Maternal deaths averted by contraceptive use: an analysis of 172 countries

  title={Maternal deaths averted by contraceptive use: an analysis of 172 countries},
  author={Saifuddin Ahmed and Qingfeng Li and Li Liu and Amy O Tsui},
  journal={The Lancet},
The role of contraception in preventing HIV-positive births: global estimates and projections
Contraception continues to play an integral role in global HIV prevention efforts in the era of increasing HIV treatment coverage, especially in sub-Saharan Africa.
Contraceptive use and maternal mortality in Indonesia: a community-level ecological analysis
Community contraceptive prevalence made a significant contribution to reducing maternal mortality net of other risk and protective factors during 2010–2015, and community-level household wealth was the strongest predictor of maternal mortality.
Contraception needed to avoid high-fertility-risk births, and maternal and child deaths that would be averted
It is incumbent upon national and private health programs and donors to serve the women with unmet needs to cost-effectively avert maternal and child deaths and to reach the Sustainable Development Targets 3.1 and 3.2.
Drivers of Progress in Increasing Contraceptive Use in sub-Saharan Africa Case Studies from Eastern and Southern Africa
  • Economics, Medicine
  • 2013
Sustained decline in fertility helps to reduce child dependency ratios and increase the number of working age people, which can boost investments in human capital and economic productivity if job-creating economic reforms are enacted.
Indirect cost of maternal deaths in the WHO African Region in 2010
There is urgent need to increase domestic and external investment to scale up coverage of existing cost-effective, multisectoral women’s health interventions to reduce maternal morbidity and mortality among the countries in the African Region.
Individual and community level associates of contraceptive use in Ethiopia: a multilevel mixed effects analysis
Both individual and community-level characteristics were significant predictors of use of contraceptives in Ethiopian women, and interventions should also consider community- level associates.
The Association of Contraceptive Use, Non-Use, and Failure with Child Health
Contraceptive use in the interpregnancy interval, even if contraceptive failure resulted in birth, had a positive effect on all child health outcomes compared to non-use of contraception in the cross-sectional interval, and contraceptive use had apositive effect on child health independent of the birth spacing effect.


Three methods of estimating births averted nationally by contraception
Estimates of the number of births averted and the percentage by which the number would have increased in the absence of contraception are consistent between the GFR- based and TFR-based methods, but in general lower than the estimates generated by the PD-based method.
The importance of family planning in reducing maternal mortality.
  • J. Fortney
  • Medicine, Economics
    Studies in family planning
  • 1987
Current levels of maternal mortality in the developed countries have been achieved only with both good obstetric care and with low fertility, and the contribution of family planning to lower maternal mortality and morbidity should not be underestimated.
Assessing the role of family planning in reducing maternal mortality.
It is concluded that reproductive risks can be reduced only by preventing unwanted pregnancies and protecting maternal health during wanted ones, and the overall ability of risk strategies to address the bulk of maternal mortality.
The potential impact of changes in fertility on infant, child, and maternal mortality.
The results indicate that if childbearing were confined to the "prime" reproductive ages of 20-34, then infant and child mortality rates would fall by about 5 percent.
Adding It Up: The Costs and Benefits of Investing In Family Planning and Maternal and Newborn Health
The direct health benefits of meeting the need for both family planning and maternal and newborn health services would be dramatic and more women would survive hemorrhage and infection and fewer would endure needless suffering from fistula infertility and other health problems related to pregnancy or childbirth.
Unsafe abortion: Global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008. Sixth edition.
This sixth edition of the WHO Global and regional estimates of unsafe abortion and associated mortality is intended for policy-makers and programme managers health workers and nongovernmental
How contraceptive use affects birth intervals: results of a literature review.
The findings from these studies suggest that the use of contraceptives is protective against short birth intervals, and more current research is needed to determine the impact of contraceptive-method use on birth-interval length.
Safe motherhood: impossible dream or achievable reality?
  • J. O'Loughlin
  • Medicine, Political Science
    The Medical journal of Australia
  • 1997
Maternal mortality and morbidity are caused by poverty; poor access to health services; pregnancies that are "too many, too close, too early, too late"; poor nutrition and health; and women's low socioeconomic status.
Why Aren’t There More Maternal Deaths? A Decomposition Analysis
The maternal mortality ratio has fallen, reflecting the success of direct maternal health efforts and the offsetting effect of the historic fertility declines in the developing world, and hence a flat trend in births.