Author(s): Yusuf HR, Akhter HH, Chowdhury ME, Rochat RW
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Abstract Limited information is available at the national and district levels on causes of death among women of reproductive age in Bangladesh. During 1996-1997, health-service functionaries in facilities providing obstetric and maternal and child-heath services were interviewed on their knowledge of deaths of women aged 10-50 years in the past 12 months. In addition, case reports were abstracted from medical records in facilities with in-patient services. The study covered 4,751 health facilities in Bangladesh. Of 28,998 deaths reported, 13,502 (46.6\%) occurred due to medical causes, 8,562 (29.5\%) due to pregnancy-related causes, 6,168 (21.3\%) due to injuries, and 425 (1.5\%) and 259 (0.9\%) due to injuries and medical causes during pregnancy respectively. Cardiac problems (11.7\%), infectious diseases (11.3\%), and system disorders (9.1\%) were the major medical causes of deaths. Pregnancy-associated causes included direct maternal deaths (20.1\%), abortion (5.1\%), and indirect maternal deaths (4.3\%). The highest proportion of deaths among women aged 10-19 years was due to injuries (39.3\%) with suicides accounting for 21.7\%. The largest proportion of direct obstetric deaths occurred among women aged 20-29 years (30.5\%). At least one quarter (24.3\%) of women (n = 28,998) did not receive any treatment prior to death, and 47.8\% received treatment either from a registered physician or in a facility. More focus is needed on all causes of deaths among women of reproductive age in Bangladesh.
This article was published in J Health Popul Nutr
and referenced in Reproductive System & Sexual Disorders: Current Research