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Maternal Health (Target 5A): maternal mortality, births attended by skilled health personnel

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General note on the UNECE MDG Database:

The database aims to show the official national estimates of MDG-indicators used for monitoring progress towards the Millennium Development Goals. Data is shown alongside official international estimates of MDG-indicators (as published on the official United Nations site for the MDG Indicators: http://unstats.un.org/unsd/mdg). Besides the international MDG-indicators, other indicators and disaggregates that are relevant for the UNECE-region are included.

At present, the tables include data from the latest official MDG-report of each country. Currently, data from official dedicated MDG-websites and previous official national MDG-reports are being added. Additionally, more detailed metadata is being added to the footnotes. Additional indicators might be added if they are used generally across the region.
Please note that some indicators are also available in the Gender Statistics Database of UNECE. Figures might differ due to the use of different sources.

Definition of the indicators: Explanations on the indicators are listed below. Deviations from the standard definitions provided here are specified in the country-specific footnotes.

Indicator

Maternal mortality ratio per 100,000 live births

Definition: The maternal mortality ratio (MMR) is the annual number of maternal deaths from any cause related to or aggravated by pregnancy or its management (excluding accidental or incidental causes) during pregnancy and childbirth or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, per 100,000 live births, for a specified year.

Births attended by skilled health personnel (%)

Definition: This indicator is the proportion of total live births attended by a skilled birth attendant trained in providing life saving obstetric care.

Indicator: Maternal mortality ratio per 100,000 live births , Country: Albania

National Series Reference: 1990 to 1993: MDG Report 2002; 1994 to 2001: MDG Report 2004; 2002 to 2008: MDG Progress Report 2010; Source in Reference: 1990 to 1993: Public Health Institute and Min. of Health; 1994 to 2001: NSO; 2002 to 2008: Min. of Health; Primary Source in Reference: 2002 to 2008: Administrative data;

Indicator: Births attended by skilled health personnel (%) , Country: Albania

National Series Reference: 1990 to 2000: MDG Report 2002; 2001: MDG Report 2004; 2006 to 2009: MDG Progress Report 2010; Source in Reference: 1990 to 1999: Public Health Institute and Min. of Health; 2000: IPH; 2001: NSO; 2006: Min. of Health; 2009: NSO; Primary Source in Reference: 2006: Administrative data; 2009: DHS 2008-2009;
International Series: 2005: MICS 2005.; 2002: Other NS 2002.; 2009: DHS 2008-2009.; 2000: MICS 2000.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Armenia

National Series Reference: 1990: MDG Progress Report 2005-2009; 1993 to 1996: MDG Report 2005; 1999: MDG Progress Report 2005-2009; 2002: MDG Report 2005; 2004 to 2007: MDG Progress Report 2005-2009; 2009: ArmeniaInfo at: http://www.armdevinfo.am/ (accessed: 15 June 2011); 2010: ArmeniaInfo (http://www.armdevinfo.am/) 2012-05-12; 2011 to 2012: Armenia MDGs Indicators (http://www.armstat.am/) 06/02/2014; Reference period: 1993: 1993-1995; 1996: 1996-1998; 1999: Midpoint three year average.; 2002: 2002-2004; 2004 to 2007: Midpoint three year average.; Source in Reference: 1990: NSO; 1999: NSO; 2004 to 2007: NSO; 2009 to 2010: Min. of Justice; 2011 to 2012: NSO; Primary Source in Reference: 1990: Administrative data; 1999: Administrative data; 2004 to 2007: Administrative data;

Indicator: Births attended by skilled health personnel (%) , Country: Armenia

National Series Reference: 1990: MDG Progress Report 2005-2009; 1993: MDG Report 2005; 1996: ArmeniaInfo at: http://www.armdevinfo.am/ (accessed: 15 June 2011); 1999: MDG Progress Report 2005-2009; 2000 to 2003: ArmeniaInfo at: http://www.armdevinfo.am/ (accessed: 15 June 2011); 2004 to 2005: MDG Progress Report 2005-2009; 2006 to 2009: ArmeniaInfo at: http://www.armdevinfo.am/ (accessed: 15 June 2011); 2010: ArmeniaInfo (http://www.armdevinfo.am/) 2012-05-12; 2011 to 2012: Armenia MDGs Indicators (http://www.armstat.am/) 06/02/2014; Note: 2005: Min. of Justice: 99.6 (source: armdevinfo); Reference period: 1993: 1993-1995; 1999: 1996-2000; 2005: 2001-2005; Source in Reference: 1996: Min. of Health; 1999: NSO; 2000 to 2003: Min. of Health; 2005: NSO; 2006 to 2009: Min. of Health; 2010 to 2012: Social Snapshot and Poverty in the Republic of Armenia, NSS, Yerevan 2001; Primary Source in Reference: 1990: Administrative Data; 1996 to 2004: Administrative Data; 2005: DHS 2005; 2006 to 2012: Administrative Data;
International Series: 2000: DHS 2000.; 1999: MoH 1999.; 1990: Transmonee database 2012.; 2005: DHS 2005.; 2010: DHS 2010.; 1997: Other NS 1997.; 2007: Other NS 2007.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Azerbaijan

National Series Reference: 1990 to 2012: NSO MDG data; Source in Reference: 1990 to 2012: NSO; Primary Source in Reference: 1990 to 2011: Administrative data;

Indicator: Births attended by skilled health personnel (%) , Country: Azerbaijan

National Series Reference: 1990: MDG Progress Report 2003/2004; 1995 to 2012: NSO MDG data; Note: 1996 to 2000: RHS 1996-2000: 89; Source in Reference: 1990 to 2012: NSO; Primary Source in Reference: 1990 to 2011: Administrative data;
International Series: 2006: DHS 2006.; 1990, 2010: Transmonee database 2012.; 2001: Other NS 2003.; 1998: Other NS 1998.; 2000: MICS 2000.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Belarus

National Series Reference: 1990 to 1999: MDG Progress 2005; 2000 to 2009: MDG progress 2010; 2010 to 2011: MDG Report 2012; Note: 2010 to 2011: Pregnancy-related (regardless of its duration and location) death of a woman occurring during pregnancy or within 42 days upon its completion from any cause related to pregnancy complicated by pregnancy or its management, but not from an accident or an incidentally occurring cause.;

Indicator: Births attended by skilled health personnel (%) , Country: Belarus

National Series Reference: 1990 to 1999: MDG Progress 2005; 2000 to 2009: MDG progress 2010;
International Series: 2005: MICS 2005.; 2010: Transmonee database 2012.; 1999: Other NS 1999.; 2008: TransMONEE database 2010.; 2002: Other NS 2002.; 2009: Transmonee database 2011.; 2012: MICS 2012.; 2004: Other NS 2004.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Bosnia and Herzegovina

National Series Reference: 2000 to 2008: MDG progress report 2010; 2009 to 2011: MDG Report 2013; Reference period: 2000: 2000-2001; Source in Reference: 2000: BiH Common Country Assessment 2002; 2006 to 2007: TransMonee 2009; 2008: NSO (BHAS);

Indicator: Births attended by skilled health personnel (%) , Country: Bosnia and Herzegovina

National Series Reference: 2000 to 2006: MDG progress report 2010; 2007: MDG Report 2013; 2008: MDG progress report 2010; 2009 to 2011: MDG Report 2013; Note: 2006: Only for the territory of the Republika Srpska; 2008: Only for the territory of the Republika Srpska; Reference period: 2000: 2000-2001; 2011: 2011/12; Source in Reference: 2000: FBiH PHI, RS HP Fund, FBiH SI; 2006: Social Inclusion Strategy of BiH, draft 2010; 2007: Labour and Employment Agency of BiH; 2008: Social Inclusion Strategy of BiH, draft 2010; 2009: NSO (BHAS); Primary Source in Reference: 2011: MICS 2011-12;
International Series: 2012: MICS 2011-2012.; 2006: MICS 2006.; 1991: MoH 1992.; 2001, 2002: TransMONEE database 2005.; 2004: TransMONEE database 2006.; 2000: MICS 2000.;

Indicator: Births attended by skilled health personnel (%) , Country: Bulgaria

National Series Reference: 1990 to 2006: MDG report 2010; Source in Reference: 1990 to 2006: National Health Information Center;
International Series: 1990 to 2002: TransMONEE database 2004.; 2010: TransMONEE database 2012.; 2007, 2008: TransMONEE database 2010.; 2003 to 2006: TransMONEE database 2006.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Croatia

National Series Reference: 2002 to 2004: MDG Progress Report 2005;

Indicator: Births attended by skilled health personnel (%) , Country: Croatia

International Series: 2002: TransMONEE database 2004.; 1998: MoH 1998.; 2010, 2011: TransMONEE database 2012.; 1990, 1995, 2000: TransMONEE database 2005.; 2006 to 2008: TransMONEE database 2010.; 2003 to 2005: TransMONEE database 2006.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Czechia

National Series Reference: 1990 to 2002: MDG report 2004;

Indicator: Births attended by skilled health personnel (%) , Country: Czechia

National Series Reference: 1993 to 2001: MDG report 2004;
International Series: 2010: TransMONEE database 2012.; 1990 to 2008: TransMONEE database 2010.;

Indicator: Births attended by skilled health personnel (%) , Country: Estonia

International Series: 1992 to 2006: TransMONEE database 2010.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Georgia

National Series Reference: 2000 to 2003: MDG Progress Report 2004-2005;

Indicator: Births attended by skilled health personnel (%) , Country: Georgia

National Series Reference: 2000 to 2004: MDG Progress Report 2004-2005; Note: 2000 to 2004: Official statistics; Source in Reference: 2000 to 2004: National Center for Disease Control and Medical Statistics;
International Series: 2005: MICS 2005.; 2011: Other NS 2011-2012.; 1999: Other NS 1999.; 1990 to 1993, 1998, 2000 to 2003: TransMONEE database 2010.; 2009: Transmonee database 2011.;

Indicator: Births attended by skilled health personnel (%) , Country: Hungary

International Series: 2010: TransMONEE database 2012.; 1990 to 2008: TransMONEE database 2010.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Kazakhstan

National Series Reference: 1990: MDG in Kazakhstan 2005; 1991 to 1998: MDG in Kazakhstan 2002; 1999 to 2012: Poverty assessment in Kazakhstan: current status and prospects for development; Note: 1999: NSO: 65.3; 2006: MICS 2006: 70; Reference period: 1999: 1995-1999; Source in Reference: 1990 to 1998: Min. of Healthcare; 1999 to 2012: Min. of Health; Primary Source in Reference: 1999: DHS 1999;

Indicator: Births attended by skilled health personnel (%) , Country: Kazakhstan

National Series Reference: 1990 to 1999: MDG in Kazakhstan 2002; 2000 to 2012: Poverty assessment in Kazakhstan: current status and prospects for development; Note: 1995 to 1999: DHS 1999: 99.0; 2006: MICS 2006: 99.8; 2010: MICS 2010: 99.9; Source in Reference: 1990 to 1999: UNICEF; 2000 to 2012: Min. of Health;
International Series: 1990, 2000, 2010: Transmonee database 2012.; 2006: MICS 2006.; 2011: MICS 2010-2011.; 2008: TransMONEE database 2010.; 1995: DHS 1995.; 1999: DHS 1999.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Kyrgyzstan

National Series Reference: 1990 to 1999: NSO MDG database as on 2014-07-08; 2000 to 2007: MDG Progress Report 2010; 2008 to 2012: NSO MDG database as on 2014-07-08; Source in Reference: 1990 to 1999: NSO / Min. of Health; 2000 to 2007: NSO; 2008 to 2010: NSO / Min. of Health;

Indicator: Births attended by skilled health personnel (%) , Country: Kyrgyzstan

National Series Reference: 1990 to 1999: NSO MDG database as on 2014-07-08; 2000 to 2009: MDG Progress Report 2010; 2010 to 2012: NSO MDG database as on 2014-07-08; Source in Reference: 1990 to 1999: NSO / Min. of Health; 2000 to 2009: NSO; 2010: NSO / Min. of Health;
International Series: 2006: MICS 2005-2006.; 1990, 2000, 2010: Transmonee database 2012.; 2008: TransMONEE database 2010.; 2012: DHS(Prelim) 2012.; 1997: DHS 1997.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Latvia

National Series Reference: 1994 to 2003: MDG Report 2005; Source in Reference: 1994 to 2003: Agency of Health Statistics and Medical Technology;

Indicator: Births attended by skilled health personnel (%) , Country: Latvia

International Series: 1990 to 2006: TransMONEE database 2010.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Lithuania

National Series Reference: 1990 to 2001: MDG Assessment 2002;

Indicator: Births attended by skilled health personnel (%) , Country: Lithuania

International Series: 1990 to 2006: TransMONEE database 2010.;

Indicator: Births attended by skilled health personnel (%) , Country: Malta

International Series: 1993: Other NS 1993.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Montenegro

National Series Reference: 1990 to 2000: MDG report 2005; 2004 to 2008: MDG Report 2010; 2009: MDG Report 2013; Source in Reference: 1990 to 2008: NSO;

Indicator: Births attended by skilled health personnel (%) , Country: Montenegro

National Series Reference: 1990 to 2000: MDG report 2005; 2004 to 2008: MDG Report 2010; 2009: MDG Report 2013; Source in Reference: 1990 to 2008: NSO;
International Series: 2006: MICS 2005-2006.; 2007: TransMONEE database 2010.; 2002: Other NS 2003.; 2009: Other NS 2011.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: North Macedonia

National Series Reference: 1991 to 2007: MDG progress report 2009; Source in Reference: 1991 to 2007: Republic Institute for Health Protection;

Indicator: Births attended by skilled health personnel (%) , Country: North Macedonia

National Series Reference: 1990 to 2007: MDG progress report 2009; Source in Reference: 1990 to 2007: NSO;
International Series: 2006: MICS 2005-2006.; 2011: MICS 2011.; 1999: Other NS 2001.; 1990, 1993, 1995, 1998, 2007, 2008: TransMONEE database 2010.; 2002, 2003: Other NS 2003.; 2004: Other NS 2004.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Poland

National Series Reference: 1990 to 1999: MDG Report 2002; Source in Reference: 1990: Statistical Yearbooks of Demography 1996-1998 & 1999-2000; 1991 to 1998: Maternal Mortality Poland 1996-1998 & 1999, M. Trosynski (ed), IMiDZ 1999 & 2000; 1999: Statistical Yearbooks of Demography 1996-1998 & 1999-2000;

Indicator: Births attended by skilled health personnel (%) , Country: Poland

International Series: 1990 to 2005: TransMONEE database 2010.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Republic of Moldova

National Series Reference: 2000 to 2010: Statbank of the National Bureau of Statistics of the Republic of Moldova as on 08-08-2012; 2011 to 2012: Third MDG Report 2013; Note: 2000 to 2007: Per 100,000 live births of at least 30 weeks of gestation and weighting at least 1,000 grams.; 2008 to 2010: Per 100,000 live births of at least 22 weeks of gestation and weighting at least 500 grams; 2000 to 2010: Information is presented without the data from the left side of the river Nistru and municipality Bender.; Source in Reference: 2000 to 2010: Min. of Health; 2011 to 2012: Min. of Health / NSO;

Indicator: Births attended by skilled health personnel (%) , Country: Republic of Moldova

National Series Reference: 2000 to 2008: MDG Report 2010; 2009 to 2011: Third MDG Report 2013; Source in Reference: 2000 to 2011: Min. of Health;
International Series: 2010: Transmonee database 2012.; 2005: DHS 2005.; 2008: TransMONEE database 2010.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Romania

National Series Reference: 1991 to 2000: MDG Report 2003; 2001 to 2009: MDG Report 2010; Source in Reference: 1991 to 2000: Min. of Health; 2001 to 2009: NSO;

Indicator: Births attended by skilled health personnel (%) , Country: Romania

National Series Reference: 2001 to 2009: MDG Report 2010; Source in Reference: 2001 to 2009: Min. of Health;
International Series: 2009 to 2011: Transmonee database 2012.; 1990 to 2002, 2005 to 2008: TransMONEE database 2010.; 2004: Other NS 2004.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Russian Federation

National Series Source in Reference: 2003 to 2008: WHO;

Indicator: Births attended by skilled health personnel (%) , Country: Russian Federation

International Series: 2010: Transmonee database 2012.; 1990 to 2008: TransMONEE database 2010.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Serbia

National Series Reference: 1990 to 1999: MDG Report 2001-2004; 2000: MDG progress report 2009; 2001 to 2002: MDG Report 2001-2004; Reference period: 2000: 2000-2004; Source in Reference: 1990 to 2002: NSO;

Indicator: Births attended by skilled health personnel (%) , Country: Serbia

National Series Reference: 1990 to 1999: MDG Report 2001-2004; 2000: MDG progress report 2009; 2001 to 2002: MDG Report 2001-2004; 2005: MDG report 2006; 2007: MDG progress report 2009; Source in Reference: 1990 to 2002: NSO; 2007: NSO;
International Series: 2006: MICS 2005.; 2002: TransMONEE database 2010.; 2010: MICS 2010.;

Indicator: Births attended by skilled health personnel (%) , Country: Slovakia

International Series: 1990 to 2002, 2004 to 2008, 2010: TransMONEE database 2010.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Slovenia

National Series Reference: 1991 to 2001: MDG report 2004; Source in Reference: 1991 to 1995: European Health for All Database, WHO 2003; 2001: European Health for All Database, WHO 2003;

Indicator: Births attended by skilled health personnel (%) , Country: Slovenia

National Series Reference: 1991: MDG report 2004;
International Series: 2010: Transmonee database 2012.; 1990 to 2008: TransMONEE database 2010.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Tajikistan

National Series Reference: 1990: MDG Progress Report 2010; 1992: MDG Progress Report 2003; 1995: MDG Needs Assessment 2005; 2001 to 2003: NSO MDG data; 2005 to 2009: MDG Progress Report 2010; Source in Reference: 1990: Min. of Health; 1995: Hill, K., Abou Zahr, C. and Wardlaw, T. WHO Bulletin, Volume 79, number 3, 2001; 2005 to 2009: Min. of Health; Primary Source in Reference: 1990: Administrative data; 2005 to 2009: Administrative data;

Indicator: Births attended by skilled health personnel (%) , Country: Tajikistan

National Series Reference: 2001 to 2003: NSO MDG data; 2008: MDG Progress Report 2010; Source in Reference: 2008: Min. of Health;
International Series: 2005: MICS 2005.; 1991: Transmonee database 2012.; 2012: DHS (Prelim) 2012.; 2010: TransMONEE database 2010.; 1996: MoH 1996.; 2007: Other NS 2007.; 2000: MICS 2000.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Turkiye

National Series Reference: 1990: MDG Report 2010; 1995: MDG Report 2005; 1998 to 2008: MDG Report 2010; Note: 1990: Projected data; 1995: Estimate from modelling study; Source in Reference: 1995 to 2008: Min. of Health; Primary Source in Reference: 1998: Hospital Registry Study 1998; 2005: National Maternal Mortality Survey 2005; 2007 to 2008: Ministry of Health Registry;

Indicator: Births attended by skilled health personnel (%) , Country: Turkiye

National Series Reference: 1993 to 2008: MDG Report 2010; Reference period: 1993: 1989-1993; 1998: 1994-1998; 2003: 1999-2003; 2008: 2004-2008; Source in Reference: 1993 to 2008: Hacettepe University; Primary Source in Reference: 1993: DHS 1993; 1998: DHS 1998; 2003: DHS 2003; 2008: DHS 2008;
International Series: 2008: DHS 2008.; 1998: DHS 1998.; 2003: DHS 2003.; 1993: DHS 1993.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Turkmenistan

National Series Reference: 1991 to 2002: MDG Report 2003; Source in Reference: 1991 to 2002: Min. of Health and the Medical Industry;

Indicator: Births attended by skilled health personnel (%) , Country: Turkmenistan

National Series Reference: 2002: MDG Report 2003;
International Series: 2000: DHS 2000.; 2006: MICS 2006.; 1996: MoH 1996.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Ukraine

National Series Reference: 1990: MDG Report 2003; 2000 to 2009: MDG Report 2010; 2010 to 2012: MDG Report 2013; Note: 2000 to 2009: From 2005 and onward, ICD-10 was used, indicators calculated before and after this transfer are not comparable.; Source in Reference: 2005 to 2012: NSO;

Indicator: Births attended by skilled health personnel (%) , Country: Ukraine

International Series: 2005: MICS 2005.; 2007: DHS 2007.; 2010: Transmonee database 2012.; 1999, 2000, 2003: TransMONEE database 2010.; 1996: Other NS 1996.;

Indicator: Maternal mortality ratio per 100,000 live births , Country: Uzbekistan

National Series Reference: 1990 to 2004: MDG Report 2006; Source in Reference: 1990 to 2004: Min. of Health ; Primary Source in Reference: 1990 to 2004: Administrative data;

Indicator: Births attended by skilled health personnel (%) , Country: Uzbekistan

International Series: 2006: MICS 2006.; 1996: DHS 1996.; 2000: MICS 2000.;