Maternal Health: Trends in maternal mortality rates (MMR):
Indicators
MMR (p.100.000)
1985/89
1992
1999
2007
2008
2009
2010
230
215.0
117.4
88.9
86.2
81.4
76.9
286. With regard to maternal health, the speeding up of estimated progress is perceptible in the
area of perinatal health in accordance with the Executive Order standardizing the organization
and functioning of neonatal and perinatal services (Executive Order No.05-435 of 10 November
2005). This programme was targeted at 2014 and the expected outcome was to reduce perinatal
mortality by 30% and maternal mortality by 50%.
287. In 2010, the MMR was estimated at 76.9 per 100.000 (with an annual decline rate of 5.5 %)
against 230/100.000 in 1989 and 117/100.000 in 1999. Significant efforts have been made in the
area of gynaecologists-obstetricians coverage and in paediatrics (an increase of 85
specialists/year since 2007) with a more balanced distribution particularly focused on
underprivileged regions. The target is to attain a maternal mortality rate of 58/ 100.000 by 2015.
This implies an improvement in the quality of obstetrical care and the expansion of
infrastructural coverage.
288. Projects that need particular mention are the development of specialized mother and child
hospital establishments (EHS), (9 EHS a r e n o w operational; the target set is to attain
18 EHS), and the posting of gynaecologists obstetricians in accordance with the human resource
management plan; the launch of post-graduate course in obstetrics for general medical
practitioners.
289. The health coverage for women in the area of antenatal care has improved significantly and
this is reflected mostly in the proportion of antenatal consultation (90.2%), the coverage of
women for anti-tetanus vaccination and particularly the rate of assisted childbirths (97.9% in
20l0);
Tuberculosis
Years
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Number of 18,294
Cases of
tuberculosis
18,250
18,878
19,730
19,422
29,623
20,584
21,077
20,070
22,499
21,800
60.7
60.1
61.9
62.8
63.3
64.4
65.2
63.3
58.6
63.2
60.7
Prevalence
rate for
tuberculosis
2000
48