Research Article
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Year 2025, Volume: 17 Issue: 2, 18 - 31
https://doi.org/10.56484/iamr.1703297

Abstract

References

  • United Nations International Children’s Emergency Fund (UNICEF). UNICEF Afghanistan annual report 2024 [Internet]. 2024 [cited 2025 May 22]. Available from: https://www.unicef.org/afghanistan/media/11336/file/UNICEF%20Afghanistan%20annual%20report%202024_low%20res.pdf
  • Qamar K, Essar MY, Siddiqui JA, Salman A, Salman Y, Head MG. Infant and child mortality in Afghanistan: A scoping review. Health Sci Rep. 2024;7:e2224.
  • Naziri M, Higgins-Steele A, Anwari Z, Yousufi K, Fossand K, Amin SS, et al. Scaling up newborn care in Afghanistan: Opportunities and challenges for the health sector. Health Policy Plan. 2018;33(2):271–82.
  • Naeem M, Ahmad B, Malik S. Burden of congenital and hereditary anomalies in the war-affected territory at Pakistan-Afghanistan border. Asian Biomed (Res Rev News). 2022;16(6):299–309.
  • Faizi A, Sohi P. The impact of prenatal care on maternal mortality among women aged 15 to 49 in Afghanistan. Int J Contemp Med Res. 2025;3(2):55.
  • World Health Organization. Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group, and UNDESA/Population Division. Geneva: WHO; 2023.
  • Ozimek JA, Kilpatrick SJ. Maternal mortality in the twenty-first century. Obstet Gynecol Clin North Am. 2018;45(2):175–86.
  • Tawfiq E, Stanikzai MH, Anwary Z, Akbari K, Sayam H, Wasiq AW, Dadras O. Quality of antenatal care services in Afghanistan: Findings from the national survey 2022–2023. BMC Pregnancy Childbirth. 2025;25:71.
  • Bartlett L, Mawji S, Whitehead S, Crouse C, Dalil S, Ahmadzai M, et al. Progress and inequities in maternal mortality in Afghanistan (RAMOS-II): A retrospective observational study. Lancet Glob Health. 2017;5(5):e545–55.
  • Centers for Disease Control and Prevention. Update on overall prevalence of major birth defects—Atlanta, Georgia, 1978–2005. MMWR Morb Mortal Wkly Rep. 2008;57(1):1–5.
  • World Health Organization. Birth defects: Report by the Secretariat (A63/10). Geneva: WHO; 2010.
  • Feldkamp ML, Carey JC, Byrne JLB, Krikov S, Botto LD. Aetiology and clinical presentation of birth defects: Population-based study. BMJ. 2017;357:j2249.
  • Hashimi SM. Determinants of congenital anomalies in Afghanistan [Master’s thesis]. Amsterdam: Royal Tropical Institute (KIT) & Vrije Universiteit Amsterdam; 2017.
  • Heckathorn D. Comment: Snowball versus respondent-driven sampling. Sociol Methodol. 2011;41:355–66.
  • Cohen N, Arieli T. Field research in conflict environments: Methodological challenges and snowball sampling. J Peace Res. 2011;48:423–35.
  • Afshar A, Hakimi M, Razmju F, Yaqooby B, Yahya MA. Challenges and opportunities for women farmers in Afghanistan. Int J Life Sci Biotechnol. 2025 Apr 1;8(1):1–9.

Maternal Mortality and Child Malnutrition in Afghanistan: The Role of Birth Defects and Nutritional Deficiencies

Year 2025, Volume: 17 Issue: 2, 18 - 31
https://doi.org/10.56484/iamr.1703297

Abstract

Objective: The study focused on investigating the perceptions, knowledge, and experiences regarding maternal mortality and nutritional deficiencies among the healthcare workers, medical students, and community members in Afghanistan.

Method: A descriptive cross-sectional survey employing the Snowball Sampling (SBS) method was conducted. A total of 620 people representing four geographic zones of Afghanistan participated in the study, including healthcare providers (n=75), medical students (n=386), and people from the community (n=159). Data on knowledge, practices, clinical exposure, and barriers to maternal and child nutrition were collected via structured questionnaires.

Results: The primary causes of maternal death were hemorrhage (72.7%) and malnutrition (41.6%). Iron deficiency was the most common nutritional issue (76.6%), and congenital anomalies like heart defects were often attributed to malnutrition. Only 13% of professionals believed nutrition protocols had been well implemented. The medical students recorded poorly in clinical readiness, whereas 76.7% of community members had no access to government nutrition programs to speak of. Regardless of the group, poverty was identified as the main barrier.

Conclusion: Despite moderate awareness of maternal nutrition's importance, systemic gaps, poor infrastructure, and inconsistent program access hinder progress. Multisectoral strategies are urgently needed to address maternal mortality and child malnutrition in Afghanistan. Efforts should prioritize education, clinical training, and equitable program delivery to improve maternal and child health outcomes.

References

  • United Nations International Children’s Emergency Fund (UNICEF). UNICEF Afghanistan annual report 2024 [Internet]. 2024 [cited 2025 May 22]. Available from: https://www.unicef.org/afghanistan/media/11336/file/UNICEF%20Afghanistan%20annual%20report%202024_low%20res.pdf
  • Qamar K, Essar MY, Siddiqui JA, Salman A, Salman Y, Head MG. Infant and child mortality in Afghanistan: A scoping review. Health Sci Rep. 2024;7:e2224.
  • Naziri M, Higgins-Steele A, Anwari Z, Yousufi K, Fossand K, Amin SS, et al. Scaling up newborn care in Afghanistan: Opportunities and challenges for the health sector. Health Policy Plan. 2018;33(2):271–82.
  • Naeem M, Ahmad B, Malik S. Burden of congenital and hereditary anomalies in the war-affected territory at Pakistan-Afghanistan border. Asian Biomed (Res Rev News). 2022;16(6):299–309.
  • Faizi A, Sohi P. The impact of prenatal care on maternal mortality among women aged 15 to 49 in Afghanistan. Int J Contemp Med Res. 2025;3(2):55.
  • World Health Organization. Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group, and UNDESA/Population Division. Geneva: WHO; 2023.
  • Ozimek JA, Kilpatrick SJ. Maternal mortality in the twenty-first century. Obstet Gynecol Clin North Am. 2018;45(2):175–86.
  • Tawfiq E, Stanikzai MH, Anwary Z, Akbari K, Sayam H, Wasiq AW, Dadras O. Quality of antenatal care services in Afghanistan: Findings from the national survey 2022–2023. BMC Pregnancy Childbirth. 2025;25:71.
  • Bartlett L, Mawji S, Whitehead S, Crouse C, Dalil S, Ahmadzai M, et al. Progress and inequities in maternal mortality in Afghanistan (RAMOS-II): A retrospective observational study. Lancet Glob Health. 2017;5(5):e545–55.
  • Centers for Disease Control and Prevention. Update on overall prevalence of major birth defects—Atlanta, Georgia, 1978–2005. MMWR Morb Mortal Wkly Rep. 2008;57(1):1–5.
  • World Health Organization. Birth defects: Report by the Secretariat (A63/10). Geneva: WHO; 2010.
  • Feldkamp ML, Carey JC, Byrne JLB, Krikov S, Botto LD. Aetiology and clinical presentation of birth defects: Population-based study. BMJ. 2017;357:j2249.
  • Hashimi SM. Determinants of congenital anomalies in Afghanistan [Master’s thesis]. Amsterdam: Royal Tropical Institute (KIT) & Vrije Universiteit Amsterdam; 2017.
  • Heckathorn D. Comment: Snowball versus respondent-driven sampling. Sociol Methodol. 2011;41:355–66.
  • Cohen N, Arieli T. Field research in conflict environments: Methodological challenges and snowball sampling. J Peace Res. 2011;48:423–35.
  • Afshar A, Hakimi M, Razmju F, Yaqooby B, Yahya MA. Challenges and opportunities for women farmers in Afghanistan. Int J Life Sci Biotechnol. 2025 Apr 1;8(1):1–9.
There are 16 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Original Research Paper
Authors

Fazila Akrami 0009-0001-8725-3742

Mursal Akrami 0009-0009-4994-9341

Sadaf Mohammadi 0009-0004-9973-1897

Fayeza Etemadi This is me 0009-0001-4648-0164

Khatera Akrami 0009-0004-7206-2822

Jamila Azimi 0009-0004-9006-5760

Mir Abdullatif Yahya 0000-0002-3699-2983

Early Pub Date August 23, 2025
Publication Date
Submission Date May 21, 2025
Acceptance Date August 4, 2025
Published in Issue Year 2025 Volume: 17 Issue: 2

Cite

APA Akrami, F., Akrami, M., Mohammadi, S., Etemadi, F., et al. (2025). Maternal Mortality and Child Malnutrition in Afghanistan: The Role of Birth Defects and Nutritional Deficiencies. International Archives of Medical Research, 17(2), 18-31. https://doi.org/10.56484/iamr.1703297
AMA Akrami F, Akrami M, Mohammadi S, Etemadi F, Akrami K, Azimi J, Yahya MA. Maternal Mortality and Child Malnutrition in Afghanistan: The Role of Birth Defects and Nutritional Deficiencies. IAMR. August 2025;17(2):18-31. doi:10.56484/iamr.1703297
Chicago Akrami, Fazila, Mursal Akrami, Sadaf Mohammadi, Fayeza Etemadi, Khatera Akrami, Jamila Azimi, and Mir Abdullatif Yahya. “Maternal Mortality and Child Malnutrition in Afghanistan: The Role of Birth Defects and Nutritional Deficiencies”. International Archives of Medical Research 17, no. 2 (August 2025): 18-31. https://doi.org/10.56484/iamr.1703297.
EndNote Akrami F, Akrami M, Mohammadi S, Etemadi F, Akrami K, Azimi J, Yahya MA (August 1, 2025) Maternal Mortality and Child Malnutrition in Afghanistan: The Role of Birth Defects and Nutritional Deficiencies. International Archives of Medical Research 17 2 18–31.
IEEE F. Akrami, M. Akrami, S. Mohammadi, F. Etemadi, K. Akrami, J. Azimi, and M. A. Yahya, “Maternal Mortality and Child Malnutrition in Afghanistan: The Role of Birth Defects and Nutritional Deficiencies”, IAMR, vol. 17, no. 2, pp. 18–31, 2025, doi: 10.56484/iamr.1703297.
ISNAD Akrami, Fazila et al. “Maternal Mortality and Child Malnutrition in Afghanistan: The Role of Birth Defects and Nutritional Deficiencies”. International Archives of Medical Research 17/2 (August 2025), 18-31. https://doi.org/10.56484/iamr.1703297.
JAMA Akrami F, Akrami M, Mohammadi S, Etemadi F, Akrami K, Azimi J, Yahya MA. Maternal Mortality and Child Malnutrition in Afghanistan: The Role of Birth Defects and Nutritional Deficiencies. IAMR. 2025;17:18–31.
MLA Akrami, Fazila et al. “Maternal Mortality and Child Malnutrition in Afghanistan: The Role of Birth Defects and Nutritional Deficiencies”. International Archives of Medical Research, vol. 17, no. 2, 2025, pp. 18-31, doi:10.56484/iamr.1703297.
Vancouver Akrami F, Akrami M, Mohammadi S, Etemadi F, Akrami K, Azimi J, Yahya MA. Maternal Mortality and Child Malnutrition in Afghanistan: The Role of Birth Defects and Nutritional Deficiencies. IAMR. 2025;17(2):18-31.

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