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BioMed Research International
Volume 2014, Article ID 187896, 10 pages
Review Article

Provincial Maternal Mortality Surveillance Systems in China

1Obstetrics and Gynecology Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
2School of Public Health, Epidemiology, Biostatistics and Clinical Research Centre, Université Libre de Bruxelles (ULB), Brussels 1070, Belgium
3Hematology Department, The Affiliated Hospital of Chengde Medical College, Chengde 067000, China

Received 28 February 2014; Accepted 13 May 2014; Published 3 June 2014

Academic Editor: Jose Guilherme Cecatti

Copyright © 2014 Xiao-Ling Gan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Provincial maternal mortality surveillance systems (PMMSS) have been set up in nearly all the provinces in China to monitor local maternal mortality and provide the evidence for maternal health interventions suited to local conditions. However, till now little is known outside of China about the characteristics of PMMSS. Methods. A systematic review of the literature contained in PubMed and China Academic Journal Network Publishing database was carried out. The current situation on PMMSS was described. Provincial disparities on PMMR in six provinces were analyzed by Poisson regression analysis. Results. A total of 35 studies met the inclusion criteria, of which 31 were published in Chinese. PMMSS were set up and adjusted by the provincial government based on their own financial resources and demand. Provinces from remote region had the highest risk of maternal mortality, followed by provinces from inland region and coast region. Conclusions. PMMSS may be the most reliable data source for measuring provincial level MMR in each province. Great provincial disparities on PMMSS and PMMR do exist within the country; more emphasis should be placed on improving PMMSS and reducing PMMR particularly in the provinces with high maternal death burden.