Maternal Mortality in the Chadian Ouaddai Region Health Facilities Compared to the whole Country

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Authors : Paluku Kapitula Augustin


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. “UNICEF.”

[3.] International Classification of Diseases, 10th Revision, Geneva, World Health Organization, 2004, Pages 99 and 100:

[4.] Millennium Development Objectives Report: Chad, 2010.

[5.] Maternal Mortality Ratio.” The World Bank.

[6.] “Maternal Mortality Ratio.” The World Bank.­1303736328719/Chad42211web.pdf

[7.] “Maternal Mortality.” World Health Organization Department of Making Pregnancy Safer.

[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 Report

[10.]   Reproductive Health at a Glance: Chad.” The World Bank. http://www­ K=5

[11.]   Survey by clusters with multiple indicators (MICS) Rapport

[12.]   Trends in maternal mortality: 1990 to 2013 Estimates developed by WHO, UNICEF, UNFPAand the World Bank, United Nations Population Division,2014.

[13.]   WHO, Fact sheet N°348, May 2012: 5.General Census of the Population and Housing, Chad published in 2010.


[15.]   UN Report on progress in achieving the millennium Development Goals in Africa, 2013(­mdgs-in-africa.pdf)

[16.]   Health statistics yearbook, Chad 2012.

[17.]   EmoC need Assessment report, Chad 2011.