Tag Archives: CRVS

Is scaling-up community maternal verbal autopsies a viable approach to inform action to reduce maternal mortality?

Key messages

  • Community verbal autopsies are recommended in maternal death surveillance and response systems. Potentially they can inform action to prevent further deaths by improving our understanding of: The circumstances surrounding deaths occurring in the community; individual and community-level factors contributing to delays for those deaths occurring at facilities; and family perspectives of treatment received at facilities. However, undertaking verbal autopsies at scale may not always be feasible.
  • Maternal deaths are rare events and, particularly in settings that are experiencing rapid increases in institutional delivery rates, are increasingly occurring in facilities.
  • Community verbal autopsies entail a high training cost, with large numbers of community health workers each covering relatively small geographical areas. Their low skill, high turnover and infrequency of conducting verbal autopsies generate poor quality information and limited new insights. The collection of data with limited use at a sensitive time also raises ethical concerns.
  • In low resource settings, other strategies could be considered to achieve the primary purposes of maternal death surveillance and response, for example strengthening community based vital registration systems for better notification of deaths; strengthening facility-based maternal death reviews with a focus on the community delays contributing to facility-based deaths; and intermittent qualitative research by skilled researchers.

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Value of data: Sexual and reproductive health and rights in crisis settings

Summary_Rajat Khosla presentation_IDMHR_11.4.17The World Health Organization (WHO) says it is crucial for women to have access to quality health care throughout their pregnancy, childbirth and postpartum period and overall life course at any time and in any place, including humanitarian and crisis settings. Enabling environments that are rights-based, equitable and legally protective can help ensure quality health care is available to women and girls.

Last month, Rajat Khosla, a trained lawyer and Human Rights Adviser in Sexual and Reproductive Health and Rights (SRHR) at the WHO, gave a compelling presentation about sexual and reproductive health, and the value of maternal death surveillance and response (MDSR) data and systems in crisis settings, at a seminar we co-organised at the London School of Hygiene and Tropical Medicine (LSHTM). Watch the live recording here. Continue reading

Improving data improving health: Verbal autopsy for health systems strengthening 

A recent event at University College London (UCL) will be of interest to those working on maternal death surveillance and response. The seminar, Improving Data, Improving Health: Verbal Autopsy for Health Systems Strengthening, was organised by the University of Aberdeen’s Centre for Global Development and UCL’s Institute for Global Health. The half-day event in October 2016 featured six speakers from the World Health Organization, Umeå University, UCL, Malaria Consortium, University of Aberdeen and the Africa Health Research Institute. Continue reading

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