EC Gynaecology

Research Article Volume 12 Issue 3 - 2023

Relative Risks of Women Dying from Maternal, Infectious or Non-Communicable Causes in Kintampo, Ghana: A Study Protocol, Using Competing Risks Analysis

Sulemana Watara Abubakari1* and Delali Margaret Badasu2

1Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana

2Regional Institute for Population Studies, University of Ghana, Legon, Ghana

*Corresponding Author: Sulemana Watara Abubakari, Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana.
Received: December 28, 2022; Published: February 20, 2023

Introduction: Maternal, infectious and non-communicable causes of death combine to be simultaneously a major health problem for women of reproductive age (WRA) in low and middle-income countries (LMICs), particularly sub-Saharan Africa (SSA). Yet, little is known about the relative risk of each of them when considered together and their demographic impact. Consequently, the focus of research and funding has been on maternal health. However, the evolving demographic and health transitions in LMICs suggest a need for a comprehensive methodology to addressing women’s health challenges beyond maternal causes.

Objective: To examine the relative risks of women of reproductive age dying from maternal, infectious or non-communicable causes, using a competing risks analysis.

Methods: This is a fifteen-year study of the Kintampo North Municipality and the Kintampo South District, of the Bono East Region of Ghana which are the study sites of the Kintampo Health and Demographic Surveillance System (KHDSS), administered by the Kintampo Health Research Centre (KHRC). Deaths and person-years of exposure were calculated by age for WRA (15 - 49) of the KHDSS area from January 2005 to December 2019. Causes of death were diagnosed by means of the physician coding and the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10), using the verbal autopsy questionnaire. Identified causes of death were categorised into three broad groups: maternal, infectious and non-communicable diseases. The gains in life expectancy as well as the decomposition of the total gains by age were estimated, using multiple decrements together with the associated single decrement life table methods.

Discussion: The study uses competing risks analysis technique to examine the relative risk of women of reproductive age dying from maternal, infectious or non-communicable causes in the Kintampo North Municipality and Kintampo South District of Ghana. The study will provide valuable information on the relative risk of women dying from the three causes of death among the women. Both research and policy on mortality among women focus on maternal death. Meanwhile, cause of death by NCDs has been rising globally and among women in low and middle-income countries. This study aimed at examining death among WRA more comprehensively, using data on the three causes of death. The research evidence from the study will be useful for adopting policies and developing and implementing programmes where life expectancy returns will be highest. In addition, reliable data on causes of death is not readily available in most low-income countries, including Ghana. The verbal autopsy method used in this study provides valuable information on causes of death that are essential for monitoring and evaluating the targets of the health indicators of the Sustainable Development Goals.

Keywords: Verbal Autopsy; Women of Reproductive Age; Health and Demographic Surveillance System; Low and Middle-Income Countries

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Sulemana Watara Abubakari and Delali Margaret Badasu. Relative Risks of Women Dying from Maternal, Infectious or Non-Communicable Causes in Kintampo, Ghana: A Study Protocol, Using Competing Risks Analysis. EC Gynaecology 12.3 (2023): 45-59.