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

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”

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

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

Death Certificate Form to be completed by a medical doctor

Part that goes to the DoH

Part that goes to the Vital Statistics, Civil registration Office

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

Causes of maternal deaths

Causes of maternal deaths

Causes of maternal deaths

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

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

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%

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”

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