This report documents a study by the Population Council estimating the maternal mortality ratio of Khyber Pakhtunkhwa (KP) province in Pakistan using an innovative community informant–based method, known as the “Made-In/Made-For” (MIMF) technique, to collect data on maternal deaths. The report confirms that maternal mortality persists as a major public health issue in KP, and the problem may be much larger than assumed. The study’s success in identifying causes of death through verbal autopsies and their subsequent disaggregation into direct and indirect causes is important from policy and programmatic perspectives. Interventions need to focus both on direct and indirect causes of mortality if maternal mortality is to be lowered. Integrating the MIMF approach and institutionalizing it within the health system will ensure district maternal mortality estimates are available to planners and policymakers routinely, which will help monitor progress of specific interventions as well as improvements in the health delivery system as a whole.
Mir, Ali M., Saleem Shaikh, Mumraiz Khan, and Irfan Masood. 2016. "Using the community informant based (Made-in and Made-for) methodology for estimating maternal mortality ratio (MMR) in Khyber Pakhtunkhwa." Islamabad: Population Council.