Tag Archives: Advocacy

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

Mother and infant

A Maternal Survival Action Network for Sierra Leone

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

Resources from the 2015 MDSR workshop in Vancouver

On 4th October 2015, an MDSR workshop took place at the FIGO World Congress  led by the World Health Organization and UNFPA in collaboration with FIGO (the International Federation of Gynecology and Obstetrics). The workshop aimed to identify opportunities to strengthen MDSR implementation and the contribution of MDSR to Ending Preventable Maternal Mortality beyond 2015 by:

  • Providing a forum to discuss and identify the opportunities and challenges facing MDSR implementation post-2015
  • Sharing lessons from the field on selected key topics relevant to sustained MDSR implementation
  • Identifying mechanisms and activities to strengthen global collaboration in MDSR implementation.

The workshop included presentations and “marketplace” discussion sessions on five themes. Please follow links to resources available from, or associated with, these sessions.

Death notification:

Data, communication and advocacy:

  • Role of civil society in MDSR: experiences from India. Presented by Subha Sri (CommonHealth, India). Click here to read a related civil society report on maternal deaths in India from CommonHealth.
  • How to communicate the message? Role of advocacy in communicating in MDSR. Presented by Sara Bandali (E4A).
  • Data innovations and visualization: Using scorecards to measure the strength of Maternal Death Review (MDR) systems in Nigeria and inform MDSR in Sierra Leone. Hosted by Tunde Segun (E4A) and Mohamed Yilla (E4A)
  • Data innovation and communication: Experiences from India. Hosted by Ajey Bhardwaj (Federation of Obstetric and Gynaecological Societies of India). Click here to read a related article on the development of an electronic MDR system in India. 

Funding agencies:

  • The role of funding agencies in MDSR support.  Presented by USAID. 

Professional society involvement:

  • The role of professional bodies and government agencies in MDSR: The Malaysia Experience. Presented by Dr Ravichandran Jeganathan (Ministry of Health, Malaysia).
  • Professional society involvement: The UK experience. Hosted by Dr Paul Fogarty (Royal College of Obstetrics and Gynaecologists). The Royal College of Obstetrics and Gynaecologists (RCOG) works to improve women’s health care across the world. Founded in 1929, the RCOG now have over 13,500 members worldwide and works with a range of partners both in the UK and globally to improve the standard of care delivered to women, encourage the study of obstetrics and gynaecology (O&G), and advance the science and practice of O&G. Click here to read more about the Royal College of Obstetrics and Gynaecologists.

Scaling up:

  • Going to scale: experiences from Tanzania and Ethiopia (see implementation coverage for 2014 and 2015).  Hosted by Moke Magoma (E4A) and Azmach Hadush (E4A).