The role of midwives in the implementation of maternal death review (MDR) in health facilities in Ashanti region, Ghana

This qualitative Master’s thesis from the University of the Western Cape, South Africa, highlights findings from the Ashanti region in Ghana, where midwives are actively involved in all stages of the implementation of facility-based maternal death review, including:

  • reporting and certifying maternal deaths
  • collecting and documenting evidence in order to notify the public health units
  • processing and preparing evidence for the audit meetings
  • participating in the audit meetings
  • helping to formulate recommendations as part of the audit team,
  • disseminating, implementing and monitoring the recommendations of the audit report.

The author found that midwives play a vital role, especially in facilities where there were no other clinical cadres of staff. The author recommends:

  • Junior midwives be included in MDR meetings to build their confidence and involvement in MDR
  • Continuous in-service training on issues related to MDR for nurses and midwives
  •  Inclusion of MDR in the Nurses and Midwifery Council of Ghana curriculum
  • Specific training for midwives on their particular role within the MDR process