Mr. A.Amarbal, NSO Ms. S.Enhkjin, MOH Dr.B.Shinetugs, UNFPA
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Transcript of Mr. A.Amarbal, NSO Ms. S.Enhkjin, MOH Dr.B.Shinetugs, UNFPA
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Comparison between National and International Data on
Maternal Mortality - MongoliaWorkshop on MDG Monitoring: 2015 and Beyond
BangkokJuly 9-13, 2012
Mr. A.Amarbal, NSO
Ms. S.Enhkjin, MOH
Dr.B.Shinetugs, UNFPA
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Trends in Maternal Mortality:1990-2010
1990 1995 2000 2005 2010120 110 96 84 63
Mongolia is considered as “Making Progress”
and as country C – “…with no data on maternal mortality”
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Data sourcesRoutine data sources:
Death certificates +
Vital statistics +
Hospital records +
Other data sources:
Census/surveys: RHS/MICS every 5 years2010 census
-+ -
Specific maternal health surveys: by place / organisation:
Confidential enquiries into maternal deaths
Other sources Clinical audits by the State Inspection Agency, Verbal autopsies in case of
death at home
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Reporting of maternal deaths
MDProvince, city HD
24 hours
Maternal death review
committee
Clinical pathological conference
Autopsy94,1%
48 hours
NCMCH
MOH
Officer of civil registration
Provincial CR department
Governmant implementing ageng for Civil Registration
National statistical
officeEvery 6 months
Dept. of HealthStats
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Death Certificate Form to be completed by a medical doctor
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Part that goes to the DoH
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Part that goes to the Vital Statistics, Civil registration Office
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MMR per 100,000 live birthsaccording to the NSO
Change in the calculation method: <28 weeks included
National MDG target approved by the Parliament in 2004
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Causes of maternal deaths
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Causes of maternal deaths
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Causes of maternal deaths
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Maternal deaths, 2011
0,0 5,0 10,0 15,0 20,0 25,0 30,0 35,0 40,0
Provincial general hospitals
UB tertary and district hospitals
sub-provancial and soum hospitals
at home
in the ambulacy car
38,2
32,4
14,7
11,8
2,9
• 19 cases or 55.9% in rural,
• 15 cases or 44.1% in urban
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Incidental deaths
1. Apr 01, 35-36 weeks – car accident
2. July 11, domestic violence
3. July 20, 8-9 weeks – Suicide
4. September, 27 weeks – car accident
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Why not health facility data?
• Deliveries in facilities: 99,6%– More than 70,000 in public– 300-350 deliveries in private facilities
• Deliveries at the home: 0.4%• Post-mortems 94,1%
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Trends in Maternal Mortality:1990-2010
1990 1995 2000 2005 2010120 110 96 84 63
Mongolia is considered as “Making Progress”
and as country C – “…with no data on maternal mortality”
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MMR per 100,000 live birthsaccording to the NSO
Change in the calculation method: <28 weeks included
National MDG target approved by the Parliament in 2004
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