Ethiopia MPDSR training package and guidelines

The Ethiopian National Maternal and Perinatal Death Surveillance and Response (MPDSR) Training Package was developed by the multi-sectoral national MPDSR Task Force, with technical support from Evidence for Action (E4A) and the World Health Organization (WHO).


In Ethiopia, an MDSR system was launched in May 2013, and a national level Train-the-Trainers workshop was conducted at that time by a multi-sectoral team drawn from the Task Force membership, the Ethiopian Society of Obstetricians and Gynaecologists (ESOG), WHO and the E4A technical assistance team. Following the national training workshop, a “training cascade” was introduced. Each Regional Health Bureau has been responsible for rolling-out the MDSR training to relevant participants in their regions.

Initially, Maternal and Child Health staff were trained using the MDSR Technical Guideline. In 2014, the MDSR system was integrated into the Public Health Emergency Management (PHEM) directorate in the Ethiopian Public Health Institute (EPHI). The PHEM Implementation Manual for MDSR was developed to help orientate surveillance officers around the country on collecting maternal death data.

In 2017, perinatal death surveillance and response started to be added to the existing MDSR platform. The MPDSR Technical Guidance document was produced and a new integrated training package developed (see below). Two Training of Trainers (ToT) sessions were held by the end of 2017. Training roll-out will begin in 2018.

The MPDSR and MDSR training packages are available to download below.

The MPDSR training package

Original MDSR training package

The MPDSR training package has been designed to be interactive. The emphasis throughout the training should be on the use of MPDSR as a basis for action. The importance of multi-professional team collaboration is also emphasised throughout the training, as this has been shown to benefit the MDSR system by strengthening communication between disciplinary groups (clinicians, midwives, data managers, community representatives, etc). Where possible, training at each level should be delivered by a multi-disciplinary training team.