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Citation Information

Type Journal Article - The Lancet Global Health
Title Progress and inequities in maternal mortality in Afghanistan (RAMOS-II): a retrospective observational study
Volume 5
Issue 5
Publication (Day/Month/Year) 2017
Page numbers e545-e555
URL http://www.sciencedirect.com/science/article/pii/S2214109X17301390

The risk of maternal death in Afghanistan is among the highest in the world; however, the risks within the country are poorly understood. Subnational maternal mortality estimates are needed along with a broader understanding of determinants to guide future maternal health programmes. Here we aimed to study maternal mortality risk and causes, care-seeking patterns, and costs within the country.


We did a household survey (RAMOS-II) in the urban area of Kabul city and the rural area of Ragh, Badakshan. Questionnaires were administered to senior female household members and data were collected by a team of female interviewers with secondary school education. Information was collected about all deaths, livebirths, stillbirths, health-care access and costs, household income, and assets. Births were documented using a pregnancy history. We investigated all deaths in women of reproductive age (12–49 years) since January, 2008, using verbal autopsy. Community members; service providers; and district, provincial, and national officials in each district were interviewed to elicit perceptions of changes in maternal mortality risk and health service provision, along with programme and policy documentation of maternal care coverage.

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Bartlett, Linda, Amnesty LeFevre, Linnea Zimmerman, Sayed Ataullah Saeedzai, Sabera Torkamani, Weeda Zabih, Hannah Tappis, Stan Becker, Peter Winch, Marge Koblinsky, and others. "Progress and inequities in maternal mortality in Afghanistan (RAMOS-II): a retrospective observational study." The Lancet Global Health 5, no. 5 (2017): e545-e555.
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