{"id":"https://openalex.org/W7225319722","doi":"https://doi.org/10.1002/hsr2.73478","title":"Global Trends and Disparities in Maternal Mortality: A Longitudinal Multi\u2010Country Analysis","display_name":"Global Trends and Disparities in Maternal Mortality: A Longitudinal Multi\u2010Country Analysis","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225319722","doi":"https://doi.org/10.1002/hsr2.73478","pmid":"https://pubmed.ncbi.nlm.nih.gov/42991094","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13735214"},"language":"en","primary_location":{"id":"doi:10.1002/hsr2.73478","doi":"https://doi.org/10.1002/hsr2.73478","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.73478","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73478","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73478","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5106395598","display_name":"Awoke Fetahi Woudneh","orcid":"https://orcid.org/0009-0004-9350-3180","observed_orcids":["https://orcid.org/0009-0004-9350-3180"]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":true,"raw_author_name":"Awoke Fetahi Woudneh","raw_affiliation_strings":["Department of Statistics Debremarkos University Debremarkos Ethiopia"],"raw_orcid":"https://orcid.org/0009-0004-9350-3180","affiliations":[{"raw_affiliation_string":"Department of Statistics Debremarkos University Debremarkos Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021975144","display_name":"Yenesew Fentahun Gebrie","orcid":"https://orcid.org/0000-0002-2043-7053","observed_orcids":["https://orcid.org/0000-0002-2043-7053"]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Yenesew Fentahun Gebrie","raw_affiliation_strings":["Department of Statistics Debremarkos University Debremarkos Ethiopia"],"raw_orcid":"https://orcid.org/0000-0002-2043-7053","affiliations":[{"raw_affiliation_string":"Department of Statistics Debremarkos University Debremarkos Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126896352","display_name":"Misgana Mekonnen","orcid":"https://orcid.org/0000-0001-9327-3849","observed_orcids":["https://orcid.org/0000-0001-9327-3849"]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Misganaw Mekonnen Nigussie","raw_affiliation_strings":["Department of Statistics Debremarkos University Debremarkos Ethiopia"],"raw_orcid":"https://orcid.org/0000-0001-9327-3849","affiliations":[{"raw_affiliation_string":"Department of Statistics Debremarkos University Debremarkos Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110525261","display_name":"K Tadesse","orcid":"https://orcid.org/0000-0001-7075-6768","observed_orcids":["https://orcid.org/0000-0001-7075-6768"]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Kebadu Tadesse Cherie","raw_affiliation_strings":["Department of Statistics Debremarkos University Debremarkos Ethiopia"],"raw_orcid":"https://orcid.org/0000-0001-7075-6768","affiliations":[{"raw_affiliation_string":"Department of Statistics Debremarkos University Debremarkos Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5059820091","display_name":"Fetene Getnet Gebeyehu","orcid":"https://orcid.org/0009-0008-7532-5025","observed_orcids":["https://orcid.org/0009-0008-7532-5025"]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Fetene Getnet Gebeyehu","raw_affiliation_strings":["Department of Statistics Debremarkos University Debremarkos Ethiopia"],"raw_orcid":"https://orcid.org/0009-0008-7532-5025","affiliations":[{"raw_affiliation_string":"Department of Statistics Debremarkos University Debremarkos Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5106395598"],"corresponding_institution_ids":["https://openalex.org/I916065895"],"apc_list":{"value":3280,"currency":"USD","value_usd":3280},"apc_paid":{"value":3280,"currency":"USD","value_usd":3280},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89382325,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"11","first_page":"e73478","last_page":"e73478"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9911999702453613,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9911999702453613,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.005499999970197678,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.9950000047683716},{"id":"https://openalex.org/keywords/maternal-mortality-ratio","display_name":"maternal mortality ratio","score":0.949999988079071},{"id":"https://openalex.org/keywords/socioeconomic-inequality","display_name":"socioeconomic disparities","score":0.628000020980835},{"id":"https://openalex.org/keywords/human-development-index","display_name":"Human Development Index","score":0.9700000286102295},{"id":"https://openalex.org/keywords/regional-disparities","display_name":"regional disparities","score":0.6069999933242798},{"id":"https://openalex.org/keywords/temporal-trends","display_name":"temporal trends","score":0.3569999933242798},{"id":"https://openalex.org/keywords/health-system-performance","display_name":"health system performance","score":0.5120000243186951},{"id":"https://openalex.org/keywords/maternal-health-policy","display_name":"maternal health policy","score":0.3869999945163727},{"id":"https://openalex.org/keywords/low-income-countries","display_name":"low-income countries","score":0.4230000078678131},{"id":"https://openalex.org/keywords/high-income-countries","display_name":"high-income countries","score":0.5299999713897705},{"id":"https://openalex.org/keywords/mixed-effects-models","display_name":"mixed models","score":0.5260000228881836}],"concepts":[{"id":"https://openalex.org/C2779735493","wikidata":"https://www.wikidata.org/wiki/Q38994","display_name":"Human Development Index","level":3,"score":0.7940000295639038},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.6001999974250793},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.5902000069618225},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.48899999260902405},{"id":"https://openalex.org/C112299071","wikidata":"https://www.wikidata.org/wiki/Q835884","display_name":"Infant mortality","level":3,"score":0.4814999997615814},{"id":"https://openalex.org/C3020672099","wikidata":"https://www.wikidata.org/wiki/Q857354","display_name":"Longitudinal data","level":2,"score":0.43959999084472656},{"id":"https://openalex.org/C2781089502","wikidata":"https://www.wikidata.org/wiki/Q2917873","display_name":"Human development (humanity)","level":2,"score":0.40959998965263367},{"id":"https://openalex.org/C25511272","wikidata":"https://www.wikidata.org/wiki/Q295136","display_name":"Ecological study","level":3,"score":0.40149998664855957},{"id":"https://openalex.org/C168743327","wikidata":"https://www.wikidata.org/wiki/Q1826427","display_name":"Random effects model","level":3,"score":0.3968000113964081},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.39649999141693115},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3783000111579895},{"id":"https://openalex.org/C127142870","wikidata":"https://www.wikidata.org/wiki/Q7838279","display_name":"Trend analysis","level":2,"score":0.3725999891757965},{"id":"https://openalex.org/C6422946","wikidata":"https://www.wikidata.org/wiki/Q857354","display_name":"Panel data","level":2,"score":0.35929998755455017},{"id":"https://openalex.org/C102803821","wikidata":"https://www.wikidata.org/wiki/Q7598403","display_name":"Standardized mortality ratio","level":3,"score":0.3538999855518341},{"id":"https://openalex.org/C2986587452","wikidata":"https://www.wikidata.org/wiki/Q938438","display_name":"Statistical analysis","level":2,"score":0.3312000036239624},{"id":"https://openalex.org/C2777382242","wikidata":"https://www.wikidata.org/wiki/Q6017816","display_name":"Index (typography)","level":2,"score":0.33059999346733093},{"id":"https://openalex.org/C45355965","wikidata":"https://www.wikidata.org/wiki/Q1643441","display_name":"Socioeconomics","level":1,"score":0.32190001010894775},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.3125999867916107},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.30970001220703125},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3091999888420105},{"id":"https://openalex.org/C160050368","wikidata":"https://www.wikidata.org/wiki/Q132453","display_name":"Developed country","level":3,"score":0.2939999997615814},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.2831000089645386},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.251800000667572}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1002/hsr2.73478","doi":"https://doi.org/10.1002/hsr2.73478","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.73478","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73478","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13735214","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13735214/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13735214/pdf/HSR2-9-e73478.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Sci Rep","raw_type":"Text"},{"id":"pmid:42991094","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42991094","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health science reports","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:6285199b35ae417ba54ff9b2039c206a","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/6285199b35ae417ba54ff9b2039c206a","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Science Reports, Vol 9, Iss 11, Pp n/a-n/a (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1002/hsr2.73478","doi":"https://doi.org/10.1002/hsr2.73478","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.73478","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73478","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.979200005531311},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.7578999996185303}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320331387","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225319722.pdf","grobid_xml":"https://content.openalex.org/works/W7225319722.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W1951724000","https://openalex.org/W2036954961","https://openalex.org/W2074192817","https://openalex.org/W2105925569","https://openalex.org/W2111563482","https://openalex.org/W2115743615","https://openalex.org/W2135463798","https://openalex.org/W2149098154","https://openalex.org/W2158543557","https://openalex.org/W2529846601","https://openalex.org/W2891125414","https://openalex.org/W2905423686","https://openalex.org/W4323311111","https://openalex.org/W4389366567","https://openalex.org/W7123340887","https://openalex.org/W7136176025","https://openalex.org/W7213533742"],"related_works":["https://openalex.org/W7117588308","https://openalex.org/W2529846601","https://openalex.org/W7208739234","https://openalex.org/W2113726274","https://openalex.org/W7162325389","https://openalex.org/W2043449557","https://openalex.org/W1539434233","https://openalex.org/W2755479991","https://openalex.org/W4407163644","https://openalex.org/W4396814886"],"abstract_inverted_index":{"ABSTRACT":[0],"Background":[1],"and":[2,16,23,40,46,95,110,123,258,296,302,312,322,331,340],"Aims":[3],"Maternal":[4,59,73,129,306],"mortality":[5,74,130,307,338],"is":[6],"one":[7],"of":[8,20,329],"the":[9,58,133,150,156,177,192,327],"most":[10],"significant":[11],"global":[12,336],"public":[13],"health":[14],"challenges":[15],"an":[17],"important":[18],"indicator":[19],"health\u2010system":[21],"performance":[22],"socioeconomic":[24,330],"development.":[25],"Although":[26],"substantial":[27,41],"reductions":[28],"have":[29],"been":[30],"achieved":[31],"since":[32],"1990,":[33],"progress":[34],"has":[35],"slowed":[36],"in":[37,125,155,176,218,291],"recent":[38],"years,":[39],"disparities":[42,315],"persist":[43],"across":[44,317],"countries":[45,68,154,175],"regions.":[47],"Methods":[48],"This":[49],"longitudinal":[50],"ecological":[51],"study":[52,134],"used":[53,117],"country\u2010level":[54],"panel":[55],"data":[56],"from":[57,69],"Mortality":[60],"Dataset":[61],"compiled":[62],"by":[63],"Banerjee":[64],"(2021),":[65],"covering":[66],"182":[67],"1990":[70,311],"to":[71,118,143,207,227,240,253,267,344],"2021.":[72],"ratio":[75],"(MMR),":[76],"expressed":[77],"as":[78,99,173],"deaths":[79],"per":[80],"100,000":[81],"live":[82],"births,":[83],"was":[84,216],"natural\u2010log":[85],"transformed":[86],"for":[87,113,120],"statistical":[88],"modeling.":[89],"Human":[90],"Development":[91],"Index":[92],"(HDI)":[93],"group":[94,159,180,196],"continent":[96],"were":[97,116,300],"included":[98],"fixed\u2010effect":[100],"predictors,":[101],"while":[102],"linear":[103],"mixed\u2010effects":[104],"models":[105],"with":[106,149,213],"country\u2010specific":[107,292],"random":[108,111,273],"intercepts":[109],"slopes":[112,274],"centered":[114],"year":[115],"account":[119],"between\u2010country":[121],"heterogeneity":[122,290],"differences":[124],"temporal":[126,293],"trajectories.":[127,294],"Results":[128],"declined":[131,308],"over":[132],"period":[135],"(":[136,163,181,200,220,233,246,260,278],"\u03b2":[137,164,182,201,221,234,247,261],"=":[138,165,183,202,222,230,235,248,262,281,284],"\u22120.029,":[139],"95%":[140,167,185,204,224,237,250,264],"CI,":[141,168,186,205,225,238,251,265],"\u22120.032":[142],"\u22120.026;":[144],"p":[145,170,188,209,229,242,255,269,286],"<":[146,171,189,210,243,256,270,287],"0.001).":[147,211,271],"Compared":[148,212],"High":[151,194],"HDI":[152,158,179,195,318],"group,":[153],"Low":[157],"had":[160,197],"higher":[161],"log(MMR)":[162,199,215],"1.803,":[166],"1.458\u20132.147;":[169],"0.001),":[172,190,244,257,288],"did":[174],"Medium":[178],"1.042,":[184],"0.767\u20131.317;":[187],"whereas":[191],"Very":[193],"lower":[198,217],"\u22121.004,":[203],"\u22121.268":[206],"\u22120.739;":[208],"Africa,":[214],"America":[219],"\u22120.488,":[223],"\u22120.813":[226],"\u22120.162;":[228],"0.004),":[231],"Asia":[232],"\u22120.838,":[236],"\u22121.134":[239],"\u22120.542;":[241],"Europe":[245],"\u22121.698,":[249],"\u22122.067":[252],"\u22121.330;":[254],"Oceania":[259],"\u22120.953,":[263],"\u22121.404":[266],"\u22120.502;":[268],"Adding":[272],"improved":[275],"model":[276],"fit":[277],"\u03c7":[279],"2":[280,299],"8041.6,":[282],"df":[283],"2;":[285],"indicating":[289],"Marginal":[295],"conditional":[297],"R":[298],"0.849":[301],"0.997,":[303],"respectively.":[304],"Conclusion":[305],"substantially":[309],"between":[310],"2021,":[313],"but":[314],"persisted":[316],"groups,":[319],"geographical":[320,332],"regions,":[321],"countries.":[323],"The":[324],"findings":[325],"highlight":[326],"importance":[328],"context":[333],"when":[334],"interpreting":[335],"maternal":[337,347],"patterns":[339],"support":[341],"context\u2010specific":[342],"approaches":[343],"further":[345],"reduce":[346],"mortality.":[348]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-06T00:00:00"}
