A global research initiative for the evaluation of safe motherhood intervention strategies

MM+

Introduction

'Maternal Mortality plus' (or MM+) was a continuation of the Maternal Outcomes work programme of Immpact Phase I. It was active between August 2007-August 2008. This work programme is now complete but many of the streams of research continue to be explored by Immpact today.

MM+ acknowledged the need to broaden research beyond the measurement of the conventionally defined outcome of maternal deaths to look also at key co-variates and at deaths among mothers. This stream of work aimed to:

  • provide enhanced methods for measuring maternal mortality
  • effectively communicate those methods and key findings to researchers and policy makers

Our research

Major research activities focused on the enhancement of methods for measurement of maternal mortality and related indicators. The aim was to achieve this work through the measurement of:

  • levels and trends in maternal mortality
  • causes of maternal death
  • determinants of maternal death
  • co-mortality outcomes

Background and achievements for the specific studies within each work stream are summarized here.

Who we are

The MM+ work programme was led by Professor Oona Campbell from LSHTM and Professor Wendy Graham from the University of Aberdeen. The team was based at the University of Aberdeen, LSHTM, JHU, and at the collaborating institutions in Burkina Faso and Indonesia.    

  • Linda Bartlett (Research Scientist, Medical Epidemiologist, Johns Hopkins University)
  • Jacqui Bell (Research Fellow, Immpact)
  • David Braunholtz (Senior Statistician, Immpact)
  • Oona M.R. Campbell (Reader, London School of Hygiene and Tropical Medicine)
  • Suzanne Cross (Research Assistant, Immpact, University of Aberdeen)
  • Lucia D'Ambruoso (Research Fellow, Immpact, University of Aberdeen)
  • Ann Fitzmaurice (Medical Statistician, Immpact, University of Aberdeen)
  • Wendy Graham (Principal Investigator, Immpact, University of Aberdeen)
  • Sennen Hounton (Research Fellow, Centre Muraz, Burkina Faso)
  • Julia Hussein (Scientific Co-ordination Leader, Immpact, University of Aberdeen)
  • Siti Nurul Qomariyah (Research fellow, Centre for Family Welfare, University of Indonesia)
  • Carine Ronsmans (Reader in Epidemiology and Reproductive Health, London School of Hygiene and Tropical Medicine)
  • Susana Scott (Lecturer, London School of Hygiene and Tropical Medicine)
  • Cynthia Stanton (Assistant Professor, Johns Hopkins University) 

Resources

MM+ activities aim to contribute to a variety of resources useful for the capture and use of data needed to monitor MDG-5. Please see Our Knowledge for a variety of relevant scientific documents and key web resources. The new Maternal Mortality Measurement Resource (MMM-R) website has been created with the support of Immpact and provides a resource 'hub' that shares methods, approaches, techniques and tools for measuring maternal mortality.

  • A simple prototype of a decision guide to assist in identifying measurement options for specific purposes and contexts is available at www.maternal-mortality-measurement.org.
  • Maternal mortality measurement tools developed by Immpact (Phase I, 2002-2006) featured on the MMM-R website are listed below along with the principle researchers who contributed to this work.
    ToolPrinciple researchers includedKey Contact
    SSS Centre Muraz, Burkina Faso
    Dr. Issiaka Sombié
    Mr. Moctar Ouedrago
    Mr. Henri N. Some
    Dr Nicolas Meda
    Noguchi Memorial Institute for Medical Research, Ghana
    Ms Janet Ansong Tornui
    Dr. William Bosu
    Mr. Eric Harrison
    Ms Barbara Mallet
    Mr. Sampson Owadie
    Dr. Margaret Armar-Klemesu
    Center for Family Welfare, University of Indonesia
    Dr. Siti Nurul Qomariyah
    Mr. Eko Setyo Pambudi
    Mr. Kamaluddin Latief
    Ms Trisari Anggondowati
    Dr. Endang Achadi
    Aberdeen University, Scotland
    Ms Jacqueline Bell
    Mr David Braunholtz
    Mr Dave Cheseldine
    Ms Suzanne Cross
    Ms Ann Fitzmaurice
    Professor Wendy Graham
    Dr Tamunosa Okiwelu
    Dr John Townend
    Dr Karen Hanna Witten
    		 w.graham@abdn.ac.uk
    RAPID Centre Muraz, Burkina Faso
    Dr. Issiaka Sombié
    Dr. Mamoudou Barro
    Mr. Henri N. Some
    Dr Nicolas Meda
    Noguchi Memorial Institute for Medical Research, Ghana
    Ms Janet Ansong Tornui
    Dr. William Bosu
    Mr. Eric Harrison
    Mr. Sampson Owadie
    Dr. Margaret Armar-Klemesu
    Center for Family Welfare
    Dr. Siti Nurul Qomariyah
    Mr. Kamaluddin Latief
    Ms Trisari Anggondowati
    Dr. Endang Achadi
    Aberdeen University
    Ms Jacqueline Bell
    Mr David Braunholtz
    Dr Tamunosa Okiwelu
    Professor Wendy Graham
    Dr Karen Hanna Witten
    		 j.bell@abdn.ac.uk
    MADE-IN/MADE-FOR Center for Family Welfare
    Dr. Siti Nurul Qomariyah
    Mr. Kamaluddin Latief
    Ms Trisari Anggondowati
    Dr. Endang Achadi
    Mr. Eko Setyo Pambudi
    Aberdeen University
    Mr David Braunholtz
    Professor Wendy Graham
    Dr Karen Hanna Witten
    		 snqomariyah@gmail.com
    TRACE Noguchi Memorial Institute for Medical Research, Ghana
    Ms Janet Ansong Tornui
    Dr. Margaret Armar-Klemesu
    Dr. Kojo Arhinful
    Review panel
    Center for Family Welfare
    Ms. Tetty Rachmawati
    Dr. Dyah Suslam
    Dr. Asri Adisasmita
    Dr. Endang Achadi
    Ms. Yulia Izati
    Hospital Practitioner Review Panel
    Community Practitioner Review Panel
    Aberdeen University
    Ms Susanne Penfold
    Ms Lucia Dambruoso
    Dr Julia Hussein
    London School of Hygeine & Tropical Medicine
    Ms. Krystyna Makowiecka
    		 j.hussein@abdn.ac.uk

Reports

In September 2006 a two day meeting was hosted by Health Metrics Network and Immpact to prioritize the research agenda for the measurement of pregnancy related mortality. Reports and presentations from these meetings are available below.

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