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COVID-19 Pandemic Impact on the Maternal Mortality in Kazakhstan and Comparison with the Countries in Central Asia

Maternal mortality ratio is one of the sensitive indicators that can characterize the performance of healthcare systems. In our study we aimed to compare the maternal mortality ratio in the Central Asia region from 2000 to 2020, determine its trends and evaluate the association between the maternal...

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Autores principales: Zhamantayev, Olzhas, Kayupova, Gaukhar, Nukeshtayeva, Karina, Yerdessov, Nurbek, Bolatova, Zhanerke, Turmukhambetova, Anar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914964/
https://www.ncbi.nlm.nih.gov/pubmed/36767550
http://dx.doi.org/10.3390/ijerph20032184
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author Zhamantayev, Olzhas
Kayupova, Gaukhar
Nukeshtayeva, Karina
Yerdessov, Nurbek
Bolatova, Zhanerke
Turmukhambetova, Anar
author_facet Zhamantayev, Olzhas
Kayupova, Gaukhar
Nukeshtayeva, Karina
Yerdessov, Nurbek
Bolatova, Zhanerke
Turmukhambetova, Anar
author_sort Zhamantayev, Olzhas
collection PubMed
description Maternal mortality ratio is one of the sensitive indicators that can characterize the performance of healthcare systems. In our study we aimed to compare the maternal mortality ratio in the Central Asia region from 2000 to 2020, determine its trends and evaluate the association between the maternal mortality ratio and Central Asia countries’ total health expenditures. We also compared the maternal mortality causes before and during the pandemic in Kazakhstan. The data were derived from the public statistical collections of each Central Asian country. During the pre-pandemic period, Central Asian nations had a downward trend of maternal mortality. Maternal mortality ratio in Central Asian countries decreased by 38% from 47.3 per 100,000 live births in 2000 to 29.5 per 100,000 live births in 2020. Except for Uzbekistan, where this indicator decreased, all Central Asian countries experienced a sharp increase in maternal mortality ratio in 2020. The proportion of indirect causes of maternal deaths in Kazakhstan reached 76.3% in 2020. There is an association between the maternal mortality ratio in Central Asian countries and their total health expenditures expressed in national currency units (r max = −0.89 and min = −0.66, p < 0.01). The study revealed an issue in the health data availability and accessibility for research in the region. The findings suggest that there must be additional efforts from the local authorities to enhance the preparedness of Central Asian healthcare systems for the new public health challenges and to improve health data accessibility.
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spelling pubmed-99149642023-02-11 COVID-19 Pandemic Impact on the Maternal Mortality in Kazakhstan and Comparison with the Countries in Central Asia Zhamantayev, Olzhas Kayupova, Gaukhar Nukeshtayeva, Karina Yerdessov, Nurbek Bolatova, Zhanerke Turmukhambetova, Anar Int J Environ Res Public Health Article Maternal mortality ratio is one of the sensitive indicators that can characterize the performance of healthcare systems. In our study we aimed to compare the maternal mortality ratio in the Central Asia region from 2000 to 2020, determine its trends and evaluate the association between the maternal mortality ratio and Central Asia countries’ total health expenditures. We also compared the maternal mortality causes before and during the pandemic in Kazakhstan. The data were derived from the public statistical collections of each Central Asian country. During the pre-pandemic period, Central Asian nations had a downward trend of maternal mortality. Maternal mortality ratio in Central Asian countries decreased by 38% from 47.3 per 100,000 live births in 2000 to 29.5 per 100,000 live births in 2020. Except for Uzbekistan, where this indicator decreased, all Central Asian countries experienced a sharp increase in maternal mortality ratio in 2020. The proportion of indirect causes of maternal deaths in Kazakhstan reached 76.3% in 2020. There is an association between the maternal mortality ratio in Central Asian countries and their total health expenditures expressed in national currency units (r max = −0.89 and min = −0.66, p < 0.01). The study revealed an issue in the health data availability and accessibility for research in the region. The findings suggest that there must be additional efforts from the local authorities to enhance the preparedness of Central Asian healthcare systems for the new public health challenges and to improve health data accessibility. MDPI 2023-01-25 /pmc/articles/PMC9914964/ /pubmed/36767550 http://dx.doi.org/10.3390/ijerph20032184 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhamantayev, Olzhas
Kayupova, Gaukhar
Nukeshtayeva, Karina
Yerdessov, Nurbek
Bolatova, Zhanerke
Turmukhambetova, Anar
COVID-19 Pandemic Impact on the Maternal Mortality in Kazakhstan and Comparison with the Countries in Central Asia
title COVID-19 Pandemic Impact on the Maternal Mortality in Kazakhstan and Comparison with the Countries in Central Asia
title_full COVID-19 Pandemic Impact on the Maternal Mortality in Kazakhstan and Comparison with the Countries in Central Asia
title_fullStr COVID-19 Pandemic Impact on the Maternal Mortality in Kazakhstan and Comparison with the Countries in Central Asia
title_full_unstemmed COVID-19 Pandemic Impact on the Maternal Mortality in Kazakhstan and Comparison with the Countries in Central Asia
title_short COVID-19 Pandemic Impact on the Maternal Mortality in Kazakhstan and Comparison with the Countries in Central Asia
title_sort covid-19 pandemic impact on the maternal mortality in kazakhstan and comparison with the countries in central asia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914964/
https://www.ncbi.nlm.nih.gov/pubmed/36767550
http://dx.doi.org/10.3390/ijerph20032184
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