Tag Archives: PNDSR

Piloting PNDSR in Tigray region to inform national implementation – Part 1

This case study is the first of two. The second part will be published in 2017 and will report on progress toward scaling up perinatal and neonatal death surveillance and response (PNDSR) across the country.

BACKGROUND

In December 2015, Ethiopia began piloting a perinatal and neonatal death surveillance and response system in Tigray region in response to national commitments to improve newborn survival. The perinatal mortality rate in Ethiopia is high, estimated 46 per 1,000 births in 2011)[1]. The Tigray Regional Health Bureau (RHB) initiated the implementation of PNDSR after learning the importance of maternal death surveillance and response to generate evidence to save pregnant women’s lives following the scale up and national launch of maternal death surveillance and response (MDSR) in May 2013. The World Health Organization (WHO) has been supporting the region following its good performance during the initial phase of MDSR implementation.

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Perinatal death surveillance and response to improve survival of babies

The mortality audit (or review) process is an established tool to assess the events around a death. Applying an audit cycle can highlight breakdowns from local to national levels and ultimately improve civil registration and vital statistic (CRVS) systems and quality of care. Maternal death surveillance and response (MDSR) is a form of this strategy that has been used by many countries[1].

Less information, however, has been captured and assessed on stillbirths and neonatal deaths[2]. In 2014, 51 priority countries reported having a policy on maternal death notification, and only 17 countries had a policy for reporting and reviewing stillbirths and neonatal deaths[3].

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