In 2009, the Government of Malawi established the National Committee on Confidential Enquiry into Maternal Deaths. The Committee are tasked with producing national reports on maternal deaths in a given time period in order to guide actions and responses to prevent future maternal deaths. The first report produced by the Committee investigates maternal deaths that took place between 2008 and 2012.
The retrospective review of records from 27/28 districts included 1433 maternal deaths that took place in facilities or en route to a facility between 2008-2012 (inc.). In total, 57% were due to direct causes including haemorrhage (14% of all maternal deaths), pre-eclampsia (14%), sepsis (10%), and abortion (10%). Key indirect causes of deaths included: anaemia (19%), malaria (15%), and HIV/AIDS (8%).
The report, made public in May 2015, explains the methods of the enquiry, presents the findings, and provides recommendations for action.
To read the report, click here.
This case study outlines how Sierra Leone introduced a Maternal Survival Action Network to support the implementation of Maternal Death Reviews across the country. This is an updated version of a case study originally published in our April 2013 issue of the MDSR Action Network newsletter.
In Sierra Leone, implementation of Maternal Death Surveillance and Response (MDSR) has been revitalised since the onset of the Ebola outbreak.
Sierra Leone’s national MDSR framework previously focussed on facility-based MDRs. There is widespread agreement by experts and activists that the use of findings from MDRs for service delivery improvements in the current model of implementing MDRs could be significantly strengthened and efforts to re-establish facility-based MDRs on a regular basis is being re-established. A review of processes and challenges identified opportunities to strengthen MDRs and make better use findings at facility level. The intention is to strengthen the system by identifying context-specific barriers and enablers to the use of MDR findings for quality of care improvements. Continue reading