Maternal deaths still high in Burundi

By CHRISTABEL LIGAMI Special Correspondent
Posted Saturday, March 1 2014 at 13:37
More women and newborn babies are dying in Burundi than in any other
East African country, a new report by Save the Children shows.
With 800 women dying per 100,000 live births and 104 under-five deaths
per 1,000 live births, Burundi has the highest child and maternal
mortality rates in the East African region.
The report – Ending newborn deaths, ensuring every baby survives –
puts the blame on lack of skilled routine and emergency care.
Tanzania is ranked second after Burundi with a maternal mortality rate
of 460 per 100,000 live births followed by Kenya and Rwanda with 360
and 340 per 100,000 live births, respectively.
Although Uganda has the fewest women dying during birth at 310 per
100,000 live births, none of the East African countries has reduced
the mortality ratio by three-quarters as required by the United
Nation's Millennium Development Goal 5.
The most common causes of maternal death are haemorrhage, sepsis,
unsafe abortion, hypertensive disorders and obstructed labour.
"Women who do not get assisted deliveries and develop complications
rarely survive birth," said Janti Soeripto, interim regional director
for Save the Children's East Africa regional office.
Governments should, therefore, ensure that all the public hospitals
are well equipped with antibiotics, oxytocic drugs to induce labour,
anticonvulsants, and safe blood transfusion and care for sick and
low-birth-weight newborns rooms to ensure safe delivery by the mothers
and survival of their children.
However, Rwanda ranks as the best country for a woman to give birth,
with nearly 70 per cent of women giving birth with a skilled
healthcare worker present, while in Ethiopia, just 10 per cent of
women have this skilled help, by far the lowest rate in the region.
READ: Rwanda has lowest child death rates in EA: report
Burundi and Uganda lie around the 60 per cent mark, while in Tanzania
and Kenya this figure drops to 48.9 per cent and 43.8 per cent,
respectively. Globally, an estimated two million women give birth
entirely alone.
Save the Children say East African countries should learn from Rwandan
that has initiated key health projects like the introduction of
Mutuelles de Santé — a community-based health insurance scheme but
with national reach.
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