Factors associated with inter-district variation of maternal mortality in Assam

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dc.contributor.authorKakoty, SDen_US
dc.contributor.authorDas, Jen_US
dc.date.accessioned2020-09-24T07:56:48Z
dc.date.available2020-09-24T07:56:48Z
dc.date.issued2020-02
dc.description.abstractBackground: Maternal mortality is an important indicator of the health and socioeconomic status of a nation. Assam has the highest maternal mortality ratio (MMR) in the country. Although maternal death is a biomedical event, the contributory factors are many. Objectives: The objectives of the study were to assess the role of demographic, socioeconomic, nutritional, health service availability, and utilization indicators in inter-district variation of maternal mortality in Assam. Materials and Methods: We conducted an analysis of maternal mortality using district-level secondary data of 27 districts of Assam. The dependent variable was the MMR, while independent variables were demographic, socioeconomic, nutritional, health service availability, and utilization indicators. Pearson correlation and linear regression analysis were done to assess the relationship between MMR and 14 indicators at the district level using SPSS version 20. Results: MMR decreased linearly with increase in proportion of rural population and accounted for 20% variability (P = 0.018). Proportion of households with access to safe drinking water had a significant negative linear association with MMR and accounted for 27% of variability (P = 0.005). MMR increased linearly with increase in proportion of pregnant women with anemia at the district level (P = 0.019). Community health centers (CHCs) per million populations were found to have a negative linear association with MMR and accounted for 15% of variability in MMR at the district level. Conclusions: Proportion of rural population, households with access to safe drinking water, pregnant women with anemia, and CHCs per million populations were associated with inter-district variation of maternal mortality in Assam.en_US
dc.identifier.affiliationsDepartment of Community Medicine, Fakhruddin Ali Ahmed Medical College Hospital, Barpeta, Assam, Indiaen_US
dc.identifier.citationKakoty SD, Das J. Factors associated with inter-district variation of maternal mortality in Assam. International Journal of Medical Science and Public Health. 2020 Feb; 9(2): 163-169en_US
dc.identifier.issn2277-338X
dc.identifier.issn2320-4664
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/205606
dc.languageenen_US
dc.publisherInternational Journal of Medical Science and Public Healthen_US
dc.relation.issuenumber2en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.5455/ijmsph.2020.1132109122019en_US
dc.subjectMaternal Mortalityen_US
dc.subjectCorrelationen_US
dc.subjectAssociationen_US
dc.subjectAssamen_US
dc.titleFactors associated with inter-district variation of maternal mortality in Assamen_US
dc.typeJournal Articleen_US
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