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Micronutrient and
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Determining the Burden of Maternal Ill Health and Death and its Programmatic Implications in Rural Bangladesh

This study addressed the gap in knowledge concerning the consequences of pregnancy, maternal death and moderate/severe maternal morbidity on the woman and newborn and the long-term impact on the woman and family (mental, social, economic).

The study used community data from Matlab dating to 1990 to look at maternal deaths and less severe, and severe morbidities, and to follow up women and families who have so suffered to determine the rates of consequent maternal morbidities (chronic morbidities such as fistula, prolapse) and newborn outcomes (death, morbidity, development). 

Beyond physical consequences, the study assessed the impact of this maternal and newborn morbidity and mortality burden on the status of a surviving woman (mental, social, and economic) and on the children/family/household (health, social, economic) for both those who survived and those who died.

The study consists of the following four studies, each with qualitative and quantitative components: 

  • a prospective cohort examining short term consequences of pregnancy-related morbidity (i.e., within six months after birth) along with child development at one year
  • a retrospective cohort study examining long term consequences of pregnancy-related morbidity and mortality, drawing from existing data complemented with newly collected data
  • a study examining the social and economic impact of short and long term physical sequelae of pregnancy
  • a study examining the risk factors for severe maternal morbidity and mortality

Principal Investigator:  Marge Koblinsky (JHSPH/ICDDR,B)

Co-Principal Investigators:

Consultant:  Bart Burkhalter (University Research Co., LLC