Maternal mortality is one of
Chad’s most pressing issues. Chad’s maternal mortality ratio is 1,200 per
100,000 live births, the third highest in the world (WHO 2010). A woman’s
lifetime risk of maternal death is 1 in 14, one of highest in the world
(Country statistics; “Unicef”). The Ouaddai region being one of the Chadian
regions beneficiating from humanitarian assistance due to the Darfuri Sudanese
refugees’ presence since 2004, this region is not sharing the alarming
statistics as hereby presented. This study aims first to examine and analyze
maternal mortality ratio in Ouaddai health facilities in comparison to all the
country, second to light the disparities between MoH health facilities and the
ONGs supported health facilities (refugee camps) within Ouaddai region. Using
three years data extracted from the UNHCR Health Information system and the MoH
health information database in the region, we ran a retrospective MMR study to
estimate the difference relevant to each location in the Region.
The results show that the
Maternal Mortality is statistically different in each of the two locations
within Ouaddai and different comparing Ouaddai region to the whole country. The
differences noticed is likely due to the quality health provided in the refugee
camps which contribute to improve the health of women in the host communities
who are benefiting for a free of charge health services in the refugee camps.
[1.] Chad Country Profiles, World Health Organization
[2.] Chad: Country Statistics.
[3.] International Classification of Diseases,
10th Revision, Geneva, World Health Organization, 2004, Pages 99 and 100:
[4.] Millennium Development Objectives
Report: Chad, 2010. http://www.undg.org/docs/12796/Rapport-OMD-Tchad-2010.pdf
[5.] Maternal Mortality Ratio.” The World
[6.] “Maternal Mortality Ratio.” The World
[7.] “Maternal Mortality.” World Health Organization
Department of Making Pregnancy
[8.] Norms and policy for Family Planning
in CHAD, validated on March 2014 French versionpage 15
[9.] Ouaddai Health Region Inventory of
fixtures report, July 2012 8. Second Demographic Health survey in Chad , 2004
Health at a Glance: Chad.” The World Bank. http://wwwwds.worldbank.org/external/default/main?pagePK=64193027&piPK=64187937&theSiteP
clusters with multiple indicators
maternal mortality: 1990 to 2013 Estimates developed by WHO, UNICEF, UNFPAand
the World Bank, United Nations Population
WHO, Fact sheet
N°348, May 2012: www.who.int/mediacentre/factsheets/fs348/en 5.General Census
of the Population and Housing, Chad published in 2010.
UN Report on
progress in achieving the millennium Development Goals in Africa,
yearbook, Chad 2012.
[17.] EmoC need Assessment report, Chad 2011.