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Mortalidad Materna Tendencias y valores Región de las Américas

This report by Fatima Marinho from PAHO Costa Rica in Feb 2011 discusses the issue of maternal mortality in the Americas. It addresses concerns with the correction factor used for vital registration data and highlights disparities among countries with varying registration systems. The report emphasizes the need for evolving the correction factor over time to reflect improvements in registration systems, citing examples of Uruguay, Argentina, and Mexico. The publication questions the consistency in WHO estimates and underscores the importance of accurate data for countries like Brazil, Venezuela, and Mexico.

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Mortalidad Materna Tendencias y valores Región de las Américas

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  1. Mortalidad MaternaTendencias y valoresRegión de las Américas Fatima Marinho Coordinadora Información y Análisis – PAHO Costa Rica, Feb 2011

  2. Comentarios • The use of the correction factor (CF) of 1.5 and the generalized application for VR data is problematic. • For those countries with better registration systems (e.g. Canada, Uruguay, Cuba, Chile) CF causes an artificial increase in MMR and benefits the ones with less quality of vital registration (e g. Guatemala, Belize and Suriname). • The CF of 1.5 has been applied over 18 years (1990-2008) without any consideration that many countries in this region have improved their vital registration system, especially since 2000. The CF should decrease over time. • This is the case of Uruguay, Argentina and Mexico. It is very hard to accept the inconsistency between the latest 2005 WHO estimate and the new one, e.g Mexico. In the latter publication, Mexico’s important progress has been started in 2002 and was recognized by WHO while this time it was not considered. • We expect that the MMR of Argentina, Brazil, Venezuela and Mexico are more proximate. • We consider the technical note too brief and without enough details to simulate the results.

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