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AFGHANISTAN - SURVEY SUGGESTS DROP IN MATERNAL MORTALITY BUT CHALLENGES REMAIN
The figures reflect improving standards in Afghan antenatal care in recent years.
30 November 2011 - Many more Afghan women are surviving pregnancy and childbirth than was thought, a new survey suggests.
The research puts maternal mortality rates below 500 deaths per 100,000 live births. A UN study in 2005 found 1,800 women dying per 100,000 live births.
The new study also suggests a dramatic decrease in infant and child mortality rates over the last five years.
Correspondents say the figures reflect improving standards in antenatal care but the overall picture is still grim.
The Afghanistan Mortality Survey (AMS) 2010 was carried out by the health ministry, and is the most comprehensive of its kind ever carried out in the country.
It was sponsored and funded by
international organisations such as Unicef, the World Health Organisation, the
Experts are encouraged by what they say
are dramatic improvements in mortality rates, but all the same
The 2010 survey reveals that infant and under-fives mortality rates appear to be decreasing, with infant mortality now around 77 deaths per 1,000 live births and under-fives child mortality at around 97 deaths per 1,000 child births.
It has 240 beds but treats many more women than it can accommodate. These women are the lucky ones - the ones who can make it to health care.
Some doctors say the findings of the survey show the almost negligible investment the country has made over the years in its health and medical infrastructure.
But the report's authors say the mortality figures are better than they expected.
Despite some improvement in mortality rates, the survey still paints a grim picture for a country that has been embroiled in war for decades.
One
in 10 children in
Officials say that it is difficult to compare the latest data with previous surveys which were based on geographically limited and less representative samples.
But correspondents say research about
five years ago suggested that one in five children died before reaching the age
of five.
A 2009 World Health Organisation study found 199 under-fives child deaths per 1,000 live births.
However the latest survey indicates that despite the more encouraging figures, complications from pregnancy and childbirth still posed significant risks to women and accounted for about two in five deaths in women aged 15-49.
It says that an Afghan woman dies every two hours from pregnancy-related causes.
The survey covered 87% of the population of the country - 98% of the urban population and 84% of the rural population.
It also showed that the estimated life expectancy is up to between 62 and 64 years for men and women. Previous studies conducted by the UN in 2009 showed life expectancy to range from 47 to 50 years old.
Afghan Save the Children Country Director David Skinner said that the latest statistics were encouraging in what was a challenging and difficult environment.
"Since 2003, around 20,000 community health workers and 2,500 midwives have been trained," he said.
"As a result of this and other community-level activities, fewer children are dying from preventable causes like diarrhoea or pneumonia.
"These results also show that
international aid, which has funded many of the public health programmes in
"But donor governments need to build
on this success, and continue to invest in
The AMS was carried out by the Afghan public health ministry and central statistics organisation.
For security reasons, rural areas of
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