Experiences with facility-based maternal death reviews in northern Nigeria

This mixed-methods study emphasised the value of teamwork, commitment and champions at health facility level to facility-based MDR in Nigeria.

The authors found that where key members of MDR committees transferred, where facilities were understaffed or there was a lack of supportive supervision, these problems significantly undermined the sustainability of the MDR process.

They recommend MDR be institutionalised in the Ministry of Health to provide adequate support to staff.