@article{fdi:010059020,
  title = {{I}mplementing a maternal mortality surveillance system in {M}orocco challenges and opportunities},
  author = {{A}bouchadi, {S}. and {A}laoui, {A}. {B}. and {M}eski, {F}. {Z}. and {D}e {B}rouwere, {V}incent},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective {T}o describe the development of the maternal death surveillance system ({MDSS}) in {M}orocco and discuss the initial results. {M}ethod {T}he nationwide {MDSS} was implemented in 2009 with the involvement of health professionals and local authorities. {I}t comprises (i) notification of all deaths of women of reproductive age (from 15 to 49years); (ii) a preliminary survey to identify pregnancy-related deaths; (iii) a confidential enquiry into all pregnancy-related deaths. {T}he information thus obtained describes socio-demographic characteristics of the women, their obstetric and medical history, the mode of delivery, its follow-up and the medical cause of death. {R}esults {F}rom 1st of {J}anuary 2009 to 31st of {D}ecember 2009, 3814 deaths of women of reproductive age were recorded, and a total of 436 pregnancy-related deaths were identified, with 73.4% of those occurring in health facilities. {A}mong the 313 reviewed records, 80.8% were direct obstetric deaths, and 13.5% were classified as indirect. {H}aemorrhage was the first direct obstetric cause of death (33%). {H}eart disease was the main indirect obstetric cause of death (39% of indirect causes). {C}onclusion {T}he {M}oroccan {MDSS} is a powerful tool for understanding the causes and circumstances of maternal deaths. {H}owever, challenges remain regarding the full coverage of the system, the decentralisation of the data entry and analysis and the completeness of medical records.},
  keywords = {maternal mortality ; surveillance system ; causes ; {M}orocco ; {MAROC}},
  booktitle = {},
  journal = {{T}ropical {M}edicine and {I}nternational {H}ealth},
  volume = {18},
  numero = {3},
  pages = {357--365},
  ISSN = {1360-2276},
  year = {2013},
  DOI = {10.1111/tmi.12053},
  URL = {https://www.documentation.ird.fr/hor/fdi:010059020},
}