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COVID-19 Pandemic Impact on the Maternal Mortality in Kazakhstan and Comparison with the Countries in Central Asia

Author

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  • Olzhas Zhamantayev

    (School of Public Health, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan)

  • Gaukhar Kayupova

    (School of Public Health, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan)

  • Karina Nukeshtayeva

    (School of Public Health, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan)

  • Nurbek Yerdessov

    (School of Public Health, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan)

  • Zhanerke Bolatova

    (School of Public Health, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan)

  • Anar Turmukhambetova

    (School of Public Health, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan)

Abstract

Maternal mortality ratio is one of the sensitive indicators that can characterize the performance of healthcare systems. In our study we aimed to compare the maternal mortality ratio in the Central Asia region from 2000 to 2020, determine its trends and evaluate the association between the maternal mortality ratio and Central Asia countries’ total health expenditures. We also compared the maternal mortality causes before and during the pandemic in Kazakhstan. The data were derived from the public statistical collections of each Central Asian country. During the pre-pandemic period, Central Asian nations had a downward trend of maternal mortality. Maternal mortality ratio in Central Asian countries decreased by 38% from 47.3 per 100,000 live births in 2000 to 29.5 per 100,000 live births in 2020. Except for Uzbekistan, where this indicator decreased, all Central Asian countries experienced a sharp increase in maternal mortality ratio in 2020. The proportion of indirect causes of maternal deaths in Kazakhstan reached 76.3% in 2020. There is an association between the maternal mortality ratio in Central Asian countries and their total health expenditures expressed in national currency units ( r max = −0.89 and min = −0.66, p < 0.01). The study revealed an issue in the health data availability and accessibility for research in the region. The findings suggest that there must be additional efforts from the local authorities to enhance the preparedness of Central Asian healthcare systems for the new public health challenges and to improve health data accessibility.

Suggested Citation

  • Olzhas Zhamantayev & Gaukhar Kayupova & Karina Nukeshtayeva & Nurbek Yerdessov & Zhanerke Bolatova & Anar Turmukhambetova, 2023. "COVID-19 Pandemic Impact on the Maternal Mortality in Kazakhstan and Comparison with the Countries in Central Asia," IJERPH, MDPI, vol. 20(3), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2184-:d:1046644
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    References listed on IDEAS

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    1. Phebe Asantewaa Owusu & Samuel Asumadu Sarkodie & Pål Andreas Pedersen, 2021. "Relationship between mortality and health care expenditure: Sustainable assessment of health care system," PLOS ONE, Public Library of Science, vol. 16(2), pages 1-15, February.
    2. Rana Dahab & Dikaios Sakellariou, 2020. "Barriers to Accessing Maternal Care in Low Income Countries in Africa: A Systematic Review," IJERPH, MDPI, vol. 17(12), pages 1-17, June.
    3. Marcin Januszewski & Laura Ziuzia-Januszewska & Alicja A. Jakimiuk & Waldemar Wierzba & Anna Gluszko & Joanna Zytynska-Daniluk & Artur J. Jakimiuk, 2021. "Is the Course of COVID-19 Different during Pregnancy? A Retrospective Comparative Study," IJERPH, MDPI, vol. 18(22), pages 1-15, November.
    4. Noshaba Aziz & Jun He & Tanwne Sarker & Hongguang Sui, 2021. "Exploring the Role of Health Expenditure and Maternal Mortality in South Asian Countries: An Approach towards Shaping Better Health Policy," IJERPH, MDPI, vol. 18(21), pages 1-14, November.
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