201.The maternal mortality rate, which was 215 per 100,000 live births in 1992
rose to 117.4 in 1999. Estimated at 92.6 per 100,000 live births in 2006, it rose to 76.9
in 2010 (up 15.7 points), and to 70.3 per 100,000 live births in 2012, i.e. an increase
of 6.6 points.
TABLE n° 1 Evolution of maternal mortality (p100.000 live births)
Survey
Survey
MMI
EASME
1985-1989 1992
Survey on 2006* 2007 2008
maternal
*
*
mortality
1999
Maternal
230
215
117,5
88,9
92,6
mortality
rate
* Estimation (source: Direction de la Population MSPRH)
86,2
2009* 2010 2011 2012
*
*
*
81,14
76,9
202.However, given the potential of the country, the recorded ratio remains
unacceptable especially as significant differences between the wilaya and regions are
recorded and thus reflect the persistent disparities in health coverage in disadvantaged
areas.
203.In this regard, efforts have been made in terms of improving coverage of
obstetricians and paediatricians in order to have a more balanced distribution.
204.In order to improve the performance of our health care system and take any
necessary corrective measures to further reduce maternal mortality in the context of
achieving the Millennium Development Goals, the audit system of maternal deaths is
being implemented by the MSPRH. It seeks, as recommended by WHO, accurate
information on maternal deaths and their causes.
205.Assisted deliveries and by qualified personnel experienced a marked
improvement with an increase of 6% between 2000 and 2009.
TABLE n° 2 - Proportion of births assisted by skilled health professional (in%)
2
2
2
2
Years
19921 20001 20052 20061 20072 2008 2009 2010 2011
Assisted
76
91,2
94,3
96,5
95,3
delivery
1) Data from national surveys (2) Estimated data
97,0
97,2
97,7
98,6
206.These results were supported by the development of an extensive care network
involving 195 Public Hospital Institutions (EPH), 32 "mother and child" Specialized
Hospital Institutions (EHS), 14 University Hospital Centres, 14 Hospitals (EH) and 1
University Hospital Institution (EHU). All health facilities have a maternity ward and
services or neonatal units.
32
73,9
70,3