Institutional maternal mortality ratio

 

Definition:

Number of maternal deaths among 100 000 deliveries in health facilities/institutions.

Numerator:

Number of maternal deaths in institutions.

Denominator:

Total number of deliveries in institutions.

Disaggregation:

Age, cause of death, geographic location, parity.

Data Requirements:

Labour ward registers, emergency admission registers, specialist ward registers.

Regular quality control for completeness, assessment and misclassification.

Number of maternal deaths among 100 000 deliveries in health facilities/institutions.

See also: Maternal mortality ratio (MMR)

Data Sources:

Routine facility information systems, maternal deaths surveillance and response systems.

Purpose:

This indicator is an important outcome measure of quality and safety of care.

References:

World Health Organization (WHO). 2015 Global Reference List of 100 Core Health Indicators.; 2015. http://apps.who.int/iris/bitstream/10665/173589/1/WHO_HIS_HSI_2015.3_eng.pdf

 

Further information and related links

Countdown to 2015 decade report (2000−2010): taking stock of maternal, newborn and child survival. Geneva and New York (NY): World Health Organization/United Nations Children’s Fund; 2010 (Retrieved from http://www.countdown2015mnch.org/reports-and-articles/previous-reports/2010-decadereport).

Indicators for monitoring the Millennium Development Goals: definitions, rationale, concepts and sources. New York (NY): United Nations; 2012 (Retrieved from http://mdgs.un.org/unsd/mi/wiki/MainPage.ashx).

Keeping promises, measuring results. Commission on information and accountability for Women’s and Children’s Health. Geneva: World Health Organization; 2011 (Retrieved from http://www.who.int/topics/millennium_development_goals/accountability_commission/Commission_Report_advance_copy.pdf).

Next generation indicators reference guide: planning and reporting. Version 1.2. Washington (DC): The President’s Emergency Plan for AIDS Relief; 2013 (Retrieved from http://www.pepfar.gov/documents/organization/206097.pdf).

The UNFPA Strategic Plan, 2014−2017. Report of the Executive Director. New York (NY): United Nations Population Fund; 2013.

World Health Assembly governing body documentation: official records. Geneva: World Health Organization (Retrieved from http://apps.who.int/gb/or/).

World health statistics 2014. Geneva: World Health Organization; 2014 (Retrieved from http://apps.who.int/iris/bitstream/10665/112738/1/9789240692671_eng.pdf?ua=1).