A COMPARISON OF SISTERHOOD INFORMATION ON CAUSES OF MATERNAL DEATH WITH THE REGISTRATION CAUSES OF MATERNAL DEATH IN MATLAB, BANGLADESH

Background. To explore whether causes of maternal death can be investi gated using the sisterhood method, an indirect method for providing a community-based estimate of the level of maternal mortality, this stud y compares the sisterhood causes of maternal death with the Matlab Dem ographic Surveillance System's (DSS) causes of maternal death. Methods . Data for this study came from the Matlab DSS, which has been in oper ation since 1966 as a field site of the International Centre for Diarr hoeal Disease Research, Bangladesh. The maternal deaths that occurred during the 15-year period from 1976 to 1990 in the Matlab DSS area are the basis of this study. A sisterhood survey was conducted in Matlab in November and December 1991 to collect information on conditions, ev ents and symptoms that preceded death. The collected information was e valuated to assign a most likely cause of maternal death. The sisterho od survey cause of maternal death was then compared with the DSS cause of maternal death. Results. Cause of death could not be assigned with reasonable confidence for 34 (11%) of the 305 maternal deaths for whi ch information was collected. For the remaining deaths, the agreement between the two classification systems was generally high for most cau se-of-death categories considered. Conclusions. Though cause-of-death information obtained by the sisterhood method will always be subject t o some error, it can provide an indication of an overall distribution of causes of maternal deaths. This data can be used for the planning o f programmes aimed at reducing maternal mortality and for the evaluati on of such programmes over time.