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Such a high mortality index is difficult to resolve with the small numbers of patients in this group – only eight patients were left at study completion.
An increased level of care and effort are required to deal with near-miss events with a high mortality index, e.g., infection, dystocia and maternal anemia.
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Another area that needs improvement is management of sepsis which has the highest mortality index (12 1).
Late pregnancy haemorrhage was the leading cause of maternal mortality (60%) while sepsis had the highest mortality index (7.4%).
Haemorrhage was the leading cause of maternal mortality (60%) while sepsis had the higher mortality index (7.4%).
Therefore, the fact that the study hospitals had a higher mortality index indicates possibly lower quality of care.
In a previous study, we had demonstrated that among senescent NHEKs the subpopulation of the 15% of cells with the largest size and highest granularity is the one that has the highest mortality index (subpopulation D).
Complications resulted in near-miss and maternal deaths with septicemia, dystocia and anemia, with a higher mortality index, which constitute an important and significant threat to the survival of pregnant women.
The findings of this research concerning the higher mortality index and the lower maternal near miss mortality ratio as compared to the indicators in the countries with a moderate MMR in the WHO multicountry study suggest poorer quality of care in the study hospitals.
However, they showed high-mortality indices of 7.4% and 2.9%, respectively (table 2).
Kellet and Caravani's (2013) study Financing Disaster Risk Reduction: A 20 Year Story of International Aid, illustrates the insignificance of DRR financing in African countries with a high mortality risk index.
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