| 1 | less than 2% |
| 2 | 2% to 4.9% |
| 3 | 5% to 9.9% |
| 4 | 10% to 14.9% |
| 5 | 15% to 24.9% |
| 6 | 25% to 34.9% |
| 7 | 35% or over |
| 8 | No Data |
| 1 | Less than 10 |
| 2 | 10 to 49 |
| 3 | 50 to 99 |
| 4 | 100 to 499 |
| 5 | 500 to 999 |
| 6 | More than 1000 |
| 7 | No data |
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Births by Caesarean Section
What does it mean ?
This indicator shows the number of births by caesarean section relative to all births. Birth by caesarean section requires specialist health worker skills, an operating theatre and availability of specific drugs and medical products.
Why does it matter ?
All pregnancies are associated with risk and when medically justified, a caesarean section can prevent maternal and perinatal mortality and morbidity. However, because any surgery carries risk of complications, caesarean sections should not be performed unless it is medically required. According to the World Health Organisation, about 10-15 % of all births require delivery by caesarean section. As such, caesarean section rates lower than 10% indicates under-use and caesarean section rates over 15 % indicate over-use. Because birth by caesarean section requires specialist medical skills and health services, this indicators is sometimes used as a proxy indicator to measure the availability of quality of maternal health services in countries where data from health information systems and health facility surveys are limited.
How is it collected ?
Data on the percent of birth by caesarean section is usually derived from large scale, nationally representative surveys such as Demographic and Health (DHS) and Multiple Indicator Cluster Surveys (MICS), other national surveys. DHS/ MICS are household surveys where women are asked if they have given birth (usually in the last three or five years) and the circumstances surrounding the birth including if they had a caesarean section.
"The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014" Betrán, A., et al. PLoS One. 2016; 11(2): http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743929/
Maternal Mortality Ratio
What does it mean ?
The Maternal Mortality Ratio (MMR) is the rate at which women die from maternal causes (any cause related to pregnancy, during childbirth, pregnancy or within 42 days of childbirth). It is measured as the number of maternal deaths per every 100,000 live births. A live birth refers to any baby that is born that shows signs of life outside of the womb. A maternal death refers to the death of woman while she is pregnant or within 42 days of childbirth, from any cause related to or aggravated by the pregnancy or its management. Maternal deaths exclude accidental or other non-related causes of death. The MMR represents the risk associated with each pregnancy and birth.
Why does it matter ?
Problems during pregnancy and childbirth are a leading cause of death and disability of women of reproductive age (15-49 years) in low income countries. This indicator acts as a record of deaths related to pregnancy and childbirth and reflects the ability of a country's healthcare system to provide safe care during pregnancy and childbirth. The Maternal Mortality Ratio is an indicator for monitoring Sustainable Development Goal 3 Health and Wellbeing Target 3.1: By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births.
How is it collected ?
In high income countries the data for MMR are from nationally registered deaths to women, with maternal death as the cause, then dividing by the number of registered live births. If birth and death registration is incomplete other methods are used such as a special survey or population censuses. Where there are no data, an estimate is generated from three factors: GDP, fertility rate and births attended by a skilled attendant.
MMR 2017 - TRENDS IN MATERNAL MORTALITY 2000 to 2017 Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. https://apps.who.int/iris/bitstream/handle/10665/327595/9789241516488-eng.pdf?ua=1 [Accessed 9 March 2020]
