The MDSR system in Malaysia is often referred to as a model upon which other countries can learn about how success can be achieved with limited resources. To support other countries in taking forward MDSRs, the Government and Ministry of Health of Malaysia are actively supporting implementation in Lao PDR, Vietnam and Nepal with regular visits conducted by Dr Ravichandran Jeganathan, the National Head of Obstetrics and Gynaecological Services at the Ministry of Health in Malaysia. Dr Jeganathan summarised the focus of his advocacy during the Lao PDR meeting as a call for ensuring adequate skilled birth attendance for each community at village level by ensuring that each village to have at least one midwife.
During these visits, local teams are guided in how to adapt and develop tools to conduct the investigation process, and have been trained how to conduct maternal death reviews. Specific attention is given to clarify the concept of a non-punitive approach and how the response mechanism can be implemented and achieved with ease, even with minimal resources. Dr Jeganathan is a keen advocate for including medical and nursing students on the training to ensure their exposure to the concept of MDSRs early on in their career.
In Malaysia, the sixth edition of theReport on the Confidential Enquiries into Maternal Deaths in Malaysia 2009 – 2011 that was in progress during the last newsletter is now available upon request.
In addition, a near miss registry is being finalised; parameters have been identified and tools drafted. This near miss approach will be piloted in one district hospital in September 2016 to ascertain its validity.
This country update was informed by feedback from Dr Ravichandran Jeganathan, the National Head of Obstetrics and Gynaecological Services at the Ministry of Health in Malaysia.
For previous countryupdatesof Malaysia and acase studywritten by Dr Jeganathan, follow the links or visit the MDSR Action Network website.
We asked six experts from Malaysia, Ireland, Ethiopia and India about the importance of multi-disciplinary teams in maternal death surveillance and response (MDSR) systems. Here are the insights they shared with us.
Our contributors have all worked closely with MDSR (or maternal death review also known as MDR, which is a component of MDSR) in various guises, contexts and parts of the world. We have drawn together common themes from their insights to draw out lessons learned for the successful implementation of multi-disciplinary health actor involvement in MDSR.
MDSR in Malaysia is in its fourth year of inception. It complements the Confidential Enquiry into Maternal Deaths that has been in existence since 1991. As part of MDSR feedback, we have weekly updates on the most recent data on maternal deaths for the week and compare this data to the same week the previous year. Based on the findings of the MDSR committee (which meets at least four times a year) a near miss registry is being formed and the ground work is completed. As we leave the Millennium Development Goals and move on to the Sustainable Development Goals we see a greater role for MDSR.
Update from Dr Ravichandran Jeganathan, National Head of Obstetrics and Gynaecological Services at the Ministry of Health.
Dr. Ravichandran Jeganathan, National Head of Obstetrics and Gynaecological Services at the Ministry of Health in Malaysia, shares the inspirational story of Malaysia’s efforts to make every death count.
Find out more about some of the specific actions and responses that were introduced as a result of the Malaysia Confidential Enquiry System.