Road to maternal death: the pooled estimate of maternal near-miss, its primary causes and determinants in Africa: a systematic review and meta-analysis

Habte, Aklilu; Bizuayehu, Habtamu Mellie; Lemma, Lire; Sisay, Yordanos

doi:10.1186/s12884-024-06325-1

Table 1 Descriptive summary of studies included in systematic review and meta-analysis of the prevalence of MNM and its determinants in Africa, 2008–2021

From: Road to maternal death: the pooled estimate of maternal near-miss, its primary causes and determinants in Africa: a systematic review and meta-analysis

Study ID	Country	Region	Study year	Data collection methods	Sampling techniques	Sample size	Study participants	MNM-cases	MNMR/1000LB	Response rate	Quality
Cross-sectional studies
Teka et al., 2022 [29]	Ethiopia	Eastern	2019	RR	C	5116	5116	146	28.0	100	7
Yemane and Tiruneh, 2020 [30]	Ethiopia	Eastern	2017	RR + I	SRS	845	845	210	248.5	100	7
Woldeyes et al.,2018 [31]	Ethiopia	Eastern	2015	I	C	2737	2737	138	59.0	100	8
Rysavy, 2023 [32]	Ethiopia	Eastern	2020	RR + I	C	658	658	70	11.0	100	7
Chikadaya et al., 2018 [14]	Zimbabwe	Eastern	2016	RR + I	C	11,871	11,871	110	92.6	100	8
Rulisa et al., 2015 [19]	Rwanda	Eastern	2012	RR + I	C	1739	1739	192	110.4	100	7
Gebremariam et al., 2022 [33]	Ethiopia	Eastern	2018	RR	SRS	941	905	129	143.0	96.2	8
Geleto et al., 2020 [28]	Ethiopia	Eastern	2015	RR	C	323,824	323,824	77,714	240.0	100	7
Ayele et al., 2014 [34]	Ethiopia	Eastern	2012	RR	C	8989	8989	206	23.0	100	8
Tenaw et al., 2021 [35]	Ethiopia	Eastern	2020	RR	C	1214	1214	108	88.9	100	8
Mekonnen et al., 2021 [36]	Ethiopia	Eastern	2019	RR + I	SRS	300	296	85	287.0	98.7	8
Worke et al., 2019 [37]	Ethiopia	Eastern	2018	I	SRS	572	572	152	266.0	100	7
Asaye, 2020 [38]	Ethiopia	Eastern	2019	RR + I	SRS	303	303	48	158.0	100	8
Dile and Seyum, 2015 [39]	Ethiopia	Eastern	2013	RR + I	SRS	806	806	188	233.0	100	8
Gedefaw et al., 2014 [40]	Ethiopia	Eastern	2013	RR	C	1355	1355	403	297.0	100	8
Wakgar et al., 2019) [41]	Ethiopia	Eastern	2016	RR	C	15,059	15,059	501	323.0	100	7
Alemu et al., 2019 [42]	South Sudan	Eastern	2016	RR	C	1041	1010	104	103.0	97.5	7
Ali et al., 2011 [43]	Sudan	Eastern	2008	RR	C	9578	9578	228	23.8	100	8
Nelissen et al., 2013 [44]	Tanzania	Eastern	2012	RR	C	9471	9136	216	23.6	96.5	7
Litorp et al., 2014 [45]	Tanzania	Eastern	2012	RR	C	13,121	13,584	467	35.6	96.6	8
Nansubuga et al., 2016 [46]	Uganda	Eastern	2013	I	SRS	1557	1557	434	278,7	100	8
Owolabi et al., 2020 [47]	Kenya	Eastern	2018	RR + I	srs	36,162	36,162	360	9.9	100	8
David et al., 2014 [48]	Mozambique	Eastern	2008	RR	C	27,916	27,916	564	20.2	100	7
Lilungulu et al., 2020 [49]	Tanzania	Eastern	2016	RR	C	3600	3480	124	35.6	96.67	7
Owolabi et al., 2017 [50]	Zambia	Eastern	2014	RR	C	2406	2406	392	162.9	100	7
Kachale et al., 2021 [16]	Malawi	Eastern	2017	RR	srs	458	458	161	352.0	100	8
Madouea et al., 2017 [51]	Chad	Middle	2016	RR	C	4857	4857	100	20.6	100	7
Foumsou et al., 2020 [52]	Chad	Middle	2019	RR	C	8124	8124	248	30.5	100	7
Chola et al., 2022 [53]	DRC	Middle	2019	RR	C	1390	1390	139	100.0	100	7
El-Agwany, 2019 [15]	Egypt	Northern	2015	RR	C	28,877	28,877	171	6.0	100	7
El Ghardallou et al., 2016 [54]	Tunisia	Northern	2010	RR	C	9957	9890	58	5.8	99.3	7
Abdel-Raheem et al.,2017 [55]	Egypt	Northern	2015	RR + I	SRS	17,503	17,503	342	19.5	100	7
Heitkamp et al.,, 2022 [56]	South Africa	Southern	2015	RR + I	C	32 161	32,161	379	11.7	100	7
Soma-Pillay et al., 2015 [57]	South Africa	Southern	2014	RR	C	26 614	26 614	117	4.4	100	7
Hlengani, 2019 [58]	South Africa	Southern	2015	RR	C	62,185	62,185	250	4.0	100	8
Heemelaar et al., 2020 [59]	Namibia	Southern	2019	RR	C	37 106	37 106	298	8.0	100	7
Heemelaar et al., 2019 [60]	Namibia	Southern	2018	RR	C	5772	5772	191	33.1	100	7
Drechsel et al., 2022 [61]	Ghana	Western	2020	RR + I	srs	447	447	148	331	100	7
Tunçalp et al., 2013 [62]	Ghana	Western	2011	RR	C	3438	3438	94	27.3	100	7
Sotunsa et al., 2019 [63]	Nigeria	Western	2013	RR	C	97 634	91,724	1451	15.3	93.94	7
Aduloju et al., 2018 [17]	Nigeria	Western	2016	RR	SRS	1897	1897	33	17.4	100	8
Adanikin et al., 2019 [64]	Nigeria	Western	2013	RR	C	5779	5779	366	63.0	100	7
Akpan et al., 2020 [65]	Nigeria	Western	2017	RR	C	10,111	10,111	691	68.3	100	7
Mbachu et al., 2017 [66]	Nigeria	Western	2015	RR + I	C	262	262	52	198.0	100	8
Adamu et al., 2019 [67]	Nigeria	Western	2013	RR	C	6753	6753	1451	215.0	100	7
Etuk et al., 2019 [68]	Nigeria	Western	2013	RR	C	100,107	91,724	2287	24.9	91.6	6
Oppong et al., 2019 [69]	Ghana	Western	2015	RR + I	C	8433	8433	288	34.1	100	7
Lori and Starke, 2012 [70]	Liberia	Western	2008	RR	C	750	750	120	160.0	100	7
Cohort studies
Omona and Babirye, 2023 [71]	Uganda	Eastern	2019	RR	SRS	375	375	230	613.3	100	7
Nakimuli et al., 2016 [18]	Uganda	Eastern	2014	RR + I	C	3100	3100	695	224.0	100	8
Beyene et al., 2022 [72]	Ethiopia	Eastern	2018	RR + I	C	3010	2880	90	31.2	95.7	8
Tura et al., 2018 [73]	Ethiopia	Eastern	2017	RR + I	C	7404	7404	128	17.3	100	8
Kusheta et al., 2023 [74]	Ethiopia	Eastern	2019	RR + I	C	2724	2724	70	25.6	100	8
Kalisa et al., 2016 [75]	Rwanda	Eastern	2014	RR + I	C	3979	3979	86	21.6	100	8
Egal et al., 2022 [76]	Somalia	Eastern	2020	RR + I	C	6055	6055	342	51.3	100	8
Kebede et al., 2021 [77]	Ethiopia	Eastern	2014	RR + I	srs	1440	1440	96	67.0	100	8
Case–control studies
Kasahun and Wako, 2018 [78]	Ethiopia	Eastern	2017	RR + I	SRS	229	229	77	_	100	7
Teshome et al., 2022 [79]	Ethiopia	Eastern	2020	RR + I	C	264	264	88	_	100	8
Danusa et al., 2022 [80]	Ethiopia	Eastern	2019	RR + I	srs	664	664	166	_	100	7
Dessalegn et al., 2020 [81]	Ethiopia	Eastern	2019	RR + I	C	321	321	80	_	100	7
Mekango et al., 2017 [82]	Ethiopia	Eastern	2016	RR + I	SRS	308	308	103	_	100	7
Habte and Wondimu,2021 [13]	Ethiopia	Eastern	2020	RR + I	SRS	322	322	81	_	100	7
Kumela et al., 2020 [20]	Ethiopia	Eastern	2018	I	srs	183	183	61	_	100	8
Dahie, 2022 [83]	Somalia	Eastern	2021	RR + I	C	533	533	178	_	100	7
Liyew et al., 2018 [84]	Ethiopia	Eastern	2016	RR + I	C	864	864	216	_	100	7
Total			2008–2021			984,034	968,555	95,511	9.86	98.4

MNMR/1000LB Maternal Near-miss ratio per 1000 Live Births
Sampling techniques: C Consecutive sampling technique, SRS Systematic Random sampling, srs simple random sampling
Data collection methods: RR Record review, RR + I Record review and interview, I Interview

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ISSN: 1471-2393

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