Health situation and trend assessment

MDG 5: maternal and reproductive health

Maternal mortality ratio

Target: Reduce by three quarters between 1990 and 2015

Complications during pregnancy and childbirth are a leading cause of death and disability among women of reproductive age. The indicator "maternal mortality ratio" represents the risk associated with each pregnancy.

The maternal mortality ratio in a population is the annual number of maternal deaths per 100 000 live births. A death of a woman is considered maternal death only when it occurs during pregnancy, during childbirth or within 42 days of termination of pregnancy, from any cause related to or aggravated by the pregnancy, but not from accidental or incidental causes. The ICD-10 makes provision for also including the late maternal deaths (those occurring between 42 days and one year after childbirth).

Situation in SEAR

Two out of 11 SEA Region countries have already achieved their 2015 targets and three are on track to achieve by 2015. The progress by four countries (DPR Korea, Indonesia, Myanmar, Timor-Leste) has been slow and unless extra efforts are made to accelerate the process, they are less likely to achieve their targets by 2015. In order to achieve the 2015 target they need to close the gap between what is expected by 2015 at the current rate of progress and the 2015 target. With the current rates of progress, the gap in expected MMR by 2015 and 2015 targets for these countries is likely to be 25 43,19,and 215 respectively. The remaining two countries (Sri Lanka and Thailand) which have slow decline seem to be finding it difficult to further reduce the maternal mortality ratio from the already low level.