, Bahir Dar, Ethiopia
  60. 60. Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden
  61. 61. School of Public Health, Bielefeld University, Bielefeld, Germany
  62. 62. Jimma University, Jimma, Ethiopia
  63. 63. Addis Ababa University, Addis Ababa, Ethiopia
  64. 64. Haramaya University, Dire Dawa, Ethiopia
  65. 65. Kersa Health and Demographic Surveillance System, Harar, Ethiopia
  66. 66. Center for Clinical and Epidemiological Research Center, Hospital Universitario, University of Sao Paulo, Sao Paulo, Brazil
  67. 67. Center of Check of Hospital Sirio Libanes, Sao Paulo, Brazil
  68. 68. University of Groningen, Groningen, Netherlands
  69. 69. Debre Berhan University, Debre Berhan, Ethiopia
  70. 70. Arabian Gulf University, Manama, Bahrain
  71. 71. College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia
  72. 72. Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates
  73. 73. Parc Sanitari Sant Joan de Deu-CIBERSAM, Barcelona, Sant Boi de Llobregat, Spain
  74. 74. Center for Air Pollution Research, Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran
  75. 75. Department of Pulmonology, Yokohama City University Graduate School of Medicine, Kanagawa, Yokohama, Japan
  76. 76. Department of Epidemiology, Salah Azaiz Institute, Tunis, Tunisia
  77. 77. Cambridge Health Alliance, Cambridge, MA, United States
  78. 78. Institute of Community and Public Health, Birzeit University, Birzeit, Palestine
  79. 79. Faculty of Medical Sciences, University of Kragujevac, Central Serbia-Sumadija, Kragujevac, Serbia
  80. 80. The Center for Health Trends and Forecasts, Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States
  81. 81. Denver Health/University of Colorado, Denver, CO, United States
  82. 82. Department of Ophthalmology, Medical Faculty Mannheim, Ruprecht-Karls-University Heidelberg, Mannheim, Germany
  83. 83. Hematology-Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran
  84. 84. Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  85. 85. Department of Community Medicine, Public Health and Family Medicine, Jordan University of Science and Technology, Irbid, Jordan
  86. 86. Health Services Academy, Islamabad, Pakistan
  87. 87. Mohammed Ibn Saudi University, Riyadh, Saudi Arabia
  88. 88. Iranian Ministry of Health and Medical Education, Tehran, Iran
  89. 89. Non-communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran
  90. 90. Department of Nutrition and Health Science, Ball State University, Muncie, IN, United States
  91. 91. Department of Health Sciences, Northeastern University, Boston, MA, United States
  92. 92. Faculty of Chinese Medicine, Southern University College, Skudai, Malaysia
  93. 93. Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
  94. 94. Research and Development Unit, Parc Sanitari Sant Joan de Deu (CIBERSAM), Barcelona, Spain
  95. 95. Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, QC, Canada
  96. 96. Department of Demography and Public Health Research Institute, University of Montreal, Montreal, Canada
  97. 97. Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom
  98. 98. Department of Zoology, Lahore College for Women University, Punjab, Lahore, Pakistan
  99. 99. Hong Kong Polytechnic University, Hong Kong
  100. 100. State University of New York, Rensselaer, Albany, NY, United States
  101. 101. UnionHealth Associates, LLC, St. Louis, MO, United States
  102. 102. Alton Mental Health Center, Alton, IL, United States
  103. 103. Aintree University Hospital National Health Service Foundation Trust, Liverpool, United Kingdom
  104. 104. School of Medicine, University of Liverpool, Liverpool, United Kingdom
  105. 105. Mansoura Faculty of Medicine, Mansoura, Egypt
  106. 106. Aswan University Hospital, Aswan Faculty of Medicine, Aswan, Egypt
  107. 107. Knowledge Utilization Research Center, Community Based Participatory Research Center, Tehran University of Medical Sciences, Tehran, Iran
  108. 108. Department of Primary Care & Public Health, Imperial College London, London, United Kingdom
  109. 109. Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  110. 110. Hospital Universitario Doctor Peset, Valencia, Spain
  111. 111. CEU Cardinal Herrera University, Moncada, Spain
  112. 112. State Welfare Organisation, Tehran, Iran
  113. 113. Key State Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Beijing, China
  114. 114. Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, Australia
  115. 115. Queensland Brain Institute, University of Queensland, St. Lucia, QLD, Australia
  116. 116. National Centre for Register-Based Research, Aarhus School of Business and Social Sciences, Aarhus University, Aarhus, Denmark
  117. 117. Saudi Ministry of Health, Riyadh, Saudi Arabia
  118. 118. College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
  119. 119. United Nations Population Fund, Lima, Peru
  120. 120. Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States
  121. 121. Pacific Institute for Research & Evaluation, Calverton, MD, United States
  122. 122. Centre for Population Health, Curtin University, Perth, WA, Australia
  123. 123. University of New South Wales, Kensington, NSW, Australia
  124. 124. Neuroscience Research Center, Baqiyatallah University of Medical Science, Tehran, Iran
  125. 125. Health Systems and Policy Research Unit, Ahmadu Bello University, Zaria, Nigeria
  126. 126. Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
  127. 127. Centre for Health Research, Western Sydney University, Sydney, NSW, Australia
  128. 128. Ministry of Health, Mexico City, Mexico
  129. 129. Universidad Nacional Autonoma de Mexico (UNAM), Mexico City, Mexico
  130. 130. Charite University Medicine Berlin, Berlin, Germany
  131. 131. Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada
  132. 132. Murdoch Childrens Research Institute, Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia
  133. 133. REQUIMTE/LAQV, Laboratorio de Farmacognosia, Departamento de Quimica, Faculdade de Farmacia, Universidade do Porto, Porto, Portugal
  134. 134. Postgraduate Medical Institute, Lahore, Pakistan
  135. 135. Shanghai Jiao Tong University School of Medicine, Shanghai, China
  136. 136. Emory University, Atlanta, GA, United States
  137. 137. University of British Columbia, Vancouver, BC, Canada
  138. 138. Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
  139. 139. A T Still University, Kirksville, MO, United States
  140. 140. Contech International Health Consultants, Lahore, Pakistan
  141. 141. Contech School of Public Health, Lahore, Pakistan
  142. 142. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  143. 143. Society for Health and Demographic Surveillance, Suri, India
  144. 144. WHO Collaborating Centre, Imperial College London, London, United Kingdom
  145. 145. North Hampshire Hospitals, Basingstroke, United Kingdom
  146. 146. University College London Hospitals, London, United Kingdom
  147. 147. Imperial College London, London, United Kingdom
  148. 148. Suez Canal University, Ismailia, Egypt
  149. 149. School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
  150. 150. Mazandaran University of Medical Sciences, Sari, Iran
  151. 151. Golestan Research Center of Gastroenterology and Hepatology, Golestan University of Medical Sciences, Gorgan, Iran
  152. 152. Sina Trauma & Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  153. 153. Baqiyatallah University of Medical Sciences, Tehran, Iran
  154. 154. Managerial Epidemiology Research Center, Department of Public Health, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran
  155. 155. All India Institute of Medical Sciences, New Delhi, India
  156. 156. MS Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  157. 157. Ain Shams University, Cairo, Egypt
  158. 158. Lawrence, KS, United States
  159. 159. Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
  160. 160. UKZN Gastrointestinal Cancer Research Centre, South African Medical Research Council (SAMRC), Durban, South Africa
  161. 161. Bayer Turkey, Istanbul, Turkey
  162. 162. Stellenbosch University, Cape Town, South Africa
  163. 163. Karachi, Pakistan
  164. 164. Department of Medical Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
  165. 165. Federal University of Santa Catarina, Florianopolis, Brazil
  166. 166. University of Alabama at Birmingham, Birmingham Veterans Affairs Medical Center, Birmingham, AL, United States
  167. 167. Department of Community Medicine, International Medical University, Kuala Lumpur, Malaysia
  168. 168. Department of Psychiatry, University of Cape Town, Cape Town, South Africa
  169. 169. South African Medical Research Council Unit on Anxiety & Stress Disorders, Cape Town, South Africa
  170. 170. Ministry of Health, Kingdom of Saudi Arabia, Riyadh, Saudi Arabia
  171. 171. Departments of Criminology, Law & Society, Sociology, and Public Health, University of California, Irvine, Irvine, CA, United States
  172. 172. Ahmadu Bello University, Zaria, Nigeria
  173. 173. School of Social Work, University of Illinois at Urbana-Champaign, Champaign, IL, United States
  174. 174. Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
  175. 175. Department of Anesthesiology, University of Virginia, Charlottesville, VA, United States
  176. 176. Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia
  177. 177. Outcomes Research Consortium, Cleveland Clinic, Cleveland, OH, United States
  178. 178. Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
  179. 179. Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
  180. 180. Department of Internal Medicine, Federal Teaching Hospital, Abakaliki, Nigeria
  181. 181. Warwick Medical School, University of Warwick, Coventry, United Kingdom
  182. 182. Center for Disease Burden, Norwegian Institute of Public Health, Bergen, Norway
  183. 183. Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
  184. 184. University of Sao Paulo Medical School, Sao Paulo, Brazil
  185. 185. Competence Center Mortality-Follow-Up of the German National Cohort, Federal Institute for Population Research, Wiesbaden, Germany
  186. 186. Federal Institute for Population Research, Wiesbaden, Germany
  187. 187. German National Cohort Consortium, Heidelberg, Germany
  188. 188. Ghent University, Ghent, Belgium
  189. 189. School of Public Health, University of Saskatchewan, Saskatoon, SK, Canada
  190. 190. Mizan Tepi University, Mizan Teferi, Ethiopia
  191. 191. Department of Biostatistics, School of Public Health, Kyoto University, Kyoto, Japan
  192. 192. Jackson State University, Jackson, MS, United States
  193. 193. Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, China
  194. 194. Global Health Institute, Wuhan University, Wuhan, China
  195. 195. Faculty of Medicine, Mansoura University, Mansoura, Egypt
  196. 196. Seattle, WA, United States
  197. 197. Oxford Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford, Oxford, United Kingdom
  198. 198. Department of Anesthesiology & Pain Medicine, Seattle Children’s Hospital, Seattle, WA, United States
  199. 199. Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States

Source: International Journal of Public Health Published:2018


Abstract

Objectives: Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015. Methods: We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries. Results: The maternal mortality ratio in the EMR decreased 16.3% from 283 (241–328) maternal deaths per 100,000 live births in 1990 to 237 (188–293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region. Conclusion: Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life. © 2017, The Author(s).
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