The 2014 systematic review Provincial Maternal Mortality Surveillance Systems in China, by X-L Gan, C-L Hao, X-J Dong, S. Alexander, M.W. Dramaix, L-N Hu and W-H Zhang in BioMed Research International, describes the current situation of the Provincial Maternal Mortality Surveillance Systems (PMMSS) and provincial maternal mortality ratio (PMMR) data in China. This is the first English language review of PMMSS and is hoped to help health professionals, government officials and international organisations better understand the current state of this surveillance system in China. Continue reading
This recent systematic review aimed to identify and analyse studies reporting on provincial maternal mortality in China and to explore possible regional differences.
The authors searched for studies published between 1988 and January 2013 that reported on provincial maternal mortality in China. Although the country had provincial maternal mortality surveillance systems which are reported to cover a much larger population than national maternal and child mortality surveillance (NMCMS) system, little was known about them outside of China.
The review found there were regional disparities in maternal mortality surveillance systems within China. Although maternal deaths were registered in nearly all provinces in coast regions, stratified random sampling surveillance had been adopted in remote areas. The MMR across the country declined between 1996 and 2009.
Gang, X.L., Hao, C.L., Dong, X.J., Alexander, S., Dramaix, M., Hu, L.M., & Zhang, W.H. (2013). The regional disparities in provincial maternal mortality surveillance system and maternal mortality in China: an analytical review. European Journal of Public Health, 23(suppl 1) (open access)