Gandhi Medical College, India
Background: Maternal mortality is an indicator of state of maternal health services, status of women, women’s health and above all development of nation. Realizing maternal health as one of the greatest impediments in human development, it has also been considered as a Human Rights Issue, affecting the rights to life, equality of women and right to health among other social and economic rights.
Objectives: of the study were to identify the patterns, medical as well as socio cultural causes of maternal death and to list out the rights realization perspective of the mothers and their immediate families and the community at large methodology- A cross sectional study was conducted in three districts of Madhya Pradesh, India for 1 year. 102 maternal deaths were traced and verbal autopsy was conducted using community based maternal death review questionnaire. Human right perspective was also assessed using human rights based questionnaire.
Result: Majority (64.7%) of maternal deaths occurred between 18 to 25 years of age. 49% deaths occurred during postnatal period. 26 of 102 deaths were home death, 7 deaths occurred before reaching health facility; rest of deaths were institutional deaths either private or government. 50.9% were primigravida and PPH was the most common cause of death followed by hypertensive disorders of pregnancy. 53.9% had visited more than one facility before death.
Conclusion: Poor antenatal care, lack of human resources posed a major reason for death in all facilities. Rights realization among the beneficiaries was found to be very poor.
Manju Toppo is presently working as an associate professor in the department of Community Medicine, Gandhi Medical College, Bhopal (M P), India. She did her post-graduation in community medicine in year 1998 and employed as faculty in community medicine since then. She was awarded WHO fellowship in Community Health care and research in 2004 by (university). In the year in 2016 she was awarded fellowship in Indian Association of Adolescent and Health. She has published 23 papers in reputed journals and at present a reviewer in journal of Indian Association Community Medicine. She has given contribution in books related to community medicine. She has intense desire to work in areas of MCH, STI/ RTI and HIV/AIDS.