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Maternal Mortality in Mexico: lessons learned from improving the data quality  Prof. Rafael Lozano,  IHME and former General Director of Health Information at the Ministry of Health in Mexico Measuring the Progress on Maternal and Child Mortality: Data, alternative methods, and findings Washington, D.C. May 24 th , 2010
National Health Program 2001-2006 Annual Report of Accountability La democratización de la salud en México Hacia un sistema universal de salud Programa Nacional de Salud 2001-2006
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Annual Report of Accountability Mexico-Salud (2001)  Under-five mortality rate
MMR was not included in first Annual Report of Accountability !!! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implications of the decision  ,[object Object],[object Object],[object Object],[object Object]
The challenge of counting maternal deaths ,[object Object],[object Object],[object Object],[object Object],[object Object]
The challenge of counting maternal deaths ,[object Object],[object Object],[object Object],[object Object],[object Object]
Passive identification of maternal deaths from VR Confirmed maternal deaths in 2002 Possible maternal deaths Deaths of women 10-54 years 38 597 5 849 1 330
Short-term effects of the publication 2002 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mid-term effects of the publication (2002-2008) ,[object Object],[object Object],[object Object],[object Object],1,221 maternal deaths added deaths %
Maternal Mortality Ratio Crude and Predicted  Mexico, 2000-2015 Source: Lozano R 2008 MMR per 100,000 lb 0.0 30.0 60.0 90.0 120.0 150.0 180.0 Low Medium High Very High Very Low 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 RMM x 100,000 lb Predicted UNICEF,OMS Crude after passive identification
Maternal deaths in Mexico, 1980-2008 Sources: MoH/INEGI. crude or “official” Hogan, et al. 2010 : Low, Media, High
Maternal deaths in Mexico, 1980-2008 25-29 years 30-34 years
Lessons learned ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Maternal mortality in Mexico: lessons learned from improving data quality

  • 1. Maternal Mortality in Mexico: lessons learned from improving the data quality Prof. Rafael Lozano, IHME and former General Director of Health Information at the Ministry of Health in Mexico Measuring the Progress on Maternal and Child Mortality: Data, alternative methods, and findings Washington, D.C. May 24 th , 2010
  • 2. National Health Program 2001-2006 Annual Report of Accountability La democratización de la salud en México Hacia un sistema universal de salud Programa Nacional de Salud 2001-2006
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Passive identification of maternal deaths from VR Confirmed maternal deaths in 2002 Possible maternal deaths Deaths of women 10-54 years 38 597 5 849 1 330
  • 9.
  • 10.
  • 11. Maternal Mortality Ratio Crude and Predicted Mexico, 2000-2015 Source: Lozano R 2008 MMR per 100,000 lb 0.0 30.0 60.0 90.0 120.0 150.0 180.0 Low Medium High Very High Very Low 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 RMM x 100,000 lb Predicted UNICEF,OMS Crude after passive identification
  • 12. Maternal deaths in Mexico, 1980-2008 Sources: MoH/INEGI. crude or “official” Hogan, et al. 2010 : Low, Media, High
  • 13. Maternal deaths in Mexico, 1980-2008 25-29 years 30-34 years
  • 14.

Editor's Notes

  1. We needed to get involved all potential participants We have to come up with a number close to the truth
  2. We needed to get involved all potential participants We have to come up with a number close to the truth