| 1 | Less than 20% |
| 2 | 20 to 49% |
| 3 | 50% to 74% |
| 4 | 75% to 94% |
| 5 | 95% or more |
| 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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Percent of Births Attended by Skilled Personnel
What does it mean ?
This indicator shows the percentage of births that take place in the presence of a skilled healthcare worker who is qualified to attend to births. The definition of a skilled birth attendant is an accredited health professional – such as a midwife, nurse or doctor – who has the necessary skills needed to manage normal pregnancy, childbirth and the period after the birth, and who is able to identify, manage and refer women and newborns if complications occur.
Why does it matter ?
All women should have skilled care during pregnancy and childbirth because the provision of skilled care at every birth significantly reduces the risk of maternal and newborn mortality. This indicator can also give us information on the use of maternity services in a country, and can measure a health system's ability to provide good care during childbirth. Skilled attendance is a crucial factor in reducing maternal and newborn death.
How is it collected ?
A national survey was undertaken in each country from a representative sample of households where women and girls were asked how many babies they have given birth to and when their births occurred. Additional questions were asked about the circumstances at each birth and whether a doctor, midwife, nurse or other skilled person was present. The indicator concerns births that occurred in the three years before the survey.
World Health Organization, Global Health Observatory data repository, accessed in August 2016 http://apps.who.int/gho/data/node.main.REPWOMEN39?lang=en
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.
WHO, UNICEF, UNFPA and World Bank (2015). Trends in Maternal mortality 1990-2015. http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/
