Comparison between National and International Data on Maternal Mortality - Mongolia Workshop on MDG Monitoring: 2015 and Beyond Bangkok July 9-13, 2012 Mr. A.Amarbal, NSO Ms. S.Enhkjin, MOH Dr.B.Shinetugs, UNFPA

Trends in Maternal Mortality: Mongolia is considered as “Making Progress” and as country C – “…with no data on maternal mortality”

Data sources Routine data sources: Death certificates+ Vital statistics+ Hospital records+ Other data sources: Census/surveys: RHS/MICS every 5 years 2010 census Specific maternal health surveys: by place / organisation: Confidential enquiries into maternal deaths Other sourcesClinical audits by the State Inspection Agency, Verbal autopsies in case of death at home

Reporting of maternal deaths MD Province, city HD 24 hours Maternal death review committee Clinical pathological conference Autopsy 94,1% 48 hours NCMCH MOH Officer of civil registration Provincial CR department Governmant implementing ageng for Civil Registration 21 days 28 days National statistical office Every 6 months Dept. of Health Stats 1 m

Death Certificate Form to be completed by a medical doctor

Part that goes to the DoH

Part that goes to the Vital Statistics, Civil registration Office

MMR per 100,000 live births according to the NSO Change in the calculation method: <28 weeks included National MDG target approved by the Parliament in 2004

Causes of maternal deaths

Maternal deaths, cases or 55.9% in rural, 15 cases or 44.1% in urban

Incidental deaths 1.Apr 01, weeks – car accident 2.July 11, domestic violence 3.July 20, 8-9 weeks – Suicide 4.September, 27 weeks – car accident

Why not health facility data? Deliveries in facilities: 99,6% – More than 70,000 in public – deliveries in private facilities Deliveries at the home: 0.4% Post-mortems94,1%

Trends in Maternal Mortality: Mongolia is considered as “Making Progress” and as country C – “…with no data on maternal mortality”

MMR per 100,000 live births according to the NSO Change in the calculation method: <28 weeks included National MDG target approved by the Parliament in 2004