Study Title
A Global Analysis of the Determinants of Maternal Health and Transitions in Maternal Mortality
Principal Investigator
João Paulo Souza, Louise Tina Day, Ana Clara Rezende-Gomes, Jun Zhang, Rintaro Mori, Adama Baguiya, Kapila Jayaratne, Alfred Osoti, Joshua P. Vogel, Oona Campbell, Kidza Y. Mugerwa, Pisake Lumbiganon, Özge Tunçalp, Jenny Cresswell, Lale Say, Allisyn Carol Moran, Olufemi T. Oladapo
Affiliation
Department of Social Medicine, Ribeirao Preto Medical School, University of São Paulo, São Paulo, Brazil; Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK; Pan American Health Organization (PAHO)–World Health Organization, São Paulo, Brazil; Ministry of Health, Colombo, Sri Lanka
Start Date
Not specified
End Date
Not specified
Study Objective
To provide a comprehensive analysis of the determinants of maternal health and the transitions in maternal mortality, specifically the factors that influence maternal health across the perinatal period and the determinants contributing to the global maternal mortality transition.
Short Abstract
This study provides a global perspective on the determinants of maternal health, exploring both distal and proximal determinants that influence maternal mortality. The analysis includes a systematic review of the literature, examining social determinants, individual characteristics, health system factors, and the transitions from high to low maternal mortality. The research emphasizes the necessity of integrated actions to reduce preventable maternal deaths and improve maternal wellbeing.
Study Design
Global analysis, systematic review of the literature
Population
Global population of women in the perinatal period, with a focus on the socio-economic, environmental, and health system determinants
Sample Size
Not applicable
Inclusion Criteria
Studies that examine maternal health determinants and transitions in maternal mortality, particularly those that analyze the role of social, health system, and individual factors
Exclusion Criteria
Non-relevant studies, studies not focused on maternal health or maternal mortality
Intervention/Exposure
Exposures to eco-social factors, social determinants, and health system interventions
Outcome Measures
- Maternal mortality ratio (MMR)
- Health outcomes associated with maternal mortality
- Transitions in maternal mortality patterns
Funding Source
Not specified
Collaborating Institutions
Ribeirao Preto Medical School, University of São Paulo; London School of Hygiene & Tropical Medicine; Pan American Health Organization (PAHO)
Ethics Approval
Not specified
Publication Status
Published in The Lancet Global Health (2024)
Keywords
Maternal health, maternal mortality, social determinants, health systems, public health, global health
Data Collection Methods
Systematic literature review, analysis of publicly available data from international organizations (e.g., UN, World Bank)
Primary Data Availability
Not applicable
Contact Information
Prof João Paulo Souza: