Safe Motherhood: A Review - Family Care International

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Bolivia
Monitoring and Evaluation
National Surveys on Demographics and
Health (ENDSA) carried out in 1994 and
2003 and the Post-Census Survey on Maternal
Mortality (EPMM) 42 conducted in 2000 provide
a snapshot of national maternal mortality
levels in Bolivia (see below).
Maternal mortality per 100,000 live births
450
400
350
300
250
200
150
100
50
0
Another indicator is the percentage of
pregnant women able to access health care
facilities for obstetric complications. But this
information is not registered consistently by
the National System for Health Information
(SNIS, for its Spanish Acronym) or the
Universal Maternal/Child Insurance system
(SUMI, for its Spanish acronym).
In 2003, the Ministry of Health conducted an
evaluation of the availability, access, and use
of emergency obstetric health care services
for 85 key healthcare facilities in the health
system, with financial support from UNFPA.
The survey estimated the percentage of
obstetric emergencies treated, and found
that the average percentage of obstetric
emergencies handled at health care facilities
Average Maternal Mortality Rate in the Three Available
Surveys. Bolivia, 1994–2003
X 1000,000 Births
390
ENDSA (1989–1994)
229
ENDSA (1999–2003)
Sources: ENDSA/INE 1994, 2003 and EPMM 2000
235
EPMM (2000)
varies between 22–28%. Factors related to
these trends include: the distance women
experiencing complications have to travel
to reach facilities; the availability of public
transportation; the condition of transportation
networks; and the level of trust the
community has toward health care providers.
42 This was generated by a different procedure from the ENDSA, but is still consistent with the results of these surveys.