The magnitude and factors related to facility-based maternal mortality in Mozambique



Facility-based maternal mortality remains an important public health problem in Mozambique. A num-
ber of factors associated with health system functioning can be described behind the occurrence of
these deaths. This paper aimed to evaluate the magnitude of the health facility-based maternal mortal-
ity, its geographical distribution and to assess the health facility factors implicated in the occurrence of
these deaths. A secondary analysis was done on data from the survey on maternal health needs per-
formed by the Ministry of Health of Mozambique in 2008. During the study period 2.198 maternal
deaths occurred out of 312.537 deliveries. According to the applied model the availability of Maternal
and Child Health (MCH) nurses performing Emergency Obstetric Care functions was related to the
reduction of facility-based maternal mortality by 40%. No significant effects were observed for the avail-
ability of medical doctors, surgical technicians and critical delivery room equipment.


Is largely known that the availability of skilled attendants assisting every delivery and providing
Emergency Obstetric Care services during the pregnancy, labor and Childbirth is key for maternal
mortality reduction.

This study add the differentiation on the impact of different cadres of health services providers
working on maternal and child health services on the facility based maternal mortality. In this set-
ting the study proven the high impact of the midlevel skilled maternal and child health nurses on
the reduction of maternal mortality. Another important add from this study is the use of facility
based maternal mortality data to inform the management process of maternal healthcare services.

The findings from this study have potential to impact on the decision of staffing prioritization in
setting like the study setting. The findings support the policy choice to improve the availability of
maternal and child health nurses.

Authors & affiliation: 
Leonardo Chavane a , Martinho Dgedge b , Olivier Degomme c , Osvaldo Loquiha d , Marc Aerts e and Marleen Temmerman c a Jhpiego – Mozambique, Maputo, Mozambique; b Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique; c International Center for Reproductive Health, Ghent University, Ghent, Belgium; d Department of Mathematics and Informatics, Eduardo Mondlane University, Maputo, Mozambique; e Interuniversity Institute for Biostatistics and Statistical Bioinformatics, (I – Bisotat) Hasselt University, Hasselt, Belgium
Published In: 
Publication date: 
Friday, April 7, 2017