Nasir Farooq, Huma Jadoon, Tayyeb Imran Masood, M Saleem Wazir, Umer Farooq, Mohammad Saqib Lodhi


Background: Maternal mortality ratio is an indicator to measure the summary of information about
mother and child health. It is estimated that about 500 maternal deaths occur per 100,000 live
births each year in Pakistan. It is a well known fact that all health statistics coming out of the
developing countries are calculated “guesstimates” some are perhaps more close to the real figures
than the others. There is a dire need to help generate information that can be used by health
professionals, health care planners and managers to save women’s lives by improving the quality
of care provided to turn away maternal mortality. The maternal mortality ratio for Pakistan as well
as for NWFP is projected as 533 /100,000 live births for the year 1990-91 produced by National
Institute of Population Studies, Pakistan. Methods: This was a retrospective cross-sectional
quantitative study for the period (2001–2002) conducted in five districts of (NWFP) North
Western Frontier Province, Pakistan. Results: National HMIS data opened the maternal mortality
ratio for; Haripur as 0.168 and 0.173, Mansehra 00 and 00, Battagram 00 and 00, Swat 0.051 and
0.524 and Swabi 00 and 0.968 per/1000 live births, respectively. The small part exercise outcome
(the study) endorsed more shadowy side of the actual maternal mortality ratio for the same period
in the same districts. Conclusion: In our country there is a urgent need to institute an efficient
mode of operation to get accurate maternal mortality database. Verbal Autopsy method is cost
effective and feasible approach for implementation in a country like Pakistan.
Key Words: Maternal mortality, Verbal Autopsy

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