Tag Archives: MPDSR

Nigeria: Implementing a community component and using evidence for action

At national level, the Federal Ministry of Health carried-out a meeting in February with key stakeholders (UNICEF, E4A, National Primary Healthcare Development Agency, WHO, UNFPA, National Population Commission, and the Centre for Disease Control)  on their Maternal and Perinatal Death Surveillance and Response (MPDSR) system. The purpose of the meeting was to share updates on progress in implementing MPDSR and discuss moving MPDSR forward. Reported progress in implementing MPDSR to date from the federal-level includes: 

  • Development of MPDSR national guidelines
  • Nation-wide orientation on MPDSR held at zonal level
  • Establishment of National and State Steering Committees
  • Development of national and state implementation plan

The central discussion of the meeting focussed on how to leverage existing structures to implement a community component of MPDSR.

At sub-national level, E4A-MamaYe has supported the training of Maternal Death Review (MDR) committees in all Secondary Health Facilities in the following States: Bauchi, Jigawa, Kano, and Ondo. These facilities are now conducting MDRs. MDR data is collected quarterly and used to develop scorecards that provide evidence for the Advocacy Sub-Committees of the State-Led Accountability Mechanisms. Please see examples of MDR scorecards from Bauchi, Kano, and Ondo.

MDR evidence is influencing policy, service delivery and community action in Nigeria. For example, as a result of MDR evidence, Kano State Government included three key activities in the 2016-2018 State Medium Term Sector Strategy (MTSS). These include:

  1. Conduct of MDRs in facilities and quarterly MDR review meetings at the State level
  2. Provision and maintenance of functional blood banks in all State hospitals
  3. Integrated demand creation activities to improve uptake of ANC and maternal survival.

In response to the finding that post-partum haemorrhage is a leading cause of maternal deaths in Gumel General Hospital of Jigawa State, the hospital management mobilised community members (around the catchment areas of the facility) to form blood donation groups who are now donating their blood voluntarily, and blood is now available in the facility.

Update from Oko Igado, National Technical Advisor for E4A-MamaYe, Nigeria

Tanzania: Rolling-out Maternal and Perinatal Death Surveillance and Response

At national level, the Maternal and Perinatal Death Surveillance and Response (MPDSR) guidelines have been sent for printing ready for distribution across the regions. In Mara region, the maternal and perinatal death review report has been reviewed to include all deaths from 2015.

Update from Dr Moke Magoma, Evidence Advisor for E4A-Tanzania

Nigeria

At national level, the Federal Ministry of Health (FMOH) is planning to institutionalise Maternal and Perinatal Death Surveillance and Response (MPDSR) in Nigeria. As part of this, the FMOH carried out four zonal orientation meetings of representatives of the 36 State Steering Committees and the FCT, on MPDSR in Lagos, Port Harcourt, Jos and Kaduna in early November, which covered in-country experiences of implementing MPDSR at the facility and community level.  The meetings were attended by a variety of stakeholders, including representatives from the FMOH, the World Health Organization, Save the Children, Evidence for Action (E4A), UNICEF and the Society of Gynaecology and Obstetrics of Nigeria.

As a result of these four zonal orientation meetings, the FMOH established a virtual MDSR network on MPDSR titled ‘Maternal and Perinatal Death Surveillance and Response in Nigeria and is hosted on Facebook.

At sub-national level, in Ondo State, the first zonal facility MDR training has taken place for MDR agents, who included Chief Medical Directors, heads of the Obstetrics and Gynaecology departments, and the nurse/midwife or matron in charge of the hospital labour ward. In Kano, a two-day MDR review meeting has taken place for the State and Facility MDR Committees, which resulted in the development of a workplan for August 2015 to February 2016. In Bauchi State, the Technical Working Group on MDRs successfully trained 131 Facility MDR Committee members from 25 out of the 26 General Hospitals in the State. The committees have drawn up workplans to begin reviews in their facilities.

Update from Dr Tunde Segun, County Director E4A-Nigeria

 

Tanzania

The Ministry of Health and Social Welfare (MOHSW), in collaboration with several stakeholders including the World Health Organization, UNFPA, UNICEF, Evidence for Action (E4A), national professional bodies, and Tanzanian and international research institutions, have updated the existing Maternal and Perinatal Death Review system to Maternal and Perinatal Death Surveillance and Response (MPDSR) in light of latest technical guidance.  The updated MPDSR guidelines were approved in November by the MOHSW and are now being rolled-out across Tanzania through a phased approach, starting in Mara region. To read more about Tanzania’s MPDSR guidelines, take a look at this case study by E4A.

Update from Dr Moke Magoma, Evidence Advisor for E4A-Tanzania