Table 3 Percentage contribution of contributing factors, among all reviewed maternal deaths, and deaths due to major causes in Ethiopia, EmONC assessment and MDSR, 2016
Factors contributing to death (multiple responses were possible) | Data Source | All maternal deaths reviewed | PPH | APH | Obstructed or prolonged labor | Severe PE/E | Sepsis | |
|---|---|---|---|---|---|---|---|---|
MDSR | (n = 601) | (n = 162) | (n = 42) | (n = 37) | (n = 145) | (n = 53) | ||
EmONC | (n = 609) | (n = 94) | (n = 26) | (n = 18) | (n = 61) | (n = 14) | ||
Delay 1 | Traditional Practices | MDSR | 14% | 14% | 19% | 11% | 17% | 21% |
EmONC | NA | NA | NA | NA | NA | NA | ||
Family poverty | MDSR | 7% | 6% | 12% | 5% | 9% | 9% | |
EmONC | NA | NA | NA | NA | NA | NA | ||
Failure to recognize the problem | MDSR | 25% | 21% | 19% | 30% | 33% | 21% | |
EmONC | NA | NA | NA | NA | NA | NA | ||
Lack of decision to go to a health facility | MDSR | 33% | 26% | 43% | 27% | 37% | 55% | |
EmONC | NA | NA | NA | NA | NA | NA | ||
Delayed referral from home | MDSR | 26% | 27% | 29% | 38% | 25% | 34% | |
EmONC | NA | NA | NA | NA | NA | NA | ||
Delay 2 | Lack of roads | MDSR | 5% | 7% | 2% | 8% | 5% | 2% |
EmONC | NA | NA | NA | NA | NA | NA | ||
Lack of money for transport | MDSR | 2.5% | 4% | 5% | 3% | 2% | 2% | |
EmONC | NA | NA | NA | NA | NA | NA | ||
Lack of Transportation | MDSR | 8% | 14% | 2% | 16% | 8% | 2% | |
EmONC | NA | NA | NA | NA | NA | NA | ||
No Facility within a reasonable distance | MDSR | 4% | 7% | 2% | 5% | 3% | 4% | |
EmONC | NA | NA | NA | NA | NA | NA | ||
Delayed arrival to a health facility | MDSR | 32% | 30% | 24% | 49% | 37% | 40% | |
EmONC | 40% | 40% | 69% | 67% | 57% | 64% | ||
Delay 3 | Delayed transfer to appropriate level of care | MDSR | 22% | 19% | 21% | 32% | 22% | 30% |
EmONC | 29% | 46% | 65% | 56% | 36% | 29% | ||
Lack of medical equipment or supplies | MDSR | 16% | 17% | 5% | 16% | 19% | 32% | |
EmONC | 17% | 26% | 27% | 28% | 16% | 29% | ||
Absence or slowness of health worker | MDSR | 16% | 16% | 10% | 11% | 17% | 28% | |
EmONC | 14% | 21% | 12% | 11% | 21% | 21% | ||
Incorrect diagnosis or mismanagement | MDSR | 7% | 7% | 5% | 8% | 6% | 13% | |
EmONC | 18% | 21% | 23% | 17% | 21% | 7% | ||