News and updates

Nigeria | MPDSR scorecard from Lagos State

In Nigeria, the Evidence for Action (E4A)-MamaYe programme has continued to provide extensive support to the iImage_Cover of scorecardmplementation of maternal and perinatal death surveillance and response (MPDSR) at sub-national levels from October to December 2016.

The programme assisted the Lagos State MPDSR Committee and the Lagos State Accountability Mechanism for maternal, newborn and child health (LASAM) to develop the State-level Facility MPDSR Scorecard. Data from May to July, 2016 from 17 general hospitals with MNCH services were submitted and presented in the scorecard (see excerpt, below). Continue reading

Nigeria | State-level updates in northern Nigeria

The Maternal Neonatal and Child health programme (MNCH2) is a five year country led programme which aims to reduce maternal and child mortality in northern Nigeria.  The programme works across six states: Jigawa, Kaduna, Kano, Katsina, Yobe and Zamfara.

Image_Map of Nigeria_MNCH2Since 2014, MNCH2 has been supporting maternal and perinatal death surveillance and response (MPDSR) across its six states.  At secondary level facilities (which often have a high number of deliveries), MDR committees have been set up to review the causes of maternal death and take action to prevent similar deaths in the future.  MNCH2 also supports State MDR Committees to mentor and monitor facility-level committees.  MNCH2’s support to MPDSR across northern Nigeria has resulted in a number of achievements. Here are some examples: Continue reading

Ethiopia MDSR Resource Hub

Image_Ethiopia Quarterly MDSR newsletters_Banner_PostVisit the new Ethiopia MDSR Resource Hub on the Action Network website!

Read what the Minister of Health thinks about the power of MDSR. Watch a short film of how MDSR is saving lives in Ethiopia. Browse the first National Report on MDSR data; download the policy briefs on quality of care and strengthening maternal death surveillance; and much more!

The Global Financing Facility: A Brief Overview

Are you familiar with the Global Financing Facility (GFF)? Do you live in one of the 63 countries receiving or eligible to receive GFF funding?

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The GFF was launched by the UN and the World Bank in July last year to improve the health of women, children and adolescents. It is a financing model that combines domestic funding with external resources.

While the GFF is still in its early days, we believe that it has the potential to improve MDSR systems, through investing in civil registration and vital statistics (CRVS) systems, for example. An important focus of the GFF is to improve CRVS systems – a key method for measuring improvements in maternal and newborn health – to capture information on births, deaths and causes of deaths. Continue reading

Seminar Series: 2017

Innovations in maternal and perinatal health in humanitarian settings: Exploring evidence and innovations to improve maternal and newborn survival among populations affected by humanitarian crises 

This new seminar series will take place at the London School of Hygiene and Tropical Medicine (LSHTM) in collaboration with the Global MDSR Action Network and LSHTM’s Health in Humanitarian Crises Centre and The Centre for Maternal, Adolescent, Reproductive, and Child Health (MARCH). Continue reading

Three new tools from the World Health Organization

On 16 August, 2016 the World Health Organization (WHO) launched three new tools to count and review stillbirths, and maternal and neonatal deaths!

Browse the standardised system to capture and classify stillbirths and neonatal deaths in the WHO Application of the International Classification of Disease-10 to deaths during the perinatal period (ICD-PM).

Read the guide and toolkit, Making every baby count: audit and review of stillbirths and neonatal deaths. This publication assists countries to conduct audits and reviews to recommend and put into action solutions to prevent future stillbirths and neonatal deaths.

Explore Time to respond: a report on the global implementation of maternal death surveillance and response to review the findings of the WHO & UNFPA global survey of national MDSR systems in 2015.

Also…

Browse the press release and WHO website to learn more about these three tools, including related papers by the BJOG.

Read this Lancet commentary about all three publications.

Explore this photo story to learn more about MDSR implementation in ten countries around the world.

View this infographic about improving data to learn about what the WHO is doing to help countries save mothers’ and babies’ lives.

Do you know how many women each day experience a stillbirth worldwide? Browse this infographic on the tragedy of stillbirths to find out how many, and more!

News updates: Global Financing Facility

Global Financing Facility (GFF): the Country Powered Investments report supporting Every Woman, Every Child, was launched 20 September. Four new countries – Guatemala, Guinea, Myanmar and Sierra Leone – have also recently become eligible to access GFF funding. For more information about the GFF, visit the website here.

 

 

The Lancet Maternal Health Series

On 18 September, The Lancet launched the 2016 maternal health series in New York City on the opening day of the United Nations’ General Assembly, following a decade since the maternal survival Series was published. The new Series comprises of six papers discussing the diversity and divergence of poor maternal health, the extremes of maternal care (too little, too late and too soon, too much), childbirth care, women centred care in high-income countries, future external factors and health-system innovations, and a call to action to presenting five key targets to ensure that the Sustainable Development Goals are met.

Tanzania | Scaling up MPDSR implementation with new guidelines

Maternal and perinatal death surveillance and response is recognised by the Tanzanian government as a process for improving quality of maternal and newborn care in health facilities. With a stepwise approach and the decision to initially focus on facility-based maternal and perinatal deaths before scaling up to include deaths occurring at the community level, new guidelines were developed and are being rolled out to all 26 regions in mainland Tanzania. The process is supported by the WHO country office and involves the training of trainers in each region so that implementation is tailored to the local settings rather than a centralised initiative led by the Ministry of Health (MoH).

Support from the WHO has complemented previous efforts by health stakeholders to roll out of the new national guidelines in four regions in the Lake and Southern zones. Funding from the WHO helped quicken the roll-out process across the country, especially in regions previously not supported.

Led by the MoH, national experts were invited to participate in drafting the timeframe of the countrywide roll-out. Three teams of at least three experts each helped disseminate the new guidelines and trained at least 20 trainers in each region to take over the dissemination and training in districts and health facilities.

In contrast to the 2006-2015 maternal and perinatal death review guidelines, the MPDSR guidelines focus on strengthening skills in maternal and perinatal death audits at the facility level – including the use of information to improve service delivery – and improving capacities to oversee and support implementation at the district, regional and national levels. The MPDSR guidelines define the differences between audit committees at the facility level and technical teams at the district, regional and national levels. They also clarify the use of generated data to inform service delivery and MPDSR implementation at all levels. Reporting from facility to national levels and developing feedback loops are also highlighted in the guidelines to ensure a common understanding. Additionally, the use of information and communications technology, such as WhatsApp groups, to link MPDSR trainers to health facilities in each district and region is also encouraged and are already used to share progress in developing skills that are impactful at all levels.

The MPDSR guidelines are expected to be disseminated to all regions by September 2016 as the scale up of MPDSR in Tanzania progresses.

  • To read the country update for Tanzania from July 2016, please click here.
  • To learn more about MPDSR implementation in Tanzania, read this case study published by the World Health Organization.
  • Read this paper, published by the Tropical Medicine and International Health journal in 2014, to learn about the strengths and weaknesses in implementing MPDRs in Tanzania.

 Acknowledgements: This update was written by Dr Moke Magoma, Team Leader QI, TGPSH (Tanzanian German Programme to Support Health).

Nigeria | the development of a MPDSR system

Nigeria has been working towards developing a national MPDSR system and several activities have taken place at the national and State level over the past few months.

In April and May 2016, a maternal and perinatal death surveillance and response training was held in Lagos to build the capacity of key personnel of the state healthcare system (including gynaecologists, obstetricians, representatives from private hospitals and local government surveillance officers) to further efforts to institutionalise MPDSR in the state, building on existing Maternal Death Review structures. This was the first State-level training in country that incorporated perinatal, surveillance and response components. Read the July 2016 Nigeria update to learn more about the training.

After the training, the Chief Medical Directors of the participating secondary facilities were tasked with establishing maternal and perinatal death review committees at their facilities. To date, committees have been set up in 21 general hospitals that offer maternal, newborn and child health services. These committees have started reviewing maternal and perinatal deaths at the facility level and are sharing MPDSR findings with the State.

Also, participants from each facility developed work plans for MPDSR implementation. Progress towards implementing the facility work plans will be presented in a scorecard based on MPDSR data from July to September 2016. The Lagos State Ministry of Health, with support from the MamaYe-E4A, has collected and analysed the data, and will disseminate the scorecard to MPDSR stakeholders in October 2016.

In Bauchi State, the Bauchi State Maternal and Perinatal Death Surveillance and Response Committee provides mentorship to facility-MDR committees and recently supported the collection of data on maternal and perinatal deaths from 25 secondary facilities in the last quarter with support from MamaYe-E4A. A draft MPDSR scorecard has been prepared, and will be reviewed and validated at a stakeholder meeting at the end of September 2016 before printing.

As a follow up to the country update shared in the July 2016 newsletter, a workshop was conducted at the end of June to develop the national MPDSR training (for trainers) manual. This workshop took place over five days and was led by the FMOH with members of the national MPDSR Steering Committee.

Participants went through the MPDSR national guidelines and tools, and agreed on a modular format for the training manual. During the workshop, participants successfully developed some training sessions. Two consultants have since been tasked with completing the remaining sessions using the agreed format. They have submitted a completed draft of the training manual, which will be reviewed and finalised at a stakeholder meeting in October 2016. A National MPDSR Training of Trainers will then take place in November 2016.

Acknowledgements: This country update was developed based on feedback from Dr Tunde Segun, Country Director for MamaYe-E4A Nigeria; Mr Oko Igado, National Technical Advisor for MamaYe-E4A Nigeria; and content from the Report on the Training of Lagos State Health Care Providers on Maternal and Perinatal Death Surveillance and Response (MPDSR): April 28-29 and May 3-4, 2016, and MamaYe-E4A Quarterly and Country reports.