An analysis of factors influencing maternal mortality in Southern Algeria

Objectives. Southern Algeria has the highest rate of maternal mortality in the country. An action-research study was conducted to identify the explanatory factors of this issue. Three methodological approaches were used: (I) an epidemiological data analysis of maternal mortality and an analysis of obstetric complications at the hospital of Tamanrasset; (ii) a socio-anthropological study conducted among women in Tamanrasset; and (iii) semi-structured interviews with health professionals aimed at understanding their beliefs and representations. Results. The study identified three major factors influencing the decision to seek care: (i) the interpretation of illness by mothers; (ii) the origin of their decision to seek care based on their assessment of the range of available therapeutic options; and (iii) medical uncertainty, with mothers often forced to resort to a range of therapeutic options because of uncertainty and pressure from family and other local residents. Conclusion. A detailed analysis of the implementation of mobile healthcare services is required to provide local health services to the population.