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Afghanistan Mortality Survey 2010 - Measure DHS

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shown). Although the regression line in each case is based on only 4-5 surveys in nearby countries,similar graphs with six additional surveys based on modeled estimates of the pregnancy-related mortalityratios show similar results. When the pregnancy-related mortality ratio is graphed against educationattainment, however, the estimate for <strong>Afghanistan</strong> falls well below the regression line. This suggests thatto the extent that education is an important driver of pregnancy-related mortality, the AMS <strong>2010</strong> estimatesmay be too low.Table 7.3 Pregnancy-related mortality ratios and associated maternal health indicators for SouthAsian countriesAgePregnancyrelatedmortalityratioPercentageof womenreceivingantenatalcare from askilledprovider 1Percentageof birthsdeliveredby an SBA 1Percentageof birthsdeliveredin a healthfacilityPercentage of evermarriedwomen age15-49 with noeducation<strong>Afghanistan</strong> <strong>2010</strong> 327 60 34 32 88<strong>Afghanistan</strong> <strong>2010</strong>(excluding South zone) 315 63 34 32 86Bangladesh 2001 382 40 12 9 47Bangladesh <strong>2010</strong> 194 na 27 23 naNepal 1996 539 24 9 8 80Nepal 2006 281 44 19 18 63Pakistan 2006/7 297 62 42 34 65Source: AMS <strong>2010</strong> for <strong>Afghanistan</strong>; Streatfield, et al. (2011) for Bangladesh <strong>2010</strong>; and <strong>DHS</strong> surveyreports for the remaining estimates.1A skilled antenatal care provider or a skilled birth attendant (SBA) is a doctor or a nurse/midwifena = Not availableTable 7.4 and Figure 7.1 show estimates of pregnancy-related mortality for the seven-year periodpreceding the survey by age and timing of death. Out of a total of 256 pregnancy-related deaths identifiedin the AMS <strong>2010</strong>, 41 percent occurred during pregnancy, 40 percent occurred during delivery, and 19percent occurred in the two months after delivery. The largest number of pregnancy-related deathsoccurred to women age 20-29, with about two in every five pregnancy-related deaths occurring at theseages. The proportion of pregnancy-related deaths that occurred during delivery was relatively high forwomen under 30 years of age (44-47 percent).Table 7.4 Pregnancy-related mortality by age and timing of deathPercent distribution of pregnancy-related deaths in the seven yearspreceding the survey by timing of death, according to age group ofwomen, <strong>Afghanistan</strong> <strong>2010</strong>AgeDeathsduringpregnancyDeathsduringdeliveryDeathspostpartumTotalTotalpregnancyrelateddeaths15-19 30.8 44.1 25.1 100.0 4020-24 44.8 45.6 9.6 100.0 5525-29 38.3 47.0 14.7 100.0 4930-34 44.3 31.9 23.8 100.0 3935-39 41.0 35.0 24.0 100.0 3140-44 49.2 36.5 14.3 100.0 3045-49 28.6 25.8 45.6 100.0 12Total 40.6 40.2 19.2 100.0 256Maternal <strong>Mortality</strong> | 131

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