Maternal Deaths & Maternal Death Surveillance and Response (MDSR): Definitions, the National Guidelines and Action Plan Midwife in Sudan. UNFPA www.evidence4action.net/wp-content/uploads/2011/09/en_SOWMR_ExecSum.pdf.

Slides:



Advertisements
Similar presentations
UNDP RBA Workshop on MDG-Based National Development Strategies Module 4: Health Strategies UN Millennium Project February 27-March 3, 2006.
Advertisements

How Gender Impacts Safe Motherhood
Skilled Birth Attendant and Skilled Birth Attendance
B Subha Sri, Renu Khanna CommonHealth Baroda, March 2012.
Follow-up after training and supportive supervision The IMAI District Coordinator Course.
UNICEF Cambodia September 2010
Facility Level Reviews Photo from:
Partnerships for PMTCT in Uganda A presentation to the IAS conference AVSI Side Event - Washington 25 July 2012 May Anyabolu Deputy Representative UNICEF.
EFFORTS TO PREVENT MATERNAL AND NEWBORN MORBIDITY AND MORTALITY IN KISARAWE DR. M.O. KISANGA KISARAWE INTRODUCTION Kisarawe District is among the seven.
MDSR: Evidence of Effectiveness from the International Literature From:
ASAP Satellite Symposium Safe Abortion in Asia - Making it Work 5th APCRSHR, Beijing Introducing medical abortion into the public sector in Nepal Dr B.
Understanding Maternal Death Reviews MDR Workshop Lucknow India June 17-18, 2010.
Healthcare Waste Management Programme
Office of Global Health and HIV (OGHH) Office of Overseas Programming & Training Support (OPATS) Maternal and Newborn Health Training Package Session 11:
What does the Lord require of you but to do justice, to love kindness, and to walk humbly with your God - Micah 6:8 MDG5: MATERNAL HEALTH.
Service Integration in the Context of PEPFAR Programming David Hoos September 2010.
The Role of Midwives in MCH 17 th of February, 2009 Alison Lindner BSN, CNM, MPH.
Factors Affecting Maternal Mortality (MM) in Turkey and in the World Dr. Yeşim YASİN Spring-2014.
Module 1: Course Overview. Course Objectives Teach you everything you need to know about the TB Program Describe TB the roles and responsibilities of.
Introducing Quality Management in District Hospitals in Tanga Region First Experiences from Korogwe District Hospital.
National Mental Health Programme. Govt of India integrated mental health with other health services at rural level. It is being implemented since 1982.
How to IMPLEMENT responses. Who and when ? IMMEDIATEPERIODICLONG TERM Region National Woreda Facility Comm’ty Level and timing of action.
Ms. Mariyam Nazviya Ministry of Health & Family Republic of Maldives ESA/STAT/AC.219/21.
Identification and Notification of Maternal Deaths.
The Power of Cultural Safety When Different Worlds Meet Giving midwifery care to migrant mothers and their babies Elsie Gayle
Unit 9. Human resource development for TB infection control TB Infection Control Training for Managers at National and Subnational Level.
With one woman dying during pregnancy or complications of childbirth every minute of every day, and 3.6 million neonatal deaths per year, maternal and.
Health Cluster Response Plan CAP 2013 SANA”A, YEMEN October 20 th, 2012.
Integration of postnatal care with PMTCT: Experiences from Swaziland
Max Brinsmead MB BS PhD May 2015 Maternal Mortality.
____________________________________ Commonwealth Foundation Partner’s Forum 9 th Commonwealth Women’s Affairs Ministers’ Meeting Gender issues in the.
MCH Indicators.
Using Information for Project Design: mHealth in Mozambique Research for Improving Program Performance Alfonso Rosales, MD, MPH-TM Technical Specialist,
Arie Hoekman,UNFPA Representative Strengthening Midwifery to save lives and promote health of women and newborn 3rd MCH Annual Conference Nanchang, November.
The Role of the Midwife in Public Health Julie Foster Senior Lecturer University of Cumbria.
Unit 10. Monitoring and evaluation
Planning and implementation of Family Planning. objectives By the end of this session, students will be able to: Discuss global goals. Analyze global.
1 A 5 POINT PROGRAMME TO SAVE CHILDREN By PDG Dr. Rekha Shetty RID 3230 Vice Chair - RFPD.
05_XXX_MM1 Implementing Safe Abortion: technical and policy guidance for health systems Ronnie Johnson, PhD UNDP/UNFPA/WHO/World Bank Special Programme.
TB PUBLIC-PRIVATE MIX DOTS Dr. Team Bakkhim Deputy Director CENAT Intercontinental Hotel 7 th November, 2012 NATIONAL FORUM ON PUBLIC-PRIVATE PARTNERSHIP.
Key priorities for 2012/2013 ACCELERATED REDUCTION OF MATERNAL AND CHILD MORBIDITY AND MORTALITY ‘CARMMA – CH’ THE ROAD MAP TO 2014.
Pioneering IMAI: Developing an integrated approach in Uganda Dr Elizabeth Madraa, Program Manager National STD/AIDS Control Program MOH - UGANDA 5 th Dec.
04_DirectorReport_PCC/1 9/2004 Rita Kabra_/1 Access to essential medicines for Maternal and Newborn Health Dr Rita Kabra Making Pregnancy Safer WHO/EDM.
DEWG Meeting Geneva 14 October 2009 TB in children Report from the breakout session.
Africa Regional Meeting on Interventions for Impact in EmOC Feb 2011, Addis Ababa Maternal and Newborn Health in the African Region Africa Regional.
Scaling Up MA within the Context of SA Services in Nepal
1 Partnering to Strengthen Local Efforts Can Help Us Get to Six Million on ART Anja Giphart, MD MPH Vice President, Program Implementation Elizabeth Glaser.
The Stall in Maternal Mortality Reduction in Africa - Sharing Experience from Ghana IPHU Workshop: November john mahama & nicolas mensah.
Understanding and responding to the determinants of maternal deaths Photo by Renee Bourque, Bright Star Consultants,
State Statistical Committee Azerbaijan Republic Maternal Mortality: Definition and Estimation Regional Workshop on MDG Indicators 8-11 November 2010, Geneva.
The Power of Design: A demand Creation Strategy for Maternal, Newborn and Child Health and Community Based Newborn Care (MNCH/CBNC) in Ethiopia Author:
SPECIAL SESSION COUNTDOWN TO 2015 IN ETHIOPIA SIX BUILDING BLOCKS OF THE HEALTH SYSTEM: PROGRESS TOWARDS THE INTEGRATION IN ETHIOPIA Dereje Mamo Tsegaye.
CAPACITY ENHANCEMENT PROGRAM FOR MIDWIVES ON MATERNAL AND NEWBORN CARE MDG COUNTDOWN:
ZIMBABWE COUNTRY EXPERIENCE ON SRH AND HIV LINKAGES / INTEGRATION LEVERAGE BY CARMMA (Campaign for Accelerated Reduction of Maternal Mortality in Africa)
Make Women Count! and its research center:. MATERNAL DEATH: WHO defines maternal death as: The death of a woman while pregnant or within 42 days of termination.
Improving Access to Safe Abortion Guidance on Making High-Quality Services Accessible Based on Safe Abortion: Technical and Policy Guidance for Health.
Primary health care Maternal and child health care MCH.
Maternal Mortality Assistant Professor Dr. Batool A. Gh. Yassin Depart. Of Community & family Medicine Baghdad College of Medicine 2014.
MDSR: Evidence of Effectiveness from the International Literature
Identification and Notification of Maternal Deaths
Quality Improvement An Introduction
MOVING TO ACTION: Identifying Responses.
Vital statistics in obstetrics.
Maternal Deaths & Maternal Death Surveillance and Response (MDSR): Definitions, the National Guidelines and Action Plan Midwife in Sudan. UNFPA
Understanding and responding to the determinants of maternal deaths
Basic Antenatal Care Package in South Africa
Facility Level Reviews
Maternal Mortality.
monitoring & evaluation THD Unit, Stop TB department WHO Geneva
Presentation transcript:

Maternal Deaths & Maternal Death Surveillance and Response (MDSR): Definitions, the National Guidelines and Action Plan Midwife in Sudan. UNFPA

Learning objectives By the end of this session, participants will be able to: Define and classify maternal deaths Describe global patterns of maternal mortality Describe the structure of the Ethiopian MDSR Identify the review committees and their composition at each level Explain how data will flow through the system

Definitions (1) A Maternal death is the death of a woman  while pregnant or within 42 days of the end of pregnancy (irrespective of duration and site of pregnancy)  from any cause related to or aggravated by the pregnancy or its management  but not from accidental or incidental causes (Source: ICD-10)

Definitions (2) Direct obstetric deaths are maternal deaths resulting from complications in pregnancy, labour or postpartum or from omissions or incorrect treatment. Indirect obstetric deaths are maternal deaths resulting from previously existing or newly developed medical conditions aggravated by the physiologic effects of pregnancy. Late maternal deaths are deaths from direct or indirect causes that occur from 42 to 365 days after the end of pregnancy (Source: ICD-10)

Definitions (3) A Pregnancy related death is all deaths of women during or within 42 days of the end of pregnancy regardless of cause. Useful in settings where it is difficult to determine cause, and in many low resource contexts, the cause of death is highly likely to be related to pregnancy

Definitions (4) A maternal near-miss is defined as “a woman who nearly died but survived a complication during pregnancy, childbirth or within 42 days of end of the pregnancy”  “Near misses” occur when women survive life- threatening conditions (i.e. organ dysfunction)  Use of Near Misses provides a positive approach (analysing survivals rather than deaths)  Appropriate for review when there are too few deaths to support regular review meetings

Review of Classifications Direct Causes (75%) Obstetric causes during pregnancy, childbirth and the post-partum period, such as: Haemorrhage Hypertensive disorders Infection Obstructed labour Abortion Indirect Causes (25%) Medical conditions that can be aggravated through pregnancy, such as: HIV (including TB and pneumonia) Malaria Anaemia Heart conditions Social, cultural & environmental factors across a woman’s life course affect risk for direct & indirect causes of death

Purpose of the MDSR Guidelines To provide guidance for the set-up and sustained functioning of Ethiopia’s MDSR for: o health professionals o health care planners and managers o policy makers who take action based on MDSR findings To ensure use of emerging information in improving maternal health outcomes

Goal and Objectives of Guidelines Goal : To guide effective implementation and scale up of MDSR in a systematic, standardized and integrated manner

Objectives o Strengthen capacity of program managers & providers in analysis & interpretation of maternal death data o Facilitate standardization & harmonization of the MDSR process at community, facility, district & regional levels o Guide program managers in timely implementation, monitoring and supervision of MDSR at different levels o Serve as a basic tool to guide service providers in MDSR o Improve use of information to produce local solutions to the root causes of maternal death

Committee Structure National Task Force RHB Review Committee Zonal Level Reporting Woreda Level Reporting Health Centre Committee: Reviews Verbal Autopsies for community & HC deaths Hospital Committee: Reviews deaths occurring within the premises Referral Hospitals

Committee Membership Chair, MSD, HPDP, FMHACA, HRNI, Midwives Assoc., Anaethetists, ESOG, H4, partners Zonal Level Reporting Woreda Level Reporting HC Director, HEW Supervisor, Midwives, Nurses, 2 Comm reps, Pharmacists, Woreda MNH Lead OB/GYN, IESO, Snr. Midwives, Anaethetists, CEO, Med Dir, Quality of Care Lead RHB Deputy Head, MNH focal person, Senior Midwife, ESOG, Partner representative OB/GYN, IESO, Snr. Midwives, Anaethetists, CEO, Med Dir, Quality of Care Lead

Culture of no blame The man in the boat needs help managing his appetite, a reminder of good nutrition, and assistance to stop sinking, but NOT a lecture on his poor eating habits! Healthcare providers are vulnerable to self blame, which does not improve care Support and training are better solutions for preventing future deaths “No blame” is NOT “no accountability”

National MDSR Action Plan May: National training & dissemination of guidelines June – September : Regional Committees established June - September: Phase I implementation (committees established at Facilities & Health Centres, with woreda support) September : Orientation for Health Facilities, Health Centres and HEW October ‘13 – March ‘14: Phase II April – September ‘14: Phase III Monthly monitoring throughout