Potential gains in reproductive-aged life expectancy if maternal mortality were eradicated from the Kintampo districts of Central Ghana

BMC Pregnancy Childbirth. 2019 Oct 23;19(1):374. doi: 10.1186/s12884-019-2515-0.

Abstract

Background: Almost 99% of pregnancy or childbirth-related complications globally is estimated to occur in developing regions. Yet, little is known about the demographic impact of maternal causes of death (COD) in low-and middle-income countries. Assuming that critical interventions were implemented such that maternal mortality is eradicated as a major cause of death, how would it translate to improved longevity for reproductive-aged women in the Kintampo districts of Ghana?

Methods: The study used longitudinal health and demographic surveillance data from the Kintampo districts to assess the effect of hypothetically eradicating maternal COD on reproductive-aged life expectancy by applying multiple decrement and associated single decrement life table techniques.

Results: According to the results, on the average, women would have lived an additional 4.4 years in their reproductive age if maternal mortality were eradicated as a cause of death, rising from an average of 28.7 years lived during the 2005-2014 period to 33.1 years assuming that maternal mortality was eradicated. The age patterns of maternal-related mortality and all-cause mortality depict that the maternal-related mortality is different from the all-cause mortality for women of reproductive age.

Conclusion: This observation suggests that other COD are competing with maternal mortality among the WRA in the study area and during the study period.

Keywords: Causes of death; Maternal mortality; Reproductive-aged life expectancy; Women of reproductive age.

MeSH terms

  • Adolescent
  • Adult
  • Cause of Death
  • Developing Countries / statistics & numerical data*
  • Female
  • Ghana / epidemiology
  • Humans
  • Life Expectancy*
  • Maternal Mortality*
  • Middle Aged
  • Pregnancy
  • Pregnancy Complications / mortality*
  • Reproduction
  • Young Adult